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HomeMy WebLinkAboutPermit Electrical 2009-3-13 City of Springfield Electrical Authorization To Begin Work [-mailed To: kelly@builderselect-dc.com Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springtield.or.ns Re~eipt # E(:S48 182 '11J> 3/13(,20098:09:03 AM i\/ C NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. 1\." 1 The local building department may determine that an 'WJ rC.\ Authorization To Segin Work is null and void if It does not ~ \ meet applicable land use laws andlocal,or~lnances, \ ~V . ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit 10 New const~uction [X] Addition/alteration/replacement I [X] 1 or 2 family'dwelling 0 Multi-family 0 Commercial I Industriul [~;~:ii'i~spitt':;:':.i~'(';~'o~"s~ri}'~ N~F~OR~AtI6"lftEH~[q,[~tiQ~,l6:'.t~: I~ob no.: 09-4263~s l.Job llddr{'ss: 140 10TI'1 $T ICity/Stale/ZIP: SPR!NGFIELD, OR 97477-4704 Sultt.'/bldg.l:1pt,no.: Project namt.': Phil Conn~ly Cross street/directiuns to job site: I Subdivision: ITax map/parcel no.: ]703354203800 ILot no.: Service change I Name: mcl Manning 11'110111.': .'. ._. _ .. _ I Fa~: I IIE,~':i1~_~r ......i!~J;:~';;~d:~tr~~~,~e~~~=~,~~~;~~x' ,~,. '....., J ~4~;'i:n~,;;+,,::J)jjJ~~ti.f~tWr;.;aiiAM},'~' . N , . p "0E?ifi::$+"ic.~F::;;,~\.-",,-grt~<,~~?'~;v;~l lEI, II" no,' 20,I21l1 OAR 952-001- .- 1~ I I "",;n",N..m" illl9BLOR'tllillllffieyCOJijtain copies of the rules bv I I Cnnl..", OS,2262s calling the center. (Noie: the telephone I [Add"''' 195 MADI!,\'MII;1"';Ur,IIl".urep'?rn ~1~11J_NOlIrJCa1l0n [ V\;..lLvl lo;f 1-vvv-vv"-,,,j"'t"'t) City/Stille/ZIP: EUGENE OR 97402 . . jPhone: (541)4850922 I Fax: (541)4854055 I Email: kdly@buildcrseJeclric.com I I\letro lie. no.: lOt). lie:' no.: ISupervising electrician's lie. no.: 5275S, I Supervising electrician's name: RUSSELL R ROBBINS 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. I Description 'Qty. Ea. 1 Total I~RiSidciltialiSINCUEZ!ORi'multi~fjutiil}'id,,'ellin{uniC In~Hidef.i,,'~ '" }fH~~~~"\'g~~ag~_:;:f,~~'i~i~:;f:; ~'i;;iff!{E?~~':~~"~~~~~~~' ~!1~ff!l'"i ".,:~ I ],000 sq. n. or less [4J I Ea. addl 500 sq. ft. or portion I ;1 I I - LiJilited eneq~~y, residential (with above SQ, It.) I-Limited energy, multifamily residential (with above Sq. ft.) I-Limited energy, commercial not ottered online al 'this jurisdiction (WIth llbove sq, ft.) I * Stand-alone limited energy, resid~ntial I - Stand-alone limited encrb')', multi-family I - Stand~alone limited energy. commercial Ih~bl~~L2!il~~E~"if~t,~lilt:@"i~t~:'triat~o~;'~~P(g~.:~~i~i!~~~:~" ;:' ,P;) 1200 al~pS or less 121 $81.00 $81.00 I 1201 amps to 400 amps [2] I 140 I amps to 599 amps [2] I 1$.I]:.Nro~..~~j~!v.'~ ~c.'.s~r.q~.~::'f~d.: ~r.S:i.ii~~all.~ji;~.~\~~~i~~t. i?t},.:.\'''~~;,'.'?~>: '.'~I .,A~ o./9!~:~~,9Htt,!"oJ1f:\;t.f:S~~:\"..,;~,,; ~ ' ,,-;d~',:,. '!k.\"'^ G:'~;v~~,.~ ,\i7~'ff:.p, ',::~# 1200 amps or less l2] 120 I amps'to 400 amps [2] 1401 amps to 599 amps [2J 1~'~r~:c_hJI~0~s':"~EW':~0\1~r}lt!~Il;'~-~'ex~erisio!(;'p.e~, Plut~);X:, j .:::.'j I A, Fee fOf br.anCh circuits \vith service or feeder fee, e~ch branch circUlt I ~~;:;:~rC~;~~~~fee, I 11rst~rMcll'~eui.!BL _ I ,UIILiidMbf,tMI;fuSHAll. :XPIREl : THI= 1M 'IU/, I I'JfltSfldJ/OO!ZED'U N' 0 ER' -j'fITl".... c,..c,.":~" ~"""":I ;....~,........ ..: ." ""rl "'iPFR~IO:t1i"!;;,i; I r,;,QM~A;f'NeOOYOflls.JRANno~ ED-ro~ - I 1~~~:t'l1;U;e~D : ' I f21 . ' I I I I Pump oririigation circle'12] I Sign or Ollllin~ lighting [2] I Signal circuil(s) or limited- j energy panel, alteration, or extensionJ2) 1;:~'1;"""ii;""ii ELECfRicAFi'ERMlf'FEES%\i':' ,..t.;/Yli\1!:\.n;?':;.;,.-...,. '.; .. ..' .,.