HomeMy WebLinkAboutPermit Electrical 2010-1-25
Residential Electrical Authorization To Begin Work
69600-BEL-10-00037
Approval Code: 471709 1/25/2010 8:29 am
E-mailed To: mgehrke@cselectric.org
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a.i:o'j:'9~~~~.~~y~P.l!AN~REVIEWle.:,y.'.!'i<;;?R~~~i;~-;~
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
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I 0 New Construction fK] Addition/alteration/replacement
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I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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I Job Address: 659 F 5T '
I City/StatelZlP: SPRINGFIELD, OR 97477
I Suite/bldg.laptno.:
I Project Name:
I Cmss Su..tldl"etions to lob sit.,
I Tax maplparcel no.: 1703352400100
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panel change
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I Name: Aric Lohner
I Phone: 541.741.2236
I Email:
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I Elec lie. no.: 20-14C CCB lie. no.: 3849
I Business Name: C & SELECTRIC INC
Fax: 541-741-2473
Contact:
Address: PO BOX 1482
C;tyIStateIZlpNOifjl€lE-t>, OR 97477
I Phond4174;!;h-bb) PERMIT SHALL f.XP~,1147!Ht VVUI1I\
I Em.II, CSELE~~~I~~~~g;~~~~eDfl~T
I MeUo lie, no,' ANY 11\0 nAY PFRIODcity lie, no,'
I Supervising Electrician's lie. n?: . 48948
I Supervising Electrician's Name: DAVID E GEHRKE
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 will be e-malled or faxed
within one business day, with Instructions on howto schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 days I' a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if It does not meet applicable rand use raws and local ortllnancel5.
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
D . Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
010,Q1
o Hazardous locations
o A service or feeder rated at .
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o 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
D Supply voltage for more than
600 supply volts nominal
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I Description J Qty. J Ea. l Total I
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I Services 200 amps or less J 1 I. $81.00 I. $81.00 I
1~lectfj91ljP,ermifF,~t'~~~~~JJ~J~~~,.:1
I Subtotal $81.00
I State surcharge (12% of permit $9.72
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
CJD-C\l
~
$4,05 I
$94.77 I
1/'2.5/l0
AnemoN: Oregon \aW~~~
follOW rules,,~opt8Thd ~~Iea are set forth
NotIflcallon .......8r. OAR 952.001-
In OAR 952.001.0010:= ofth8 Nlea '"
0090. You ~ (Note: ttle telephOne
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Center 111
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00097
ISSUED: 01/25/2010'
APPLIED: 01/25/2010
EXPIRES: 07/25/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 659 F ST
ASSESSOR'S PARCEL NO,: 1703352400100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical panel change for existing residence,
Residential'
Owner: GENTRY JAMES A
Address: 23992 ROWLAND RD
HARRISBURG OR 97446
! CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/01/20 I 0
Phone
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of H.rat:
Willer Ty'pe:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: uk you \0
'~I':'TlrC'" ,.,' 'lffl8th Or"9"" IA~ reg es
THIS PERMIT SHAll EXPIRE1:r-wnil~oVEMENTH~ rul" adopted by the I~~~~~'j;;rtt.
Street I mproWJ.H.QJil IZED UNDER THIS PI:nlvlll hI IOU I NcrtIflcati.Q~e9tlot~'~~=h OAR 952-001-
COM~CED OR IS ABANDONED FOR InOAR~2~!!OO1 188 of the N!88 by
StorR] Sewer;(\"il'!i' 'U^V PERIOD 0090. 'tJ)U,m4ll.ab\Ml.I1RR!, ttlet81ephone
Speciallnstrli\lllbn\ '" " calling the centiir'-lflou~, NotlficatlOR
IIUInb8l' for the Oregon Utility ,
Center 18 1-800-332-2344).
,',c - Total:
Handicapped:
Compact:
Notes:
I V alustion b~scriDtion I
"
.::..~--~--
DescrhHion
Tvpe of Constrnction
$ Per Sq Ft
or mnlliplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00097
ISSUED: 0112512010
APPLIED: 01/25/2010
EXPIRES: 07/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid 1
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amonnt Paid ,: "
, i ~
Date Paid
Receipt Number
$9.72'
$4,05'
$81.00
1/25/10
1/25/10
1/25/10
1201000000000000069
1201000000000000069
, 1201000000000000069
Total Amount Paid
$94,77
I Plan Reviews ,
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, R,elllJired Insnections 1
Electric Service: Approval required prior to ntility company energizing service.
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By signatnre, I state and agree, that I have c'arefully'e{amiued the completed application and do hereby certify that all
iuformation hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Spriugfield and the Laws of the State of Oregon pertaining to tbe work described hereiu, and
that NO OCCUPANCY will be made of any structnre witbout permission 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 nsed on tbis project,
I fnrther agree to ensnre that all reqnired inspections are reqnested at the proper time, that each address is readable from tbe
street, that tbe 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
:?,~
',;.Paee 2 of 2
.' ,<
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phonc
Job/Journal Number
COM20 I 0-00097
COM20 I 0-00097
COM20] 0-00097
Payments:
Type of Payment
ONLINE CHGS
cRcccinll
RECEIPT #:
~~'
1201000000000000069
Description
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Developmcnt Scrvices Departmcnt
Public Works Department
Date: 01/25/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
.',
Page I of J
ONLINE C & S Online
ELECTRIC
Payment Total:
9:03:56AM
Amount Due
81.00
9,72
4,05
$94.77
Amount Paid
$94,77
$94,77
1/25/20 I 0