The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-5-12 . Q\O' ~qS Residential Electrical Authorization To Begin Work 69600-BEL-10-00204 Approval Code: 012891 5/12/2010 1: 1 9 pm E-mailedTo:weilandbo@msn.com .'lt0;!z_~pEANiREVIEW. City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfleld.or.us 001 or 2 family dwelling o Multi-family 0 Commercial o Accessory -. "jOB SrrE INFORM.6.TIONAND l.OCATION'L", Job Address: 1331 PIEDMONT 5T City/State/ZIP: SPRINGFIELD, OR 97477 Suitefbldg.Japt.no.: Project Name: Service change Cross Street/directions to job site: 1703253204200 Service Change '~; "t ""-,,,-",- . . -""""". ,.....-. .~ 7..:" C'SITE.C.QNT ACT,",~- . Name: 60 hart Phone: 541-747-7701 Fax: 541-747-7701 j )",';'c~, ':L:i" ri~ Email: ,. ,. C0NT.RAci'OR-F'. - . Elec lie. no.: C277 eeB lie. no.: 175373 Business Name: WEIlAND ELECTRIC DIVISION LLC Contact: Address: 175 W B ST BLD H CityfStatefZIP: SPRINGFIELD, OR 97477 Phone: 5417477701 Fax.: 5417477701 Email: WEILANDBO@MSN.COM Metro Iic. no.: City lic. no.: Supervising Electrician's lie, no.: 2560S Supervising Electrician's Name: JACK L WEILAND Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: :2 >II'C;, .",n" .,\ Upon review and approval by your local jurisdiction, your permit will .~~~.~~.mailed ~or within one business day, with instructions on how to schedule your inspection. . _;.-.. NOTE: This Authorization To Begin Work eKpires 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 applicable land use laws and local ordinances. "e."o 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 D Hazardous locations o A service or feeder raled at 600 amps or more D Buildings more than three star D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1-2" or "1-3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal $81.00 $6.00 ',I $87.00 $10.44 $435 $101.79 " ~ ~.\A. \0 \l-.~{L U\ 4" - ~ o Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure o Health care facilities Services 200 amps or less .i3ra~~t1 circ_uits ~.:>f . Branch circuits with service or feeder each circuit E'ledrjcal;eeI~i'f Fe9~; . Subtotal Stale surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ~ faxed Co/YI2eJ/U .!Z~/d-/O OJd:S- /70; 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 PERMIT NO: COM2010-00595 ISSUED: 05/12/2010 APPLIED: 05/12/2010 EXPIRES: 11/12/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1331 PIEDMONT ST ASSESSOR'S PARCEL NO.: 1703253204200 Springfield TYPE OF WORK: Electrical Work Only' TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service Change Owner: BROOKS JANICE L Address: 1253 S 40TH PL SPRINGFIELD OR 97478 '. I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License WEILAND ELECTRIC DIVISION, LLC. 175373 BUILDING INFORMATION ~ Expiration Date 04/06/2011 Phone 541-747-7701 # 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: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATIO~ " REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . OverIay'Dist: ,/iStreet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: ..1., .. . ~ Notes: 1:1., I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calcnlated ,j .t~,~",..,i..u...i..!' t , Paee I of 2 , l /f,t. ..~;~ Ii' "=;' . ".... ~ 1 '. ~: :-,',1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00595 ISSUED: 05/12/2010 APPLIED: 05/12/2010 EXPIRES: 11/12/2010 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Numher $10.44 '$4.35^",'" " ".. $6.00 $81.Qfti;.",i, ,.' 5/12/10 5/12/10 5/12/10 5/12110 3201000000000000205 3201000000000000205 3201000000000000205 3201000000000000205 Total Amount Paid $101.79 I Plan Reviews ~ 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 Reouired InsDections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. .... ~,. . ~ ~,~. . . By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the L~-; of th~'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 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 ,'; . Date . ,. Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000205' Date: 05/12/2010 1:29:37PM Job/Journal Number COM20 I 0-00595 COM20 I 0-00595. COM20 I 0-00595 COM201O-00595 Payments: Type of Payment ONLINE CHGS cRecelotl Description Add, Alter, Extend Circ Ea Add Penn ServlFdr 200 amps or less + 12% State Surcharge + 5% Technology Fee .' . Paid By ONLINE PERMIT CHGS i;:~ ~' Rec"eived By NJM , . ,,:\,j .1.1."",,, ! \<1 .1~ 1}>'" , . . '.~ I: \ :. I , r "'- " . . .~,. I., ':":"'! L. '~-~ \ Page 1 of I . Item Total: Check Number Authorization Batch Number Number How Received Amount Due 6.00 81.00 10.44 4.35 $101.79 Amount Paid ONLINE WEILAND Online ELECT Payment Total: $101.79 $101.79 5112/20 I 0