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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 1"'""'"""'-,_.."",_-.:..-....,."'.......,- "...''"'''''llf'~.'''_''''''''...':ILM.. a.i:o'j:'9~~~~.~~y~P.l!AN~REVIEWle.:,y.'.!'i<;;?R~~~i;~-;~ :.:1:.. ~:.,~..~ ~,.:'..(''''''tJ-.,~ ffi&k1> , ~c;REGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us I'~'>"'''''~''L_'''''''''''''''''~'-'~'-'--'-'''''''''"'_' '.. ~""""'" ~iI~~tra;1'l!~:~Z?,:~..~i~~if:YPE:OE.lWQRK~~:~~i;,~,~~~~ji~ I 0 New Construction fK] Addition/alteration/replacement 1.~~~~~<iME(3.9RYi:Cf~XfQf!~TtRU9JjQ~1~~jl I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory 1~,\f..,jifJ:~~g-!U6B:siTE1INf;oRMAiloNrAi-iD1EOCATloN~~~'iV-,,~ 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 1,-""",,,,,,,w:"~~"'TDESCRIPfioN1oFWi5RK;<;i~~J~~'f'1''?'\ ~~~~~.~_____._,___-l'<__.__.~__. :!__._._ ____..~'_"-'_~~~~~ panel change IW"~11l'lm~'W""'~11>:"".i!?~~SifE'CONTAc1i'''!!t''''''''''''~~'''"''''''~ :t:~t-~~~._~-~~'tJ/#i~~"'_'___'_'.'H___,~_.....}h'f,;\~-m~~~;(~,g I Name: Aric Lohner I Phone: 541.741.2236 I Email: Irf:~111J[~~;!]~@~fll.1~1JD,~~6~XRA'"G}t9R~~~~~iB1m 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 11~~~:1'~EE1scHE:'D@E"\):'''''~M~.''''='''''''''' ",~~~~ri!.-~~::!I,_._-,____",__. _.... ,~~:__=>-",-~1'.! I Description J Qty. J Ea. l Total I 1~'9'ry-lc~]:9f~f.e~'dijj~r1ffij~4Z~~~lg~~f,~~~~l~ti~~~fu~~~1 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 =':ttl8~:~~~ Center 111 ',-t'-...~~. \)Y" ,,\0 \~~ V'\p Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the jOb site until replaced by a Permit s>+~ ~~ \:,Q 0\.' ;'J"., " ",' 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 '. .~:; 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. ..'.:','::.i .:. . 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