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Home My WebLink AboutPermit Electrical 2010-6-17 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726.3753 Email: permitcenter@ci.springfieJd.or.us C/O. 7'64- Residential Electrical Authorization To Begin Work 69600-BEL-10-00268 Approval Code: 017443 6/17/2010 12:05 pm E-mailedTo:tena@orelectricservice.com PL;A'IIiIREVIEW .", .h ~< D New Construction IRl Addition/a Iterationlreplacement t.;;.., ~. Ph'"" ~;\;Cf1.tEGqR'(;OF coIliSTRUCTIQ~~~~...J' " IRl D D .. .-; 1 or 2 family dwelling Multi-family Commercial D'J;:c:~ssOryj 'c""; ~ ,'(~'JO~:S;:rE 'INFORMf1.Ti6N"fi,NQi.oC:ATION. ......... Job Address: 2535 1ST City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no. : Project Name: Douglas Foster 541-915-2423 Cross Street/directions to job site: Tax mapfparcel no.: 1703361102303 I~'!. '''''~ ". ."'", . ,'/";.;'%.,,;" Relocate service & add receptacles <;;';,>.",;'}' ~""r";.;.. .-'.".-.-:- 0" . ......,="'...,..,. ~,;.1:. :;'#~:'i'dt. .",!\ ;.; '" "'7i t:~,t, !.~SITI:c::ONTAc::l'!: Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 .,.- Email: ',.:',:.Et ~J '.!~:""'. " ':~C'~;"- -"'1'~ ._..... .J. . . !'.." ;"~'.~'!f! #. ~;:~;,:".~_/'<1i~'i:'7'?€_O~TRACtORii ',i,."?"'" +c1r.1l ~,'{I,i 1 __~__....... ..."" "" ........ .. ~ ___ .. 1,'1 Elec Iic. no.: C408 ceB lic. no.: 181997 .-, .. Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 City/State/ZIP: EUGENE. OR 97402 Phone: 5413431681 Fax: 5413431683 Emai/: Metro lie, no.: City lie. no.: , ',-_.. ..... Supervising Electrician's lie. no.: 13925 Supervising Electrician's Name: HERMAN OLLAR Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 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 care facilities Description $~j:yj~.e"s:or..iee~ers, Services 200 amps or less ~ra!1c.n,citc_~i~~. ' Branch circuits with service or feeder each circuit :electrical_per~itFee:f:r Subtotal State surcharge (12% of permit total Technology fse (5% of permit total) TOTAL PERMIT FEE " , ~ <^: ,"l/ ~. o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor D Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperateJy derived sys o "A", "E", or "1-2" or "1~3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal ,<t, $99,00 $11,88 $4.95 $115.83 ~ to ~\ 1, .~t ~~ ~ Upon review and approval by your local jurh.dlcllon, your permit wiil.l€':;-~~~~,~~~' jaxe~ I "(/1 ,r--....:m 20 I 0 ___ 0 O~ ~ ~( within one business day, with Instructions on how to schedule your inspection. :'J.~i_ ~::'.'T""':';' . , ' { .;,':'t~, .~ NOTE'Th;'A"th";"li,"ToB,g;"WO"'"p;".W;th;"'80d'Y';faP"m;U,"o~;~b;"';;d.' "cor!', .. Co /\1 ~I 0 n (l) The local building department may determine that an Authorization To Begin WoO< Is null and void 11 it does not meet applicable land use laws and local ordinances. Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed ...;" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00784 ISSUED: 06/17/2010 APPLIED: 06/17/2010 EXPIRES: 12/17/2010 Y ALUE: .,.' , .'~j~~,;. . J!: '~~,' ." i' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2535 I ST ASSESSOR'S PARCEL NO.: 1703361102303 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Relocate service and add receptacles Owner: BARTLESON DWIGHT M Address: 2535 I ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor ,;: .:.1 '~ .' OREGON ELECTRIC SERVICE ,. License 181997 Expiration Date 05/09/2012 Phone 541-343-1681 BUI-LD'ING'iNFORMA TlON ~ # 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 PARKlNG Overlay Dist:. . Total: # Street Trees R1j1iENTION: Oregon law reqUlrrraNllrc.!Rped: Paved Drive Rqll<:lw rules adopted, by the orell:'5mR:\&\{h % of Lot coJllI'll~i!;ation Center. Those rules aY~ In OAR 952.001-0010 through OAR 952-001. l.J ma obtain copies of the rules by I ~ te center. 0 e: PUBLIC IMPROVE~~ !S r the Oregon Utility Notification' ,~,.: ,~-, ,CenterSBl~,MQ~Y~ef344). , ;ER',V f._'f I Frontyard Setback: Side I Setback: . Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: "!:;.:::l~.':;" :'l~~' !]TC6-:: ;:~:'-JT><':', -'"~.p."'" ' DownspoutslDrains: Notes: NOTICE: THIS PERMIT SHALL EXPIREIF THE WORK i\UTHORIZI:. ~ tK.I " ~ " . . )"-" enD 'OMMENCED OR IS ASAND iV<aluation Descri "'.I 1 "1 !l~v pCRinD, Type of Construction Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated , ,;:~~,':' '4 :.;.- .'/ . I~';' i-.t~~, . \ Paee I of 2 ",.;"3';. ",.~.t"~t?r ;' '1.-,.... ~ -';-';';', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00784 ISSUED: 06/17/2010 APPLIED: 06/17/2010 EXPIRES: 12/17/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ,K;-1 ~, Total Value of Project Fees paidJ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid , Date Paid Receipt Number $11.88 $4.95 .. $18.00 $81.00 6/17/10 . , , . .1:,.'- 6/17/10 6/17/10 6/17/10 3201000000000000313 3201000000000000313 3201000000000000313 3201000000000000313 Total Amount Paid $115.83 Plan Reviews ~ .' " -. ",,-~, ~ . H To Request an inspection call the 24 hour recordihg,at'726-3769. All inspections requested before 7:00 .,,",' "\ ' ".>j.t, > a.m. will be made the same working day, ins'p'ections requested after 7:00 a.m. will be made the following work day. .." Reauired InsDections ~ Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ~~ , ;.. ~. .,' ,',," By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springtield 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. 1 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. ''t,.') ..1.):" ';'~1~~--' .._~....,.... .,...... . Owner or Contractors Signature 1'."(' ',:*Pl; . \~.'~~ Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone '!p...J::.....~~.~..'.,.......'.... Wir~ '. 1 .. ... . ,'-',.,._.",.,-,~-.. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000313 Date: 06/17/2010 I :57:47PM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Rec,eived By Batch Number Number How Received Amount Due 18.00 81.00 11.88 4.95 $115.83 Job/Journal Number COM20 I 0-00784 COM20 I 0-00784 COM20 I 0-00784 COM2010-00784 Description Add. Alter. Extend Circ Ea Add Penn Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid NJM ONLINE OREGON Online ELECT Payment Total: $115.83 $115.83 , , , :'1',< ". ';n '.; " '. , ~ ,..~_. "'-....->>...,.,.. ',I, '," ..;..!.~,iv l'ly '~JM " . '. . .1 .11i'.;i~' J ';'-"' ._.._D....'~ ., ";1'1 '.'. . cReceiotl Page I of I 6/17/2010