HomeMy WebLinkAboutPermit Electrical 2009-12-28
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City Of Springfield
. 225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@cLspringfield.or.us
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D New Construction
[R] Addition/alteration/replacement
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"CATEGORYOF.90NST@CTION ,. .~'::' -', " .t.'
[Zl1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
JOEl SITE'INFORMA TlON ANO);:OC:ATION"., ~'~ '\!
Job Address: 1625 ANDERSON LN
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bJdg.lapt.no.:
Project Name; Gena Baker
Cross Street/directions to job site:
I Tax mapfparceJ no.:
1703273200125
;l?-OES_CRI~TION, OB'~{0~K'.;..~i';'";;~;P);
Kitchen remodel
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'~;SITE' c9,lIIj"4c:f;!V:~'C:i':":'
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I Name: Jeff Woods
I Phone: 541-654-1731
Fax:
I Email:
I
I Elec lie. no.: 20-462C
I Business Name: ROBS ELECTRIC INC
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. CbNT~CTOR?i1ifli.~:,' """','
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ceB IIc. no.:
156678
Contact:
Address: PO BOX 2821
City/StatefZIP: EUGENE, OR 97402
Phone: 5414619409
Fax: 5416865444
Emall: ROBLAWLER440@HOTMAIL.COM
I Metro lie. no.:
I SupelVislng Electrician's lie. no.:
City lie. no.:
4744$
SupervIsing Electrician's Name:
DAVID R LAWLER
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 o-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorizallon To Begin Work explrc:s within 180 days If II permIt is not obtained.
The local buildingdepartmenl may determino that an Authorization To Begin Work is null and
void If it does not meet applicable land use laws and local ordinances.
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Electrical Authorization To Begin Work
69600-BEL-09-00308
Approval Code: 046208 12/28/2009 5:08 pm
E.mailed To: robselectric@hotmail.com
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Please check all that apply: 0 Hazardous locations
o A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds 0 Buildings more than three star
10,000 Amps at 150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for alt other 0 Floating buildings
D Commercial-use agricultural
buildings
o Installation?f a 150 KVA or
larger seperately 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
"';)':~;:;;;'B~E'SCHEOt.ii:E. ,.
1 Descripllon I Dty. I
1~"yiyi~,t)s~(fEJ9d~~:~~7~-~j;~~';~,:!'~1!1: . -.~<::~'I
I Services 200 amps or less
L~!i~.~~_~ii~_uits~~.~:e :i;
I Branch circuits with service or
feeder each circuit
l~fecfrical{F:9'rnji!Eeest':t~;i, .
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
Residential
o Fire pumps
o Emergency systems
o Additi~n of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
D
Health care facilities
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Ea.
I
il
$51.00 I
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Total
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l $6100 I
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l 7
\1i0'f
I $6,00
$42.00
" ~. " ~.~'t
$123,00
$14.76
$6.15
$143,91
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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
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01841
ISSUED: 12/29/2009
APPLIED: 12/29/2009
EXPIRES: 06/29/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541,726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1625 ANDERSON LN
ASSESSOR'S PARCEL NO.: 1703273200125
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Remodel
Residential
PROJECT DESCRIPTION: Kitchen Remodel
Owner: LENNINGER JAMES D
Address: 2162 MARLOW LN
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
ROBS ELECTRIC INC
License
156678
Expiration Date
08114/20 II
Phone
541-686.5444
~UlLDING INFORMATION I
# of Units:
Primary Oecnpancy Gronp:
Secondary Oecnpaney Gronp:
Primary Constrnetion Type
Secondary Constrnetion Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oecnpant Load:
n/a
I DEVELOPMENT INFORMATION J
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Disl:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC I.MP~OVEMENTS I
Street Improvements: Sidewalk Type:
Storm Sewer Available: ',":' AJ'TENTION: 6lfw\iS\\'o\i't'~iif~iJMs you to
Speciallnstrnction: " follow rules adopted by the oregon Utility
';" Notification Center. Those rules are set forth
Notes:, In OAR 952-001-0010 through OAR 952-001-
i~OnCE: 0090. You may obtain copies of the rules by
'1};UH~~7~~~ ~~8~~ ~~~n~~~~~,;~,;ition Descri~Hffi~fr l~~ th~'~;~gg~ii~~;m-;~;n
,Olv1f\11ENCED OR IS ABANDONED ~UK' ,. Center Is 1-8 - ).
D . 't"" 1800'1'''' n('''f'C-n . $ Per Sq Ft Square Footage Value Date Calculated
escnp Ion. ,ype.o onstruetlOn I . I' B'd A
or mu tip ler or I mount
Pa2e I 01'2
'1-;
ell'
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225 Fifth Strcet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
'541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01841
ISSUED: 12/29/2009
APPLIED: 12/29/2009
EXPIRES: 06/29/2010
VALUE:
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Status
Issued
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Cire Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$]4.76
$6.15
$42.00
$81.00
12/29109
12129/09
]2/29/09
12/29/09
2200900000000001435
2200900000000001435
220090000000000]435
2200900000000001435
Total Amount Paid
$143.91
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. ..' '
Re(JlJir~d ',nsneetionsJ
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examincd the completed application and do hereby certify lhat all
information hereon is true and correct, and I further 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 Orcgon pertaining to 'he work described herein, and
that NO OCCUPANCY will be made of any structure without permission uf the Community Services Division, Building Safety.
] further certify that only contractors and employees who are in compliance 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
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 184 J
COM2009.0 1841
COM2009-0 1841
COM2009,0 1841
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIJ>T #:
Date: 12/29/2009
2200900000000001435
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number 1I0w Received
NJM ONLINE ROBS In Person
ELECT
Payment Total:
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Page I of I
8:16:2IAM
Amount Due
81.00
42,00
6,15
14.76
$143.91
Amount Paid
$143,91
$143.91
12/29/2009