HomeMy WebLinkAboutPermit Electrical 2009-12-3
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenter@cLspringfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00266
Approval Code: 713070, 12/3/2009 3:07 pm
E-mailedTo:johnr@builderselectric.com
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I 0 New Construction IX) Additionlalterationlreplacemenl
1[<"', "'\ CATEGORy'pF cqNSTRLiCTi6N,~.ti"
I [K] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
IL. " ".." 'JoB:imE INFORMATI()N"ANDLOCATioN '".'.,
I Job Address: 589 GRANITE PL
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.:
Project Name: Westover
Cross StreetldJrections to jOb site:
I Tax map/parcel no.:
1i":I"';-,
1703341214300
':f1'DES,C:Rlp)'IONiOF,.,W()~K;~i"~B,4:"
1. "it?\~ ~-;:~
Add 4 new circuits for Christmas lights
"i!&~~'~ifi~$ITE~C;(j~"t Ac;:,v;::., /if:~~_~/ ~~.:'~~i.''f'~"1'.'
Name: Jeff Brown
Phone: 541-485-0922
Fax:
1:~a;I'.), ,~. ''';1;~?r:,;~ONJRACTOR'''t, ':'J~";~i\l~lf}'...t<.~..,,,:,,),;:-;j
I Eloc lie. no.: 20-12C eea lie. no.: 4296
I Business Name: BUILDERS ELECTRIC lNC
I Contact:
I Add,,,,, 'Y~f~T ' '
I C;lyls..telZ~J~~~l'I""51-1All EXPIRE IF TH_E ~~~~
I Phone' 5414N29J2MORIZED UNDER THI~.r,!o~~!\' ~F1 I
I ,~,""rw't:n ""d" I-Itllm[,u.~...3 r_
EmaJl; FRED@8U'lDERS~o:rRle:~C M'
- .. . -r- E-, ,',~v::J.
I y ! ':-:v UMI
Metro lie. no.: City lie. no.:
I Supervising Electrician's lie, no.: 52758
I Supervising Electrician's Name: RUSSELL R ROBBINS
Number of inspections included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon revIew and approval by your local Jurisdiction, your pennlt will be e-malled or failed
within one business day, with Instructions on how to schedule your inspection.
NOTE: This Authorization To Beg[n Work ellplres within 180 days If II pennitls not obtained.
The tocal buildIng department may detennlne that an Authorization To Begin Work i, null and
void If It does nol meet applicable land use laws and local ordinances.
I',' (_":#~~,,,,-}.s~ "-,':r,,;;;';'.tf:fZiFf.t~~~':P'~A' N- J'R""EVI-EW'
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Please check all that apply: D Hazardous locations
D A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds D Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14.000 Amps for aU other 0 Floating buildings
D Commercial-use agricultural
buildings
D lnslallationofa150!0!Aor
larger seperately derived sys
D "A", "E". or "]-2" or "1.3"
D Recreational Vehicle Parks
D Supply vollage for more than
600 supply volts nominal
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
I Description
I~fa.ri~h"~~i,-cult_s; s-~~. -"~E-. ~ -#
I Branch circuits without service or
feeder
I Branch circuits each additional
circUit without service
1!=:lectricaLP9~ITlit'f~_e$,G:.tJs." -.
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit lotal)
1 TOTAL PERMIT FEE
C9- llLC1
c.q ./1 VI
".,;"'",
,
S~CHE'DOi:~ ffo<\
IQtyIEa,j
i<....:;:,::.._.. . .~~'~_~~--
.r,..
Total
"(i.'''''
$55,00
$55.00
3
$6.00
$18.00
.'t'-,<
-,_ '1
",,:,;,,-- "
$73.00
$8.76
$3.65
$85.41
~
12-\8::)D9
I(TTENTION: 0.6gCfl taw requ\nII YOU.-
follow ruleS adopted by the Oregon Uti:L
Notillcatlon Center. Those ruIeI~ ~__
In OAR 952~1-4lO10through 0...._...
