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Home My WebLink AboutPermit Electrical 2009-6-10 ~ity of Springficld Elcctrical Authorization To Bcgin Work E-mailedTo:kelly@builderselectric.com Reccipt # EC5533R6 6/10/2009 9:2 J :35 AM 'i,'?'? ~~/ iJT""~ -~" - Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springtield.or.us ~. '4- ""1,. I D New construction ".1i'g50F '!'t9RI(: [X] Addition/lllterationlrep[acem~nt "\c~tEGOR)',OFcoNstRui;i;i~JN: ., 10 I or 2 family dwelling 0 Multi~family IX) Commercial! Industrial I"~!JOB SI;rE,fNtOBMATIO~:ANbLOp~TION~:~' I Job 110.: 09-4849-5 I Job address: 3783 INTERNATIONAL CT . I City/ShtterLIP: SPRINGfiELD, OR 97477.]025 1 Suite/bhlg.lapt.no.: I Project name: Pioneer pacific Cross slreet/directions to job sill': . ISubdivision: ITa:\ map/puccI no.: ]703153200202 1-' ..~ '_:;"OESCRipTION'O~WORK' -lnstall100a CiT for X-RAY.lnsta1l20a CiT fOf X.RAY table ILot no.: yo' < 1'7 !l1!E ~oNfAcT ' I Name: Jeff Brown I Phone: I.'ax: 1 Email: ^TTF.lTInl\l. ,nrAf10n law requires you to 1 ,., :,f 'f;;iim~ ,rules 'ad,!':9!'H~9ToR('P1'~()nu5!l~y' lEI. lie. no.: 20-li!UJtification Center. -111'G€glrt.~w~ ~~?9~..-~~ ~~~II I . .r;:,fi""'I;".t.!.l.".'\\~I'lllIIUU~I'Ur\ll""''''''''''''''~' Bush~t.'ss Name: \IB~mDllRS'ELl:c-TRIC, If'lC. _ _ _=__ ,.,of .j-ho t',llo.c h\l 1 IH.ILlU TUU lllay VU~"'lll ........t-'.....- -. -.. ., Contact: russ rODOiJfS .:. _ _ -'-'_ _ __.....,.,.. (f\I",to.' thp tplAohone jAddrcs,; 195 MAW~~~~,T, ~~: ;h~n;~~On Utilitv Notification IOty/Sll,tclZIP: EUGENE 0lt;n4Qer is 1-800-332-2344). I Phon" (541 )4850922 I Fax: (541 )4854055 I [mail: kelly@builderselectric.com I Metro lie. no.: I Supenising electrician's lie. no.: 52755 ISuper\'ising electrician's name: RUSSELL R ROBBINS ~.;c""~ .;:...." .t. ICit)'lic. no.: 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 not obtained. 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 ~. , ~~~.~ ~.\f\ V1.'l" ~ ~~ '<"I 1 1 I. .~' -'. :,FEESqHEDUL(';;' -.> Description I - Qt)'. I Ea. Total Rt.oSi4cntial SINGLE: O~jnulti~fam-il)' d,,:eI!ing Ullit. Includes att~~~~d g,!:agt: . " >~~~:: -"";--~4~:="'.' -"'" 11,000sq.ft.orlessf4J I lEa, addl 500 sq. ft. or portion U~ii~i!ed E.llergy:~'. " c:";:&~:"" ',=~~ - Limited energy, residential {with above so, fu - Limited energy, multifamily residential (with above SQ. fU I . Limited energy, commercia-l not offered online at this jurisdiction (with above Sq, ft,) I - Stand-alone limited energy, residential I - Smnd.alone limited energy, multi-family I - Stand-alone limited energy, commercial kSiliices' qfree~~rs' i~~I:1l1at'o~T!tI~era~ion, A~P/q~,~locat~~n ,- 1200 amps 0' less 12] I I '1201 amps to 400 amps [2J 1 I 40 I amps to 599 amps [2) I 1 I TE~\1POn.ARY.sen'ic~sOR f~erS'instlllhition,lIlt~rll!ion. ,AND/OR relocation- ';... . ' "". , . , .".". ',. ... "" ".~ . ....r..: ..."., 1200 amps or less [2] I 120] amps to 400 amps [2] 1401 amps to 599 amps [2] I 1_~,~Dcti cirCu'its~~NEW,~ltt'rati,~~;'OR extension; per~ancl I A. Fce for branch circuits with service or feeder fee, each branch circuit I B. Fee for branch circuits without service or feeder fee, first branch circuit 121 I el!~h@li~irt6~~ circuit I $6,00 $6,001 1~~~1f:~I!l~.~UH~A/T\q'GIfId:.J~XDIf110ijf TI1~.:.