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Home My WebLink AboutPermit Electrical 2009-12-16 ~p ~I~G:~.L~.~.'-- Jie -- .~- ~-. ( ~fM; C;~'^"<l." ~- '" .:;(L,.,_ '. OREGON City Of Springlield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us (/q. Il-(<tl Residential Electrical Authorization To Begin Work 69600-BEL-09-00290 Approval Code: 074589 12/16/2009 9:39 pm \ 1[0 1'-' ,. t'- IZl 1;- ~..- . .:.y~~~ I. - ,,,,' +-"> E-mailedTo:electricman1@centurytel.net "';,~~~"~r-1,;:p'L~Ai,f"REVfEW..~i '':r.;., ._~ :-(~, ,,;,;f"~: F,EE.SCHEDUL!E..J _.-- -,...-'" -"~-' .. -- I Description I Qty. I Ea. I I~.ranch ~circuits~~~~~_?~~ ~1.~$j,:," - :--,_;..~~:';-,,~':'~w~~g.>F- I Branch circuits without service or J $55.00 J feeder IMlscellal1~oqs . ",~,-:i!.' ':;j '; to -'" -'. . .',,:.,;, ~ . I Balance of permit fees I l Iglectric'a( Pij'r~if Fe~S::_!";"~t::",t~"1~~. ~'J'_!,.::;'!t",~~{:~i I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE ~~ 1\PP ~-W:." 'V t>..- \~)' '( Upon review and approval by your local jurisdiction, your pormit will be (I-mailed or faxed /, d\/Y"\I10 I"rl.' 1'") q -.0 I /{ V { within one business day, with Instructions on how to schedule you rinspection. ~O I I t...-f:.J V ~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is nOI obtained. \"'-(r -:7/ 0 q The local building department may detormine that an Authorizalion To Bagin Work illl null andn yY'\ ~. '1 .: { I void if it does not meet applicable land ulIIe lawlII and local ordinances. TY~EOF'w6RK'jW, ;'--':'?:C.;' (K) Addition/alterationlreplacement CAl:EGORY:-OF&ONsTRLJc'nON:.);V_~,.:;r", Please eheek all that apply: D A serviee or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other New Construction .:'2 '-".;;~..~. o Multi-family D Commercial D Accessory 1 or 2 family dwelling ; ;~tjoB;srfE;iNFORMAT"IONiAND'LOCAtION;:Y;'" .".,' Job Address: 562 COLONIAL DR CitylState/ZIP: SPRINGFIELD, OR 97477 o Fire pumps D Emergeney 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.lapt.no.: Project Name: 2110 Cross Street/directions to job site: Tax map/pareel no.: 1703221200500 t:;;.g;,- -t~':- "",.-~;.., <"'D~SCRiETION;6tw081(,:,~<;;"7" '4 \., If; . ,. ",.;.;,,";.'.i extend circuit for hot water heater ,,'ff' ,;.. ~ -': ....~ ! ,:",: :'SITE;GQNT ACT,;" "<~:~ ..; .'. -,.~~_t..;>1 Name: matthew qrover Phone: 541-225.7827 Fax: 541-895-3922 Email: l. . '. ~ ' Elee lie. no.: C441 >Ii;';". c;QNTRACTOi(f .{ {.j,'<-' CCB lie. no.: 184274 Business Name: COMPLETE ELECTRICAL INSTALLATIONS INC Contaet: . I Address: 33024 CAMAS SWAlE RD I City/StatelZIP: CRESVv'Ell, OR 97426 I Phone: 5418953922 I Email: Fax: \ ~~.O" ~:~~ ~~ Metro lic. no.: City fie. no.: SupelVising Eleetrician's lie. no.: 5367S SupelVising Eleetrieian's Name: MATTHEW E GROVER Number of inspeetions ineluded in paid selViees: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 o Hazardous locations o A servi~e or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150. KVA or larger seperately derived sys o "A", "E", or "1-2" or "i-3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal : . ::~.~:,:~~-;,,!.;",A~~.