HomeMy WebLinkAboutPermit Electrical 2010-6-2
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City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfleld.or.us
D New Construction
[K) Addition/alteration/;eplacement..
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00 1 or 2 family dwelling
o Multi-family D Commercial
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JOB SITE INFORMATioN'AND l(JCA'I"ION'c."
Job Address: 3530 GAME FARM RD
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.: 39
Project Name:
Cross Street/directions to job site:
Tax map/parcel no.:
1703154003100
Reconnect service
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',:,,,,SltE CONTACT '~,~",
Name: Justin Paslav
Phone: 541-686-2365
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Fax: 541-686-2715
Email:
Elee lie. no.: 20-145C
cee lie. no.:
51088
Business Name: NEW WAY ELECTRIC lNC
Contact:
Address: PO BOX 21503
City/StatefZIP: EUGENE, OR 97402
Phone: 5416862365
Fax:
Email:
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
52525
Supervising Electrician's Name:
JUSTIN M PASLAY
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 ~~;'.~;mai1e~ ~'.,:?r
within one business day, with instructions on how to schedule your inspection.' ;. - . .
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is not O~lained.
The local building department may determine that an Authorization To Begin Work is null
void if it does not meet applicable land use law5 and local ordinances.
60 . 701
Residential Electrical Authorization To Begin Work
69600-BEL-10-00240
Approval Code: 412051 6/2/2010 12:18 pm
E-mailedTo:jonette@newwayelectric.com
PLAN REVIEW'Z':
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Please check all that apply:
o A service or feeder beginning
at400 Amps where the
available faull current exceeds
10,000 Amps al150 Volts or
less 10 ground exceeds
14,000 Amps for all olher
o Hazardous locations
o A service or feeder rated al
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o .Commercial-use agricultural
buildings J
o Installation of a 150 KVAor
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more Ihan
600 supply volts nominal
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$63.00
$7.56
$3.15
$73.71
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
o Fire pumps
o Emergency systems
o Addifion of a new molor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities.
Description
Mi~geTI~'n~.~~s
,,-,
Service reconnect only
ElectrjcaIP9rmitF99S~,,~ ~
Subtolal
Stale surcharge {12% of permit
Iblal
.Technology fee (5% of permit total)
TOTAL PERMIT FEE
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faxed
0;rrt20J 0
,"d .$rC;-/O
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00709
ISSUED: 06/02/2010
APPLIED: 06/02/2010
EXPIRES: 12/02/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3530 GAME FARM RD SPACE 39 Spr\ngfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO,: 1703154003100
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Reconnect service
Owner: OWINGS JOHN L
Address: 3530 GAME FARM RD SPACE 054
SPRINGFIELD OR 97477
I CON:rRAETQRINFORMATION I
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Contractor Type
Electrical
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Contractor ,r,,:'~: License
NEW WAY ELEcTRrclrilc 51088
BUILDING INFORMATION I
Expiration Date
06/27/2011
Phone
541-686-2365
# ofVnits:
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: - , .
.;,1.. '(
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 I
REQUIRED PARKING
Front yard 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:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
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PVBDfCJMPROVEM le8 ~dopted by the Oregon Utility
: ::., Notification ~WftIlJlt9~@:rules are set forth
,..c: In OAR 952-001-0010 t"rough OAR 952-001-
0090. You ~"te6?ltl!iP~ the rules by
calling the center: (Note: the telephone .'
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
Notes:
Description
N
THIS PERMIT SHALL EXPI~Ij!\" II
AUTHORIZED UNDER THI~~r'nPtIon I
COMMENCED OR I,S ABAN~~~ IiQR " "Square Footage
Af\l\vp,"O'US~'f'fS~t'fm'D, or multiplier!' :\'. ~rBid Amount
Value
Date Calculated
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Paee I of 2
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00709
ISSUED: 06/02/2010
APPLIED: 06/0212010
EXPIRES: 12/0212010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid'
" Date Paid
Receipt Number
$7.56 "
$n,5'~:"
$63.00
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'6/2/10
6/2/10
,6/2/10
2201000000000000617
2201000000000000617
2201000000000000617
Total Amount Paid
$73.71
I Plan Reviews ~
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To Request an inspection call the 24 hour r~:c'ordin'g.at126-3769. 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 Insoect'"
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the',c,omp,leted 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 ofthe City of Springfield and the Laws ofthe 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 employe'eswho 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
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Date
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Paee 2 of 2
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225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000617
3:21:38PM
Date: 06/02/2010
Job/JournaJ Number
COM2010-00709
COM20 1 0-00709
COM20 1 0-00709
Payments:
Type of Payment
ONLINE CHGS
cReceintf
Description
Service Reconnect
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
: Check Number Authorization
~e~eived By Batch Number Number How Received
NJM ONLINE NEW WAY Online
ELECT
Payment Total:
Amount Due
63.00
7.56
3.15
$73.71
Amount Paid
$73.71
$73.7]
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6/2/2010