HomeMy WebLinkAboutPermit Electrical 2010-3-2
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfietd.or.us
o New Construction
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1KJ Addition/alteration/~~placement
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00092
Approval Code: 012095 3/2/2010 9:00 am
E-mailedTo.:kshoemaker@scofield.net
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Please check all that apply:
o 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
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"jcAfEG6RYOF.CO.IIISTRUCTioN.~,; ,
1 'or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
, .' ..., JOB SITE INEORMA TION AIIID LOCATioN
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Job Address: 1689 HARBOR DR
CityfStatelZIP: SPRINGFIELD. OR 97477
Suitefbldg.lapt.no.:
Project Name: 0110-042 MINOR RENTAL HOUSE
Cross Street/directions to job site:
Tax map/parcel no.:
1803023203400
,..ybES:c~ipTI6N OF; WORK; .
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ADDITION AND EXTENSION OF BRANCH CIRCUITS ~ND RECONNECT OF
PANEL
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CONTACT,
Name: ERIC SCOFIELD
Phone: 541-686-8612
Fax: 541-686-8696
Email:
t.:
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, ,':, CONTRACTOR
Elec lie. no.: 20-1 C
38702
CCB lie. no.:
Business Name: SCOFIELD ELECTRIC CO
Contact:
Address: PO BOX 2765
R 97402
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Phone: 541 ERM1T SHAll ewlRE 1
Em.": k'ho..IIMo/Ii9~4ilIiiO UNDE
M~tro lie. no.C 0 M
S " E"'~t" , "
uperv Slng Elec TlClan SIC. no.:
4218S
Supervising Electrician's Name:
ERIC SCOFiELD
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 pennlt will bl! _e.malled or faxed
within one business day, with Instructions on how to schedule your insp~tion.
NOTE: This Authorization To Begin Work expires within 180 days if a pennlt Is not.Obta!ned.
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.
-i-
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
PLAN'REVIEW ,
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
o Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
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
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'i. ~F.EE'SCHEDU~E,
Qty,
Description
~~rY.i(r~_~:oi feeders_;:'Z}:lf\~j
Reconnect only
Bra~ch.circufis'
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
EJectrical'permit Fees,~
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT fEE
$55.00
$55.00
7
$6.00
$42.00
'J'"
$160.00
$19.20
$8.00
$187.20
Cq-llJ~ ~ 31611D
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 ofthe rules bIf
calling the center. (Note: the telephone
number for the Oregon Utility Nolificaliolll
Center is 1-800-332-2344).
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Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01622
ISSUED: 11116/2009
APPLIED: 11105/2009
EXPIRES: 09/02/20 I 0
VALUE: $ 4,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1689 HARBOR DR
ASSESSOR'S PARCEL NO,: 1803023203400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Permit for repair/replacement of manufactured home roof AS-BUILT with additional
engineered repairs.
Owner: MINER MICHAEL G & JANE ENE I
Address: 1689 HARBOR DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor Type
General
Electrical
Contractor License
OWNER
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SCOFIELD ELECTRIC " " 38702
I BUILDING INFORMATION I
Expiration Date Phone
12/21/2011 541-686-8612
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# 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:
R-3
n/a
:,"~'j.';"'kDEVELOPMENT INFORMATION ~ '
NOT1C~: EIf1HEWO~ " REQUIRED PARKING
Frontyam~tg~M\i S"p.~~ ~~~R PERMIT IS Nntr!,ay Dist: f~1J~~Ji~s~~~et~~n ~aw rBJ!lS YOU.~
Side I s.Al.b~\jORI2ED UN~IS ABANDONED FOR #:S!reet ~rees Rq'Notification Centtr. ThO~~~ ~Jf'm~
S.de 2 s<@&.oUVIENCED 0 Paved Drive Rqd:ln OAR 952-001-001 0 throu IM~~
Rearyar<Ambjl!lQ: DAY PERIOD. % of Lot Coveraga090. You may obtain COPi~S of the ru~~O~;
Solar Setbacks: calling the center. (Note: the telephone
, 011 on
PUBLIC IMPROVEMENTS Center is 1-800-332-2344).
Street Improvements:. j'C(' .,.. Sidewalk Type:
. ,~.
Storm Sewer Available:
Special Instruction:
"'":,,''' '"
Dnwnspouts/Drains:
;0'." I
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...
Notes:
Page 1 of 3
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01622
ISSUED: 11/] 6/2009
APPLIED: 11/05/2009
EXPIRES: 09/0212010
VALUE: $ 4,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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I Valurttion Description ~
Description
Type of Construction
$ Per Sq tit
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
LFees Paid ~
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$56.71
$10.47
$4.36
$87.25
$19.20
$8.00
$55.00
$42.00 .
$63.00 .,~:
11/5/09
11/19/09
11/19/09
11/19/09
3/2/10
3/2/10
3/2/10
3/2/1 0
3/2/10
1200900000000001236
1200900000000001270
1200900000000001270
1200900000000001270
1201000000000000192
1201000000000000192
1201000000000000192
1201000000000000192
1201000000000000192
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Total Amount Paid
$345.99
Plan Reviews I
Initial Review
11/06/2009
11 /06/2009
APP LLH
Structural Review
11/06/2009
11/13/2009
APP CJC
As noted on plans / review letter
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.
L Reouired Insoections ~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover al1d after all rOl1gb in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover ",C'. ....
Final Electric: When all electrical work is complete.
Paee 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01622
ISSUED: 11/16/2009
APPLIED: 11/05/2009
EXPIRES: 09/02/2010
VALUE: $ 4,800.00
By signature, I state and agree, that I have carefully examined the completed application anddo hereby certify tbat all
information bereon 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 ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees.who are:ln compliance with ORS 701.005 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 front of 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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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000192
Date: 03102/2010
I:07:12PM
Job/Journal Number
COM2009-0 1622
COM2009-01622
COM2009-0 1622
COM2009-0 1622
COM2009-01622
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Service Reconnect
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Item Total:
Authorization
Number How Received
Amount Due
63.00
55.00
42.00
19.20
8.00
$187.20
Paid By
ONLINE PERMIT CHGS
Check Number
Re~~jvedJ~Y " ",.Batch Number
Amount Paid
KR
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Page I of I
ONLINE SCOFIELD Online
ELECTRIC
Payment Total:
$187.20
$187.20
3/2/2010