HomeMy WebLinkAboutPermit Electrical 2010-5-12
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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
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.~ 7..:" C'SITE.C.QNT ACT,",~- .
Name: 60 hart
Phone: 541-747-7701
Fax: 541-747-7701
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Email:
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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
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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
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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
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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
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Rec"eived By
NJM
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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