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Home My WebLink AboutPermit Electrical 2009-12-29 ~P~I.~. ~~~O,' ~".,,....., '"":(:;~ < ,r,'" - . ".. OREGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 ~mail: permilcenter@ci.springfield.or.us I/Q./tJ1if Residential Electrical Authorization To Begin Work 69600-BEL-09-00310 Approval Code: 012804 12/29/2009 11:57 am ':;-J:~ jYPE,6F:WcfRK!~f~~~~r?:::?1_ IRl Addition/alteration/replacement Ir:'.i~~;~~..,..'~: ~::'-f.. I 0 New Construction II I [Z] 1 or 2 family dwelling I. .~ . -., JOB SITE'INFORMATlONAN[):LlocAifoi'.fi"\ I Job Address: 1422 ANDERSON IN I CitylStatelZIP: SPRINGFIELD, OR 97477 I Suite/bldg.lapt.no.: I CATEGORY,6f':c6NSjRi.JC.TibN;tf<::','~ ':, - ,.. .., "-.. '-', '",.--, -- ~'~;;l.;r~ :':' jj o Multi-family D Commercial D Accessory ./" ;~ Project Name: Gena Baker I Cross StreeUdirections to"JOb site: I Tax map/parcel no.: 1703284002400 I". . ,- -5\.' ",~~;;; '[)-EstRI~tl0~'9FjVY91~ki1r-':;J:~::;~g~"1;>,"-:~~-~ I kitchen remodel ",1 '. }<', " 'SITE CONTKc'r;:;;~> '::.. Name: Richard Woods I Phone: 541-654-1731 I Email; I! Fax: A, '^~, 'CONTRACrOFf'<,'. ~;;'~~"f:Ji~..Yik~~ "'" . ' _C"'_ ___ _ ,,{;; '....v ,~, .,"-', ~"'r",..~" r.i Elec lie. no.: 20-462C CCB lic. no.; 156678 Business Name: ROBS ELECTRIC INC Contact: Address: PO BOX 2821 City/State/ZIP; EUGENE, OR 97402 Phone: 5414619409 Fax; 5416865444 Email: ROBLAINLER440@HOTMAIL.COM . Metro lic. no.: City lie. ':10.: Supervising Electrician's lie. no.; I Supervising Electrician's Name; Number of Inspections Included in' paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 47445 DAVID R LAWLER Upon revivw 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 Authorization To Begin Work expires within 180 days if a permit is not obtained.. The local building department may determine that an Authorization To ~egin Work 15 null and void If It does not meet applicable land use laws and local ordinances. 1:"fibb"1:::;(tir:1,\;S;;~"~~!.=3l".;.'Rl.<'r-p".N':R" "-E'VI'EW' ~..{i<'~.,' ;;",',,- .... ,',~",~,~._.~_ ".:' ,-" ~.." "-_.,~ L..I"\, ..,_~..,..).~, Please check all that apply: 0 Hazardous locations o A service or feeder beginning 0 A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other ',-,\ - i~.,; o Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities E.mailed To: robselectric@hotmail.com 1~~11 '(42, o Buildings more th'an 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". T', or "1.2" or "1.3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal 1f!!~~~~~~~~~}~tlf~Yfl:~;SgHEb~l:~~,- " I Description ISJ!.rVlc_es"offeed~Ys -':~..-~~~-"':';~\~'~~f."" I Services 200 amps or less 1!3:ranc~ ci!f!Jits, ,:,:;-' I Branch circuits with service or feeder each circuit I.EI~ctrjpal.Per~lt F;~ee's,'~:~" -~.:;~~ \,' .~. g, I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Qty. I.., II I -I - Ea. Total "-~ I $81.00 $81,00 ~ ,,& />-:6' 'V CO;-:::. CoJnuv9 /d}-1;;J-9IG9 y 7 J $6,00 $42.00 -"-\ .;, $123.00 $14.761 $6,15 I $143.91 I ~v .CY' '(f 0/ ~ \ ~ '71([. S- O/57~ // /71. Inspections Phone: 541,726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,_SF!~.rN~F.I~~~~'.IIjI;!li'i .,:~~ ;j> lit .:._, ~ . 