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Home My WebLink AboutPermit Electrical 2009-12-23 .. ~~~IN"GF,IEL~,..' , h,L't.",;~_~ . ~4z;;.( ~ ~2'~'"" OREGON City Of Springfield 225 Fifth 8t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-09-00305 Approval Code: 729901 12/23/2009 11:26 am E-mailed To: mgehrke@cselectric.org I 0 New Construction IKI Addition/alteration/replacement f';rrC;ATEG.0~~Y~OJ;:j:ONS.fRlicJ'ION~:;".~~~N ~~fI{:~ . I [K] 1 or 2 family dwelling D Multi-family 0 Commercial 0 Accessory 1&~r~~~:-,r:cJi~f"J'OB'sffE'INF,O~RMA'rloN'ANb;t6CAfI6NT'!~.,,:~..,y~ I Job Address: 771 66TH ST I City/State/ZIP: SPRINGFIELD, OR 97478 1 Suite/btdg./apt.no.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1702341102911 Kitchen remodel I Name: Dave Ge~rke I Phone: 541-741-2236 I Email: Fax: 541-741-2473 I Elec lie. no.: 20-14C I Business Name: C & SELECTRIC INC I Contact: I Address: PO BOX 1482 'I Clty/StatefZIP:.SPRINGFI~D, OR 97477 . "".IGL- WORK I Phone; 54174'~i{.~ DC~~nIT ~HJI.lL @.~fi~H.:" II)T 1.lk .- 1HI" t't:I'"JIl. \" t -- Emall; CSELECT_~u-m~ UNDER " r:n ~()R . run [n<. , - .!l\\fT:)t!t.u . . Met'" "0. no,; COMMENCED OR Ib II;Wh~:;;o.; ~, 0.... ..," I HIV J ~II IIJ:IY ",a;\C3. ' Supervising Eleotrtclan s-fi'c'. MI.: 4894S cce lie. no.: 3849 .. ;:'" ;;"~~,::\':;~'''':,~:'~:''1'': I Supervising Electrician's Name: DAVID E ~EHRKE 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-malled or faxed within one business day, with Instructions on how to sctiedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. The local building dtlpartment may determine that an Authorizallon To Begin Work Is null and voidlfltdoesnotmeetapplicablelanduselawsandlocalordlnances. Please check all that apply: D A service 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 D Firepumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure o Health care facilities Description I Branch circuits without service or feeder I Branch circuits each additional circuit without service I Subtotal I State surcharge (12% of permit total) I Technoiogy fee (5% of permit total) I TOTAL PERMIT FEE (jq.I~3L , 0 Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KV A or larger seperately derived sys D "A" "E" or "1-2" or "1-3" , , D Recreational veohicle Parks D Supply voltage for more than 600 supply volts nominal Qty. Total Ea. $55.00 $55.00 4 $6.00 $24.00 ",,,! $79.00 $9.48 $3.95 $92.43 c~ -1<()~6- ~ 1d1~iD'1 ATT!NT1ON: OI'egOft laW.......,.,.... , follow ",I"~ by~.:.:L Notification Center. 0S8 OAR 952-001- In OAR 852.oo1.Q0101ll= of 'It Met'" ,0090. You may obtain .1IIe teIephanI oalllng the OIIIler. ~:~ Nollll ~ '-'- --=~m.1t>>. \ 'f)~ i:9'- "YcJ>.. \\7-'U' ~ (V' ~& Inspections Phone: 541-726-3769 This Authorization To Begin Work must ~e posted at the job site until replaced by a Permit . J ~ . ),. o.~~1_.:_::'~1~', ~~~\) ~~,~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01832 ISSUED: 12/23/2009 APPLIED: 12/23/2009 EXPIRES: 06/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 771 66TH ST ASSESSOR'S PARCEL NO.: 1702341102911 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Residential PROJECT DESCRIPTION: 5 circuits for kitchen remodel in residence Owner: BLATCHLEY MARIA ADELLE Address: 771 N 66TH Sl' SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 Expiration Date 09/0112010 Phone 541-741-2236 , I 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: , Lot Size: Sq Ft ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage/Carport Sq Ft Other: Occup:tnt Load:.~ , n/a I DEVELOPME~T INFORMATION, I , REQUIRED PARKING ~;:en:y;~'~h~tet~a~~CE: 'WE":!I':F,:l"T':i"H';i'E;~~~~~~r ~:::~ Rqd: ~~i~~~~~~~~~~! SIde 2 Setba ',<:: PERMIT SHALL EXPlR ~&'bnye Rqd:. In OAR 952.oo1'()()10t~~ilOAA 952.()O1. Rear:ard ~e )f~'ORIZED UNDER THIS PERMIT tS wu't,;Coverage. 0090. You may obtain caples of the rules by Solal Setbac~~~n~n~~\(':1'n OR IS ABANDONED fOR;;y;,', calling the centef. (Note: Itte telephone A'f PERIOD .-....... IV. "I" """YUlI \,/lImy "'U""WuW ANY 180 D . I PUBLIC IMPROVEMENTS I ' (lenter 111-800-332-2344). Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: DownspoutslDra'ins: Notes: I V aluation DescriDti~n I " I Description Tv,?e of Construction $ Per Sq':Ft "Square Footage or multiplier or Bid Amount Value Date Calculated Page 1 01'2 . '::"'~~I~~!ll!ill,l!' I " ' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-0l832 ISSUED: 12/23/2009 APPLIED: 12/23/2009 EXPIRES: 06/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es Pa.id I Fee Description + 12% Statc Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid, Date Paid Receipt Number $9.48 $3,95 $55.00 $24.00 12/23/09 12123/09 12/23/09 12123/09 1200900000000001359 1200900000000001359 1200900000000001359 1200900000000001359 Total Amount Paid $92.43 I Plan Reviews , 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 Rerjuired Insnl'ctions . , , , Rough Electric: Prior to Cover Final Electric: When. all electrical 'York is complete. By signature, I state and agree, that] have carefully'ex'~mjned the completed application and do her'eby certify that all information hereon, is true and correct, and I furth,er certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of aoy structure without permission of the Community Servkes Division,Building Safety, I further certify that only contractors and employees who are in compliaoce with ORS 701.005 will be used on this project. I 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 Paee 2 of2 . i25 Fifth Street Sl'Jringfield, Oregon 97477 54'1-726-3759 Phone Job/Journal Number COM2009-0 1832 COM2009-0 1832 COM2009-0 1832 COM2009-0 1832 Payments: Type of P"yment ONLINE CHGS cRcceintl Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: . 1200900000000001359 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS KR , ;~' Page I of I City of Springfield Official Receipt . Development Services Department Publie Works Department Date: 12/23/2009 11 :42: 18AM Amount Due 55,00 24,00 3,95 9.48 $92.43 Amount Paid ONLINE C & S Online ELECTRIC Payment Total: $92.43 $92.43 12/23/2009