HomeMy WebLinkAboutPermit Electrical 2009-10-29
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:,*:,-Springfield, OR "97.477,:' .,
.,,'.Phone: 541-726-3753 '
Email: P?rmitce~t~r@cLspri~gfield.or.us '
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, Residential Electrical Authorization To Begin Work
69600-BEL-09-0e0213
Approval Code: 052098 10/29/2009 12:04 pm
E-mailf:!dTo:robselectric@hotmail.com
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D New Const~ucti~~:::'.;\~~ ::t;;..~.:":
lKl Addition/alteration/replacement
:1'00 tor 2 famiiy dW~II!'~9>:?~;gL:::M~I!i,-!.~~il~;.~.JP Commercial D Accessory
1~~rrrr:~~'"!JOBIS'iTEiINF,ORM17tIONfANDJCOC).:J;tO~
I Job Address: 1125 ~aTH ~T'
Suite/bldg.Japlno.:
City/State/ZIP: SPRINGFIELp, 9R 974?,8
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Project Name: Gena'~akerr{ '. ','
Cross Street1d,i.rection.s'~jO~ sl~:.oR126E.I~ft 52nd StfHighbanksRd/58th St
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I Tax map/parcel no.:' 1702342200100
Install 200amp service & feeder plus branch circuit for shed
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I Name: Billie Buckley ~f
I Phone:
I Email:
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I Elec lie. no.: 20-462C
I Business Name: RO~S ELE'CTRIC~ INC ~
I ,?ontact:
Address: PO BOX 2a:l1 :!." .'
CCB !Ic. no.:
156678
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CityJStatefZlP: EUGENE, O~ 97402
I Phone: 54146N.Q9fICE: Fax:.54~:~~6'5'~4~;.:~~~,~~i:,>"'~.:
I Email: ROB~lS4~MIZISHAll f?(PIRE IF 1Itl"::01 '
I Metro lie, no,CU I ~un!~J:;"",ul~ucn ~m$. ~~ . '.'
I "OMMCNOCB OR IS ABANDONED fO~,_ ':i,;
Supe",;,;ng E~i'l1f~e01\Y PERil:tt1.' ,."", " :"':--'
I Supervising EI;ctricl~n's N~me:'" DAVID R LAWlER
Number of Inspections included In paid services: ".
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approval by your local Jurisdiction, your permit will be e.malled
wlthln one business day,_ ~th In~~:U.ollS on how to ~h~ule your Inspection.
NOTE: this Authorization ~o Begin Work expires wlthln 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~~c~1 ordinances,
or faxed
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Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
D' Fire pumps
o Emergency systems
o Addition of anew motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities.
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marina~ and boat yards
D Floating buildings
D Commercial.use agricultural
buffdings
D Installation of a 150 KV A or
larger seperateiy derived sys
D "A", "E", or "1-2" or "1.3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
I Description
Total
I" Services 200 amps or less
I Branch circuits with service or
feeder each circuit
I 'Subtotal
I' Staie surcharge (12% of permit
tota))
I Technology fee (5% of permit total)
lrOTAL PERMIT FEE
Cg-I~~~
$6.00 I
$168.00
$20.16
$8.40
$196.56
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ATTE'NTlON' Oreg I
follow rules ado on aw requIres you to
NotificationCent:er:, by the Oregon Utility
In OAR 952-001-0010 th%e r~eo are set forth
0090. You may obtai ~g AR 952-001_
ceiling the center. (N~f'.et~ of the rules by
number for the Oregon ~iilltye ~ele,?ho~e
Canterls 1-800~""2 2 ot/ficatJon
-- . 344).
Inspections Phone: 541-726,3769
This Authorization To B~gin Work ,must be posted at the job site until replaced by ~ Permit
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Status
Issued'
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: €OM2009-01489
ISSUED: 10/21/2009
APPLIED: 10/08/2009
, EXPIRES: 04/29/2010
VALUE: $ 6,000,00
225 Fifth Street, Spriggfield,.OR.-f',:;g:;';,'
541- 726-3753 P~one;:, (:", .' "'i ',;..' '
541-726-3676 Fax' i
541-726-3769 In~pectionLine
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SITE ADDRESS:. '. 1125 58T1i'ST SPACE 67
ASSESSOR'S PARCEL NO,: 1702342200100
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRI'p'TlON:.9roort '
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Owner: GOLDEN OAKS MOBILE HOME PARK LLC
Address: "798;P~SCOTT LN
SPRINGFIELD OR 97477
I. CONTRACTOR INFORMA TlON I
Contractor Type
General r'
Electrical ' ,
.' Contractor
",C;: HARRISON JACOBSON INC
ROBS ELECTRIC INC
License
66447
156678
Expiration Date
05/07/2010
08/14/2011
Phone
541.689-7762
541-686-5444
BUILDING INFORMA TlON I
# of Units:
Primary Occupancy Group: U
Secondary Occnpancy Group:
Primary Constructio'n Type ' -; ":' VB
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:
360
No
I DEVELOPMENT. INFOR~illI"',: Oregon law ~Ulres~to
, , , "i"il'-"T~ nu .B.ARKlNG
_,'... >',.' "c"", ,follow rules adopted by th Illy IIIL)'
~;;:7::~~irS~~LL'~;I'~~':;;~;'~~~;~:~ ~::~:s Rq;cig~a:;:r:'1J"thC::~~~:
Side 2 ~tlJJIReRIZED UNDER THIS PERMIT IS ~e.~ Drive Rqd:009O. You may obtain copl~.aUl\Il.P.lI88 by
Rearya~~r1lff:ED OR IS ABANDONED FOR .O(~,,?f Lot Coverage: calling the center. (Note: the'tlfe-phone
Solar S<:,t Ok' ,;,,~'-;';'" number for the Oregon Utility NoUllcallon
p, IlO DAY PERIOD. ",.",-:.,.," , , . Center Is HI0D-332-2344\.
