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Home My WebLink AboutPermit Electrical 2009-8-18 Branch cirellitseach additiollul circuit withuUl s.:TviCe ~ec't~i,~al'Yermh Fees':-:- .;;.}.~''':ii ';'~jj I Subtotal I State surcharge (12% ofpcmlit total) . I Tedmolugy fee (5% ofpCfmit toial} I TOTAL PERMIT FEE " City of Springfield Electrical Authorization To Begin Work E-maiJed To: kelly@builderselectric.com Check on status,.of permit By Phone: 541v726-3753 or Email: permitcenter@ci.springfield.or.us I D New Construction o Addition/alteration/replacement Please check all thut apply' o A service or feeder beginn;ng at 400 Amps where the available faull current exceeds 10,000 Amps at 150 Volls or leS5 to ground ~xceeds 14,000 Amps fOl all oth~r installation, 1- 7'""",,",,,_ I [~} 0<2 r=i1y dw,,,;,. DMO],;-r,m;]y DCommo<o;" D A",",o", I t,";)::~~'<~':~,;;;;~,~JO'B"SITE:1NF'oRMATi'oN:ANO:ffi)'c:A;-ION:L,L;" I Job Address: 945 28TH ST I City/State/ZIP: SPRINGFIELD, OR 97477 I Suite/bltlgJapt.no.: I Project Name: Brownfield I CrossStreetldirections tojobsite: I (..70 0\\0' I I I I I Dl'irepumps DEmergencysystems DAddilionofanewmolUrl"adof 100 HP or more DSixormoreresidentialunitsinone structure DHealthcarefacililies repair damaged wiring circllitswitholltserviceor Name: Kelly O'Brien Phone: 541.485.0922 Fax: Email:.kelly@builderselectric.com Elee lic. no.: 20.12C CCD lie. no.: 4296 Cq-l\QO ~. ~\'6\ DCl ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utifity I Notification Center.. Those rules are set forth , in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copie's of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification ~ Center Is 1-800-332-2344), .tP ~" .cf' _..\t)Y-~." %\~y W~~ ~~ ~ \j:- Business Name: BUILDERS ELECTRIC INC I Contad: I Address: 195 M~i~~~_~. I Clly/Sl"dZIP, !oo\!i\(dRtV,;\\hT ;)MALL ti\t"ltit Ir I Ht VVUIiK I Ph""d41-485!Q1Ji,' nUnlLCU UI~UC..j,,~\1j,il5l(d>jiIVIII I~ I~U I I Em.;1 FRE~@I.t1L\\'H\'sliJ~t\m;Ai.C\;!~ I~ Al)AI~UUNtU t-UK I Metrulic.no.: I-\I\lT IOU UAY t'ttillJijolic.n".: I Supervi~in2 Electrician's lie. no.: I Supervising Electrician's Name: Number of inspections included in paid sen'ices: Residential Service: 4 RecOIUlectOnly: I All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or fax~d within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a pe?J1it 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 ordinances This~Authorization To Begin Work must be posted at the job site until replaced by a Permit 69600- B E L-09-00079 8/17/2009 3:07 pm ApPfo\'al Code: 717120 locations service or feeder rated at 600 amps or.morc DB"ildingsmorethanthreestories DMarinasandboatyards DFloatinllbuildings DCommercial-uscagricuhural buildings Dln>ta"ariun(lra'50KvAorlargcT sepcralely derived sys D"A","c",or"J-Z"or"f-J" DRecre'lliunafVchicleparks 'DSupplyvoltagefurmorethan600 supply vol15 nominal ,..., $55.00 Tolal I "';1 $55.001 $24.001 $79.~~~-~J $9.481 S3.9S( $92.-13 ~ $6.00 t. -'~I!!!!lI5l'.!iI~,~t " . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01190 ISSUED: 08/18/2009 APPLIED: 08/17/2009 EXPIRES: Oi/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 945 28TH ST ASSESSOR'S PARCEL NO.: 1702310001101 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Repair damaged wiring Owner: BROWNFIELDSLAND & DEVELOPMENT LLC Address: 2851 NW 9TH ST STE D CORVALLIS OR 97330 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2011 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: W~ter Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Street Improvements: Frontyard Setback: Overlay Dist: . Total: Side I Setback: NOTICE: # Street Trees Rqd: f!andicallped: ATTENTION: Oregon c"(lMl!e.a'~!' es you to Side 2 Setback:THIS PERMIT SHALL EXPIRE IF T't~.Jt'~1l4'(e Rqd: follow rules adopted by me uregon Utility SRelarysardbsektba)\lYTHORIZED UNDER THIS PERMr'r~~~~bToverage: Not'lflcat'lon Center Those rules are set forth oar et ac S:COMMENCED OR IS ABANDONED FOR (n.(JAR 952-001-00.10 through OAR 952-001- ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS ,01090, You may oDtam, copies Ul 1I1~ I UI~O uy I calling the center. (Note:the telephone nurrSidewaIIttffiyp.~gon Utility Notification Center is 1-800-332-2344). Downspouts/Draihs: Storm Sewer Available: Special Instruction: Notes: 1 V alu,atio~ Descriotion I Description Tvne of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 Status Issued CITY OF SPRINGFIELD Building/CQmbination Permit PERMIT NO: COM2009-01190 ISSUED: 08/18/2009 APPLIED: 08/17/2009 EXPIRES: 02/1812010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pa~ $9.48 $3.95 $55.00 $24.00 8/18/09 8/18/09 8/18109 8/18109 Receipt Number 1200900000000000936 1200900000000000936 1200900000000000936 1200900000000000936 Fee Descrintion + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Total Amount Paid $92.43 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. wiUbe made the following work day. IR~n',Jired l~soe.~tio,~,s.,1 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 herehy 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. 1 further certify that only contractors and employees who are in compliance withORS 701.005 will be used on this project. I further agree to ~nsure that all required inspection~ 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 site at all times during construction. Owner or Contractors Signature Date Page 2 of 2 City of Springfield Official Receipt Development Services Department Public Works Dcpartment 225 Fifth Street Sp~ingfield, Oregon 97477' 54i-726-3759 Phone Job/Journal Number COM2009-0 1190 COM2009-0 1190 COM2009-0 1190 COM2009-0] ] 90 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: Date: 08/18/2009 8:22:15AM 1200900000000000936 , Description Add, Alter, Extend Circ Add, Alter, Extend CiTc Ea Add + 5% Technology Fee + 12% State Surcharge Amount Due 55.00 24.00 3,95 9.48 $92.43 Paid By' ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KR $92.43 $92.43 Page 1 of I 8118/2009