The URL can be used to link to this page

Home My WebLink AboutPermit 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 ~~q-- . \'~~~ A# \P tPr ,\ ~ lx. \9' 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