HomeMy WebLinkAboutPermit Electrical 2009-4-27
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CA.1
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City of Springfield
Elecjrical Authorizajion To Begin Work
E-mailedTo:kelly@builderselectric.com
Receipt # EC550674'
4/27/20094:22:33 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitceuter@ci.springfield.or.us
) D N~w COllstrw.:liul1
1:,:\3
I [K] I or 2 family dwelling
o Addition/alteration/replacement
D Multi-family
D Commercial/Industrial
IJob no.: 09-4576-5 IJob address: 157 12TH ST
. I City/Statt'/Zip: SPRINGFIELD, OR 97477-4826
I Suite/bldg./apt.no.: SPC 19
I Project name: springtane mobile
Cross street/directions to job_site:
ISubdivision:
I Tax map/pared no.: 1703354100201
1 Lot no.:
Replace rnuin breaker.
c,
,
,
I Name; Steve Fountain
[Phone:
It:mail:
IF,,,
I Description Qty. Ea. Total
I:ResideDtial"SfNGEE~ 'bRTm'~ltH'ta"nlilfd~'(.IIiri'gTUiiiU,hl"Cj~.dC~:,=.
.__"",-,-""".."0..: ...>~.'~jiJk"T;~:'~j'_ '~"".1 'rc,1 ",~,.,-:!.,;- ','-', <...~J' ~""~~J'"
llttachcd'goc'gc ".r~ ,,; , ~~ ','<-'-0; '('-,p-~~"-- ~ .~ ,'H" - f ,J:;?,
'-"_'0'_ ,.~; ."..", "__"~,,,,'_,,,,'_':x:-' >if __::,,;:;--::.-'" ,'~.~ ~ "-:. :"." ---- ,-1\, '" '<;'"
11,000 sq. ft, or less [4J
I Ea. addl 500 sq. ft, or portion
I-Limited energy, resideritial
(with above Sq. ru
I-Limited energy, multifamily
residential (with above SQ. f1.)
/' - Limited energy, commercia'l not ofTeredonline <It this jurisdiction
(with above SQ. n.)
I - Stand-alone limited energy,
residential
I . Stand.alone limited energy,
multi-family
I . Stand-alone limited energy,
commercial
1:;:~!?fit€~9iI~dl~1~{~!!~J~~!t{i-~-!i..o~~~i.~R?:~~'!~~~,,~,@i~.~~1
1200 llmps or less [2] L I
J ~O I amps LO 400 <Imps [2] I
1401 amp"o 599 ,mp' [2J I
l~t~~1rPJt4;.!9';~~,ii;,i~S',QR\feedets~i~~S~}lIIa)jonifalte~~_tiO}l;~~;;;~':ffiif;;il
~;1~Q,rg~r~I.i!_s~tt~n.;'~:;;f'~~':'i ~+;~~~~~.4J;'~f~i~";~,~' :}.:Zi'::;'~~ i~+r,~~;
1200 amps or less [2]
1201 amps to 400 amps [2] .
1401 amps 10 599 amps [21
1:_!~}an~'i:~_@~1i_~~s' :]j'F)y:r~~hfr,a.E9~~,~~~x,te_ns!~~Il~,~~~/pa~~U~~f~~
I A. Fee for brmich circuits with I
secvil!\'p~fEf!,erl~'''P.cbrego 1 law req Jires YOL 10
branch,clrcUlt. .. I ..,. . ""'J
I B. FIX'forbj-anChlEircUH!i-~UtJ'l<;::'LIIJY Hie... I CtfUll U-'l~"lY
Wi1i>j1ll('bYicei~rlfeGleYif', e)r. T lose rule, are set orth
first.branch~Clrcu1t;r2l(\1, ()tl1 (\ thml Inh fltiQ Q!:;,? .rl1_
I '"~~I,<!\!ilbr"l'fhfiff~JI'l !1ht~iJ "n1)i~" tM t,hf> JIll' 5hv I
1~,ii<iit!~~1fi~ii~flTe:c~nier}:;( t~0(iC;tl'l:e:{t~lei5116ne!i~4~',CI
I secvrn<Jt.dQ~nfi,d6,jltti2J Ore( on UtilitM Noti!n;Gdlion $63,001
I Each lTlanufaclt~(jMIDPdqJafl-c JU~~;j~"~'r44).
dweJ/lng, service and/or feeder ,
121
1 Pump or irrigation circle [2J I. 1
I Sign or outline lighting [2] 1 1
I Signal circuit(s) or li.mited. I I
energy panel, alteratIOn, or
cxtcnsion.f21 .
