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HomeMy WebLinkAboutPermit Electrical 2010-8-8 5\(). \1- Residential Electrical Authorization To Begin Work 69600-BEL-10-00370 City Of Springfield 225 Fifth 51 Springfield, OR 97477 ., . Phone: 541+726-3753 ,. . . Email: permitcenter@ci.springfield.or.us '; . , " . ~~..~_...,. ..~ f !, ~." \,' '. \'. ", .__C._.f.....:. -=- (E] Addition/alteration/replacement CATEGORY OF ~CbNST8UCJiION:.' D Multi-family 0 Commercial o Accessory JOB SITE INFORMA TIONANO:t:OCA TIOk . .. ......._........... .....0....... o. ....._ Job Address: 1222 8TH 8T CityfState/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: - :j--. ..,.., J: ;-,." Project Name: Tompkins ,.;', 'fo....:..t. ,- Cross StreeUdlrectio~s to job site: Tax map/parcel no.: 1703264308000 Approval Code: 887903 8/8/2010 12:23 pm E-mailed To: mgehrke@cselectric,org Please check all that apply: o A service or feeder beginning al 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other 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 Health care facilities C ,~~cOESCRIPTION'OFWORK', . 1'---- "',CSITE;C.oI'!TACL c,' ::;,,~ - Name: Melissa Gehrke Phone: 541-741-2236 Fax: 541-741-2473 Email: CONmRAC'TOR, Elee lic. no.: 20-14C CCB lie. no.: 3849 Business Name: C & SELECTRIC INC Contact: Address: PO BOX 1482 City/State/ZIP: SPRINGFIELD, OR 97477 Phone: 541-741-2236 Fax: 541-741-2473 Email: CSELECT@CALLATG.COM Metro lic. no.: City Iic. no.: Supervising Electrician's lie. no.: 48945 "-1 .- Supervising Electrician's Name: DAVI.D E GEHRKE ~ 'j '''-I.e''-'''" Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services 2 j~,"""---' .., '....., :;1~?.. ',' '. Upon review and approval by your local jurisdiction, your .pennit will be e-maiJed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Be'gin Work is null 'and void if it does not meet applicable land use laws and local ordinances. Description Seo/ices~r~feed9rs ~' " Services 200 amps or less 1;1~q'Jrj~al;f;';etjnirfees Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMITFEE !" I.. \5i:o/ "d~ ~) ~ "; L " o Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three star o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings D 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 -{ ~",~. " Total ,,,..,. $81,00 " ... $81.00 $9,72 $4,05 $94.77 Inspec~.!,!nsl'ho",j; };41.-726.3769 This Authorization To Begin Wo,rk,must be posted at the job site until replaced by a Permit '; ).:..1"..;. SP~....I..N..G. F.IEL~D . . . .r" .";;:.:~ :J '?':\~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 8f1-SPR2010-00012 IVR Num!Jer: 811167463395 WW'W. ci .springfield. or. us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSl1ED.:: ; , . ".' ~~ APPLIED: 8/9/20101 : " 8/9/2010 EXPIRES: VALUE: 2/4/2011 $0.00 SITE ADDRESS: 1222 8TH ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Springfield 1703264308000 Panel change out Phone Number: OWNER: ADDRESS: TOMPKINS HURSHEL & CLELLA 1222 N 8TH ST SPRINGFIELD OR 97477 '-'-,::'-- . -\....~ ;~! .,-.-. ;~,;,:> ...~ I':: Contractor Type Contractor Name C & SELECTRIC INC CONTRACTOR INFORMATION ~ Lie Type ELECTRICAL BUILDING INFORMATION , # of Units: I o # of Stories: I Height of Structur,e: Type of,Heat: , . Water Ty'pe: Rangel'rype,""" ;> V ~: ~l<''''?:':i' '.. .,. Halmat:" " "": # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municip,,11 Deve,lopment Code: Plumbiiig'Speci~lty CoCle Edition: Resid~niial s6~CiaiiY Code Edition: StruciJfil~spe~ia-lty:'Code Edition: <,';h::"<"-;lll'i l' .:, ' Energy Path: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Lie No 20-14C Lie Exp 07/01/2011 Phone 541-741-2236 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: ~ ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility DEVELOPMENT INFORMA TlbN~o~lk~atiQn Center, Those rules are set forth _~ _IR 952-001-0010 through OAR 952-001- co, . . ' 0090. You may OIREC:lUIRED'P.6:RKINGJles by Frontyard sek~rfkiCE: Ol!