HomeMy WebLinkAboutPermit Electrical 2009-12-14
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OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00283
Approval Code: 017051 12/14/2009 1:41 pm
E.mailedTo: info@think-electric,com
o New Construction
lRJ Addition/alteration/replacement
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[Z] lor 2 family dwelling D Multicfamily 0 Commercial 0 Accessory
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Job Address: 770 S 42ND ST
CityfState/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name:
Cross Street/directions to job site:
I Tax map/parcel no.: 1802052201100
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replace meter base and breaker
I Name: Stephen Schmiechen
I Phone: 541-232-1212
I Email:
L;
Fax: 541-359-3065
Elec lic. no.: 20-500C
CCB lic. no.:
154326
Business Name: THINK ELECTRIC
Contact:
Address: PO BOX 844
CityfState/ZIP: EUGENE, OR 97440
I Phone: 5412321212 Fax: 5413593065
I Emai!: INFO@THINK-ELECTRIC.COM
Metro lic. no.: City Iic. no.:
Supervisin9 Electrician's I1c. no.: 5382S
Supervising Electrician's Name: STEPHEN E SCHMIECHEN
Number of inspections included in p<l;id services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your focal jurisdiction, your permit will be e-mailed or faxed
within one business day, with Instructions on how to schedule your Inspection,
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
The local building department may determine thai an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
Please check all that apply:
o 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
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
o Hazardous locations
D 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 se'perately.derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
I D.:,:~:,',',P, ~;:, ~""', ", ,., ',', -, '''',' "O''''''i<SA';""~",J''''',~%jj~j,j,""~~'''!''_';~~,,, ,",I>,
S"eryl.ce~\~rHfY,9"~~e.r~_t/,'i1.~~~~.:?t8~W~;j.iftJ~~~~~~&W~~~'t:Wi]
I Services 200 amps or less J 1 1$81.00' $81.00
I~Ji!'C't1iqlijP,~rlTlj~~:f~r~~~\t~~~..,~
I Subtotal $81.00
I State surcharge (12% of permit $9.72
total)
I Technology fee (5% of permit total) $4.05
I TOTAL PERMIT FEE $94.77
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Inspections Phone: 541-726-3769
This Authorizatio'1 To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01783
ISSUED: 12/14/2009'
APPLIED: 12/1412009
EXPIRES: 06/1412010
VALUE:
225 Fjfth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 770 S 42ND ST
ASSESSOR'S PARCEL NO,: 1802052201100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace meter hase and meter.
Owner:
Address:
HASTINGS ROBERT & JACQUELINE
2375 PIONEER PIKE
EUGENE OR 97401
I ~ONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
THINK ELECTRIC
License
154326
BUlL~ING INFORMATION'
Expiration Date
02/11/2011
Phone
541-232-1212
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DE~ELOPMENT INFORMATION.'
Frontyard Sethack:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements: I w requires you to
ATTENTION: Oregon a . ,
Storm Sewer A vailabl'lbllow rules adopled by the ,Q!egonUtlilly
Special Instruction: Notification Center, Those rules are set ~~h
In OAR 952-001-0010through OAR 952- .
Notes: 0090. You may obtain copies of the rules by
callinq the center. (Not.~:.:,~e t~~~P,~~.~~"
number TOf II'" v,~. "... _-,,,I,, t..,
Center is 1'~0~~rJa~f~~)1>escriDtion ,
Sidewalk Type:
N O'rrC'~~o u tsID rains:
;~~~1~~~MIT SHALL EXPIRE IF THE WORK
COMMnl;~~ ~~DI~R. ~HIS PERMIT IS NOT
LINY 180 DAY PERIOQUl"IlWUIVtU rUH
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"'.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01783
ISSUED: 12/14/2009 '
APPLIED: 12/14/2009
EXPIRES: 06/14/2010
VALUE:
Status
Issued
Total Value of Project
~ Fees Pair! I
Fee DescriPtion
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid'
Date Paid
Receipt Number
$9.72
$4,05
$81.00
12/14/09
12/14/09
12/14/09
3200900000000000809
3200900000000000809
3200900000000000809
Total Amount Paid
$94,77
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,
~eo~irer!lnsp~ctions I
Electric Service: Approval required prior to utility company energizing service,
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witli
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be, "Jadc of any strncture without permission of the Community Services Division, Building Safety.
I further certify that only contractors arid employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required 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
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1783
COM2009-0 1783
COM2009-0 1783
Payments:
Type of Payment
ONLINE CHGS
cReccint\
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
"
3200900000000000809
Date: 12/14/2009
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge '
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By, Batch Number Number How Received
nJm
ONLINE think elect Online
Payment Total:
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Page I of 1
2:48:25PM
Amount Due
81.00
4,05
9,72
$94.77
Amount Paid
$94,77
$94,77
12114/2009