HomeMy WebLinkAboutPermit Electrical 2009-12-10
Gq.11&7
. Residential Electrical Authorization To Begin Work
69600-BEL-09-00277
Approval Code: 010107 12/10/2009 1:43 pm
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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E-mailedTo:tena@orelectricservice.com
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I 0 New Construction IRJ Addition/alteration/replacement
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1001 or 2 family dwelling 0 Multi-family 0 Commercial' 0 Accessory
,l~;;l;'.~",; 't'jOB:SiTE!rN~ORMAtION:ANDjt6CATf6N'1f1lo2";~~lit;:,'
I Job Add~es5: 243 F 5T
I City/State/ZIP: SPRINGFIELD, OR 97477
o Hazar~ous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
D Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1~2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
Suite/bldg./apt.no,:
Project Name: Melco/GFCI
I C'OSS 5t"."dl,.ctlo" '0 job ,It.: Pion..' Pkwy W
I Tax map/parcel no.: 1703352300100
1~:~:~<~~~~~ErS~flED~~;E'f";:~;'1 Tot.r
2 GFCI's in 33 different aprtments,
I Branch circuits with~ut service or
feeder
I Branch circuits each additional
circUli without seliflce
I ~lec1,h~]!)e"~]lII~,e:a:sro
I Subtotal
I State surcharge (12% of permit
total}
r Technology fee (5'% of permit total)
I TOTAL PERMIT FEE
$55.00
$55,00
''''''''''j
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I Name: Jeff Brooks
I Phone: 541-343-1681
I Email:
f:".~if
65
$6.00
$390.00
~;~j\4'~~"' ~~, .~;.
Fax: 541-343-1683
$445.00
$53.40
$22.25
$520.65
CCB lie. no.:
181997
Elec lie. no.: C408
Business Name: OREGON ELECTRIC SERVICE LLC
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Contact:
Address: PO BOX 2237
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City/State/ZIP: EUGENE, OR 97402
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Phone: 54134316140TICE: Fax: 5413431683-' -"."
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"JTllc;r;;ZE;:; UiJJ::1 TI m: rE[)~n1T I~ MnT
M.tm He, no.: ~r;',,,,n:.,CW-0Q I~'~NED FOR ,..
5up.",I,ln9 EI.et1fI~"i' j'RI'f'DAY P!:flfOD.
Email:
memON: t .. .,.tawrequtrel':1;'
follow rules 8csopted by the Oregon set fo1'Il
Notification Center. those IVgh\eaOARare 952-00'-
In OAR 952.()01-ClO10thrOU
0090 You may obtain copies of the rvle8'"
Caliln9 the center. (Note: the tele':
IIUlIIber for the oregon Utility Notill ~
Center II , llOO ~-2344). r
. 1(
~ (\' \0. #,\,.:'1
v'V(X'~ V
~.
HERMAN OLLAR
Supervising Electrician's Name:
Number of inspections included in paid services:
Residential Selifice: 4
Reconnect Only: 1
All Other Selifices' 2
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Inspections Phone: 541.726.3769 ~ ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Upon review and approval by your local Jurisdiction, your permit will be e-mailed or faxed
within one business day, wilh Instruclionson hOWl? schedule you rlnspectlon.
;
NOTE: This Authorization To !;Jegln Work expires within 180 days If a permit IS. not obtained.
The local building department may determine that an Authorll:allon To Begin Work is null and
void if il does not meet applieable land ulIlllaws and loealordlnan ellS,
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01763
ISSUED: 12/10/2009
APPLIED: 12/10/2009
EXPIRES: 06/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541,726"3676 Fax
541,726-3769 Inspection Line
SITE ADDRESS: 243 F ST
ASSESSOR'S PARCEL NO.: 1703352300100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DE'SCRIPTlON: 2 GFCI's in 33 different apartments- see inspector BAR
Residential
Owner: CASTLE TERRACE LLC
Address: 3136 TANNER PARK DR
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
181997
Expiration Date
05/09/2010
Phone
54 I -343-1681
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary CO'llstruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Palh:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:'''.....
n/a
REQUIRED PARKING
Front yard Setback: . Overlay Dist:. . on ern you to
Side I Setback: .... # s..tre..e. ITrees Rqd:, ATTENTION, ~reped ' ''0N'3dn Utility
Side 2 Setback: . ';., ~,,,':'.f.~,Y,~,1!?rive Rqd: fo"~W rule~~nto:,. Th 'aresetlol1h
Rearyard Setba<N:OTICE: .' % of Lot ~9verage: NOtificatIO~-OOHI010throughOAR952-OO1.
Solar Setbacks: 'THIS PERMIT SHAll. EXPIRE 1FT HE WORI\, , InOQ9OOAR..ss ay obtain copies of the rulea br
'-"I~f~"lnIT'''MnT . .oum I" \ ,'t~""lft""_"
AUIHUKILtU UI~ucn 111'1 ,.."1',, ~O. CBlllnglllll...."'.... iC\.... ,-
COMMENCED OR IS ABA~ROVEMENTS I number for the Oregon Uti~~
Street Improvem,'(I~tr= 180 DAY PERIOD. . ," " Sid~~e~-800 33 ).
Storm Sewer Available:
Speciallnslruclion:
I DEVELOPMENT INFORMATION, I
Downspouts/Drains:
'Y':i~"- .;....
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
'Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-0I763
ISSUED: 12/10/2009
APPLIED: 12/10/2009
EXPIRES: 06/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
i'"
Total Value of Project
~ees P~id I
Fee Description
+ 12%State Surcharge
+ 5% Technology Fcc
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$53.40
$22.25
$55.00
$390.00
12110/09
12/10/09
12/10/09
12110/09
1200900000000001323
1200900000000001323
1200900000000001323
1200900000000001323
Total Amount Paid
$520,65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
"". " I
Reouired 'nsneetions I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is truc'and correct, and I further certify that any and all worl\ performed shall be done in accordance with
the Ordinances of the City of Springfield :lUd the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project.
J further agree to ensure that all r'equired inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phone
Job/Journal Number
COM2009-0 1763
COM2009-0 1763
COM2009-0 1763
COM2009-0 1763
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000001323
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/10/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT GIGS
KR
d"
,.t
Page 1 of I
ONLINE OREGON Online
ELECTRIC
SERVICE
Payment Total:
3:04:08PM
Amount Due
55.00
390,00
22.25
53.40
$520,65
Amount Paid
$520.65
$520.65
12/1 0/2009