-tl~"YJii>IJ',tiK ,.... calling the center. (Note: the telephone Interior Setback: I ERMIT S\-\ ^ll EXPIRE lliIsfil ~trees-Reqd: number for thtTotiingon Utility Notification . T\ I'C P " PE""nl .I~V \ S'deyard Setback:' NDER T\-\\S ,,"Ve Ive Reqd: Center ~s 1-800-332-2344), Rearyard Settiadi<:\-\ORIZED U IIJ\ANDOI'I[Off&Pcoverage: andicapped: Solar Setback,:'OMMENCED OR IS OHighest point on structure to Compact: \ IV; Qn n^V PFRIO north property line: Springfield Building Permit . aI9/201q, ,11:07:59AM ,r;.::'.::-.., .'::'::'.;' I ;,"'i',. ':' "', .t .1_1~;.:" ._'-"S.1 tt ..,I ,. ~ : . .... '. /: :. ,;'",i'~"- :.. :': ..' Page 1 of 2 "!i:.!.J. -....;,,.-,::, ", Building I Residential Permit PERMIT NO: 811-SPR2010-00012 IVR Number: 811167463395 S,PRING. FIEL~ liIS ~~;".'~ ',' ~ r:"OREGON WW'W. ci .springfield ,or, us \';~~i:i~:l .~-H:;::~ I ~ . J CITY O!,~(~~pJ~INGFIELD .0"'"'-,:,,;,", , 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfleld.or.us PROJECT STATUS: Issued ISSUED: APPLIED: .r EXPIRES: ., VALUE: 2/4/2011 $0.00 8/9/2010 1: 8/9/2010' . , v SITE ADDRESS: 12228TH ASSESOR'S PARCEL NO: PROJECT DESCRIPTION: Springfield 1703264308000 Panel change out Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Descriotion Tvpe of Construction SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PUBLIC IMPROVEMENTS ~ . . ~6~~' Sidewalk Type: ~ 1: j.t" '~~~.~~ . ~;tid~:1F;'~- ,. t j.. :-"'1" ' "'\.", .i,iiti"',.;' ~!,i ':-"'.,~';,"l ~',,~. ,-t-,!'.._ ".c.;.>.;,J;... i . ::.71:1.,...~,', -.. DownspouUDrains: Valuation Description ~ Unit,Amount Unit Tvpe '1. .,. Unit Cost Value f' ,:""",...~","" ~ - ''''~.'' - ~*.;i0;thi\L": ::i:*;,-AT, ~ DescriDtion Services 200 amps or less Technology fee (5% of permit tot~l) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid .,-~:~~,jrA~ ~'c~A<C;:D<,";;s;k_n::-\:~:~,,~;""'- ,_il' ._~> :pc- ,.l-. _~ <'-, :.,':~. _"1:{$O,'" (~_'-',FEESLL~~,f"._" ...~- ","~<+iJ~-';' ,',_~' . Amount Paid Date Paid $81.00 08/09/2010 $4.05 08/09/2010 $9.72 08/09/2010 $94.77 ,,#' Receipt # 224374 224374 ,~----~-----_.. 224374 t ;:"'^~' :'~~~~),r,*:~t:,'~~~~,rr::,~'~~I1~~~?t2 ~:'i~I::~~jarlfRe~ie~~~~~t~~ ,..' . ;~.~(7.':i,~;~rt;?;t~;};:l~i?~ro<:" ,;{: ','7~',~ ~.: 1;1~~t:_:~:-:- i,,;.~ Deoartment Application Acceptance Application Acceptance Initial Review Planning Review Public Works Review Structural Review Permit Issuance Received 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 Due Date 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08109/2010 Inspections 4500 Rough Electrical 4999 Final Electrical Springfield Building Permit ComDlete...:~,Result..:.;. " Reviewer 08/09/2010.':, App Submitted Work Authori;Nancy Machado '.""_7' 1'-',' .'., - 08/09/~Q~:qJ4~.: ,Q~~{t~~.Counter Nancy Machado 08/09/:{6~\)~'" 'b~e"r:\hltCounter Nancy Machado 08/09/26i6' Over the Counter Nancy Machado 08/09/2010 Over the Counter Nancy Machado 08/09/2010 Over the Counter Nancy Machado 08/09/2010 Issued Nancy Machado INSPECTIONS REQUIRED ~ Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit 't': '.! ','1: . . .' 8/9/2010 11:07;59AM Page 2 of 2 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us permitcenter@ci.springfield.or.us RECORD NO': 811-SPR20IO-00012 I :';-*':i ~"f&.".' ":",A.CC:QUN:r~C.Oo'E:..L', iiAMOUNJ: DUe .____ ___1 J 224-00000-426102 81.00 100-00000-425605 4.05 "'~_.-.._"-------' 821-00000-215004 9.72 TOTAL DUE: $94.77 rt. PAYIVIENT:fYPE')';' P~YOR'-+5-..cAsH1Ei"N~c8A[)6:;+ COMMENTS :t;';::.~4' .-{'WiE . ':,:,.AMOUNT PJI.!P Online C & SELECTRIC INC $94.77 RECEIPT NO: 2010000004 DATE: 08/09/2010 [QE~G.R!P,TI6~-,,~~:._'::F. '." ," Services 200 amps or less T echnol09Y fee (5% of permiI IoIal) SIaIe of Oreilon Surcharge (12% of applicable fees) " I '. "I 1 / ") ~ 'r' ~. ".--"." ~; ~:~: !, ,'"