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Home My WebLink AboutPermit Electrical 2010-1-21 II Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00086 ISSUED: Ol/2112010 APPLIED: Oi/2112010 EXPIRES: 07/2l12010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .,' SITE ADDRESS: 2535 I ST ASSESSOR'S PARCEL NO,: 1703361102303 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install suh-panel and move circuits and heater for'Pool Residential Owner: BARTLESON,DWIGHT M Address: 2535 I ST SPRINGFIELD OR 97477 Contractor Type Contractor I C~:)NTRACTOR INFORMA !ION 1 License Expiration Date Phone 1,~U1LDING 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a ~ DEVEL~)PMENT INFORMATION 1 REQUIRED PARKING Front yard Setback: Overlay Dist: Total: Side I Setback: .' ',"", # Street Trees Rqd: Handicapped: SideN~ijI~ae ' E WORJ(aved Drive Rqd: ATTENTION: Orego<ii'lll'JJ~~ulres you to Rea"m"~ Il'!!R'M\1r SHALL EXPIRE IF TH Yo of Lot Coverage: follow rules adopted by the Oregon Utility Solal\j)"fIm'~mD UNDER THIS P~RMIT ISoNOT . . I'lotification Center. Those rules are set I~~h COMMl:N\jtU un I;) t"",14E;:t.IE~ f'J.. in OAR 95Z-UU1-UU1U mlUU\j1l Vf'\n ""'~-VU' A Y 180 DAY PERIOD. I PUBLIC IMPROVEMENTS.I 0090. You may obtain copies of the rules by Street ~mprovements: cSIIb!}'4hell,ASllllr. (Note: the telephone - ' ' number for the Or~gon Utility Notification Storm Sewer Available: IJ()w'mlllil'lilf~0-332-2344). Special Instruction: Notes: ...,'."JMI~ . I Valu~~ion p~.scriDtion ,I Description Type of Construction $ Per S,j'Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 _~""'I:IOr;I~"Q \ , Status Issued 225 Fifth Street, Springfield, OR' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeCtion Line Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Total Value of Project 'Fe~~PaidJ Amount Paid $14.04 $5:85 $36,00 $81.00 $136.89 Plan Reviews I Date Paid 1/21110 1/21/10 1121/10 1/21/10 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00086 ISSUED: 01/21/2010 APPLIED: 01/21/2010 EXPIRES: 07/21/2010 VALUE: Receipt Number 1201000000000000063 1201000000000000063 1201000000000000063 1201000000000000063 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, Rough Electric: Prior to Cover Relluired Insnections I , , .;',.i-;' "Ti! d ~fi '.'. Final Electric: When all electrical work is complete, By'signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 her~in, and that NO OCCUPANCY will be made of any structure.without pCl'mission of the Community Services Division, Bnilding Safety, I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, 1 further agree to ensure that all reqnired 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 ';" Page 2 of2 Date City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541.726-3753 Email: permitcenter@ci.springfield.or.us Commercial Electrical Authorization To Begin Work 69600-BEL-10-00032 Approval Code: 023966 1/21/2010 8:39 am E-mailedTo:ericson@pciriw.com I 0 New Construction ~. Addilionfalterationfreplacernent I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory Ii; .';c '~"c'::',":CtJ0I3STrE:TNF6RMAfi6N1AN51i!oCA'fION~.'~;;' i-eii6;i-;:~~':ol I Job Address: 2535 I 5T City/State/ZIP: SPRINGFIELD, OR 97477 Suitelbldg.lapt.no.: I Project Name: I Cross SI..e"d;..,"onsto Job s;te: I Tax mapfparcel no.: 1703361102303 Install sub-panel and move circuits and healer for pool I Na~e: Steven Ericson I Phone: 541.998-5848 I Email: Fax: 541-998-5987 I Elec lie. no.: 20-364C I Business Name: ERICSON ELECTRIC'INC I Contact: CCB lie. no.: 95909 Address: 94710 HVVY 99 E C;ty/State/NOTf(li~ CITY, OR 97446 ,..",..,,' '-" -M~Wam{ I Phone 5411ibil&PERMIT SHALL tl\r.V~ 'MI:z.~I~ 'InT .. ;:;iZED UfJ~~r. ';'IIIC r ~ " , I Emalt e,;,~f.Jm~lr'n" C D nD Ie dBAMnnNFD FOR v8,'/H!.[N E c;.. ,.. ' Metro I;" nfi'~IV 1 Rn nAY PERIOD. C;ty I;" no,: Supervising Electrician's Iic. no.: I Supervising Electrician's Name: 3927S _ STEVEN LEWIS ERICSON Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurisdiction, ,your permIt wi!/., be e.maHed or faxed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work ~xplres within 180 days If a permit Is not obtained. TM 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 loc;al ordlna.nc;es. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150Volts 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 D Six or more residential units in one structure o Health care facilities o Hazardous )ocaliorys o A service or feeder rated at 600 amps or more o Buildings more than three star D Marinas and boat yards 0, Floating'buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 6DD supply volts nominal I" Description J Qty. I Ea. J Total l$.e.rYJcjisr~n[e'~ets~~-*;:t~0:1f~f~~~. .?*~ ~";~t1~~ I Services 200 amps or less ",~I </1 I " :'<1 I Branch circuits with service or feeder each circuit I Subtotal State surcharge (12% of permit total) Technology fee (5% of permit total) I TOTAL PERMIT FEE CtD- '&P :~I $117.00 $14.04 $5.85 I I ~ 1[2-1[10 $136.89 ATTENT10N: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth In OAR 952-001-001 o through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotlfioatIotI Center 111-800-332-2344), Inspections Phone: 541,726,3769 This Authorization To Begin Work must be posted atthe job site until replaced by a Permit 225 Fifth Street Springfield, Oregon 97477, 541-726-3759 Phone Job/Journal Number COM20 I 0-00086 COM20 I 0-00086 COM20 I 0,00086 COM20] 0-00086 Payments: Type of Payment ONLINE CHGS cRcccintJ RECEIPT #: 1201000000000000063 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/21/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page] of] ONLINE ERICSON Online ELECTRIC Payment Total: 9:29:35AM Amount Due 81.00 36,00 14,04 5,85 $136,89 Amount Paid $136,89 $136,89 1/2]/2010