1 J ,1 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-0I576 ISSUED: 10ti7ti009 APPLIED: 10ti7/2009 EXPIRES: 06/29/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1422 ANDERSON LN ASSESSOR'S PARCEL NO.: 1703284002400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: 6 circuits for heaters, hot tub, and lights in residence. Residential Owner: DAME CHERYL A Address: 1422 ANDERSON LN SPRINGFIELD OR 97477 I CONTAACTOR INFORMATION I Contractor Type Electrical Contractor NEW REYNOLDS ELECTRIC INC License 184921 Expiration Date 01/01/2011 Phone 541,343,7297 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction J'ype Secondary Construction Type: # of Bedrooms: # of Stories: Heigh' 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 DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Se'baek: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPRQ.v~~lJregon I~w requires you to Streellmprovements: follow rules adoptEsideW~lIl Typl!pn Utility, Notification Center, Those rules are set forth Storm Sewer Available: in OAR 952.001.001 @fl11'9@'Wp!!lror.y~:001- SI)('ciai Instr"uction: b' ' f th I b ,I~ P~0' 0090. You may 0 taln copies 0 e ru es y , IT' '. ,lt'IIT SHALL EXPI calling the center. (Note: the telephone ~otes: Ir:.~I!ED UNDER THfSRE IF THE WORK number for the Oregon Utility Notification , C'i"Ui:tl\lI'r-n I'1n ,~ . _ PERMIT IS MnT Center is 1-600-332-2344). h;. I' 180 DAY p" 'u nU/ilVUUIVED FOR ER/DD. I Valuation DescriDtion I Description Type of Constrnction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 _GP-.,r-lIN, ~'i,"~~'iiI,," i,. ill=-' r ., ~. ~ ,'~' ii ~t_.\ '..,.",,".' '-..,,,,' -, ,.,. .. "~, --. ..: ,~ CITY 0.. ~rluNGFIELD Building/Combination Permit PERMIT NO: COM2009-01576 ISSUED: 10/27/2009 APPLIED: 10/27/2009 EXPIRES: 06/29/2010 VALUE: Status Issued 225 Fifth Street, Springlield, OR 541,726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp~~ P,irl J Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $10.20 10/27109 1200900000000001194 + 5% Technology Fee $4.25 10/27/09 12009000000001101194 Add, Alter, Extend Cire $55.1I0 10/27109 120090000001l01l1l1194 Add, Alter, Extend Circ Ea Add $30.1I0 10/27/1I9 I 2009000001l1l001l I 194 + 12% State Surcharge $14.76 12/29/1I9 1200911001l001l0001364 + 5% Technology Fee $6.15 12/29/09 1200900000000001364 Add, Alter, Extend Cire Ea Add $42,00 ;;., 12/29/09 1200900000000001364 Perm Serv/Fdr 200 amps or less $81.00 ' 12/29/09 1200900000000001364 Total Amount Paid $243.36 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(]uirerllnsnecti(]n~J Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature, I statc and agree, 'hat I have carefully examiued the completed application and do hereby certify tha' all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with th~ Ordiuanees 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 made of any structure without permission of the Community Services 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 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 a.I,.l'RINQFUlLD.~", '. :~A ftR" . ~:c- ,~, " ~ ~ " ,- ..', '. ".'"......,,,..,.,..' ..,.. , ' ~ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1576 COM2009.0 1576 COM2009-0 1576 COM2009,0 1576 Payments: Type of Payment ONLINE GIGS cReccintl RECEIPT #: 1200900000000001364 Date: 12/29/2009 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CI-IGS Item Totlll: Check Number Authorization Received By Batch Number Number How Received ni,m ONLINE robs elect Online Payment Total: ';.1' '. Page I of I 1 :57:57PM Amount Due 81.00 42,00 6,15 14,76 $143.91 Amount Paid $143,91 $143.91 12/29/2009