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HomeMy WebLinkAboutPermit Electrical 2010-2-11 Sr.~.I,N, G. _.FlE.L..~D.,...,..,.- .- .' 1" ___, . .::!<?;~ .",..",-" """'".. -",~ -;r'f ~", 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 I~V'~'~~~<$~'~:U~~0~g.(iEGdRYi6FTc"6NSJR(jGJi9~,:;c;~'~r~:~,t~di~ 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 .\u ,1.3IlU~ ~t.:~ n 1::._ .- . 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). ~ ~.\\9.\D () If<~ 'V- 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 : ,"" .;'1' . 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 '. ','to .,.!'t', '(,' 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