~::t Total $55_00 ...,.,. $58.00 $6.96 $2.90 $67.86 Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF ~l'luNl.ilflJi,LD . Building/Combination Permit PERMIT NO: COM2009~01481 ISSUED: 10/07/20091' APPLIED: 10/07/2009 EXPIRES: "06/17/2010 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 562 COLONIAL DR ASSESSOR'S PARCEL NO.: 1703221200500 Springfield TYPE OF WORK: l\:Iechanical Only TYPE OF USE: New PROJECT DESCRIPTION: Residential retro fit for hot water heater (tankless) Residential Owner: LEWIS TERRY M & DEBRA K Address: 562 COLONIAL DR SPRINGFIELD OR 97477 I CO~TRACTOR INFORMATION I Contractor Type Electrical Mechanical Plumbing Contractor . License COMPLETE ELECTRICAL INSTALLATION 184274 INNOVATIVE AIR INC 161742 INNOVATIVEAIRINC 161742 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I ,DEVELOPMEN~ INFORMA TION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Selbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Expiration Date 10/14/2010 10/11/2010 10/11/2010 ;Phone 541-225-7827 541-746-1040 541-746-1040 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: , , REQUIRED PARKING Total: ! Handicapp~d: . ", ...Compact: i I 1,~UBLlC IMPROVEMENTS' . . ATTENTION. .Qreqon law requires you to fOllo~ltl1!ro!J~d~~f~d b', the OregonU' 'I't . N tT . J 1I1 Y I ~A'i[j'JW/j1sG6'DWDr1ihi$!e rules are 'set forth . n R 952-601-001,0 through OAR 952.001- 0090., You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332.2344). Street Improvements: Storm Sewer Available: Special(I!1struction: !"UnCE: Note~!:IS PER~IT SHALL EXPIRE IF THE WORK ;."UTHORIZtD UNDER THIS PERMIT IS NOT "OMMENCED OR IS ABANDONED FOR ANY j 80 DAY PERIOD. Pa2e 1 of 3 CITY OF SPRINGFIELD' Building/Cpmbination Permit PERMIT NO: COM2009~101481 ISSUED: 10/07/2009, APPLIED: 10/07/20091 EXPIRES: 06/17/20101 VALUE: _S.P';I'!.I!1'!'!.FlI!'l;L,tl: ~.." cA.' '>I.~. j~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line I Valuation 'D~scription I . . . Description $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project J<'rp.i~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $16.44 $6.85 $79.00 $19.00 $39.00 $6.96 $2.90 $55.00 $3.00 10/7/09 10/7/09 10/7/09 10/7/09 10/7/09 12/17/09 12117109 12/17/09 12/17/09 Total Amount Paid $228.15 .' Plan Reviews I Value Date Calculated Receipt Number 2200900000000001151 2200900000000001151 2200900000000001151 2200900000000001151 2200900000000001151 3200900000000000813 3200900000000000813 3200900000000000813 3200900000000000813 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, in'spections requested after 7:00 a.m. will be made the following work day. 1 Rptlnirprl UJ,.snec.tions I Rough Plumbing: Prior to cover and inclnding required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ; . ili;,. j. , . Page 2 of 3. ,'.t:, Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SP~INGFIELD . i Building/Combina~ion Permit , PERMIT NO: COM2009-01481 ISSUED: 10/07/2009 i APPLIED: . 10/07/2009' EXPIRES: 06/17/2010 VALUE: 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 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfietd and the Laws of the State nf Oregnn pertaining to the:work descrihed herein, and that NO OCCUPANCY will be made of any structnre without permission of the Community Sei-vices Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 fnrther 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 apprnved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01481 COM2009-01481 COM2009-01481 COM2009-0 1481 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000813 Date: 12/17/2009 Description Add, Alter, Extend Circ Minimnm/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMtT GIGS Item Total: Check Number Authorization Received By Batch Numb~r Number How Received NJM ONLINE COMPLETE Online Payment Total: Page 1 of 1 8:37:42AM Amount Due 55.00 3.00. 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 12/J 7/2009