HomeMy WebLinkAboutPermit Electrical 2010-3-1
SPRINGFiElD
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City Of Springfield
225 Fifth 51
Spring~eld, OR 97477
Phone: 541.726-3753
Email: permitcenler@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00089
Approval Code: 00102A 3/1/2010 9:41 am
E-mailedTo:kwschafer@aol.com
,PLAN'REVIEW',
i "i-'''',\.r .:,,;:c ~c, 'TYPE OF-WORK.' " ""::""'-"\}. ~.;; , i
0 New Construction IXJ Addition/alteration/replacement
.-. "'.: '-~''''i:'i ;CATEG(:>R'YoFcONSTRUCTION .....,,;;. .. ,
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IXJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
i\':, :'; .>' " jOEfsITE:INFORMATION,ANDLOCATlON" p , . ,
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Job Address: 1148 L ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: Tom Fidrych
Cross Street/directions to job site:
Tax maplparcel no.: 1703264406800
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Wiring Bedroom
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fSlTg,CgNTACT
Name: Tom Fidrvch
Phone: 541-556-0359 Fax:
Email:
.~. "-iC;;',/" , CONTRACTORi .. - :e-_ -'
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.
Elec lie. no.: 20-2age CeB lie. no.: 70889
Business Name: KS ELECTRIC & CONSULTANTS INC
Contact:
Address: PO BOX 24933
City/State/ZIP: EUGENE, OR 974020444
Phone: 5416866236 Fax: ,
Emall: KW5CHAFER@AOLCOM
Metro lie. no.: City lie. no.:
Supervising Electrician's lie. no.: 34975
Supervising Electrician's Name: KEVIN W SCHAFER
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 Work expires within 160 days if a permit is not obtained.
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.
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 Volls or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units)n
one structure
D Health care facilities
Description
Branch circuits without service or
feeder
~iscellaneous
Balance of permit fees
E.lectrical,~ermit'Fees
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
~
~~ ,,0
O'
~
\'6:
, fO/?1ZQ/o
'5! I/i0A 0
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
o Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately deri'ved sys
D "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
$58.00
$696
$2.90
$67.86
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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
CITY OF SPRINGFIELD
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Building/Combination Permit
PERMIT NO: COM2010-00031
ISSUED: 01/07/2010
APPLIED: 01/07/2010
EXPIRES: 09/01/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1148 L ST
ASSESSOR'S PARCEL NO.: 1703264406800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Existing alteration added 128 s.f. Bedroom(to SFD) without permit.
Residential
Owner: FIDRYCH TOM JR
Address: PO BOX 387
BOULDER CREEK CA 95006
I CONTRACTOR INFORMA TION .
Contractor Type
Electrical
Contractor
KS ELECTRIC
License
70889
RUI"l:DING INFORMATION I
11
Expiration Date
12130/2010
Phone
541-686-6236
3
# 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:
128
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R3
VB
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMI1NIs:Jw.ON: Olegonba~he Oreg'on Uti!!,.
~ 1!1 I~Qopted Y are set tu....
, tolloVl r~ eeCII!I\~I!I~~les AR952-00"
," Notil);~~~_QQ,~~9tr~~~ the rules bY
\no~ You may obfa,Y, Note' the telephone
"", 0 ca\ilng the center. ~on Utility Notltlcat\Oft
number tor the. Ore~oo-332.2344).
Center " '-0
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: NOTICE:
1]"11,) r'tl .1
:";., 'THORIZEO UNDER THIS PERM
. DlVilVlENCEO OR IS ABANDONED
D . '""\1 18'0 "'IW DI:!>lnn. $ Per Sq Ft
escnptlOn LllJ'lDeHQ.lQ..I&tMructlOn I . I"
or mu tip lef
Square Footage
or Bid Amount
Value
Date Calculated
',"
Pa2e I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00031
ISSUED: 01/0712010
APPLIED: 01/07/2010
EXPIRES: 09/01/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Inspections - Investig. Bldg
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid Date Paid Receipt Number
$6.96 1/7/10 1201000000000000022
$2.90 1/7/10 1201000000000000022
$58.00 1/7/10 1201000000000000022
$6.96 3/1/10 3201000000000000067
$2.90 3/1/10 3201000000000000067
$55.00 3/1/10 3201000000000000067
$3.00 3/1/10 3201000000000000067
Total Amount Paid
$135.72
Plan Reviews I
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.
~eollired.Jnsnec.tions ~
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheat~illg with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Final Building: After all required inspection~ ~~ve been requested and approved and the building is complete.
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Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa!!e 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00031
ISSUED: 01107/2010
APPLIED: 01107/2010
EXPIRES: 09/0112010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Springlield and the Laws of tlie,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 ill compliance with ORS 701.005 will be used on this project.
1 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
tjmes during construction.
Owner or Contractors Signature
Date
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
3201000000000000067
10:00:57AM
Date: 03/0112010
Job/Journal Number
COM20 I 0-00031
COM20 I 0-00031
COM20 I 0-00031
COM20 I 0-00031
Payments:
Type of Payment
ONLINE CI-IGS
cReceintl
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
55.00
3.00
6.96
2.90
$67.86
Paid By
ONLINE PERMIT CI-IGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
ONLINE ks electric Online
Payment Total:
$67.86
$67.86
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3/1/2010