\~!" \ .\. 1 PUBLIC IMPROVEMENTS I
Street Imphlvements: 'u'-SidewlilkType:
Storm Sewer Available:
Special Instruction: 'Adding new surface
Downspouts/Drains: '
Notes:
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Page 1 ~f 3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01489
ISSUED: 10/21/2009
APPLIED: 10/08/2009
. EXPIRES: 04/2912010
V A:LUE: $ 6,000.00
Status Issued:~ "
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225 Fifth Street: sprirtgiield;OR"~',;;
541-726-3753 Phone.'" .
541-726-3676 Fax
541-726-3769 Inspection Line
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I V al~~tion Description I
Description
Estimate
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Tvpeof Construction
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Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
6,000.00
Value
Date Calculated
L_t
Total Value of Project
$6,000.00
$6,000.00
10/08/2009
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I , Fees P~id I
Fee Description" "Ii
Plan Review Residential
+ 12% State Surcharge
+ 5% Tecbnology Fee
Fire SF Fee. Residential
Garage/Carport ,
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 12 % State Surcharge.
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+ 5% Technology Fee '
Add, Alter, Extend Circ Ea Add' ,
,
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$63,05
$11.64
$4.85
~ $23.40
$97.00
$6,73
$134.59
$20.16
$8.40
$6.00
$162.00
10/8/09
10/21/09
10/21/09
10/21/09
10/21/09
. 10/21/09
" 10/21/09
10/29/09
] 0/29/09
,10/29/09
] 0/29/09
Receipt Number
1200900000000001127
1200900000000001174
]200900000000001174
1200900000000001173
]200900000000001174
1200900000000001174
1200900000000001174
2200900000000001233
2200900000000001233
2200900000000001233
2200900000000001233
Total Amount Paid
$537.82
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I Plan Reviews I
10/13/2009 APP LLH
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10/14/2009 10 DDK No Planning issues - inside park.
10/16/2009 APP LKW
10/16/2009 APP CJC As noted on plans
Initial Review
10/12/2009
Plan nine: Review
10/1,3/2009
10/15/2009
10/13/2009 " '
Public Works Review
Structural Review
'L .
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be m,ade th.e same working day, inspections requested after 7:00 a.m. will be made the following
workday. "" ~ '" " '
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, Reouired Insnectinils'
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Footing: After trencbes are excavated,
Foundati~n: Aft~r forms are erected but prior to concrete placement.
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Framing Inspection: Prior to cover and after all rough.in inspections have been approved.
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Final Building: After all reqnired inspections have been requested and approved and the building is complete,
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Page 2 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
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PERMIT.NO: COM2009-01489
ISSUED: 10121/2009
APPLIED: 10/08/2009
EXPIRES: 04/29/2010
VALUE: $ 6,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection..Line"':
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Rough Electric:' Prior to Cover
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Final ElectriC: When a\1 electrical work is complete.
By signature, I state aud agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, aud I further certify that any and all work performed shall be done in accordance witb
the Ordinances of tbe City of Spriu'gfield,and the Laws of the State of Oregon pertaining to the work described berein, and
that NO OCCUPANS;X\.ill,be ni';,deof any stru'cture without permission of the Community Services Division, Building Safety.
I furthercertify,that only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
1 furtber agree to ensure that all required inspections are requested at the proper time, that each address'is readable from the
street, tbat tbe permit c~rd is located at the front of tbe property, and the approved set of plans will remain on the site at all
times during con'sf~~ktiori.. :. . . '. '.
Owuer or Contractors Siguature -~
Date
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Page 3 of3
r 225 Fifth Street' ,;-" .'
Springfield,OregoIf97477;'
541'-726-3759 Phone' ,
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City of Springfield Official Re'ceipt'
Development Services Department
Public Works Department
, RECEIPT#:
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2200900000000001233
Date: 10/29/2009
1:35:23PM
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Job/Journal Number~:: ~ I?e~crip~ion
COM2009-01489 , ;'Perm Serv/Fdr 200 amps or less
COM2009.0 1489 <i" ",Add, Alter, Extend Circ Ea Add
C0M2009-0 1489 '\:'-:";'+ 5% T,chriology Fee
COM2009-0 1489 + 12% State S~charge
Paid By
Item Total:
<':heck Number Authorization
Received By Batch Number Number How Received
Amount Due
162,00
6,00
8.40
20,16
$196,56
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
ONLINE PERMIT CHGS
KR
ONLINE ROBS Online
ELECTRIC
Payment Total:
$196,56
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$196.56
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10/29/2009