HomeMy WebLinkAboutPermit Electrical 2010-8-4
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Emai!: permitcenter@ci.springfield.or.us
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o New Construction
l&J Additionlalterationlreplacement
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: - CATEGORY OF CONSTRUCTION . 10.:\.. <,
lXl 1 or 2 family dwelling
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D Multi-family 0 Commercial
JOB. SITE iNFORMATION AND LOCATioili15.., , " ,..;
Job Address: 1623 lA\^JNRIDGE AVE
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City/Slate/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: Gena Baker
Cross Street/directions to job site: Mohawk Blvd becomes 19th, L - Rambling Or,
R- Greenbriar St, Lon L :
Tax map/parcel no.:
1703252105500
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"~ ,!>:ESCRIPTION OF WORK
Service change out plus 6 branch circuits for kitchen & bathroom
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. T' SITE COIIIT ACT
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Name: Lee Stubbs
Phone: 541.606.3118
Fax:
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Email:
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Elec lie. no,: 20"462C
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156678 .."G.....
CCB Iic. no.:
Business Name: ROBS ELECTRIC INC
Contact:
Address: PO BOX 2821
City/State/ZIP: EUGENE, OR 97402
Phone: 541-461-9409
Fax: 541-686-5444
Email: ROBLAINlER440@HOTMAILCOM
Metro lie. no.:
City Iic. no.:
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Supervising Electrician's IIc. no.:
47445
Supervising Electrician's Name:
OAVlO R LAWLER
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 wll~_ ,~~~~~~I~d .~ .!~~ed l'
within one business day, with instructions on how to schedule your inspection. .:~q;.~; ::.;1-:;...+.,,_;:.;
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NOTE: This Authorization To Begin Work expires within 180 days If a permit is not:O'bt~i~id.~:):f~-:. ..
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Tho local building department may determine that an Authorization To Begj~ Wor1l. Is null and
void If it does not meet applicable land use laws and IOC~1 ordinances.
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(J 10, /052
Residential Electrical Authorization To Begin Work
69600-BEL-10-00367
Approval Code: 057384 8/4/2010 4:28 pm
E.mailed To: robselectric@hotmail.com
~' " ; " ,PLAN REVIEW. '- ;~. .. ,';"
Please check all that apply: D 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 D Buildings more than three stor
10,000 Amps at 150.Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
D Fire pumps D Commercial-use agricultural
buildings
D Emergency systems D Installation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A" "E" or "1"2" or "1-3"
o Six or more residential units in . .
o Recreational Vehicle Parks
one struc~ure
tJ Health care facilities D Supply voltage for more than
600 supply volts nominal
'.. , F:EE SCHEDULE _..- I
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Description I QIy, I Ea, I Total
Services or feede'rs r';; ^' '.,;:" ,'''''', .'t,'1". . .
Services 200 amps or less 1 I $61.00 $61.00
Branch clrcuitS- , " .'" )j ':. "
,
Branch circuits with service or 6 $6,00 $36.00
feeder each circuit
Electrical Permit Fees .. " " "
Subtotal $117.00
Sta~tl~ surcharge (12% of permit $14,04
total
Technology fee (5% of permit total) $5.65
TOTAL PERMIT FEE $136.69
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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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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-01052
ISSUED: 08/05/2010
APPLIED: 08/05/2010
EXPIRES: 02/05/2011
VALVE:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1623 LA WNRlDGE AVE
ASSESSOR'S PARCEL NO.: 1703252105500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Service change and six,branch circui\s for kitchen and batbroom
Residential
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Owner: GILBERT JUDY K
Address: 1623 LA WNRlDGE AVE
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
ROBS ELECTRIC INC .'" 156678
BUILDING'INFORMA TION I
Expiration Date
0811412011
Phone
541-686-5444
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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'# 'of Stories:
d> '
'Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay niSI:' c., ,
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
CoUlpact:
I PUBLIC IMPROVEMENTS ~,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Notes:
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, ATTENlleJl<P.~Pl!gs6D~ains:
, follow rules ~do ted n aw requires you to
Notification Cent~ Th by the Oregon Utility
In OAR 952-0 . ose rules are set forth
0090 ~' 01-001q through OAR 952-001_
. ou ma 0 ;n'
g e center. (Note: the t~'e h
mbe~for the, Oregon Utility Notiffc~~en
enter IS 1-800-332-2344)
Square Footage .
B'd A t Value Date Calculated
or I moun
Description
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THIS PERMIT SHAll EXPIR
AUTHORIZED UNDER THIS
COfl.Tvli~16rf&h).Vr~tfo~ANDQl\\W ~<9~
1\~jY 180 DAY PERIOD" or mulhpher
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01052
ISSUED: 08/05/2010
APPLIED: 08/05/2010
EXPIRES: 02/05/2011
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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'''Total Valne of Project
Fees Paid__
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less.
Amonnt Paid
Date Paid
Receipt Nnmber
$14,04
$5.85
$36.00
$81.00. _, ,
8/5/10
'8/5/10
8/5/10
8/5/10
3201000000000000515
3201000000000000515
3201000000000000515
3201000000000000515
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Total Amonnt Paid
$136.89 i ,
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, ins'p~df6ifs':r.eqhested after7:00 a.m. will be made the following
work day. ~.",,0- ;.,,-,.;:,,~'.. ... ..
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Re~tii~ed InsDec~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that 1 have carefully examined the'completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any arid all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the La.~s"of th'';'St~te ~r'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.
1 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
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Page 2 of2
225. Fifth Street
Sprl'ngfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
320100000000000~515
Date: 08/05/2010
8:04:35AM
Job/Journal Number
COM2010-01052
COM2010-01052
COM2010-01052
COM20 I 0-0 I 052
Description ... u, .~..
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Item Total:
Amount Due
81.00
36,00
14.04
5,85
$136.89
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
Check Number
R~~~ii'ed..~~ Batch Number
,_~~:~k i,i';~'i: ONLINE
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P,age 1 of]'
Authorization
. Number How Received
Amount Paid
ROBS Online
ELECTRIC
Payment Total:
$136.89
$136.89
8/5/20 I 0