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Home My WebLink AboutPermit Electrical 2009-12-21 S~~f~:=" L~~' ~ . ,b= e;il OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: pennitcenlei@ci.springfield.or.us liq, I~I(P Residential Electrical Authorization To Begin Work 69600-BEL-09-00298 Approval Code,: 03045C 12/21/2009 10:11 am E-mailedTo:keliasen@att.net ;,"",1 D New Construction 00 Addition/alteration/replacement 001 or 2 family dwelling D Multi-family D Commercial D Accessory 1~~~\(.t'.l.t~,:h!S:S6B:SltE:iNf;:0RMA'1'10NAND:l?6CAIT0Ni';f~:tfz:.~};Iii~ Job Address: 451 W QUINAL T ST City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Hacsa Cross Street/directions to job site: W Fairview Dr & W Quinalt 51 Tax map/parcel no.: 1703274100101 Disconnect circuits affected by house fire. lli?ln.:o;;',, ~ft-i~'iJ Name: Ben Johnsen Phone: 541-357-2003 Fax: 541-461-2340 Email: Elec lie. no.: 20-53C 38497 CCB lic.-no.: Business Name: BEACON ELECTRIC I Contact: I Address: 2585 ROOSEVELT BLVD City/State/ZIP: EUGENE, OR 974022500 Phone: 5414610291 Fax: 5414612340 Email: BEACONELECTRIC@ATT.NET Metro lie. no.: City lie. no.: Supervising Electrician's lic. no.: I Supervising Ele<::tri.cian's Name: 3485S GARY E JOHNSEN Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day,with instrucltons oil. 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 that an Authorization To Begin Work is ~ull 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 moreresidentiai units in one structure o Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys D "A" "E" or "1-2" or "1-3" , , o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Description I Service reconnect only' I Subtotal I State surcharge (12% of permit . total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE' ~~oo-. , :-/&-f(J. ~ \v-~ ~ $63.00 $7,56 $3.15 $73,71 .~ ~ \0~ \0 \' \\)' Ccm lZDC? - <9lo L Cy, n rY\ ld.-/;;J-I) c:F-J Inspections Phone: 541-726-3769 ' This Authorization 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: COM2009-01816 ISSUED: 12/21/2009 APPLIED: 12/21/2009 EXPIRES: 06/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 451 W QUlNAL T ST ASSESSOR'S PARCEL NO.: 1703274100101 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Disconnect circnits affected by honse lire Owner: HOUSING AUTHORITY & URBAN Address: 177 DAY ISLAND RD EUGENE OR'97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEACON ELECTRIC License 38497 Expiration Date 01/10/2010 Phone 541-461-0291 BUlLDI!"G 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: 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 DEV,~LOPMENT INFORMATIO!" I Front yard Setback: Side I Setback: Sille 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Pavell Drive Rqll: , 0/0 of Lot Coveqlge: REQUIRED ,PARKING Total: Handicapped: , ," ".,. ,"", .'". Compact: I PU~LIC I~PROVEMENTS I . ATTENTION: ~\t'lt~!lires you ',0 follow rules adQPted by the Oregon Utility , Notification Cen~P."'mIl!l!!~~: set forth In OAR 952-001-001 0 through OAR 952-001. " 0090. You may obtain copies of the rules by Notes: NOTICE: ,~. calling the center. (Note:the teh"r.hor,e T~I~ Pi=RMlT ~HAII EXPIRE IF THE WORK ft'\IIlbfllfnr the Oreqon Utility Notitlcanun AUTHORIZED UNDER THIS PERWilllJ 1\: I .. ~enter is '-IlUU-;j,j,-'''''''J. COMMENCED, OR IS ABANDONI~rVa)WatlOn DescnotlOn I ANY 180 DAY PERIOD, Description Type of Construction Street Improvemeuts: Storm Sewer Available: Special Instruction: $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Date Calculated Pa2e I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01816 ISSUED: 12/21/2009 APPLIED: 12/21/2009 EXPIRES: 06/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 541-726-3769Inspection Line Total Value of Project Fees Paid J Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid $7,56 $3,15 $63.00 12/21/09 12/21/09 12/21/09 Receipt Number 2200900000000601406 2200900000000001406 2200900000000001406 Total Amount Paid $73,71 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 7:90 a.m. will be made the following ~~~~ ' I R~~, ~,!r~d .' ~snections I Electric Service: Approval required'prior to utility company energizing service. By signature, I state and agree, that I 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 workperformed shall be done in accordance with the Ordinances of the City of Springfield and the Laws ofthe 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 coutractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspectious 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 ,':1) .,1 Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1816 COM2009-0 1816 COM2009-0 1816 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001406 Date: 12/21/2009 ]O:2]:07AM Item Total: Check Number Authorization Receiv~d By Batch Number Number How Received Amount Due 63,00 3,15 7,56 $73.71 Amount Paid njm beacon Online Payment Total: $73.71 $73,7] ONLINE Page I of 1 12/21/2009