~,.,.""".,.,,^..,,,. ',. .... '...,._ ..".,~.. .F.". ",. ."'..'., I '1 Subtotal I I State,Surcharge (12%ofpermit fee) I CitY OfSpriri'gfield.fees +1 L-.--.- TOTAL PERMIT .'EE + City or Springfield fees: 5% Technol()gy Fee I Default number afinspections at/owed} 0ct - 335 \c\Z- . j: $8100 I $9.72 I $4.051 $94.77 3t L3lD9 .. . SI!RIINGF!ISLDi' -.-,................,.,.,.-.-'-..,,-...., 1 . ~-; Sta tus Issued CITY .oF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00338 ISSUED: 03/1312009 APPLIED: 03(13/2009 EXPIRES: 09(13/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 140 10TH ST ASSESSOR'S PARCEL NO.: 1703354203800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service Change Owner: CONNELLY PHILIP E Address: 140 10TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/1012011 Phone 541-485-0922 BUILDING INFOR~.A.T.W~ I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size:" Sq Ft 1st'. Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ga'rage/Carport Sq Ft Other: Occnpant Load: n/a Storm Sewer Available: Speciallnstrnction: I DEVELOPMENT INFORMATION I ATTENTION: Oregon law reqUires you 10 . follo.w rules adopted by the Oregon Uti!it~. '. . F~ ontyard SetR~'[h;cation Center. Those rules are ~e"Wrlf1Dlst. SIde I Setbac~h OAR 952-001-0010 through OAR >i5~!~tet.Trees Rqd: SIde 2 Setbac'o090. You may obtain copies of the rtJ';);'I,~nve Rqd: Rearyard Setba~.;;;Ijng the center. (Note: the telep(~Clf~ot Coverage: Solar Setbacksl1umber for the Oregon Utility Notification :~L. :~ 1 ::: :5: f~-t~LIC IMPROVEMM~~):; IT SHALL,EXPIRE IF THE WORK Street Improvements: I Ill....' R~E:'l:irte1'l{l1iR'~IS PERMIT IS NOT . ~~~~~~COO~\s'AMmlP:NED FOR ANY 180 DAY PE~IOD. REQUIRED PARKING Total: Handicapped: ~ompact: Ii Notes: I Valuation DescriDtion ~ Description Tvpe of Construction $ Per Sq Ft 01' mnltiplier Square Footage or Bid Amonnt Value Date Calcnlated Paee I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description . + 12% State Snrcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Total Amonnt Paid Amonnt Paid $9.72 $4.05 $81.00 $94.77 Total Valne of Project Fees P3id I Date Paid I Plan Reviews ~ 3/13/09 3/13/09 3/13/09 CITY OF SPRINGFIELD Building/COInbination Permit PERMIT NO: COM2009-00338 ISSUED: 03/1312009 APPLIED: 03/13/2009 EXPIRES: 09/13/2009 VALUE: Receipt,Nnmber 22009~0000000000259 2200900000000000259 220090000000000025~ 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 Reollired lnsnections 1 Electric Service: Approval reqnired prior to ntility company energizing service. By signatnre, I state and agree, that I have carefnlly examined the completed application and do her~by certify that all information hereon is trne and correct, and I fnrther certify that any and all work performed shall he 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 strnctnrewithont permission of the Community Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all reqnired 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 willl'emain on the site at all times during construction. . Owner or Contractors Signature Page 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: Job/Journal Number COM2009-00338 COM2009-00338 COM2009-00338 2200900000000000259 Description Perm ServlFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge , Payments: Type of Payment Paid By . ONLINE CHGS ,ONLINE PERMIT CHGS cRcceintl City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/13/2009 Item Total: . Check Number Authorization Received By Batch Number Number How R~ceived KR ONLINE Page I of I Builders Online Electric Payment Total: 8:35:50AM Amount Due 81.00 4,05 9,72 $94.77 Amount Paid $94,77 $94.77 31(3/2009