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Home My WebLink AboutPermit Electrical 2010-7-27 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us C/tJ.qqs Residential Electrical Authorization To Begin Work 69600-BEL-10-00347 Approval Code: 042249 7/27/2010 12:25 pm E-mailedTo:meagan.medibill@gmail.com .II' o New Construction (R] Addition/alteration/replacement Please check all that apply: D 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 -r'-" ":"J IX] 1 or 2 family dwelling o Accessory D Multi-family 0 Commercial .', ~OBSjTE INFORMA 'rICiN ANb LOCATION :L, Job Address: 409 RIVERV1EW BLVD CityfState/ZIP: 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 o Heallh care facilities Suite/bldg./apt.no.: Projec~ Name: Cross Street/directions to job site: Tax map/parcel no.: 1703341401800 t, ",-""" NEW SERVICE Description Se~lc~~ 9~i~eaer{:):1f:t;, ,. Services 200 amps or less ~IQctrfE~r~erlT!.it Fees-~'{ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total). TOTAL PERMIT FEE ,~:; ::,;",:(;J SrfECONT~CT':"':',~ _,;/~l Name: CHRIS lETURNQ Phone: 541-556-4913 Fax: 541-935-6601 "\j, Email: , C6NT~qTOR"~ . t'l Elec lie. no.: C232 173114 CCB lie. no.: Business Name: SUPERIOR ELECTRIC & CONSTRU~TION llC Contact: Address: 85061 TERRITORIAL HWY CityfState/ZIP: EUGENE, OR 97402 ~(}~ ~~~ ~~ Phone: 541-556-4913 Fax: 541.393-5980 EmaJJ; Metro lie. no.; City lie. no.: " Supervising Electrician's lie. no.: 3207S Supervising Electrician's Name: DIRK ERNIE TAYLOR ... Number of inspections Included in paid servIces: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 ~ ~~\J\Q.D \\J . \\.W ':, ,'_._~-- ..~~- .,_..._-,. . be e-mailed !:or faxed .._'u._..... Upon review and approval by your local jurisdiction, your permit will within one business day, with instructions on how to schedule your inspection. NOTE: Thill Authorization To Begin Work expires within 180 days If a permit is no(Ol:ltain"ed.~ '';'' .,.... /t The local building department may determine that an Authorization To Begin Work is null and void If it does not meet applicable land use laws and local ordinances. o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o 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 $81.00 $9.72 $4.05 $94.77 Inspections Phone: 541-726-3769 This Authorization To Begin Work must b~ posted at the job site until replaced by a Permit ~'('(\~)O ooD1C15 i -r;J:1- ia (\ rY" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00995 ISSUED: 07/27/2010 APPLIED: 07/27/2010 EXPIRES: 01/27/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726'3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line j':/'I, SITE ADDRESS: 409 RlVERVIEW BLVD ASSESSOR'S PARCEL NO,: 1703341401800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: New Service Owner: LESIAK THOMAS F Address: 1600 E BEACON DR EUGENE OR 97404 I"CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License SUPERIOR ELECTRIC & CONST. LLC 173114 BUILDING INFORMATION ~ Expiration Date 11/20/2010 Phone 541-556-4913 # 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: -ga~ge Wjle:' '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 INFORMA nON ~ REQUIRED PARKING Overlay Di,A,rYCNTIO': . Total: . # Street Tr8n~ Rq'd.' N. Oregon law reqUires \HlIrttticapped: Paved Dr.~' oe,R'fid:u1es adopted by the Oregon(i:o'mpllct: . .u f L t HITICatlon Center Tho"e r"IM 0_' oet 'ort'h ,.0 o. o-ve...ge; ',. C'.o 0."0 co. .. ...... I .UAK&02-001-0010thIOUg~GA~952_001_ . ..",.,,-;;," .009.0. You may obtain cOfJicq nf ilcA "rlno h" f....' ,,...,.., ....r..ln!er (Not". ''-n . I h PUBLIC IMPR '.. 1ln:~;,' ~:. '. .8 ,e ~:: IO~le ,. Oregon UlIlity NOllflc"tlon Center is 1-Side",iilkJ:ype:. . ' Frontyard Setback: Side I Setback: . Side 2 Setback: Rearyard Setback: SoJaI' Setbacks: Street Improvements: Storm $'~€ell~lable: SpeciaIJInstruct\!ip; '1/0 t"'tKIVIIT SHA Notes.AUTHORIZED UNoi~ EXPIRE IF THE WORK. '[";(JMIV1ENCEO OR LQ ^ ~~',~!:~r:..IV1IT IS NCFr,!;, DownspoutslDrains: i., \,d ,.,.," '," "'p .......VJ..ILl.J.-' '~. "" f:~II""'""1 ,.. Description Type of Construction )~:~tl $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 -d ,;~ "'''' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00995 ISSUED: 07/27/2010 APPLIED: 07/27/2010 EXPIRES: 01/27/2011 VALUE: Status Issued ";';.',e" 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '-'Tot"tVahie of Project "_.~r.~~~ :;r'n ~~~'!'" ...',. ~ees Paid ~ Fee Description + 12% State Snrcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 7/27/10 7127/10 7/27/10 3201000000000000475 3201000000000000475 3201000000000000475 Total Amount 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. Electric Service: I Reouired Insoections ~ ~:"!'( : ",ll"'<";,HW' : j . "'/::,i;L '1),I;GY~;_[~ ", ;;" , Approval required prior t~".'JtjIity c9wpany energizing service. ~4#~'i~\ :': ..;~~.<{:~ ~, By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all iuformation hereon is true aud correct, and I further certify that any and all work performed shall 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 eusure 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. '," ,- [ '.'e:',I.:' ';: " :;: . " ,,'''f- .':~l.~. ~.: ",\', . ~"'.' ;., "'.,, ,N... Owner or Contractors Signature Date 225 Fifth Street Sprjngf~ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000475 Date: 07/27/2010 1:07:19PM Job/JournaJ Number COM20 1 0-00995 COM2010-00995 COM2010-00995 Payments: Type of Payment ONLINE CHGS cReceintl Description . ,. &., _...,<.. . Penn Serv/Fdr 200 amps or less :;;c::. + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 81.00 9.72 4.05 $94.77 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM "...,\,-, ";.; .,,"'" :'~1 \.r ';r!.;.; n' Page 1 of I . Amount Paid ONLINE SUPERIOR Online ELCT Payment Total: $94.77 $94.77 7/27/2010 :,.