HomeMy WebLinkAboutPermit Electrical 2010-1-19
Residential Elect~ical Authorization To Begin ~~~7t
69600-BEL-10-00031
Approval Code: 019935 1/19/2010 2:47 pm
E.mailed To: weilandbo@msn,com
City Of Springfield
225 Fifth 51
'Springfield, OR 97477
Phone: 541.726-3753
Email: .permitcenler@ci.springfield.or.us
o New Construction
lRl Addition/alteration/replacement
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings mor~ than three star
o Marinas and boat yards
o Floating buildings
o Commercial.use agricultural
buildings
D Installation of a 150 KY,A 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
Please check all that apply:
o A service or feeder beginning
al 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14.000 Amps for all other
o Multi.family 0 Commercial
o Accessory
IKl
I
1 or 2 family dwelling
i f cr~~~1i;J68:sTtErINF,6ifM/i:'(I6NrgNI5~I!OCg'm:iNt,
Job Address: 3624 CHEROKEE DR
o :-ire 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
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: Service Change
Cross Street/directions to job site: 28th st
1802061201300
Tax map/parcel no.:
I Description
Service change
I Services ~OO amps or less
E, ..
I Name: wranqohart
I Phone: 541-747.7701
I Emall:
Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$81,00
$9.72
Fax: 541.747.7701
$4.05
$94.77
175373
Elec lie, no,: C277
cce lie. no.:
Business Name: WEILAND ELECTRIC DIVISION llC
.1 Contact:
I Address: 175 W B ST BlD H
City/State/ZIP: SPRINGFIELD, OR 97477
Fax: 541747770,
Phone: 5417477701
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Email: WEILANDBO@M5N.COM
Metro lie, no,:
City lie, no,:
Supervising Electrician's lie, no,:
25605
JACK L WEIlAND
Supervising Electrician's Name:
Number of inspections included in paid'services:
Residential Service: 4
Reconnect Only: 1
All Oltler Services: 2
Upon review and approval by your local jurisdiction, your permil witt be e-mailed
within one business day, wlthinstructlons on how to schedule your inspection,
" rmct Ce;/J:1 ~/ 0 ~ 000 7-<;/
, f./; /r-. /J~
p ~ /7'- P'-' / /,
NOTE: This Authorilation To BegIn Work ellpires within 180 days if a permit is not obtained,
The local building department may determine that an Authorllation .To Begin Work IS null and
void if it d06s not m66t applicable land use laws and local ordinances,
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: COM2010-00074
ISSUED: 01119/2010
APPLIED: 01/19/2010
EXPIRES: 07/19/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3624 CHEROKEE DR
ASSESSOR'S PARCEL NO,: 1802061201300
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Service change
Owner:
Address:
PETERSON BONNIE J & RONALD F
3624 CHEROKEE DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
WEILAND ELECTRIC DIVISION, LLC.
License
175373
Expiration Date
04/06/2011
Phone
541-747-7701
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
~ot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Bas~ment:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DE~ELOPMENT INFORMA~ION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
.# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
) - - ,!()N' Oregcn law re4uII t;:;:, yuu ~v
II UBLlC IMPROVEMENTS ~ ' " t j' y the Oregon Utility
" lutes ac op B( D\
N~'il;ication (Sidewalkl'}:ypefU1es are set forth
, , OAR 952,Q.Q1-001 0 through OAR 952-001-
~090, You m'a~~'MIl.P,~tl'~rtl'!ll;!jf the rules by
calling the center, (Note: the tel~phone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available:
"wT'r.E
Speciallnstructiorl:~ ('oJ :
THIS PERMIT SHALL EXPIRE IF THE WORK
':.~THORIZEO UNDER THIS PERMIT IS NOT
:..~nllf\IIC!\r('rn f"'In \~ ~"""'l---.--
~-- ...." 'v I\Unl~""'''' " ,..-"....
ANY 180 DAY PERIOD, I V~luation Descriotion I
Notes:
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Paee I 01'2
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
';"'.;'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00074
ISSUED: 01/19/2010
APPLIED: 01/19/2010
EXPIRES: 07/19/2010
VALUE:
Status
Issued
Total Valne of Project
F~es Pai~ 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
1/19/10
1/19/10
1/19/10
3201000000000000020
3201000000000000020
3201000000000000020
Total Amount Paid
$94.77
I Plan Reviews I
,t;~..
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.
I Reollire~ ~~,slr.e~!,io."~ I
Electric Service: Approval required prior to utility company energizing service.
By signature, J state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereou is true aud correct, and I further certify that auy and all work performed shall he done in accordance with
the Ordinances of the City of Spriugfield and the Laws of the State of Oregou pertaining to the work described herein, and
that NO OCCUPANCY will be made Many 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.
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
;".t
-"
Date
"
'Pa2e 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00074
COM20 I 0-00074
COM20 I 0-00074
Payments:
Type of Payment
ONLINE CHGS
cRcccint]
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3201000000000000020
Date: 01119/2010
Description
Perm Serv/Fdr 200 amps or less ,-'..
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total: '
Check Number Authorization
Received By Batch Number Number Ho.w Received
NJM
ONLINE WEILAND Online
Payment Total:
Page I of I
2:55:54PM
Amount Due
81.00
9,72
4,05
$94.77
Amount Paid
$94,77
$94.77
1/19/2010