i~~~~:~~1.i,~g~9;t~9~~PE~,~~::~~i~~:~;~:'t'~~~~~!il
i State Surcharge (12% orpennit fee) $7.56 I
I City OfSpringfidd fees" $3,15 j
I TOTALI'ER.'\'lIT FEE. $73.71 I
.. CilY Of Springfield fees: 5% Technology Fee
[Default nllmber ufinspections of/owed)
CCl -SU.I K12-- t..j-jZ-~t09
I EI. lie. no.: 20-12C I CeB lie. no.: 4296
I Uusin~s.~ Name: BUILDERS ELECTR!C INC
I Contact: 08-2262s
IAddress: 195 MADISON ST
I City/Statcr.lIP: EUGENE OR 97402
I Phon., (541 )4850922 I Fa,{, (541 )4854055
I [mail: kelly@builderselectric.com
I Metro Iic. no.: I City lie. no.:
I Supervising electrician's lie, no.: 5275S
I SuperviSing. electrician's llllllll' RUSSELL R ROBBINS
Upon rev~JI a'n~~oval by your local JUrisdiction, your
permIt wiflf1ll&.fIt~~Mlifl'8~~ifm.IIJ:lplI~PSf~'e"WO RK
WIth ,"stJ\ffl"Ab~Jmt'lJffl5t~.trn~ntrA~1t IS NOT
NOTE: Tbi~MIIi<!!r<Mli[~T0J)"~gr ~ffMl'i!l&,iJl!i:I'M8\)
days 'fajffllV"iMObAfPtRIOD. 'I n ~~
The local building department may determine that an ~':
Authorization To Begin Work is null and V~O'd if' s not (I".,
meet applicable land use laws and local o' . 1><;g
~ ~~ .\.\. ~
V \<& ~ ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00561
ISSUED: 04/28/2009
APPLIED: 04/27/2009
EXPIRES: 10/28/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541- 726-3676 Fax
541,726-3769 Inspection Line
SITE ADDRESS: 157 12TH ST 123
ASSESSOR'S PARCEL NO,: 1703354100201
Springfield TYPE OF WORK: Electrical Work Ouly
TYPE OF USE: New
Resideutial
PROJECT DESCRIPTION: Replace main breaker
Owner:
Address:
RISLEY JEAN E
157 12TH ST SPACE 019
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Daje
12110/2011
Phone
541-485-0922
I. BUILDING INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a' Occupant Load:
p,TTI=I\ITll'lt.... I""'\~_. I
, -.;:;I~" ....... IvYUltt:;:i you fO
I DEVELOPMENT INFOR~'i'IOj\e' adopted by the Oreg,i?n Utilitv
, -... _~"v" venter, Those rtREQ.W~D ~ihRKING
m OAR 952'001-0010 throu ~'nA' ,,' ,0
Overlay Dist: 0090, You may oblain cOPi~l~1~ 95~-001-
# Street Trees Rqd:callmg the center, (Note' t~Mh21~iRVea!JY
Paved Drive Rqd: number for the Oregon UtIIICompaPt:o~e
o ' ,ty "OllTJcatJOn
Yo 01 Lot Coverage: Center IS 1 :800'332-2344),
# of Units:
Primary Occupancy Group:
Secondary Oecupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
SpeciallnsNliH1MlE:
Notes: THIS PERMIT SHAll EXPIRE IF THE WORK
~~;,H9~R~~~D UNDER THIS PERMIT IS NOT
. - ..,~,~f.v~G un I,) f\JjJ\I~UUNr-c f0n
ANY 180 DAY PERIOD, t Valuation Descriotion I
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date C~lcnlated
Paee 1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00561
ISSUED: 04/28/2009
APPLIED: 04/27/2009
EXPIRES: 10/28/2009
VALUE:
225 Fifth Street, Springlield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 ]uspection Line
Total Value of Project
Fe,~~ P~id I
Fcc Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$7,56
$3.15
$63,00
4/28/09
4/28/09
4/28/09'
2200900000000000445
2200900000000000445
2200900000000000445
Total Amount Paid
$73,71
I Plan Reviews I
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 Reouired Insnedionsl
Rough Electric: Prior to Cover
, Final Electric: When all electrical work is complete,
By siguature, I 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 doue in accordauce 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 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 arc 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 site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Spri~gfieId, Oregon 97477
541-,'726-3759 Phone
Job/Journal Number
COM2009-0056I
COM2009-0056I
COM2009,0056I
Payments:
Type of Payment
ONLINE CHGS
cReceintl
~',PR.INQPJI!U> '~., UII',""'.,
~ h. - .'
IlL,' .
, ,
- ,
.... ..... "'""''': ",' '.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000445
Date: 04/28/2009
Description
Service Reconnect
+ 5% Technology Fcc
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
{;heck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Builders Online
Electric
Payment Total:
Page 1 of ]
8:26:54AM
Amount Due
63,00
3,15
7,56
$73,71
Amount Paid
$73,71
$73,71
4/28/2009