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Home My WebLink AboutPermit Electrical 2010-5-17 ~\Cl. (O~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00211 Approval Code: 017523 5/17/2010 1:50 pm E-mailedTo:tena@orelectricservice.com ~'. '~~;.:~ :;;."PLAN:REVIEW City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Emeil: permilcenler@ci.springfield.or.us o New Construction IX] Addition/alteration/replacement 9ATE[9BYOFCON!;TR\.J{;TI()N D Multi-family 0 Commercial Please check all that apply: o A service or feeder beginning at 400 Amps where the available faull current exceeds 10,000 Amps at 150 Volts or less 10 ground exceeds 14,000 Amps for all other ~ . ~-::;:;. IZJ 1 or 2 family dwelling D Accessory 'JOB.srrEJNFORMA'nON ANOtOCATioN" Job Address: 1934 I ST City/StatefZIP: 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 ca.re facilities Suitefbldg.fapt.no.: Project Name: Julie Barrett 541-913-1405 Cross Street/directions to job site: Tax map/parcel no.: 1703361202200 D~scription SerVic~l?l~'or'fe9der5 Services 200 amps or less ~1~cJrJ~fJ.I. Permit.FE!~$ Subtotal State surcharge (120/0 of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE Wire upgrade of panel ,.._~. ,:.-~ ~.,::~SITE:CO~<T ACT:. '3' Name: Jeff Brooks Phone: 541.343-1681 Fax: 541-343-1683 Email: I,' 3\,~~CONTRACT.OR' -. "- -;2 ..1 ., ''''L" " Elec lic. no.: C408 181997 CCB Iic. no.: Business Name: OREGON ELECTRIC SERVICE lLC Contact: Address; PO BOX 2237 City/State/ZIP: EUGENE, OR 97402 Phone: 5413431681 Fax: 5413431683 Emai/: Metro lic. no.: City IIc. no.:' Supervising Electrician's lic. no.: 1392S Supervising Electrician's Name: HERMAN OLLAR 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 faxed within one business day, with instructions on how to schedule your inspection. UJIJ1 ~/D 5-/7~/() NOTE: This Authorization To Begin Wor1< expires within 180 days if a permit is not obtained. The local buildIng department may determine that an Authorization To Beg~n Work is null and void if it does not meet applicable land use laws and local ordinances. o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "En, or "1-2" or "'~3" o Recreational Vehicle Parks o Supply voJtage for more than 600 supply volts nominal $81.00 $972 $4.05 $94.77 ~ {)06d~ /71'7L Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit -'-,. ~"n CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00622 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: 11/17/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 19341 ST ASSESSOR'S PARCEL NO.: 1703361202200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Wire upgrade of p~n~1 Owner: BARRETT LYMAN M & JULIE Address: 1934 I ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ ,. , Expiration Date 05/09/20 I 2 Phone 541-343-1681 Contractor Type Electrical Contractor License OREGON ELECTRIC S~RVICE 181997 BUILDING INFORMATION I # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: . - . uW I PUBLIC-IMPROVEMENTS ~ ' nUiles ~~ '\'1"" \ll.'I'J Ie", on u \ h, ~~~\ne 0le9 e\\O\\\1 ,.1't~tI ~~~~~~lbp.M luleS ~~ ~52-00~- \O~ca\lon'~~O\\lIOU~\1 ~\ \\1e lUleS 'o~ tlu"" 9&2.00'..... I co~\eS le~"one \1\ O~ ...... ",a>I o'b\e: n.tlo\e" ~e ~O\i\\ce.\iOn 6M>ft. w- cemel., \)\\\\w -, ~\tIe 80te9011 2_2344). centet ,~:,{ \.' , Street Improvements: Storm Sewer Available: Special Instruction: 'l\~"." J''; ~WTlCE: ., . THIS PERMiT SHf'LL F~;PIP[ !eV"liiatJon,nescri I~UTHORiZED UNDERfHIS PE~~I ~I'ft I Square Footage Description COMIf@'!Y~S:~~BcA0ANDOJi.tJ::Itl'p~\er ' '01' Bid Amount ANY 180 DAY PERIOD. , Value Date Calculated :.;';;.J' ,.' Paee 1 of2 '.,t..,"',". ~~;, - 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line de',' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00622 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: 11/17/2010 VALUE: Status Issued .,.~.;r ,:!...., '.. ,.' ".~~;! ' H Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.72 $4.05,. $81:00: 5/17/10 5117/10 5/17/]0 320]000000000000208 3201000000000000208 320]000000000000208 Total Amount Paid $94.77 I Plan Reviews ~ .... ~ .Jl'...~S:lc' ..' ~ ~~u"' ~ To Request an inspection call the 24 hour rec!lrding at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, il)~p_ections requested after 7:00 a.m. will be made the following workday.:" Reouired InsDect~ Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information herenn is true and correct, and I fnrther'certify that'any and all work perfnrmed 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 employbes 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 ~., ....,.1.....;...., . i. ,i,..... ~ ..'.' . .'~~;*:' ,,:,,'~ ;,.o,f.: ....' '::~~J, di:,~ n I. Date d.'ine . I :~~\ . ..,.~ <;. Pa2e 2 of2 ':1,' , \ , 225 Fifth Street Springfield',Oregon97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000208 Date: 05/17/2010 2:0S:21PM Job/Journal Number COM20 1 0-00622 COM20 I 0-00622 COM20 I 0-00622 Description Penn ServIFdr 200 amps or less + 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 81.00 9.72 4.05 $94.77 Payments: Type of Payment ONLINE CHGS Amount Paid NJM ONLINE OREGON Online ELECT Payment Total: $94.77 $94.77 .j , ,.'!ti,~' ,_H_ ..~:. ..~_,.. .;"~lr;;;.y.1 . HL(;(} , '1':'1.' ,..:t-. '\ I ,. ,:i~-m:. t<-~. ';~'~G ,}, 'r '". ',v , .. cReceintl Page 1 of I 5/17/2010