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Home My WebLink AboutPermit Electrical 2010-6-21 S~~::,.I E.~.D..,.. ~~..~ ~. 4tW'4,~_; --OREGON City Of Springfield 225 Fifth Sl Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@cLspringfield.or.us Residential Electrical Authorization To Begin Work 69600-BEl-10-00273 Approval Code: 090149 6/21/2010 10:20 am E-mailedTo:s.a.lans@oregon-electric.com (!i0-71ft; 00 1 or 2 family dwelling 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 aU other ATTENTION: Oregon law requires yau to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952.()()1.()()10 through OAR 952-001. 0090. You may obtain copies 01 the rules by calling the canter. (Note: the telephone number for the Oregon Utility Notiflcalion Center 18 1-800-332-2344). o Multi-family Job Address: 242 14TH 5T City/StateJZIP: SPRINGFIELD, OR 97477 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 D Health care facilities SuitelbldgJaptno.: Project Name: DONNA GOLES/46974 Cross streetldirections to job site: Fax: 503-234-1001 State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE Elec lie. no.: 26-95C () D-'l'1lo CCB lie. no.: 203 Business Name: OREGON ELECTRIC CONSTRUCTION INC Contact: 'j v"!;,?.:>,~,,.,.: ",,,,,,., '.:~ "",; ....:."'...." '.'.' '""'""':~":'-:,~y,'-;";~~ .~. Address: 1709 CitylStatelZIP: P Phone'5032349@l@MMENCEO OR IS MlA'NOOM:O FOR Email,webacco @l,(j,Q,~Pcl5RIOD. Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 5056S Supervising Electrician's Name: JOSEPH H RUDIE Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 AJl Other Services: 2 ~ ~ "'\: \..o,-W Upon review and approval by your local Jurisdiction, your permtl:. will be 'e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Wortl: expires wlthln 180 days If a pennft Is not obtained. The local building department may detennlne that an Authorization To Begin Wortl: Is null and void If It does not meet appUca,.I/e land uu la_ and locat ordinances. o Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation ofa ,150 KVA or larger seperately derived sys o "An, "En, or "1-2" or "1~3" D Recreational Vehide Parks D Supply voltage for more than 600 supply volts nominal Total $81.00 $81.00 $9.72 $4.05 $94.77 kt- y J.2-d 10 ~o\O t9 ~'f' ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00796 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 242 14TH ST ASSESSOR'S PARCEL NO.: 1703363201300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Panel change Owner: GOLES LIVING TRUST Address: 2818 WAYSIDE LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor License OREGON ELECTRIC CONSTRUCTION INC 203 BUILDING INFORMATION I Expiration Date 07/01/2010 Phone 503-234-9900, 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: _ ~-"~~_p'a!!t L,!a~: _ >.~_ nla REQUIRED PARKING Frontyard Setback: Overlay Dist: ATrEN110N: Oregan ii you to Side I Setback: # Street Trees Rqd: follOW rulee adopted by 1M e Illy Side 2 SeibiA"'E' <',''';';'';;';'".:iL,r",;,Paved Drive Rqd: Notification Center. Th088c1\4~ ~1oIth .- .f\)' . '." ... InOAR952.oo1.oo10throlijjli Irmt. Rearyar~j~~ffl.i1IT SHALL EXPIRE IF THE WORO'~Of..,Lot Coverage: _......acopletoftherul...... Solar Setba . K," 0090. You may uu..... ... -\u I H RIZED UND ,:.' I the 08nter. ole: the telephone :OMMENCED OR IS ABANDONED LlCIMPROVEMENT er e.. '=3322344) \NY 180 DAY PERIOD Center 1 .. . Street Improvements: . Sidewalk Type: I DEVELOPMENT INFORMATION I Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Description ~ Description Tvpe of Construction $ per Sq Ft or multiplier Square !'ootage or Bid Amount Value Date Calculated Paee I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00796 ISSUED: 06/21/2010 APPLIED: 06/2112010 EXPIRES: 12/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project ~ Fee Descriotion + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amonnt Paid Date Paid Receipt Number $9.72 $4.05 $81.00 6121/10 6121/10 6/21/10 1201000000000000736 1201000000000000736 1201000000000000736 Total Amonnt Paid $94.77 I Plan. Reviews ~ , 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. , l....f.eouiredJnsnections I Electric Service: Approval required prior to utility company energizing service. " By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all , information bereon is true and correct, and I furtber certify tbat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws .if the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission oftbe Community 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 ensure that all required inspections ar~' 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 tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone S,P~..lNi.''''. ~'....'''''''..iji'''.... :.. Wic I , , .' ^'...."'.... . _ > J ...._--.'c."'..._,..............,,', '., City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: '\,,' . r : 1201000000000000736 Date: 06/21/2010 11 :35:59AM Job/Journal Number COM20 I 0-00796 COM2010-00796 COM20 I 0-00796 Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Paid By ONLINE PERMIT CHGS i Received B,y KR Item Total: Check Number Authorization Batch Number 'Number How Received Amount Due 9.72 4.05 81.00 $94.77 Payments: Type of Payment ONLINE CHGS Amount Paid ONLINE OR Online ELECTRIC CONSTRU CTION $94.77 Payment Total: $94.77 iJ ';' 'OfQ);, HHiif;ilr "1' I ,~.,.. i:<n'h <'..'''1......-. j! rOO,jl:~; .".,,~;~ cReceinll Page I of I 6/21/2010