HomeMy WebLinkAboutPermit Electrical 2010-7-15
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541.726.3753
Email: permilcenler@ci.springfield.or.us
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New Construction
TYPEOF,WORK :'r.,;:::~c'~i
[Xl Addilion/alterati_~~~~~~lace'me.~~- .
"CATEGO~Y OF CONSTRUCTION""':,
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o Multi-family 0 Commercial
o Accessory
1 or 2 family dwelling
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Josj)lTe-iNF_ORMATION Aj~iD'-LOCATIO'N_ ~
Job Address: 883 S 38TH ST
City/State/ZIP: SPRINGFIELD, OR 97478
Sultefbldg.lapt.no.:
Project Name:
Cross Street/directions to job s11e: 32nd to jasper rd. to 38th
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Tax map/parcel no.:
1802061103000
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, ~..d;.' .DESCRIPTIC)N'OF,WtiRK
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Main panel change out
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Name: kristen Ness !;..o.J;'t. -'2~:-d_:,-"
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FM'ep: ,.. ....
Phone: 541-741-6633 Fax: . r Mt~~.~~ ..
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, .. : CONTRACT,OR , - "
Elec lie. no.: 20,528C CCB lie. no.: 161361
Business Name: DAVID \fIJILLlAM \/\IEBB
Contact:
Address: 34898 SPILLWAY RD
City/State/ZIP: COTTAGE GROYE, OR 97424
Phone: 541-767-2598
Fax:
Email:
Metro Iic. no.:
City IIc. no.:
Supervising Electrician's lie. no.:
41305
Supervising Electrician's Name:
DAVID WWEBB
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approval by your local Jurisdiction, your pennit will b6 e-malled or
within one business day, with instructions on how 10 schedule your inspection.
NOTE: This Authorization To Begin Work vxplres wllhin 180 days if a permit is not obtained.
The local building department may determine that an Authorlzallon To Begin Work is null and
void If II does not meet applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00331
Approval Code: 02573Z 7/15/2010 10:31 am
E-mailedTo:davewwecon@gmail.com
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" '. c :. PLAN.REVIEW. '.'"
Please check all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three star
10,000 Amps at 150 Yolts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
o Fire pumps o Commercial-use agricultural
buildings
o Emergency systems o Installation of a 150 KYA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A", "E", or "1-2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
. , FEI;'SCHEDULE " ,
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Description I Qty, I Ea, I Total
Services.or fe'ed.srs ,'.;, " , . - ;
Services 200 amps or less 1 $81.00 $81.00
Electrical Permit Fees , ,
,
, Subtotal $81.00
.State surcharge (12% of permit $9.72
total\
Technology fee (5% of permit total) $405
TOTAL PERMIT FEE $94.77
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00949
ISSUED: 07/16/2011
APPLIED: 07/16/2010
EXPIRES: 01/16/2012
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 883 S 38TH ST
ASSESSOR'S PARCEL NO.: 1802061103000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Main panel change:oiit
Owner: NESS KRISTEN K
Address: 883 S 38TRST
SPRINGFIELD OR 97478
Phone Number: 541-741-6633
I CONTRACTOR INFORMATION ~
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Contractor Type
Electrical
Contractor .,.:1.: License
DA VE WILLIAM WEBB ....,: . ,.\. 161361
BlJILDIl';G INFORMATION ~
Expiration Date Phone
541-767-2598
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:"
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Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total: _..
--Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
. I : regon aw qu I
PUBLIC IMPROVEMENTS lIow rules adopted by the Oregon Utility
Notific,Sidewall<!tr.ypI!lOSe rules are set forth
i.,b. ~ in OAR 952-001-0010 through OAR 952-001-
':fT"X: 0090. 'RJU'i?!iPyo~~{&'J'\i\!S~ies of th'e rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes: :~OTlCE:
_ ___."' ^' CVOIQ(: i= WORK
\UTH'O'RIZ'E'O UN'DER THIS PER~~IlI~~~n Description I
:;OMMENCED OR IS ABANDON[I--- '. - I
D . t'^'IIY i3G:rnllY fDci=RIOtD. t' $PerSqFt ' . Squa'~eFootage
escrm JOn Ylle 0 ODS rue JOn It' I' I,' - B'd A
or rnu Ip ler ' . :' or I mount
Value
Date Calculated
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00949
ISSUED: 07/16/2011
APPLIED: 07/16/2010
EXPIRES: 0111612012
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
. Fees Paid _
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid. .
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$9;72" " ,
$4.05
$81.00
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Date Paid
Receipt Number
7/16/10
7/16/10
7/16/10
3201000000000000450
3201000000000000450
3201000000000000450
Total Amount Paid
$94.77
I Plan Reviews ,
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To Request an inspection cail the 24 hour recordin'g' 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.
I Reauired InsDect~
Electric Servic,e: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefuIlJ:;~x:iminedthfc6mpleted application and do hereby certify that all
information hereon is true and correct, and I f~rth~r, certify that.any and all work performed shaIl be done in accordance with
the Ordinances of the 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 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.
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Owner or Contractors Signature
Date
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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 #:
3201000990000000450 '
Date: 07/16/2010
] O:24:48AM
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Description (
Penn Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
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Amount Due
81.00
9.72
4.05
$94.77
Job/Journal Number
COM2010-00949
COM2010-00949
COM20 10-00949
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE
DA VE Online
WEBB
Payment Total:
$94.77
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$94.77
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7116/2010