Loading...
HomeMy WebLinkAboutPermit Electrical 2010-1-12 ISC~~~~LD . '^~':I\:<;^.fb,-. ~~( f~, 'r. "Aft. V......_ . :LJg;,*~, OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726~3753 Email: permileenter@ci.springfield.or.us 6/V' '1'( Residential Electrical Authorization To Begin Work 69600-BEL-10-00017 Approval Code: 012327 1/12/2010 8:48 am E-mailedTo:tena@orelectricservice.com o New Construction 00 Addition/alteration/replacement 11Zl1 or 2' family dwelling 0 Multi-family 0 Commercial D Accessory li"~o~:~::::.;~~~"J~~:IJE'.'INFbRr;fAl'I0NfANb:l!6CAjfjONH<;,'fj,';\~~?~~ I CIty/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldgJapt.no.:.1 Project Name: Jeff Fields/541-521-1399 Cross Street/directions to job site: Tax map/parcel no.: 1703363202400 I Name: Jeff Brooks Phone: 541-343-1681 Fax: 541~343.1683 Email: I Elee lie. no.: C408 CCB lie. no.: 181997 I Business Name: OREGON ELECTRIC SERVICE LLC I Contact: I Address: PO BOX 2237 I City/State/ZIP: EUGENE, OR 97402 I Phone: 5413431681 Fax: 5413431683 I Email: I Metro lie. no.: City lie. no.: I Supervising Electrician's lie. no.: 13925 ,;.,.. Supervising Electrician's Name: HERMAN OLLAR Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local juris-diction, your permIt will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. \ NpTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained. Th~ local building department may determine that an Authorization To Begin Work is null 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 at400 Amps where the available fault current exceeds 10,000 Amps at150 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 more residential units in one structure o Health care facmlies o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marines and boat yards o Floating buildings o Commercial-use agricultural buildings o Inslallation 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 valls nominal I Description J Cty. 1$_~'~ic.es~:'~Me:-~~~-rS~~~-5?f'~?t :~-~~ ~(.: I Services 200';mps or. less . I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE '~ ~ #,~~ ..~\h .0-: ,~0' Ea. Total $81.00 $81,00 $9.72 $4.05 $94.77 ~\Jl:~ "-" f:;>.\ '0 ~~ ~. L/"/ (}qy;2()/8 (JoG l/ / _I:;). -/ iJ 17 n-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: COM2010-00041 ISSUED: 01/12/2010 APPLIED: 01/12/2010 EXPIRES: 07/12/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1501 A ST I ASSESSOR'S PARCEL NO,: 1703363202400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Replace burned out meierbase: Address on building says Unit A. Residential Owner: FIELDS JEFFREY WAYNE Address: 1610 CAMEO DR EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05109/2010 Phone 541-343-1681 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 'Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: . Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Special Instruction: , S yOU to N 0 egon law reqUire '\' Notes: "JTlGE' AiTENiIO: r t dbythe Oregon UUlty .f ('> . follOW rules adop e se rules are set forth I ,/" PERMIT SHill I lOVnlnr ,r r ,_ ,,^t1fiQ'I!ion Center. ThO ....,}. nll.!'lQS2.()01- ~'UIHUI1IZED UNDER ,'-" ,,,, ""..-- In AR952-UUI-uv,~.I~;-i:SoftherUleSDJ ,OMMENCED OR IS AB~IS PERrvl'\rI~&a1fon DescriDtio~o. You may obta\l(No1e: the \e1~phon8 \NY j 80 DAY PERIOD NDONEJ !'Uti calling the cehnt~~~gon Utility No\ificallOn , . .', $ Per Sq Ft Square ~ for t e M .,.,<).MA.4\_ . DescriptIOn Tvpe 01 Construction I . I' B'd A "enter \8 M~ ~ate Calculated or mn tlp,ler or I mount", ..~ J.,~r . ~:,i: " Paee I 01"2 .;~,{~: .) l~ .1' , ,. _~,fi!~'~\@~J,~I..,~:< "'I, CITY OF SPRINGFIELD j~ Status Issued Building/Combination Permit PERMIT NO: COM2010-00041 ISSUED: 01/12/2010 APPLIED: 0111212010 EXPIRES: 07/1212010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9,72 $4.05 $81.00 J/12/10 J/12/10 1/12/10 3201000000000000007 3201000000000000007 3201000000000000007 Total Amonnt Paid $94,77 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. Rrollired Tnsnections I Electric Service: Approval required prior to utility company energizing service, By signature, I state alld agree, that I have carefnlly examined the completed application and do hereby certify that 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 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 he 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 thefront 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 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-0004 I COM20 I 0-00041 COM20 I 0-00041 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3201000000000000007 ' Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS , City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/12/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received njm ..._1 ',,, Page I of I ONLINE oregon elect Online serv Payment Total: IO:3J:17AM Amount Due 81.00 9.72 4.05 $94,77 Amount Paid $94.77 $94,77 1112/2010