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Home My WebLink AboutPermit Electrical 2010-3-17 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us (Jc.Y1-G/t5 Residential Electrical Authorization To Begin Work 69600-BEL-10-00117 Approval Code: 022765 3/17/2010 7:42 am E-mailedTo:arcelecor@aol.com , :J;~"TYPE6rWORK~ _~'__ ~ Addition/alteration/replacement , '. ~4:CA TE'GORY OF-CON'STRlJCTION" ' D Multi-family 0 Commercial D Accessory .-' 'JOB:SITE'UljF'ORMA TION AND LOCA nON ,? Job Address: 132 S 15TH ST CityfState/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no. : Project Name: Cross Street/directions to job site: Main Street Tax map/parcel no.: 1703363205600 '<.'-",! " Please check all that apply: D 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 D Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one structure D Health care facilities REVIEW':", " ' .. D Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installationofa150KVAor larger seperately derived sys D "A", "E'" or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Repair fire damage '_,,~_ SITE CONTACT \~; ,:' ...:....>;Li....j,~ Name: Virqil Hess Phone: 541-741-0494 Fax: 541-741-1685 Email: ...... , ,::"';;;'CONTRACTOR .._....7....:.... .... .. .. ,.._.. .... ..:;." Elec Iic. no.: 20~403C eeB lie. no.: 115113 Business Name: ARC ELECTRIC INC Contact Address: 85783 HWY 99 S City/State/ZIP: SPRINGFiElD, OR 97478 Phone: 5417410494 Fax: 5417411685 Email: ARCELECOR@AOl.COM Metro Iic. no.: City Iic. no.: Supervising Electrician's IIc. no.: 4368S Supervising Electrician's Name: STEPHEN M SEBASTIAN 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 to schedule your inspection. NOTE: This Authorization To Begin Wor\< expires within 180 days if a permit Is not obtained. The local building department may determine that an Authorization To Be?~~ _,Work is null and void if it does not meet applicable land use laws and local ordinanCes. ...~,..>- Branct{cfrcuitS, , '1".> ..:.p $55,00 $55.00 Branch circuits without service or feeder Branch circuits each additional circuit without service. Ele~tricafPelmit'Fe-es Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ., ~R D rlA'v. i ~\Y, . COm2oiJ1 3-/7 ~ /0 2 $6.00 $1200 .-4.~,. .'.1 $67,00 $8,04 $335 $78.39 \""\.\0 ~,\l ~ ~iJ< ~ ()c17~:5 /J /Y) Inspe<<tions Phone: 541,726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ....l'..i CITY OF SPRINGFIELD Building/Combination Permit q. , "-". Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-00965 ISSUED: APPLIED: EXPIRES: VALUE: 07/01/2009 01/01/2010 $ 60,000.00 SITE ADDRESS: 132 S 15TH ST ASSESSOR'S PARCEL NO.: 1703363205600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Owner: DUNHAM ANN Address: 33328 HOWE LN CRESWELL OR 97426 I CONTRACTOR INFORMA TION ~ Contractor Type Electrical Contractor ARC ELECTRIC License 115113 BU-I"LOING iNFORMATION I ....'. Expiration Date 07/29/2010 Phone 541-741-0494 :; ;)1 VN # 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: # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 No' I DEVELOPMENT INFORMA nON ~ REQUIRED PARKING Front yard Setback: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: " % of Lot Coverage: Total: Handicapped: Compact: "; . ATTENTlON: Ore on law r ulres ru es a opte y t e regoo I . alion Center. Those rules are set forth 'In OAR 95~QillrQugh OAR 952.Q01. 0090. You l'(Iay obtal'.1JillpillS oflhe rules bV calling th\1'l!llI'lU!p.u \fI.ll:lfl."flil telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). NOTlf'~. . Street Im'f~rS~\''R": '., Storm sew.Y7't-rt1~tJlJ! SHALL EXPIRE IF ,." ," Special Instr,u~tJQ~. D UNDER THIS PERM THE WPRK '::;I/,li/tNCEQ OR IS ABA IT IS NOT Notes: qf) DAY PERIOD. NDONED FOR PUBLIC IMPROVEM ... -: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Squa.re Footage or Bid Amount Value Date Calculated , . Pa2e 1 01'2 -Ilk . f CITY OF SPRINGFIELD " l' 'ill '-- f Building/Combination Permit .... ..".... .. ""''', ,..,.. .' ,~" ~ ,. f Status Pending PERMIT NO: COM2009-00965 225 Fifth Street, Springfield, OR ISSUED: 541-726-3753 Phone APPLIED: 07/0 I /2009 541-726-3676 Fax ' ,~., .', ""', EXPIRES: 01101/2010 " .... VALUE: $ 60,000.00 541-726-3769 Inspection Line . " " Total Valne of Project I Fees Paid ~ Fee Description Amonnt Paid Date Paid Receipt Number + 12% State Snrcha,'ge $8.04 3/17/10 3201000000000000089 + 5% Technology Fee $3.35 3/17/10 3201000000000000089 Add, Alter, Extend Circ $55.00 3/17/10 3201000000000000089 Add, Alter, Extend Circ Ea Add $12.00 3117/10 3201000000000000089 Total Amonnt Paid $78.39 I Plan Reviews ~ To Request an inspection call the 24 hour rec~rdin'g 'at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, i~~~ctio.n~ requested after 7:00 a.m. will be made the following work day. I Reauired Insuections ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 have carefully 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 thllt NO OCCUPANCY will be made of llny structure without permission of the Community Services Division, Building Sllfety. I fnrther certify that only contrllctors and employees who lire in complilln~e with ORS 701.005 will be nsed on this project. I further llgree to ensnre that all reqnired inspections lire requested lit the proper time, thllt ellch llddress is relldable from the street, thllt the permit card is located at the front of the property, llnd the llpproved set of plans will remain on the site lit 1111 times during construction. Owner or Contractors Signature l ..~~( " Date I "cn ./:,(.1" " ..', , ..j , - .... - , ' , Pa2e 2 of 2 _A'N..~_ 8Pj:Q!~.~ii' ". "....:... w.r. ". \ , ",~". , 1_ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000089 Date: 03/17/2010 7:55:IOAM Job/Journal Number COM2009-00965 COM2009-00965 COM2009-00965 COM2009-00965 Payments: Type of Payment ONLINE CHGS cRcccintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 55.00 12.00 8.04 3.35 $78.39 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number now Received Amount Paid $78.39 ONLINE ARC Online ELECT Payment Total: $78.39 NJM '" ~ :.~~' 'l,. .' i; ~ \ '.. i. ilf Page I of I 3/17/2010