HomeMy WebLinkAboutPermit Electrical 2010-6-14
City Of Springfield
225 Fifth $t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us:....;:; :<C<.,
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Commercial Electrical Authorization To Begin Work
:, : 69600-BEL-10-00262
Approval Code: 214171 6/14/2010 10:21 am
E-mailedTo:jonette@newwayelectric.com
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0 New Construction IKI Add ition/allerationlreplacement
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IKI , or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 778 CREST LN
City/StatefZIP: SPRINGFIELD. OR 97477 "
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Suite/bldg./apt.no. : .,;,;... ..
Project Name:
Cross Street/directions to job site:
Tax map/parcel no.: 1703341408101
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Add new oullets .""~>>~ 'I. . ~\ ..~ i. , ,
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Name: Justin Paslav
Phone: 541-686-2365 Fax: 541.686-2715
Email: '.
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Elec Iic. no.: 20-145C CCB Iic. no.: 51088
Business Name: NEW WAY ELECTRIC INC .. .-.
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Contact: ;". . .~..
Address: PO BOX 21503 .,...- ..
CityfStatefZIP: EUGE~E. OR 97402
Phone: 5416862365 Fax:
Email:
Metro lic. no.: City Iic. no.: ...
Supervising Electrician's lic. no.: 52525 \ ~-;:r:" . ...,..... ,
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Supervising Electrician's Name: JUSTIN M PASLAY ..
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Number of inspections included in paid services: ,"0""
Residential Service: 4 ~.~
Reconnect Only: ,.
All Other Services: 2
Upon review and approval by your focal jurisdiction, your permit will be e.malfed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires 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.
:1.,
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 more residential units in
one structure
o Health ca-re facilities'
o Hazardous locations
o A service or feeder rated at
600 amps or more
o ~uildings more than three star
D Marinas.an~ boat yards
o Floating buildings
o Commercial-use agricultural
buildings .
o Installation of a 150 KVA or
larger seperately deriyed sys
o "A", "E", or "1-2" or,"i-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Description
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
glectrica!?ohllit F~e~ >;";-,;
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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0-ly /10
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$55,00 $55,00
4 $6.00 $24.00
$7900
$9.48
$3.95
$92.43
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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
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00492
ISSUED: 04/21/2010
APPLIED: 04/21/2010
EXPIRES: 10/21/2010
VALUE:
Status
Issued
, .
SITE ADDRESS: 778 CREST LN
ASSESSOR'S PARCEL NO.: 1703341408101
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replacing approximately 125 ft of sewer. line
Residential
Owner: LUTES DONALD H & DONNIE
Address: 2177 FIRESIDE CRT
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plnmbing
Contractor License
NEW WAY ELECTRIC INC 51088
JENCOURT ENVIRONMENTAL SERVICES 1182531
BUILDING INFORMA nON I
Expiration Date
06/27/2011
06/11/2010
Phone
541-686-2365
541-689-1711
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# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type'
Secondary Constrnction Type:
# of Bedrooms:
#of Stories:
.Height of Strnctnre
. '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 INFORMA TION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
. ." o;y of Lot Co~erage:
Total:
Handicapped:
Compact:
on law requires you.t~
PUBLIC IMP pt\h ~e rules are set forth
011 .. ar. 0 bn~952'()01.
,. OAR 952'001-001 OSllf6W~R '[ Iii rules by
10 btaiD.9oples 0
Storm Sewer Available: 0090. You may 0 '(M~l\W!M~!rI1B~e
Special Instruction: ,., calling the center. Utility Notification
NOTICE: .{~". . number for th~i~\~~g~_332-2344).
't . I to'. 10'"' Cente
THIS PERMIT SHALL EXPIRE IF TfiE~.YVORK;;
I;UTHORIZED UNDER TH!S PERMIT.IS NOT
. ,';OMMENCED OR IS ,t,Bfd~DONED'FOR
~,!V i 80 D.i\Y PERlori. .
Street Improvements:
Notes:
Pa2e 1 01'3
~r ~l
1"
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V aluatiOn'D~scriDtion ~
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Description
$ Per Sq Ft
or multiplier
Sq uare Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Sanitary Sewer - 1st 100 Feet
Sanitary Sewer Each AddtlIOO'
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
, Date Paid
$11.40
$,4.75'~' .
$76.00;....'
$19.00
$9.48
$3.95
$55.00
$24.00
,:' 4/21/10
. )' 4/21/10
4/21/10
4/21/10
6/14/10
6/14/10
6/14/10
6/14/10
Total Amount Paid
$203.58...;;~
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I .~'r.lif.n 'R~y'iews I
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00492
ISSUED: 04/21/2010
APPLIED: 04/21/2010
EXPIRES: 10/21/2010
VALUE:
Value
Date Calculated
Receipt Number
1201000000000000370
1201000000000000370
1201000000000000370
1201000000000000370
2201000000000000687
2201000000000000687
2201000000000000687
2201000000000000687
To Request an inspection call the 24 hour recording at 726-3769. AIl'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.
~e(lHirerUnsnectio'ns I
Sanitary Sewer Line: Prior to filling trench",~,d including required testing.
Rough Electric: Prior to Cover ., .," "
Final Electric: When all electrical work is complete.
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Paee 2 00
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00492
ISSUED: 04/21/2010
APPLIED: 04/21/2010
EXPIRES: 10/21/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541:726-3769 Inspection Line
f. 01
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 be done in accordance witb
the Ordinances of tbe 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 witbout permission of the Commnnity 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 ensnre 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 !,~.~, property, and the approved set of plans will remain on the site at all
times during construction. . ,;;;~7: <,",-,:. ;:.;;' '.
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Owner or Contractors Signature
Date
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Page 3 of 3
225 Fifth Street
Springfield', Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000687
II :02:43AM
Date: 06/14/2010
Job/Journal Number
COM20 1 0-00492
COM20 1 0-00492
COM20 I 0-00492
COM2010-00492
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ , ..
r\.'c\,(
Add, Alter, Extend Circ Ea Ad(L::'~
+ 12% State Surcharge
+ 5% Technology Fee
raid By
ONLINE PERMIT CHGS
Amount Due
55,00
24,00
9.48
3,95
$92.43
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
new way Online
elect
Payment Total:
, $92.43
ONLINE
$92.43
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6114/2010