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Home My WebLink AboutPermit Electrical 2010-3-9 SP.~I~G~L..~ L~0t ~OltEGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541.726-3753 EmaiJ: permitcenter@cLspringfield.or.us " , ',' riPE OFWORi( "'" ;:>-""\r --, '. o New Construction IRl Addition/alteration/replacement . ,..'. ..:. CATEGORY OF CONSTRUCTION " 00 1 or 2 family dwelling 0 Multi.family o Commercial o Accessory . JOB SITE INFORMATION AND LOCATION , Job Address: 715 53RD PL City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.no.: ' .[, Project Name: Gunsolley Cross Street/directions to job site: Tax map/parcel no.: 1702332100604 I,'" . ,..,'.;" , " DESCRIPTioN,OF WORK, . ., . , , service change plus 3 circuits " SITE CONTACT . ' , Name: Melissa Gehrke Phone: 541-741-2236 Fax: 541.741-2473 Email: " " ,,'CONTRACTOR '. .. Elec lie. no,: 20-14C eea lie. no.: 3849 Business Name: C & SELECTRIC INC Contact: Address: PO BOX 1482 - .- , CitylStatefZIP: SPRINGFIELD, OR 97477 " , Phone: 54~~1~ ~l:~ '''u'' I 'l'HE WORK Em'''' CSE(~1i'\ '1~L~:fuilliR THIS PERMIT IS NOT M,tm"o ~~UMMENCED OR IS ABAMJ),ffiilE.u ~Utl SUP''''i'i"9.l;j~GtMi',.''}'lill!.,:(oP ER I UJ.I"s Supervising Electrician's Name: DAVID E GEHRKE Number of inspections Included in paid services: Residential Service: 4 Reconnect Only: , All Other Services' 2 Upon review and approval by your local jurisdiction, your permit will be o.malled or faxed within one business day, with Im.tNctlons on howto schedule your inspection. NOTE: Thllio Authorization To Begin Worll expires within 180 days If a permit Is nol obtained. The lo!;a' building department may determine that an Authorization To Begin Work Is null and voId If II does not meet applicable land use laws and local ordinances. CIO-c:J'j5 Residential Electrical Authorization To Begin Work 69600-BEL-1 0-001 02 Approval Code: 267698 3/9/2010 11 :50 am E.mailed To: mgehrke@cseJectric.org -',:' ',' PLAN REVIEW , . Please check all that apply: D Hazardous locations o A service or feeder beginning D A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds D Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds D Marinas and boat yards 14,000 Amps for all other D Floating buildings o Fire pumps D Commercial-use agricultural buildings o Emergency systems D Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more D "A", "E", or"I-2" or "1-3" o Six or more residential units in o Recreational Vehicle Parks one structure o Health care facilities D Supply voltage for more than 600 supply volts nominal " ,.,"FEE'SCHEDULE . Description I Qty, I E" Total Services. or feede~s '" . ',' ". ", Services 200 amps or less , $81.00 $81.00 Branch circuits , Branch circuits with service or 3 $6.00 $18.00 feeder each circuit Electrical Permit Fees . , " Subtotal $99.00 State surcharge (12% of permll $11.88 totan Technology fee (5% of permit total) $4.95 TOTAL PERMIT FEE $115.83 C\D-dC15 ~31011o ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ,# ~~~ .~...-: ~~~o ~~~~ V'-~ \) Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit -../.1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00295 ISSUED: 03/09/2010 APPLIED: 03/09/2010 EXPIRES: 09/09/20 I 0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 715 53RD PL ASSESSOR'S PARCEL NO,: 1702332100604 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service change and adding 3 circuits Owner: GUNSOLLEY JENNIFER D Address: 715 53RD PL SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION ~ EXlliration Date 09/01/20 I 0 Phone 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: # of Stories: Height of Structure Type of Heat: . Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a : regon ., DEVELOPMENT INFOR ~ adopted by the Oregon Utility , . . N t'f' t' n Center, Those TlR~40ltl'!rt(}l'~KING . .."".>' 0 Ilea 10 nb nP"R 952-001- Frontyar.<I. :ie,t~Ct: ~~'laY Dist: in OAR 952-001 -001 0 throU"I-Ofn' b Side I sert\kl" . Ii SHALL EXPIRE If THEW eet Trees Rqdll090. You may obtain cOPi~9~~gBH~e y Side 2 Se'l)t.\\lk:PERM THIS PERMIT IS d Drive Rqd: calling the center, (Notei~WwaRiication RearyardA'ij~aiB\ZED UNDERABANDONED fOR'!. of Lot Coverage: number for the, oreg03_~3~_234~), Solar Set'ml\'.AMENCED OR IS Center IS 1-80 I I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Speciullnstfllction: Sidewalk Type: . "i;.!:;' ..:.~. -;,"...... . ,I' Downspouts/Drains: Notes: I Valuation Description I Description Tvl,e of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 -....-.... .".-,-.,,".. .,..-' .....~.,.. , IlL ,. Ii CITY OF SPRINGFIELD " , '~ , , Building/Combination Permit " ...... .." ___.r Status Issued PERMIT NO: COM2010-00295 225 Fifth Street, Springfield, OR ISSUED: 03/09/20 I 0 541-726-3753 Phone APPLIED: 03/09/2010 541-726-3676 Fax EXPIRES: 09/09/2010 541-726-3769 Inspection Line VALUE: . \:~'1-.;: ~~ n.' - : ~~ ,- Total Value of Project I Fees Paid' Fec Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $11.88 3/9/10 2201000000000000214 + 5% Technology Fee $4.95 '3/9/10 2201000000000000214 Add, Alter, Extend Circ Ea Add $18.00 3/9/10 2201000000000000214 Perm Serv/Fdr 200 amps or less $81.00 3/9/10 2201000000000000214 Total Amount Paid $115.83 I Plan Reviews ~ 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, inspecti"n~, requested after 7:00 a.m. will be made the following work day. ".'''''''' .,~.~. .~, .. ,', , . , I Reouired Insoections ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signatnre, I state and agree, tbat I 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 that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety, ' I further certify that only contractors and employ~es who are in compliance with ORS 701.005 will be used on this project. I furthcr 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 of the property, 'and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date -"p~' ic , , , '. ";"{ , -. Paee 2 on =m.."~ iiii 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~L04'II, City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000214 Date: 03/09/2010 2:23:59PM Job/Journal Number COM20 I 0-00295 COM20 I 0-00295 COM20 I 0-00295 COM20 I 0-00295 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: . Type of Payment ONLINE CHGS raid By ONLINE PERMIT GIGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 18,00 11,88 4,95 $115.83 Amount Pllid KR ONLINE C & s Online ELECTRIC Payment Total: $115,83 $115.83 cRcceinl1 Page 1 of I 3/9/20 I 0