0090. You may obtain copies of the ndellIr
calling the aenter. (Nole: th8181ePhone
flUIIIber lor the Oregon UtIlity Notift(,l'"')11
Center" , IlllO w't2:m).
~'
\S)";'-d^-
\f(r~<r
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V
Inspections Phone: 541-726-3769
This Authorization To Begin Work,must be posted at the jOb site until replaced ~y a Permit
~ ~?J ~~
'Vi'" \fG.,\O'
Status
Issued,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01729
ISSUED: 12/04/2009
APPLIED: 12/03/2009
EXPIRES: 06/0412010
VALUE:
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541,726-3769 Inspection Line
SITE ADDRESS: 589 GRANITE PL
ASSESSOR'S PARCEL NO.: 1703341214300
Springfield TYPE OF WORK: EIectrica,1 Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: add 4 new circuits for christmas lights at residence.
Residential
Owner: EDMONDSON ALEXANDRA C
Address: 589 GRANITE PL
SPRINGFIELD OR 97477
I CONTRACTOR INFO~MATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/1012011
Phone
541-485-0922
BUlL.D1NG INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupilllcy Group:
Primary Construction Type
'Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
~;:en?;;~h~;t~h~~'CE~ ,"~'~;~~~1f::~~ Rqd: ATTENTION: Oregon 1a~/lItj\lllJl.~
Side 2 Setbac' S PERMIT SHAll EXPIR RtJI ~lblive Rqd: foll,o,W r~le8 adopted by ttJe~~ Utility
Rearyard Set l.I~HORlZEO UNDER THIS PE..E$ Lo! Coverage: Notification Center. Those rulesaresetforth
Solar Setback~U NeED 0\\ IS p..BA\IIOO" ' ". In OAR 952-Q01.Q010through OAR 952-001.
,r'nMME _ L . nnon , Vnll mAY nhtAln nnnie9 of the RIles bv
ANY 180 DAY t'J:l"IIV' I PUBLIC IMPROVEMENT~ling the center. (Note: the telephone
, .lmbei' for the Oregon Utility NotIfIoaIIon
l!)SRmrIlli\1l800 332-2344).
I DEVELOP.MENT INFO~MA:ION I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
. ,"t'.......;w..~~.;,:~
Notes:
. ....,., "~to
I Valuation Descriptio~ ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
,'ih,
Page I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01729
ISSUED: 12/04/2009
APPLIED: 12/03/2009
EXPIRES: 06/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541'726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~es P,aid I
Fee DcscrhJtion
+ 120/', State Surcharge
+ 5'1'0 Technology Fee
Add. Alter, Extend Circ
Add. Alter, Extend Circ Ea Add
Amount Paid",
$8.76
$3,65
$55.00
$18.00
Date Paid
Receipt Number
12/4/09
12/4/09
12/4/09
12/4/09
1200900000000001301
1200900000000001301
1200900000000001301
1200900000000001301
Total Amount Paid
$85.41
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 Reouir,ed Insoeetions I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is com~lete.
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.
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 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
rimes during construction.
Owner or Contractors Signature
Date
Pa2e 2 01'2
225 Fifth Strect
Springficld, Orcgon 97477
, ,
541,-726-3759 Phone,
City of Spr,ingfield Official Reccipt
Dcvclopmcnt Scrviccs Departmcnt
,Public Works Dcpartmcnt
RECEIPT #:
1200900000000001301
Datc: 12/04/2009
8:31:44AM
Job/Journal Number
COM2009-0 1729
COM2009-0 1729
COM2009-0 1729
COM2009-0 1729
Description
Add, Alter, Extend Circ
Add. Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment ,Paid By
Item Total:
Check Number Authorization
Received By Batch Nu'mber Number How'Received
Amount Due
55,00
18,00
3,65
8,76
$85,41
Amount Paid
ONLINE CHGS
ONLINE PERMIT CHGS
KR
ONLINE BUILDERS Online
ELECTRIC
Payment Total:
$85.41
$85.41
cReceintl
Page 1 of 1
12/4/2009