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Home My WebLink AboutPermit Electrical 2010-5-14 ..,. t ,~,~ City Of Springfield 225 Fifth SI. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00207 Approval Code: 012751 5/14/2010 10:39 am Ewmailed To: arcelecor@aoLcom c21'L:AN,REViEW';;' ".- ATTENTION: Oregon law requlrllll you ~ follow rules adopted by the Oregon UtlII'iV Notification Center. Those Nlllll are ll8t ~ In OAR 952-001..0010 through OAR 952-0010 0090. You may obtain copies of the rulea b17 calling the center. (Note: the telephone number for the Oregon UtIlity N~ Center is 1-800-332-2344). D New Construction IRJ Addition/alteration/replacement Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other CATEGOHY OF CONSTRUCTION'.cY;-,,:. [R] 1 or 2 family dwelling D Multi-family D Commercial D Accessory :~'6B!SITE INFORMATION AND LOCATION '..j Job Address: 132 S 15TH ST Clty/StatefZIP: SPRINGFIELD, OR 97477 D 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 D Health care facilities Suitefbldg./apt.no.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1703363205600 i,c -[}DESCRIPTlbN~OF,:WORK Reconnect power ~,erylce"s'cirfeederS:" Reconnect only Electri~al PEmnifFees. Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) ,. '~}';'- fSITE CONtA.Ct~'^ Name: Virgil Hess Phone: 541.741-0494 Fax: 541-741-1685 Email: ;TOTAl PERMIT FEE ~:, -- <CONTRACTOR, "..' '-'f" Elec Iic. no.: 20-403C : tcP1- crlY5 CCB Iic. no.: 115113 Business Name: ARC ELECTRIC INC Contact; :-: :';~-'?~Sr;~{~Y:\~:;~~1-.',~':~~.':'<' . Address: 85783 ~:;''''f'' . - ORK 15 PERMIT IS NOT ,: CEO OR I&ABANOGlNED Em.;', ARCELECAflWAQt8ijo{])AY PERIO . City/State/ZIP: S Phone: 5417410 ." ~ ., .,; Metro lic. no.: City lic. no.: Supervising Electrician's lic. no.: 'i''' 4368S Supervising Electrician's Name: STEPHEN M SEBASTIAN 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-mailed or failed within one buslnen day, With instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 160 days If a permit Is not obtained. TIle local building department may determine that an Authorlzatlon To Begin Work 15 null and void if It does not meet applicable land use laws and local ordinances. I CCf\qWS D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three star D Marinas and boat yards o 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 $63,00 $7.56 $3,15 $73.71 ~(L 5/14l/O Ins~ections Phone: 541-726-3769 !his Authorization To Begin Work must be posted at the job site until replaced by a Permit ." CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00965 ISSUED: 03/10/2010 APPLIED: 07/01/2009 EXPIRES: 09/10/2010 VALUE: $ 60,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ' SITE ADDRESS: '132 S 15TH ST ASSESSOR'S PARCEL NO,: 1703363205600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Owner: DUNHAM ANN Address: 33328 HOWE LN CRESWELL OR 97426 '_"::)1. ,I, ;.-. ,.'-...,..... I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor ARC ELECTRIC License 115113 BUILDING INFORMATION ~ Expiration Date 07/29/2010 Phone 541-741-0494 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Stru'cture Type of Heat:' ' "Water Type: R.ange Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 No Street Improvements: I DEVELOPMENT INFORMATION ~ REQUIRED PARKING ~;:en~y;;~b~~~~ack~H~~I;E~Mrr SHALL EXPI;;c:~'i~~qd: ~~~~:icapped: Side 2 Setback: AUTHORIZED UNDER THIS PEAMtli Ii-Nliliq~: 19mV8.1:.Ulres _II to Rearyard Setback:COMMENCED OR IS ABANDO~,l!flI@RC?;x~.r~ge: ~~;~:~:~~~C: by ~e OregonUtinty Solar Setbacks: ANY 180 DAY PERIOD. '. - ,:. otlficatlonCenter. Those rules are setfoltta I PUBLIC IMPROVEMENTS =. YoumllYobtQJncopleeottl1erul8llt!W caIlIlllJ~~ (Note: lIle telephone numbllr for the Oregon UtIlity NotIficatIOn 'IT'o"e6l\Yif~oeoo-s32.2344). Storm Sewer Available: Special Instruction: , ,i. Notes: I Villllition ~escription ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 i"' ! '_.'.j .. , '.;ii.,'J~ ;;~'-t "'re:': .. i.L ." . ~~'~...,":;':'." ,":, j:';S.: ,;-::t'- ":r-. '." ',' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00965 ISSUED: 03/10/2010 APPLIED: 07/01/2009 EXPIRES: 09/10/2010 VALUE: $ 60,000.00 '0,:., .,: Status Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " "," -':Total Value o(Project ! ' L Fees Paid-1 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number .',. . 3/17/10 3/17/10 3/17/10 , . 3/17/10 5/14/10 5/14/10 5/14/10 3201000000000000089 3201000000000000089 3201000000000000089 3201000000000000089 1201000000000000450 1201000000000000450 1201000000000000450 $8.04 $3.35 $55.00 ,,,:.~;,. $12.oQ:'i5: $7.561',1 $3.15'" " $63.00'" ."',....... ,. : ~ ,;: "1',' Total Amount Paid $152.10 I Plan Reviews ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. d",: :'::. .~,t '~'.' " . .. By signature, I state and agree, that 1 have carefullYiexamined.the completed application and do hereby certify that all _,,\ I information hereon is true and correct, and I furth~r ce:rtify 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. 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 remain on the site at all times during construction. Owner or Contractors Signature . r. ot l Date . ., :..'w":;.:, '\ '1 . , .7, Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "J:~!'7'~1D.D _.... ...1.... . Ilk'" k_ ", . -: - > ;,'.1 .<.,", .C-, -~'. '.', ......".. "':"-' -. . '.,.' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000450 Date: 05/14/2010 1I:14:13AM Job/Journal Number COM2009-00965 COM2009-00965 COM2009-00965 Payments: Type of Payment ONLINE CHGS cReceiotl 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 ARC Online ELECTRIC Payment Total: $73.71 $73.71 ~,'~ '~~ti~~ '~:~~#ir;~' "_'J." .' !;,..:~:t:, /' ,t,;..:!,. j-~ 't...:~.'.~,,~,~.';-.;:':' :'1"' {~~;~ ~', .".j ., - . -:. Page I of I 5/14/2010