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~
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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
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378 'I\In'l1r.1""
I CityISta'eIZIPFm8NP~fmlP4SHALL EXPIRE IF THE WORK ~;.-
Phone s4155JillfHORIZED UNDER FnIIS PERMIT 13 NOT <!;'
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UUIVIIVltl~'-'tU UK I~ IWANUUNtU rUI1
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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
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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:
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.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