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Home My WebLink AboutPermit Electrical 2010-5-5 ~SP~f~G::~LD ;;',!~ . \ 9~ . .!. "OREGON City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfiefd.or.us :; '.' '~J..'>;~&< . . 11Ft TYPE .;.... '..,> :. .i."') 0 New Construction IX] Addition/a Iteration/replacement I: ...., C'ATEGORY;OF,CONSTRUC;TIOfli -; : ,i ;.-;v'" IZI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory I 1 ," " JOB SITE IfIIFORMATlON,AND IlOCATfON .' H .. .. . Job Address: 4982 DAISY ST CityfState/ZIP: SPRINGFIELD, OR 97478 Suitelbldg.fapt.no. : Project Name: Cross Street/directions to job site: Tax mapfparcel no.: 1702333301734 ,;'L";1;~:"'; '.' ,:.::,;, ~'"," . Running circuit for new furnace and new heal pump ;'< "-'7>,"" ::::~;,:1,';;,;:, .. ~rCSITEgQt<I:rACTf,~'~";'0' ., , ;'';1 J~ . " Name: Dan lay Phone: 541-743-1193 Fax: 541-895-2207 Email: ,"'" . " '. :;',....,;"...., C" 'GOf-l,[RACTOR'?"'~~;'''''' V f 'd'I'.: ";:':ri1 ""_'o.! Elec Iic. no.: C256 CCB lic. no.: 174458 Business Name: SPRINTER ELECTRIC INC Contact: .. Address: 82924 FLORENCE AVE City/State/ZIP: CRESWELL, OR 97426 Phone: 5418955256 Fax: 5418952207 Email: Metro lic. no.: City lic. no.: '"__h. . ,~..~. -,- '-- Supervising Electrician's lic. no.: 5407S Supervising Electrician's Name: JEREMY J COOPER 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 permi! will be e-mailed or faxed within one business day, with instructions on how 10 schedule your inspection. NOTE: This Authortz:ation 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 void If It does not meet appllcable land use laws and local ordinances. t\()'~-l\ Residential Electrical Authorization To Begin Work 69600-BEL-10-00194 Approval Code: 611888 5/5/2010 5:23 pm E,mailed To: sprinter5c@yahoo.com I~\'. ..' '.' '.PI1ANRE\7iEW; .. . . Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more than three stor 10,000 Amps at 150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for all other o Floating buildings 0 Fire pumps o Commercial-use agricultural buildings o Emergency syst~ms o Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "A", "E", or "1-2" 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 !' ' ..~0~"~SCHEDULE. . . ..', ,,\.) ....., ., Description I Qty, Ea. Total Branch,ci.r,cu!~s ),,;-;/?*~0i ;"'f"'V', ~~-'_~ ," , "';;';;'.1. ',.., ~",,"" , - ~.<' Branch circuits without service or 1 $55 00 $55,00 feeder Branch circuits each additional 1 $6.00 $6,00 circuit without service 1:-lectric~'11p~nni.t.Fe'es': ~~', ';:;'; ''1\'.''; " .c .r', .," ,".," .:!,:,,' .' _c!- Subtotal $61.00 State surcharge (12% of permit $7.32 total\ Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 ~~~ &'~ "Lo-ilLDIO -(jJ&f/ 15-&___lO NM ~ 5.1-\D fJ-6?l2- It\ Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit .......,. '," . . .;~~' ,'~.' . l Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00571 ISSUED; 05/0612010 APPLIED: 05/06/2010 EXPIRES: 11/06/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '.' ,." Springfield TYPE OF WORK: Heating System SITE ADDRESS: 4982 DAISY ST ASSESSOR'S PARCEL NO.: 1702333301734 TYPE OF USE: New Residential PROJECT DESCRIPTION: Dnctless Owner: Address: CERTIFICA TEHOLDERS CW ABS INC 400 COUNTRYWlDE WA Y SV-35 SIMI VALLEY CA 93065 , .J. 'Ii: I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License SPRINTER ELECTRIC INC. 174458 BUILDING INFORMATION ~ Expiration Date 02/20/2011 Phone 541-743-1213 # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type:' '. Ellergy Path:' Sprinkled Building: Lot Size: Sq Ft ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ Frontyard Sethack: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: .'Yo of Lot.Coverage: REQUIRED PARKING Total: Handicapped: Compact: ,.....~.r~ ...,.:,~ ~"" '... -. -. I PUBLICIMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: MnT THIS PERMIT SHALL EXPIRE IF THE :ition Descri AUTHORIZED UNDER THIS PERMIT IS .. D COMMENCED.,QR ISf~ANP.RNW FOR$ Pe~ S'q Ft e~N'Vt\'lfu DAY ~~llJD. n u .,,' or mnltiplier . ATTENTJrnIt.'~l!lJll'~~quires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952.Q01-OO1 0 through OAR 952-001- 0090. You may obtain copies of the rules by 9 ace. . . ti 0 n mb8r for the Oregon Utility Notiflcallon , Center 18 1-800-332-2344). : Sqnare Footage or Bid Amount Notes: Value Date Calculated Page I of2 :.;, ~i J i . i, ""',' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00571 ISSUED: 05/06/2010 APPLIED: 05/06/2010 EXPIRES: 11106/2010 VALUE: ""'_".0 , "" ~ ,,,,,,,,~..'.." .' '.,",,~', Status Issued ; ,;f?'" " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project , Fees Paid f Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.32 5/6/10 3201000000000000188 $3.05 5/6/10 3201000000000000188 $55.00 5/6/10 3201000000000000188 $6.00 5/6/10 3201000000000000188 Total Amount Paid $71.37,". (. ".' < ..,' I d~l;l'n R~y\ews ~ 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. Reouired Inspections I ~" f;' \1 Rough Electric: Prior to Cover >' I!..~ " ; ., Final Electric: When all electrical work is coni'plete. By signatnre, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is tflle 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 structure without 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 inspectiOl~~"aFe'r:eq'*estelat the proper time, that each address is readable from the street, that the permit card is located at the front oftli'e:pr'ope'fty, and the approved set of plans will remain on the site at all times during construction. ~j~k;hr "I-.t ~:;'I . li!" Owner or Contractors Signature Date '.;;0.; ,. Paee 2 of 2 225 Fifth Street , Spr.ingfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000188 Date: 05/06/2010 8:08:04AM Job/Journal Number COM20 1 0-00571 COM2010-00571 COM20 10-00571 COM20 I 0-00571 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Cire Add, A Iter, Extend Cire Ea Add + ] 2% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE sprinter Online Payment Total: U:,-: .' "~'<I; A'.,,;.';;\: 1~~r) ~~\-"'" -f"~; ,_ .,,..i~: ;"")... $,'.., . .'t'1.';., '.:;<,,J.:; ~1..i~:~; . ' Page I of I Amount Due 55,00 6,00 7,32 3,05 $71.37 Amount Paid $71.3 7 $71.37 5/6/2010