HomeMy WebLinkAboutPermit Electrical 2010-4-30
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City Of Springfield
225 Fifth 81.
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenter@ci.springfieJdcoLus; (: ~';
Residential Electrical Authorization To Begin Work
69600-BEL-10-00190
Approval Code: 001188 4/30/2010 11:33 am
E~mailed To: robselectric@hotmail.com
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PLAN REVIEW '
-,-':r
o New C~nslruction
[R] Additionfalteral;~;/replacem~ni
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
. ;P."CATEGORy'OF'CONSTRUCTION :'.z;'
001 or 2 family dwelling 0 Multi-family 0 Commercial
o Accessory
, JOBSITEINF.ORMA TIONAND'tocATION . "'.
Job Address: 1955 CARTER LN
CityfStatelZIP: SPRINGFIELD, OR 97477
o Fire pumps
D 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
Suite/bldg.laptno.:
Project Name: Gena Baker
Cross Street/directions to job site:
Tax map/parcel no.:' 1703253216100
upgrade service panel
,SI1:E CpNTACT",:.
Services 200 amps or less
~le~~ricafp~rm~t;F~es '
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
Email:
Name: Steve Thorpe
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Phone: 541-688-6800
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Fax:
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o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three slor
D Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
O "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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$81.00
$9.72
$4.05
$94.77
Elec lie. no.: 20-462C
156678
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ATTENTION: Oregon law requires you to
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).
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cca lie. no.:
Business Name: ROBS ELECTRIC INC
Contact:
Address: PO BOX 2821
CityfStatefZlP: EUGENE, OR 97402
Phone: 5414619409
Fax: 5416865444
Email: ROB
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R440@HOTMAIl.COM
........
Metro lie. no,;,..
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City lie. no.:
Supervising EletUitian'(: .
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S"pervis;," Elect.;.cI.'Uo.o",,'vR IS 'JI\YJ~f\JOOl'~~
A'"Y 1 >!r n^v oeD Inn
Number of Inspections.jncfudedJhlpkld.6srvlces:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approval by your local Jurisdiction, your permit wll;':'b~'i'e-malled ~or faxed
within one business day, with Instructions on how to SChedule your Inspection. ~i.. :
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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 Begin Work is null and
votd Ifil does not meet applicable tand use laws and local ordinances.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00550
ISSUED: 04/30/2010
APPLIED: 04/30/2010
EXPIRES: 10/30/2010
VALUE:
225 Fifth Street, Spl"ingfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1955 CARTER LN
ASSESSOR'S PARCEL NO.: 1703253216100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Upgrade service panel in residence
Owner:
Address:
BACKER MATTHEW & JENNIFER
811 S 72ND PL
SPRINGFIELD OR 97478
h.
I CONTRACTOR INFORMATION ,
Contractor Type
Electrical
Contractor License
ROBS ELECTRIC INC 156678
BUILDING INFORMATION ~
Expiration Date
08/14/2011
Phone
541-686-5444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rimge Type:'
'. En'ergy 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 1NF1(])R!MWl1I(l)N.:!on law requires yonto '
IU"u~"I'ul"~ al\'lJ'i-'l~d by the Oreg~~ii1llRED PARKING
inTII'~' Notification Center, Those rules are set forth
F~o,n~~iod'!;etback: E IF THE WORK' Overlay DiM:OAR 952-001-0010 through OAR ~8~Il.o1-
S.dell::se\bI1MIT SHALL EXPIR T # Street Treoo6!1<\'ou may obtain copies of thel1mll!i'llY'ped:
Sid~J2,-~,~~~!m UNDER THIS PERMIT IS NO rayed Dri,ve,lmllilg the center. (Note: the telE$l>.~ct:
R~~D.''!\fcf!B~~BkOR IS ABANDONED FOR '"/~;?f Lo.t C"IiGfIlll~r for the Oregon Utility Notification
SOA~~fe,tg~cI'fAY PERIOD. ',':' Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
J
Notes:
I Valu,ation Description I
Description
Type of Construction
$ Pe~ Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
,
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00550
ISSUED: 04/30/2010
APPLIED: 04/30/2010
EXPIRES: 10/30/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid _
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid'
Date Paid
Receipt Nnmber
$9.72
$4.05
$81.00
4/30/10
,4130110
4/3011 0
3201000000000000180
3201000000000000180
3201000000000000180
Total Amount Paid
$94.77
f.lan .Re"iews "
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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.
I ReQuired InsDections I
Electric Service: Approval required prior to utility comp.tiiy energizing service.
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Final Electric: When all electrical work is co&:plete', ' I,l
By signature, 1 state and agree, tbat 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 Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and
that NO OCCUPANCY will be made of any structure withont permission of the Community Services Division, Building Safety.
1 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 propel' time, that each address is readable from the
street, that the permit card is located at the front of.lhe.property, aild the approved set of plans will remain on the site at all
times during construction. [~,h;.. J;:~ i":~," ,1
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Owner or Contractors Signature
Dale
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Pa2e 2 of 2
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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 #:
3201000000000000180
Date: 04/30/2010
1:15:17PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00.
9.72
4.05
$94.77
Job/Journal Number
COM20 I 0-00550
COM20 I 0-00550
COM20 I 0-00550
Description
Penn Serv/Fdr 200 amps or less
+ 12% State Sur~harge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE ROBS Online
ELECTRIC
Payment Total:
$94.77
$94.77
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