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Home My WebLink AboutPermit Electrical 2009-1-9 (}'1 rf" (~ /~;t) ) \ ~fJ / Ull' OF SPRINlil'lI<.;LD Building/Combination Permit PERMIT NO: COM2009-00034 ISSUED: 01109/2009 APPLIED: 01109/2009 EXPIRES: 07/09/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line , SITE ADDRESS: 1074 Q ST ASSESSOR'S PARCEL NO,: 1703261404100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Repair orfeplace worn out meter base. Owner: BOUNKHOUM KHAMPHANH Address: 1900 SE MCLOUGHLIN BLVD #133 OREGON CITY OR 97045 . I CONTRACTOR lNFOR~ATlON I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 E,xpiration Date 12/10/201 I Phone 541-485-0922 BUILDING INFORMATION I # 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: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I ,PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm ~~1f.\,!,A'1Yi')i~l?ble: \ . NOTICE: f!l.\;v1II'PpqtsID/ilJin~ THE WORK Speciallnstrllction" Oregon IaN requires you to THIS PERMI :JI1I-\LL txt-'IrIC IF tallow I'UIOS 'adopted' by the Oret:on Utility AUTHORIZED UNDER THIS PERMIT IS NOT N t NotificB,tion Center. Tlwse rules are set forth COrVl"ENCED OR IS ABANDONED FOR o e~h OAR 952-00 :0010 through OAR 952-001- IVI """" V~.. ~_.. ~h'_'_ _~"'M _, ,,,_ ...,__ h.. llMY i Rn nAY PERIOD. ., , calling the center. (Note: thetelep1lolle. .. I number for the Oregon Utility NotificJ~,V-aluatIon Descr~DtlOn Center is 1-800-332-2344). Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amonnt Value Date Calculated Description Paee 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description -i- 12% State Surcharge + 5% Technology Fee Service Reconnect Total Amount Paid Amount Paid $7,56 $3,15 $63.00 $73,71 Total Value of Project Fee~ Paid I Date Paid Plan Reviews , 1/9/09 1/9/09 1/9/09 CITY VI' ~PRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00034 ISSUEI): 01/09/2009 APPLIED: 01109/2009 EXPIRES: 07/09/2009 VALUE: Receipt Number 2200900000000000029 2200900000000000029 2200900000000000029 To Request an inspection call the 24, hour recording at 726-3769. All inspections requested before 7:00 a.m: will be made the same working day, inspections requested after 7:00 a:m. will be' made the following work day. ' I Re\l,ui~ed Insnections I Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with tlie Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the sit~ at all times during construction. Owner or Contractors Signature Page 2 of2 Date City of Springfield Electrical Authorization To Begin Work E-maiIedTo:kelly@buiIderselectric.com Receipt # EC544842 1/9/2009 9:48:48 AM Check on status of permit By Phoue: (541)726-3753 or EmaiI: permitcenter@ci.springfield.or.us I [K] 1 or 2 family dwelling D'Multi-family o Commercia] I Industrial I D New construction [KJ Additio~alterationlreplacement )Job DO.: 09-3767-$ . \Job address: 1074 Q ST I City/State/ZIP: SPRINGFIELD,OR 97~77-2329 I Suite/bldg.lapt.no.: I Project name: Cross street/directions 10 job site: I Subdivision: I Tax map/parcel no.: ILot no.: Repair or replace worn out meter base 1200 amps or less [2] "120] amps to 400 amps [2] I 40] amps to 599 amps [2] I Name: Dave Dardis I Phone: I Email: IF"" I EI. lie. no.: 2Q-12C IceD lie. no.: 4296 1 Business Name: BUILDERS ELECTRIC INe I Contact: 08-22625 jAddress: 195 MADISON ST I City/StatetL;IP: EUGENE OR 97402 IPhone: (541)4850922 !Fax: (541)4854055 I Email: kelly@builderselectric.com I Metro lie. DO.: I City lie. no.: I Supervising electrician's lic. no.: 5275S I Supervising electrician's name: RUSSELL R ROBBINS I A. Fee for branch circuits \vith service or feeder fee, each branch circuit lB. Fee for branch circuits without service or feeder fee, first branch circuit f21 I each add] branch circuit I Service. reconnect only [2] $63,00 I Each manufactured or modular dwelling, service and/or fceder r21 I Pump or irrigation circle [2) I Sign or outline ]ighting,[2] I Signal circuit(s) or Iimitcd- alteration,.or $63.00 Upon review and'approval by your local jurisdiction, your permit will be e~mailed 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 notobtained. 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. I Subtotal I State Surcharge (]2% of penn it fee) I City OfSpringfie]d fees. I TOTALPERMIT.'EE, . City Of Springfield fees: 5% Technology Fee fDefalllt number of inspections allowed) I $7.56 I $315 I $73,71 I , 'I Wd"T\ Lu'U q - 0 C OS <"f 1_0_001 t---)~. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00034 COM2009-00034 COM2009-00034 Payments: Type of Payment ONLINE CH(iS cReceintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS I City of Springfield Official Receipt Development Services Department Public. Works Department 2200900000000000029 Date: 01109/2009 9:56:01AM .ltem Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63,00 3:15 7.56 $73,71 Amount Paid NJM ONLINE BUILDERS Online Payment Total: $73.71 $73.71 Page I of I 1/9/2009