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HomeMy WebLinkAboutPermit Electrical 2010-1-13 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield,oLuS ( ~~'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~"~\~"'~ ".' ../O'l~ '~' I Supervising Electrician'S lie. no.: ~38' \~r\ ~.; \~ \" - ,Y- ~t\\ "', ' I Supervising Electrician's Name: \\; H~~~~~:~~ . ,1- '\"'-' '''~'\'j . f"tn'\;r" ~,.:- \' ~\)\' . ~~~::*~N'~~\l.'\(l\~ \\~:~ ReoO""cf~ ~\1..\.y r;;::R. ~ All Othe, s\,~~\) ~~\:l 9~,?-\\j . ~f\\"\\'f \\ul , 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 , , 011\0 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 \).J c...' V" ~ ~~ ~ 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