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HomeMy WebLinkAboutPermit Electrical 2010-2-9 C10//1~ , City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00062 Approval Code: 344144 219/2010 10:06 am E-mailedTo:turnbo64@juno.com SPRINGFIELO~ !;l,i ,,,,",~ '.'''-" ~ 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 .0 Floating buildings o Commercial-use agricultural buildings ' o Installation ala 150 KVAor largerseperately 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 o New Construction [RJ Additionfalteration/replacement Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 ~mps at 150 V:olts or less to ground exceeds 14,000'Amps for all other D Multi-family 0 Commercial o Acc~ssory I2SJ 1 or 2 family dwelling 1\/:;,\>,,/ <:~~~}~t{J'6BfsrtE;iNi;:QRMAtION'fANO}EoCATI0N::~:~;f1i>~:::~ I Job Address: 205S 54TH ST I CitylStatelZIP: SPRINGFIELD, OR 97478 I Suite/bldg./apt.no,: 96 I Project Name: I Cross Slree"dl"etlons 10 job slle, Main st east 0", to S, 54th, Tum "9ht I Tax maP/~arcel no.: 1702330001200 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 Description hp add I Branch circuits without service or feeder I Balance of permit fees I Name: Dolores Ann I Phone: I Email: Fax: I Subtotal I State surcharge (12% of permit total) I Technology.fee (5% of permit total) I TOTAL PERMIT FEE $58.00 $6.96 $2.90 $67.86 I Elec lic. no.: za-sose cce Jjc. no.; I Business Name: TURNBO CARTER ELECTRIC INC I Contact: I Address: 156308 1-ICJ 110 c\o-n'L kJL "';~f)!;'Y{~\;~_l::~5f4.\~~l~~;'!':".J .~~, 378 'I\In'l1r.1"" I CityISta'eIZIPFm8NP~fmlP4SHALL EXPIRE IF THE WORK ~;.- Phone s4155JillfHORIZED UNDER FnIIS PERMIT 13 NOT <!;' 1:"- UUIVIIVltl~'-'tU UK I~ IWANUUNtU rUI1 ,;r;1' 1 Jil ~A'{ ;"EPtiCf:i. City llc, no.: :rTENTlON: Oregon law requIres YOU,to J\IIOW rules adopted by the Oregon Utility :tlflca1ion Center. Those ruhleosARare9~~.~: OAR 952-001-0010 throug In obtain copies of the rules by O':iJ:::e':ntet'. (Note: the tel~~hone number for the Oregon Utility Notification Center is Hl00-332-2344), Emall: I Metro lic. no., I Supervising Electrician's lie. no.: ;-,; .~); " ' 4770S JAMES W TURNBO Supervising Electrician's Name: Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 ~,\O O~Q/ ~ ~ ^.~~ '0Y ^' Upon review and approval by your local Jurisdiction, your permit will be e-malled or faxed within one business day, with Instl1Jctlons on how 10 schedule your inspection, NOTE: This AuthorizatIon To BegIn Work expires within 180 days if 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 land use laws and local ordinances, Inspections Phone: 541-726-3769 This Authorization To Begin Work,I!'_~,st be E.o.sted at the job site until replaced by a Permit .:.>J ,. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00172 ISSUED: 02/0912010 APPLIED: 0210912010 EXPIRES: 08/0912010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS:' 205 S 54TH ST SPACE 96 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: 1 circuit for heat pump ,in residence " ~.:' ~ 1.~ Owner: VALENTI DOLORES ANN Address: 205 S 54TH ST #96 ' SPRINGFIELD OR 97478 I. cONT~CTOR INFORMATION I Contractor Type. Electrical Contractor License TURNBO CARTER ELECTRIC INC 156308 ~UlLDlNG INFOR~A TlON . Expiration Date 07/14/2011 , Phone 541-729-8409 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou 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 .,1 DEVEL~:M~N,T1NFORMATlON I REQUlRED PARKING NOrlCEo " """'"'\.""~"';:;~,.':."" ,.,: " . . h ~""5" ~j.l~','i'~';'.J\'J:"'ft",;" Front yard Set~ PERMIT SHAll EXPIRE IF Tij~~st: ATTENTION: Oregon T~ota~~: ~.you to Side I SetbackAUTHOR/ZED UNDER THIS PERMI1"" 'ees Rqd: follow rules adopted two III goo Utility Side 2 SethackbOMMENCED OR IS ,...,,<NOiv~.Rqd: Notification Center. Th-:fse iilesare set forth ~:I~,I;;::b~~~~fN 180 DAY PERIO~BANDONED'roft jphS?vcrage: In OAR 952-001-0010 through OAR 952-001- '.", , .H,' '" . 0090. YOUma'lObtaln~ie8oftherule8by I PUBLIC IMPROVEMENTS I C81l1ng me carner. \N e:. t,"e tel~pnonlJ .' ' number for the Oregon Utility Notification Street Improvements: . Sid~niA>.:600-332-2344). Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I VaIuatio~ Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value , Date Calculated ';;c;.)!, , Paee 1 of 2 ,~ '- ,~:~:lf; 1;' .; Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00172 ISSUED: 02/09/2010 APPLIED: 02/09/2010 EXPIRES: 08/09/2010 VALUE: 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line T?tal Value of Project .Fe~~ P~ir I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid $6.96 $2.90 $58.00./1 ; -..,', 2/9/10 2/9/10 2/9/10 Receipt Number 1201000000000000113 1201000000000000113 1201000000000000113 Total Amoont Paid $67.86':'. I Plan Review~ 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 R.eouir~d Insnections I Rough Ehictric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 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 ofthe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure:;vithout"permission of the Community Services Division, Building Safety. I further certify that only contractors and employe~~ who are in compliance with ORS 701.005 will be nsed 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 ofthe property, and the approved set of plans will remain on 'the site at all times during construction. .. Owner or Contractors Signature Date r Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number cOM2010-00172 cOM20 1 0-00 172 cOM20 1 0_00 172 Payments: Type of Payment ONLINE cHGS cReccintl RECEIPT #: Description Add, Alter, Extend circ + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT cHGS City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000113 Date: 02/09/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE TURNBO Online Payment Total: ,~i " ~ '..: l:.,: rr':", ., 'I :. 'I ,-' .Page 1 ,of 1', 1I:31:33AM Amount Due 58,00 6.96 2.90 $67,86 Amount Paid $67.86 $67.86 2/9/20 I 0