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'
~.
".--"."
~; ~:~: !, ,'"