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Home My WebLink AboutPermit Electrical 2010-4-26 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us o New Construction (K] Mditionfalterationlreplacemerrt ~C~TEGORY OF CONSTRJJCTION ~',0"'b,';"'>" ','roo ' ~ 1 or 2 family dwelling o . Multi-family D Commercial o Accessory ).~ .JOB SITE.lNFORMATION AND,LOCATlON~~ 'c Job Address: 1210 F ST CityfState/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Western Stales Electrical Cross Street/directions to Job site: 12th Tax map/parcel no.: 1703351105200 >~bE-SCRrPTiO'N~()F WORK' ~J" Reconnect "1 ~' ,~':, SITE.CmiTAc,i ,: ,........ . ..........-..... ".0-..."",' Name: Shirlev Lans Phone: 503-234-9900 Fax: 503-234-1001 Email: ''1: ",",'CONTRACTbR' Elec lie. no.: 26-9Se eeB lie. no.: 203 Business Name: OREGON ELECTRIC CONSTRUCTION INC Contact: Address: 1709 SE 3RD AVE City/S~te/ZIP: PORTLAND. OR 97214 \1 Phone: 503234 9 i...... .~,.~ _ . IC. no.: Supervising Electrician's Name: JOSEPH H RUDIE 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.malled or faxed within one business day, with Instructions on how to Ichedule yourl nspectlon. NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. The local building department may determine that an Authorization To Be,gin, Work is null, and void if it does not meet applh::able land ullie laws and local ordinances, t \D. S\~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00182 Approval Code: 053224 4/26/2010 4:28 pm E-mailedTo:s.a.lans@oregon.electric.com ,:,PLAN'REVIEW,:J Please chec\l. all that apply: o A service or feeder beginning at 400 Amps where the available lault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems o Addition ~f El new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities . 1 o Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three star D Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys D "A" "E" or "1-2" or "1-3" , , o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal 1 FEE SCHE[)ULE , ToUlI $63,00 $63.00 $7.56 $3.15 $73.71 ~ Ltl21(~O $~kyJ~e,s~of:,fe~q!,! rs,~\. ," Reconnect only E,le)~t..i~~fp:ef~_it'J;~_!!5 Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE tlD -0l3 ATTENTION: Oregon law requires you.~ follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-001 0 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). " ..~J?; ~ f\' ~~o ~!\:J 'Jr' ~~~- s- 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 Building/Combination Permit Status Issued ! i PERMIT NO: COM2010-00S13 ISSUED: 04/27/2010 APPLIED: 04/26/2010 EXPIRES: 10/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line _...... ....,. SITE ADDRESS: 1210 F ST ASSESSOR'S PARCEL NO.: 1703351105200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Reconnect for residence. Owner: T & B DEVELOPMENT LLC Address: PO BOX 8129 COBURG OR 97408 Contractor Type Electrical I CONTRACTOR INFORMATION ~ Contractor License OREGON ELECTRIC CONSTRUCTION.\NC 203 BUILDING INFORMATION I Expiration Date 0710112010 Phone 503-234-9900, I ',' # of Units: Primary Occnpancy Gronp: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # 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: n/a , '_ " ,-,I,DEVELOPMENT INFOR~N: Oregon law requires you to ""'''''' adopted by thft..QwQMcyt~ NOTICE:' P1RElfTHE WORK Notiflcatlon Center. Those rUIe~8resetfoiih-KING FrqNll!lllllWtlTcS,HAll EX IS PERMIT IS NOT Overlay Dist:' In OAR 952-001-(1010 throu!JhlGAR 952-001- Sid;!(LJ'F!'OO~O UNDER TH'# Street Trees Rqd1lO90. You may obtain copi~8JT11ftjs by Sidedl~Wf:l~lSEO OR IS ABANDONED FOR ,.' Paved Drive Rqd: calling the center. (Note:<1b81tell'Phone Re\'i1fiV18'6tlm'!''PERIOD. . % of Lot Coverage: number for the. Oregon Utility Notification Solar'Setllaclis:' Center IS 1-800-332-2344). I PUBLIC IMPROVEMENTS ~ Street [mproveme~ts: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: ,r .. Notes: ,;:":n l;~':' :', fj',~Ei I V alu~t;on Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pace I of 2 '0" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,ii,,' " . :?iotal Value of Project I Fees Pai.!Q Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid $7.56 $3.15 $63.00 Total Amount Paid $73.71 I Plan Reviews , Date Paid 4/27/10 .4/27/10 4127/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00513 ISSUED: 04/27/2010 APPLIED: 04/26/2010 EXPIRES: 10/27/2010 VALUE: Receipt Number 1201000000000000381 1201000000000000381 1201000000000000381 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. . . ..-.-:.;-:'.;........ ::~;" LReailired Irisoections , Electric Service: Approval required prior to utility company energizing service. By siguature, I state aud agree, that I have carefully examiued the completed applicatiou and do hereby certify that all information hereon is true and correct, and J further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in 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 remaiu on the site at all times during construction. ., '::'~ ..' Owner or Contractors Signature . ""oJ.. .',l -~"'\","" 'rtf'.:'g' 1i'.1v?,' ....: Pa2e 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ":"P"J~O.'~Q.O..,...,.. .... :..:.... lI\t' , , . .",_Ii ,. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000381 9:24:01AM Date: 04/27/2010 Job/Journal Number COM20 I 0-005 13 COM20 1 0-005 13 COM20 I 0-005 13 Payments: Type of Payment ONLINE CHGS cReceintl Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63,00 7.56 3.15 $73.71 Amount Paid KR ONLINE OREGON Online ELECTRIC CONSTRU CTION $73.71 , ~ " .' ." ljl. . :.> .1._' "'.'L Payment Tntal: $73.71 .. ,;j. ", . ...J'~,:, . .-,'- " ~ ,.1 'J; , . ;~ , ~'.,4~' .J,. /, \ fl" pa\ie I-of I . 4/27/2010 , .