\vI&io"~' 'I 1 S,emifm?l'l'r9'l9r!YI mncp' Till" r[~r'ITL.I~ ~_ I Ea'hm"OUlaCl~r;~,'/J;.n~.t..' v VI" ~UI I J\,~Iii~g[I(!J-..J:Ie;Jnlllo(U~u4S ! BANOOf ED FOR .lliNLi ec r^y r~r.l3R Pump or irrigation mele Pl' .......r I I I Sign orout]ine lighting [2J I 1 1 Signa] circuil(s) or limited- I energy pane], alteration, or extension [21 . $55,00 $55,001 1 I SubtoUlI I I State Surcharge (12% of penn it fee) , I City OrSpring!1eld fees *1 I TOTALPERl\IIT ."EE * City Of Springfield fees: 5% Technology Fee / Dejmd/llllmbel' ojimpec/iotls "ffowed! El!E~TRICAL PERMIT -FEES $61.00 $7.32 n05 $71.37 I c q - ~33 ~R-- lo \ \ 0 t 09 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: COM2009-00833 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3783 International Ct ASSESSOR'S PARCEL NO.: 1703153200202 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install IOOamp circuit for X-ray install 20amp for X.ray table. Residential Owner: CHAMBERS DEV CORP Address: 2295 COBURG RD STE 200 EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/20 II Phone 541.485.0922 BUILDING INFORM~ TION' # 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELQPMENTINFORMATION I ATTENTION: Oregon law req~,,--, - " REQUIRED PARKING k ",,,.. rules adopted by the Oregon UtilitY, . F~ontyard S~~~~~fd'~tion Center. Those rules are se~~~~l3y DlSt: Total:, S~de I Setb~~ki)AR 952-001-0010 through OAR 95"',:f~<!et Trees R~JbTICE' Handicapped: Side 2 Setba8K~(\ You may obtain copies of the rUP-avelf' Dnve Rq'f I' Compact: Rearyard Setb~~~I:n the center. (Note, the tele~t-Wo~ilf Lot Covera\re:S PERMIT SHALL EXPIRE IF THE WORK Solar Setback~Lmb~r for the Oregon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT -"'..... ....'"',., (")1)1111\ ('\r\ftJlftll...ft............. ,........ ,..... f.... "J';"r".-- --- Vt;:;II~1;;1 ,... . ...-- -. ............'-.~l.."...V VII U hur\l UVI'4L.U lull I PUBLIC IMPROVEIVIJ'l\'lirSI'J DAY PERIOD, Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valne Date Calcnlated Pa2e I 01'2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00833 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line ,Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.32 $3.05 $55.00 $6.00 6/10/09 6/10/09 6/10/09 6/10/09 1200900000000000651 1200900000000000651 1200900000000000651 1200900000000000651 Tota' Amount Paid $71.37 I Plan Reviews , 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 Insoections. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 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 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 structure without permission of the Community Services Division, Building Safety. [ 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 tbe site at all times during construction. . Owner or Contractors Signatuf.e Date Pa2e 2 of 2 225' Fifth Street Springfield, Oregon 97477 541~}26-3759 Phone ~n:Q~;~ ~ Job/Journal Number COM2009-00833 COM2009-00833 COM2009-00833 COM2009-00833 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000000651 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS KR Pa,ge I of I ONLINE BUILDERS Oniine ELECTRIC Payment Total: 9:34:26AM Amount Due 55,00 6,00 3,05 7.32 $71.37 Amount Paid $7 I.3 7 $71.37 6/10/2009