HomeMy WebLinkAboutPermit Electrical 2010-1-13
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield,oLuS
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~~'OREGON
I 0 New Construction IKl Addition/alteration/replacement
Ir~'\~~,:i~;;f;,~cAtEG:6'RY~Q"lCONSTRU]5fj6~~j~""':;\';~~~,,=_.,,....'"'1
I 0 1 or 2 family dwelling D Multi-family D Commercial [R) Accessory
1[')\.;: ;.j\,,:g.,':";1'(JOB.SlfETINFPRM.t.Tj6N~AND'l!6CA:'rloN':': ~'C"
J Job Address: 398 S 72NO $T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name:
Cross Street/directions to job site:
I Tax maplparcel no.:
1702353405502
install 2 branch circuits in shed
Name: Lou Maenz
Phone:
Fax:
Email:
,-',-
I Elee lie. no.: 20-500C
I Business Name: THINK ELECTRIC
I Contact:
I Address: PO BOX 844
I City/State/ZIP: EUGENE, OR 97440
I Phone: 5412321212 Fax: 5413593065
I Email: INFO@THINK-ELECTR1C.COM .'-.d'-.'
I Metro lie. no.: , . ,CiiY"'lj~:'n'fo~"~\~"'~
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I Supervising Electrician'S lie. no.: ~38' \~r\ ~.; \~ \"
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I Supervising Electrician's Name: \\; H~~~~~:~~
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All Othe, s\,~~\) ~~\:l 9~,?-\\j .
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Upon review ~Appr9.""',,}'V~our local Jurisdiction, your permit wilt be e-malled
within one bUSjneS~~~ wltMnstructions on how to schedule your inspection. :';,"","
NOTE: This Authorization To Begin Work expires within 180 days if, a permit is no.t obtained
CCB lie. no.:
154326
The local bulldlng department may 'determine that an Authorb:atlon To .Begln Work Is null and
void If it does not meet applicable land use laws ami local ordinances.
cq./110
Residential Electrical Authorization To Begin Work
69600-BEL-10-00020
Approval Code: 025121 1/13/2010 10:51 am
E.mailed To: info@think-electric.com
Please check all that apply:
o A service or feeder beginning
at 400 Amps where !he
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 more residential units in
one structure
o Health care facilities
'1 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 Technology fee (5% of permit total)
I TOTAL PERMIT FEE
o Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
D Marinas and boat yards
D Floating buildings
. D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A" "E" or "1.2" or "1-3"
. .
D Recreational Vehicle Parks
o Supply vortage for more than
600 supply volts nominal
$55,00 $55.00
$6.00 $6.00
$61.00
$7.32
$3,05
$71.37
~q \\10 ~ 1(13\10
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laW {9qUl1e9 Y U\ili\Y
~~ON: ~!::g '0'/ \1\8 ()!e~~~e\ forth
t)\l0fI ""- 8 n~et. '{hose N~~AR 962.Q0'-
No\illCa\lotI ce,.oo' 0 \\'IloU.9 01 \tIe Nle9 bY
In O~ 962.0011 Ql)\aln CoP,e~e \elep"one
(1)90. 'fO~8cen\et. lNO\U~Ii\Y No\\liGallO"
. ~\ng tOt \Ile o!e~_i344)'
~ ~ Center \a 1
~~~,
\'Yij'
or faxed
, f\~ ,-0
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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: COM2009-01770
ISSUED: 12/11/2009
APPLIED: 12/1112009
EXPIRES: 07/1312010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 398 S 72ND ST
ASSESSOR'S PARCEL NO.: 1702353405502
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Hook up electricity to shed.
Owner: MAENZ ALBERT C & SANDRA L
Address: 398 S 72ND ST
SPRiNGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
THINK ELECTRIC
License
154326
BUILDING INF@M~:WNI
Expiration Date
02111/2011
Phone
541-232-1212
# 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:
nla
I DEVELOPMENTlNFORMATlON I
, REOUIRED.P~KING
N110N' Oregon law reqUires you
Overlay Dist: Am I . dopted bv tlfll'Ol8gon Utility ,
; , .d-. . follow ru es a 1 ....'-' .....cI.forth
;,c-' ,~~et Tr~es Rqd. 'Ii I n Center. Those_,MIl"",..
~ ~~ Drive Rqd: Notl cat O2-001_0010 throlfQhrli)lll\:952.oo1-
<.. ,\'X' .. ,<to'\';( L~,f Coverage: ~~ ~ may obtain copies of the rules by
~ ~ ~" '~~ ' \1\1"'" er (Note: the telephone
9~ +<:(1 of' <(,. '.,' " calling the ~nt. A Iltn~ Notification
'(} ~' ':1:-- ., ;l\IIIIUlII'IU' ".w Sre!!8 NOAA)
, ~~\..~~ ,\~~~~LIC IMPROVEMENTS, Center 18 1-800-332------ .
Street Improvemen\~i(;. #- SV::.~'V~ f" ~'Q Sidewalk Type:
,~"\ ""Y..,~ <-'V "'<(.." ",'V' '. .
Storm Sewer A:yatl~..: ~1,,'\- ~ v ~'v DownspoutslDralllS:
Speciallnstructi6j1~" ~~<:s x.,~"~ ;:l. ~~
'(.V::. ~~ ~'V'f.
Notes: ,,<:S N. \ '/)
~~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I 'V~luation Description.'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
. or Bid Amount
Value
Date Calculated
Paee I of 2
"
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01770
ISSUED: 12/11/2009
APPLIED: 12/11/2009
EXPIRES: 07/1312010
VALUE:
Status
Issued
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 Snrcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$9,72
$4.05
$81.00
$7.32
$3.05
$55.00
$6.00
12/11109
12/11109
12/11109
III3/10
III3/10
III3/10
III3/1 0
1200900000000001325
1200900000000001325
1200900000000001325
1201000000000000042
1201000000000000042
1201000000000000042
1201000000000000042
J"\"~ .'1 "
Total Amount Paid
$166.14 ,-
Plan Re:views 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.
1~~'1\Jir~d !nsn~cti')n;s I
Electric Service: Approval required prior to ntility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully,examined the completed application and do bereby 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 Citv of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUP ANCY ~ilI be made of any strnctnrtwitli~ut 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 nsed 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
City of Springfield Offieial Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1770
COM2009-0 1770
COM2009-0 1770
COM2009-0 1770
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1201000000000000042
Date: 01/13/2010
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
.,.:
Paid By
ONLINE PERMIT CHGS
Item Total: '
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE THINK Online
ELECTRIC
Payment Total:
Page 1 of 1
3:24:ISPM
Amount Due
55.00
6,00
7,32
3.05
$71.37
Amount Paid
$71.37
$71.37
1/13/2010