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