HomeMy WebLinkAboutPermit Electrical 2010-7-14
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.u5
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0 New Construction IRI Additionlalterationlreplacement
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lZl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
1&1: ; '~., "~fkj9BSITE INF,ORNiATION!,(NOt.:Oc,.;TION'(; ;~~i~."~
Job Address: 745 25TH ST
City/State/ZIP: SPRINGFIELD, OR 97477
Sulte/bldg.Japtno.:
Project Name: Susie
Cross Street/directions to job site:
Tax mapfparcel no.: 1703361116700
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Replace 200 amp service ..
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Name: Steven Geisler
Phone: 541-912-2050 Fax: 541-746~0812
Emall:
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Elec Ilc. no.: 20-373C CCB lic, no.: 95472
Business Name: STEVEN'S ELECTRIC -
Contact: ..._. ..
Address: PO BOC 663
City/State/ZIP: PLEASANT HILL. OR 97455
Phone: 541-912-2050 Fax: 541~726-0618
Email: FOGLEGHRN@MSN.COM
Metro lie. no..: City lie. no.: ..--.-.... --
Supervising Electrician's IIc. no.: 40945
Supervising Electrician's Name: STEVEN R GEISLER
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Number of inspections Included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Jpon review and approval by your local jurisdiction, your permit will be e-maited or faxed
vithln one business day, with instructions on how to schedule your Inspection.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00329
Approval Code: 022243 7/14/2010 3:47 pm
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Please check. all that apply: 0 Hazardous locations
0 A service or feeder beginning 0 A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds 0 Buildings more than three star
1 0,000 Amps at 150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
0 Fire pumps 0 CommerciaJ~use agricultural
buildings
0 Emergency systems 0 Installation of a 150 t01A or
0 Addition of a new motor load larger seperately derived sys
of 100 HP or more 0 "A", "E", or "1-2" or "1-3"
0 Six or more residential units in 0 Recreational Vehicle Parks
one structure
0 Health care facilities 0 Supply voltage for more than
600 supply volts nominal
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Des~cription I Qly. Ea. I Total
$~tvl~~!J'f(f(fe'9Cfers~:~~fml~f4~lro~ttf~~~~~~~({t~~!~
Services 200 amps or less I 1 $81.00 I $81.00
Ilra.n'~h:clfc'uits~"i.~~'liit;i<:;i~)~~-;"'!:;~,ifr1!i,~~'1&~
Branch circuits with service or 10 $6.00 $60.00
feeder each circuit
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Subtotal $141,00
State surcharge (12% of permit $16.92
lolal)
Technology fee (5% of permit tolal) $7.05
TOTAL PERMIT FEE $164,97
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~OTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
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ll1e local building department may determine that an Authorization To Begin. Wol1l Is
fold if 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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00944
ISSUED: 07/15/2010
APPLIED: 07/15/2010
EXPIRES: 01/15/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 745 25TH ST
ASSESSOR'S PARCEL NO.: 1703361116700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 200 Amp Service
Owner: CARRINGTON HOME EQUITY LOAN TRUST
Address: 2141 5TH AVE
SAN DIEGO CA 92101
I CONTRA(~T0RINFORMATION I
Contractor Type
Electrical
Contractor
STEVEN R GEISLER
License
95472
Expiration Date
Il/23/20 I 0
Phone
541-726-0618
BUILDING INFORMATION ~
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
. Water Type:
Range Type:
Energy Path:'
Sprinkled Bniidihg:
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
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
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I PUBLICIMPROVEMENTS I
ATTENTION:Si\leWiil"IT~i>elquires you to , .
follow rules arlopted by the qregon Utility'
Notification cE,I?'?GYnsIlR\'J~!Rq\!.'!'l!ire set for.th .
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
"mho, In' t Po Orecon Utilit Notification
Center is 1-800-33t!- 'I .
Notes: ~~OTlCE:
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UTHORIZ '. ""~ M .nc /t" ", ...;:-;;;
OMMENCED UNDER THIS PERMI luation Descri
", ED OR IS ABANDONED F~R
,AN,Y 180 DAY PE'R/On. Fer Sq' Ft , .. S F t
DeSCrIptIOn Tvpe dreomtrnctlOn I ' I' " quare 00 age
o . or mu tip ICf "'.~' '.of~Bid Amount.
Value
Date Calculated
Paee I of2
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00944
ISSUED: 07/15/2010
APPLIED: 07/15/2010
EXPIRES: 01/15/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
, Fees Paid ~ 'j, ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServfFdr 200 amps or less
Amount Paid
"" 'j
I ,,' Date Paid
I .,~
Receipt Number
$16,~2:' '.
$7,05
$60,00
$81.00
7/15/10
7f15f10
7fl5fl0
7fl5fl0
3201000000000000444
3201000000000000444
3201000000000000444
3201000000000000444
Total Amount Paid
$164.97
I P!l!n Reviews I
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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.
LReouired InsDect~
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is complete.
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By signature, I state and agree, that I have caref~'iiy e~amined the completed 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
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hcrcin, and
that NO OCCUPANCY will be madc of any structure without pcrmission 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. . ':..'J:
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Owner or Contractors Signature
Date
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 #: . 3201000000000000444
Date: 07/15/2010
7:39:10AM
Job/Journal Number
COM20 10-00944
COM20 I 0-00944
COM20 I 0-00944
COM2010-00944
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
Description
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
60.00
81.00
16.92
7.05
$164.97
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
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Page I of I
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Amount Paid
ONLINE STEVENS Online
ELECT
Payment Total:
$164.97
$164.97
7/15/20 I 0