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Home My WebLink AboutPermit Electrical 2010-7-1 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ; c:fIO' ?79 'Residential Electrical Authorization To Begin Work 69600-BEL-10-00299 Approval Code: 001243 7/1/2010 3:42'pm E-mailedTo:tena@orelectricservice.com o New Construction [X] Addition/alteration/replacement ~pLAr.tREvIEW [Z] 1 or 2 family dwelling D Accessory. D Multi-family 0 Commercial r, ;C.,,' . };JOB.SITE INFORMA fiolli'AND [;OCA T10N:"!';,~ Job Address: 1911 I 5T ',~_"i'\''''''~' /.,,0 City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Cassie Barajas 541-606-3244/Melco Cross Street/directions to job site: Tax mapfparcel no.: 1703361202400 .",;: DE~CRfF'Tf6N,0F Wire 2 grounded circuits for kitchen & bath Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: Elec lic. no.: C408 181997 )7.~c.6NTRA'CT9~,>~.: ~",hi: ~M?'Y~~;~~ CCB lie. no.: Business Name: OREGON ELECTRIC SERVICE llC Contact: Address: PO BOX 2237 CitylStatefZIP: EUGENE, OR 97402 Phone: 541-343-1681 Fax: 541-343-1683 Email: Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 1392S 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 falted within one business day, with instructions on how to schedule your inspection. .'" i'~,1y,iJ '.;'.:',:~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is noi~litiijofld;;~'~~L :\""';,',;'" -.' The local building department may determine that an Authorization To ~~~~!~~'~Work >~s-null and void if it does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps al150 Volts or less 10 ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more o Six or mo:re residential unils in one structure o Health care facilities D Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three slor D Marinas and boat yards D 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 Branch;circuitsc. '" .\' Branch circuits without service or feeder Branch circuits each additional circuit wilhout service ~19ctrjt':al;P,orIT!i(f~~"sJ~';'~:~ ,";;5Y:~~j;; Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ',' \ ~~ - l\ ~ (}...,(\; ~r~. $55.00 $55.00 $6.00 $6.00 ,-., $61,00 $7.32 $3.05 $71.37 \S)V 1'\."\ .\\) ~?<:J,Q- ~ Com 20/ 0 ~ oc)k7/ "1--- d- ~ !A.J /? /VI Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination Permit Status Issued . .~'~:~i:' 'J~ :;~";!.:.." .~". ," PERMIT NO: COM2010-00879 ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01102/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I nspection Line SITE ADDRESS: 19111 ST ASSESSOR'S PARCEL NO,: 1703361202400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Wire Iwo grounded circuits for kitcheu & hath Resideutial Owner: R & R PERKINS LLC Address: 1810 15TH ST SPRINGFIELD OR 97477 '" I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2012 Phone 541-343-1681 BUILDING 'INFORMA nON I # of Units: , Primary Occupaucy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Constructiou Type: # of Bedrooms: " "}"," , ", .i # of Stories: ':.Heigbt of Structure Type of Heat: Water Type: Rauge Type: Euergy Path: Spriukled Buildiug: Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: u/a I DEVELOPMENT INFORMATION I " " REQUIRED PARKING . Total: Haudicapped: Compact: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Di~t: ; #.Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ENTION' Oregon laW 'PtI,. lit OVEMENTS An ' 'd pted by t\'1 Street Improvemft'\I~'N rules a 0 T\'1ose rules are set oor 1 1'1' cation Center. \'1 OAR 952-0 . Storm Sewer Av\\\Pahle: 952_001-0010t\'1rOUg oltheJules by', speciallustructiIlfJ~2,"you may obtain ~~f~~~\'1et~j~tiP~.~,ij;,: /"'; calling t\'1e center, (on Utility NptlVca\lOn. Notes: l1umberd~~\{:~i~~~~00-332-234~1' '. N01'ICE:" I I'')(PIRt II' l\-\t \f'J?\~~ I \ li"S ?\:.K\VI '-"'" R 1\-\\S I'tKW Valuation Description'IIHORlltD UNDtS 1\\31\NOONtO rOR UIMMtNCtO OR \ Square-Footage-. 0I\YPE.RVI001 ' B'd ,-,'V r"u a ue or I A.mou'fil Sidewalk Type: Dowuspouts/Draius: Description Type of Construction $ Per Sq Ft or multiplier Date Calculated Paee'lo1'2 ..;.. , ., .'" , p ., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00879 ISSUED: 07/02/20]0 APPLIED: 07/02/20]0 EXPIRES: 01/02/20]] VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Total Value of Project Fees Paid I 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 $3.05 . $55.00 .' $6,00:: . '712110 " 7/2/10 7/2/10 7/2/10 3201000000000000370 3201000000000000370 3201000000000000370 3201000000000000370 Total Amount Paid $71.37 I Plan Reviews ~ To Request an inspection call the 24 hour r~ciJrdirl'g,;at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, i'.l,~pection~ requested after 7:00 a.m. will be made the following work day. .,.~:.,., " ,,,,.,, .. " ' ReQuired ]nsoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. . .. By signature, I state and agree, that I have carefully examined 'th~ c!lmpleted application and do hereby certify that all information hereon is true and correct, and I further certify that any a~d all work performed shall be done in accordanc'e with the Ordinances of the City of Springfield and the L~ws of the Stateof Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struCtiire without permission of the 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 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 ..!;..h5~~,.!,:~~>t Date Page 2 01'2 City of Springfield Official Receipt Development Services Department Publie Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 8:34:33AM 3201000000000000370 Date: 07/02/2010 Job/Journal Number COM20 1 0-00879 COM20 1 0-00879 COM20 I 0-00879 COM20 1 0-00879 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 55.00 6.00 7.32 3.05 $71.37 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid 'NJM ONLINE OREGON Online ELECT Payment Total: $71.3 7 $71.37 .,./" ..'.',,, \11 l.,:t..'" .('. .,j",., ;.~ ." .1 . . Page 1 of 1 7/2/2010