HomeMy WebLinkAboutPermit Electrical 2010-2-11
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S':?,t~ OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: peimitcenter@cLspringfield.or.us
C/D'I~1
Residential Electrical Authorization To Begin Work
69600-BEL-10-00067
Approval Code: 05855C 2/11/2010 3:05 pm
E-mailedTo:keliasen@att.net
I D New Constr~ctioi1 IKI Addition/alterationlreplacement
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I [RJ 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
1tJ;;;;';'i';:y:~c;~lf6B"si'rEiINFORMATION'AND1LQCAtIONi}t.~'ii.,~."~1ll::,;';J
LJObAddress: 1501 18TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suitefbldg.fapt.no.: 150
I Project Name:
I Cm.. StreetJdl"etion, to job ,ite, 16th ,t "ea, Scott Rd
I Tax mapfparcel no.: 1703253400300
Instal dedicated SOA 240V circuit 10 heat pump.
Name: Ben Johnsen
I Phone: 541-357-2003
I Email:
Fax: 541-461-2340
I Elec lie. no.: 20,53C
I Business Name: BEACON ELECTRIC
I Contact:
I Address: 2585 ROQSEVEl T BLVD "_' ;~,':":'.'.,,.
I City/State/ZIP' EJMJ~.l:lit~022500 . . ..~nD"
. . ---v11TS1'l-~E'J'TJ"IFnIEivvn
I Phnne, 54146102~~"~ .n:n~ '" I I~ AX~\W"~UIT ~ my
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Em.II' BEAcoNEi"l'ir,';jIP.M1t'/!'1'l nR I~ ~ANOONED FOR
Metro lie. "0.' I\NY 180 DAY PERI@&.lie.nn.,
CCB lie. no.:
38497
i/lf)! 0...:'
I Supervising Electrician's tic, no.:
I Supervising Electrician's Name:
34855
GARY E JOHNSEN
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_mailed or faxed
within one business day, with instructions on how 10 schedule your inspeclion,
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained,
The local building department may detennlne that an Authorization To Begin Work 1& null and
\lold if il does not meet applicable land use laws and local ordinances.
\;...-
Please check all that apply:
o A service or fee~er beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000Amps 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 Description
I Branch circuits without service or
feeder
I Balance of permit fees
1$1~_~trJ~aJ_B~ili!f'Ii~~!i~.?::r~
I Subtotal
I' State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOT~L PERMIT FEE
,.
CIO-ICfl
~
~\.\\) .\IV
D Hazardous locations
o A service or feeder raled at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or .
larger seperately derived sys
D "A" "E" or "1-2" or "1~3"
, .
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
Total
$58,00
$6.96
$2.90
$67.8~
~
1-\\2-\ \D
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952.()()1-0010 through OAR 952-001-
0090. You may obtain copies 01 the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
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Inspections Phone: 541-726-3769 . t.l
This Authorization To Begin Work must be posted at the job site until replaced by a Permit \}.i'
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726..3753 Phone
541..726..3676 Fax
541..726..3769 Inspection Line
"
:; d
PERMIT NO: COM2010-00197
ISSUED: 02/12/2010
APPLIED: 02/12/2010
EXPIRES: 08/12/2010
VALUE:
Status
Issued
'"
SITE ADDRESS: 1501 18TH ST 150
ASSESSOR'S PARCEL NO.: 1703253400300
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install dedicated 50A 240V circnit to heat pump
Residential
Owner: BELL HELEN L TE
Address: 4460 ALTURA ST
EUGENE OR 97404
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Contractor
BEACON ELECTRIC
License
38497
Expiration Date. Phone
01/10/2012 KELIASEN@A
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
, ~(..,: .j; ~):il
#. 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped:
COJllpact: ...
ATTENllON: ,Oregon IllW requlte8 you:,,"
follow rules adopted by the Oregon Utility
'\I~io.IJ Center. Those rules are set.forlb
In OAR l:IO:.:.-v.J1-o010 lnrougn u,," ....,,"\IV,...
0090. You may obtain copies 01 the,rulea'bJ
o%I4llTg)&"A'''' r. (Note: thetalephone
n'tlll~e.r fOrlh,f..9.(egon Utility. NotlficaliClD
ntf8//fllT'iS"I!\1ilO-332..2344).
Frontyard Setback: Overlay Dist: '
Side I Setback: NOTICE" "",'O',,:>#,S,tr,e!C.LTrees Rqd:
Side 2 Setback:' eim:q.J,l,i;~r,Rqd:
Rearyard SetbacI~IS PERMIT SHALL EXPIRE IF tM a\l~&verage:
Solar Setbacks: AUTHORIZED UNDER THIS PERMIT IS.NOT
"'''''''':~~~rn 19 ".!l.~.rll~~H1~r Ii~~
\ NY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
"'-''':
~,\:q~
,~, \'~,
, ,
I Va,luatio~ Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Page I 01'2
-~~~1~9,~!,~i'~f!~~',,~,,!'I"
I
Status
Issued
225 Fifth Street, Springlield, OR
541.726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. Total Value of Project
I. Fees Paid I
, n
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
$6.96-
$2.90
$58,00
Total Amount Paid
$67.86
Plan Reviews I
2/12/10
2/12110
2/12/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00197
ISSUED: 02/12/2010
APPLIED: 02/12/2010
EXPIRES: 08/12/2010
VALUE:
Receipt Number
1201000000000000127
1201000000000000127
1201000000000000127
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, in.spections requested after 7:00 a.m. will be made the following
work day. .{ : '...
R,eduired Insnec~i~ns I
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 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 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,
1 further certify that only contractors and employees who are in compliance with ORS 70\,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 fronnf the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
'.
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'(,'
Pa2e 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00 197
COM20 I 0-00 197
COM2010-00197
Payments:
Type of Payment
ONLINE CHGS
cReceintl
&i:ii
tit. ..
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:. 1201000000000000127
Description
, Add, Alter, Extend Circ
. + 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Date: 02/12/2010
I2:20:52PM
Amount Due
58.00
6.96
2.90
$67,86
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
KR
'I, ';;'~
" -I
~ "-'",:
Page I of I
Amount Paid
ONLINE Bfo,ion I Online
ELECTRlC
Payment Total:
$67.86
$67.86
2/12/20 I 0