HomeMy WebLinkAboutPermit Electrical 2010-5-26
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Residential'Electrical Authorization To Begin Work
69600-BEL-10-00229
Approval Code: 026340 5/26/2010 1 :37 pm
E-mailedTo:tena@orelectricservice.com
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City Of Springfield
225 Fifth 8t.
Springfield, OR 97477
Phone: 541-7:'26-3753
Email: permiteenter@ci.springfield.or.us
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0 New Construction IKI Addition/alteration/replacement
r.',. 'f .:+:' ,'" 'CAJEG6RY:OF'CONSTRUCTION'"'t',; .... .:, " ',' c. ,
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IZI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory -
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Job Address: 912 6TH 8T
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: Les Brooks 541-345-5714
Cross Street/directions to job site:
Tax mapfparcel no.: 1703352100900
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Wire 2 branch circuits .'.",
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Name: Jeff Brooks
Phone: 541-343.1681 Fax: 541-343-1683
Email:
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Elec IIc. no.: C408 cce lic. no.: 181997 "
Business Name: OREGON ELECTRIC SERVICE LLC .-,.-
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Contact:
Address; PO BOX 2237
City/State/ZIP: EUGENE, OR 97402
Phone: 5413431681 Fax: 5413431683
Email:
Metro lic. no.: City lic. no.: ''',~,:,~: '_!_':.-.
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Supervising Electrician's lic. no.: 13928 "
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.
NOTE: This Authorization To Begin Worll e;1lpires within 160 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. --
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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
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or mor':l residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Description
f.EE SCl1g0UL:E,;C
Qty.
Total
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
EiectficaP"R~rmft ~~es'
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Subtotal
State surcharge (12% of permit
tolal
Technology fee (5% of permitlotal)
TOTAL PERMIT FEE
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Cerrt20IV- ro% (
;5 -2&~)(j f\JM
$55.00
$55.00
$6.00
$6.00
$61.00
$7.32
$3.05
$71.37
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00681
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11126/2010
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 912 6TH ST
ASSESSOR'S PARCEL NO.: 1703352100900
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Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Wire two branch circuits
Owner: STONE BRUCE P
Address: 874 N ALBANY RD NW
ALBANY OR 97321
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
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Contractor License
OREGON ELECTRIC SERVICE 181997
BUILDING INFORMATION ~
Expiration Date
05/09/2012
Phone
541-343- I 68 I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
- Water Type:
': R~itge;TYpe:,
EII.ergyPath:
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 ~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o~ :of Lot Coverage':
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
~OTlCE:
AU~~ORIZ~~ ~~~i~ ErXHI'/%/<iIim
COMMENC U V' .
. ED OR IS ABA' -,,,;- .
A"V;n- "..-uo.uJSg,F-hR,
'fype,of l1;onstnrot.i.on-. "'-A.'i'J~., yu
." rL:.T'iIVU, or multiplier
";"(;l,~ \J0IJ to
n \."VI req\,,;. ',-,:, i"lit\i
_ ,....",. 0r,?GC),- ,.., ::>;:,_,1\ ...t ,
I PUBLIC IMPRO'VEMENTS ro\\o~';~i~s ac\c>P\\\IO'S~ ;ules 3.~9S5e~~001-
, 0 'Center. \1 01'1'
tlot\I\@li~~!\l~~~Il.j[J t\1roU,9 01 tM ru,les b'l
In OAR ~ - ,~ain COpies telephone
0090P1{\l\Iilj}m1J~t'E!I:a~ote: .t~e No\illcation
calling tr; ~he orego~ ~~~4).
numbelcentel i81.60
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Value
Date Calculated
Pa2e I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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~Tptal Value of Project
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00681
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/26/2010
VALUE:
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 5/26/10 2201000000000000582
$3.05 5/26/10 2201000000000000582
$55.00 5/26/10 2201000000000000582
$6.00 5/26/10 2201000000000000582
Total Amount Paid
$71.37
I Plan Revie",s ~.
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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.
Rough Electric: Prior to Cover
Reouired InsDect~
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Final Electric: When all electrical work is cO,l)1plete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true 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, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all required inspections are requested aNhe 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. . ",.".'
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Owner or Contractors Signature
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Date
225 Fifth Street
Springfield, Oregon 97477
541-n6-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000582
Date: OS/26/2010
2:19:00PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55,00
6,00
7,32
3,05
$71.37
Job/Jo.urnal Number
COM2010-0068 I
COM2010-0068l
COM2010-0068l
COM2010-0068l
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
NJM
ONLINE OREGON Online
ELECT
SERV
Payment Total:
$71.3 7
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$71.37
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,Page I of I
5/26/2010
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