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Home My WebLink AboutPermit Electrical 2010-2-1 SPRI NG::L ~ I'~l_";," ,,': <, .?:f; ~:.. ' . ~, OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield,or.us' (iIV-,W Residential Electrical Authorization To Begin Work 69600-BEL-10-00044 Approval,Code: 001014 2/1/2010 1:27 pm E-malledTo:tena@orelectricservice.com I' I 0 New Construction - ~/rYPE'dri_WORt(.~E3~~ ?~~~~~ _ ~~ -,_ -,(~~~~,'i IKl Addition/alteration/replacement ,'CA TE"ORY OF'CONSTRj.JcfION~ ' : ; " '" I ,.." ., 1KJ 1 or 2 family dwelling o Multi-family 0 Commercial o Accessory "JOB:SITE INFORMA flor-:rAN6iIOCA'l'ioN:'ht, . '.. '-': Job Address: 2438 DUMAS DR City/State/ZIP: SPRINGFIELD, OR 97477 Sulte/bldg.lapt.no.: Project Name: Chris SlephensJ541-913-4462 Cross Street/directions to Job site: Tax map/parcel no.: 1703234400113 , ~.',:"~DESg:8IPtjON,6F,il98k~~-#:;~;,,',- Change out panel . '~..,...',: . :' ;SITE C()tHACT;{:,~f',,_ f~.", Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: .~'f"'~\. ., ~ONTRt:qQR'.t!.; ;:!;. -,< ~ "~~,--.,,, . .~.... -.'""" fo'. . r Elec lie. no.: C408 181997 ceB lie, no.: I Business Name: OREGON ELECTRIC SERVICE LLC I Contact: I Address: PO BOX 2237 I City/State/ZIP: EUGENE, OR 97402 I Phone: 5413431681 Fax: 5413431683 Emall: Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: I Supervising Electrician's Name: 13925 HERMAN OLLAR 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..rmliled or fued within one business day, with instructions on how to schedulu your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained. Tho local building department may determine thai an Authorization To Begin Work Is null and void if It doos not meet applicable land use laws and local ordinances. .'~.'-.~-'. "~LAN1REVIEW~~' '!I Please check all that apply: o 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 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 I~":i o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" Of "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts'nominal '. ":,_}'EE SC,8EDULE _ ,I Qty I '.,A-::.""- Ea, ;1 I :1 , $81.00 I 'I Total .I -::;-~: ..) J $81.00 ~, , , I Description ISf!rVice~~~ijJeede!~( ;-, . I Services 200 amps or less Electric'al Permit'Fees:_. I Subtotal I State surcharge (12% of permit totall I Technology fee (5% of permit total) I TOTAL PERMIT FEE $81.00 $9,72 $4.05 $94.77 ~~4 ~t~ ~~ ~.(A' \~~ ~ Comw/O,.. OO/~0 I7fY1 d~/---ID Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit _s,eAI.N.".O F71~, .~..',' "',....., e'A ",' =, "!!IIi ' liE"".."". ':: ....,. - . . ~ ," ;: "...f ' ',. .,,,-.-, ~'.... ....~"~,-.' " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00136 ISSUED: 02/01/2010 APPLIED: 02/01/2010 EXPIRES: 08/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2438 DUMAS DR ASSESSOR'S PARCEL NO.: 1703234400113 Spl'ingfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Change ont panel Owner: KLINGE JOANNE Y & MARK P Address: 2744 20TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 541-343-1681 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupaney Group: Primary Construction Type Secondary Construetion Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport, Sq Ft Other: Oecupant Load: n/a I DEVELOPMENT INFORMATION 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: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: ATTENTION: Ore88~M#_r&'you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth Nrm:flCE" in OAR 952-001-0010 through OAR 952.001- _'.._ _n', nn>lQ YoU mav o,htain rooip.:, of J~A rplp.d'lv "'''' r ~lllVIII onliLL CArlnC lr I nc vv'f"'" ~all;",,;1, center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NlMaluation DeJ.,:,U~)Ii)lthe Oregon Utility Notification COMMENCED OR IS ABANDONED FOR . , veJter is 1.800.332-2344). D~~k1iJtiJhDAY Pfii'dQI}f. Construction $ Per ~q ~t Squa.re Footage Value , or mulllpher or Bid Amount Date Calculated _. ":.' . .... ~ Page 1 of2 -'~'";~,i ~ /'~: ~,....,? ,J Status Issued " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00136 ISSUED: 02/01/2010 APPLIED: 02/01/20 I 0 EXPIRES: 08/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~.Pllirll 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 2/1/10 2/1/10 2/1/10 3201000000000000033 3201000000000000033 3201000000000000033 Total Amount Paid $94.77 Plan Reviews I " 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 Renuired In.oection. . Electric Service: Approval required prior to utility company energizing service. By signature. I state and agree, that I have earefully examined the completed application and do hereby certify that all information hereon is true and correct, and I 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 herein, and that NO OCCUPANCY will be made of any 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, aud the approved set of plans will remain on the site at all times during construction. I , "1,/"{ $; t ~, I,~ Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 1 0-00 136 , COM2010-00136 COM20 1 0-00 136 Payments: Type of Payment ONLINE CHGS cReceintl a~~~I,_..~~.'.',"." . .. . . , . ~ ' JIll: $).', City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000033 Date: 02/0112010 Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE oregon elect Online Payment Total: ;,"1 Page I of I 1 :47:34PM Amount Due 9,72 4,05 81.00 $94.77 Amount Paid $94,77 $94,77 2/1/20 I 0