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Home My WebLink AboutPermit Electrical 2009-12-14 . SP~I.~G=L~O_t ~~.. ".", ~,;sr. N( :';...;.;;7 .~~ J<", ORfGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfieJd.or.u8 Commercial Electrical Authorization To Begin Work 69600-BEL-09-00285 Approval Code: 714122 12/14/2009 3,22 pm E.mailed To: kelly@builderse!ectric,com 1~~~~P.iYANIREVIEWJilW~~~'f;'>l11 1~~~";li\lWr~~::'~1i.>~P.'Eio,,~woRK~~~~&'ifh,I~~~; I D New Construction lRl Addition/alteration/replacement Ir~,\lf~il:~;~~~EC3Q"[yZQF.JC.Q.N.~JB:U:C.'i'~~~'tii 11Xl1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory IRl;,<'i!~'ilF~ojllJOBisiTE1TNi:ORMATi6N',;:NDrI!OCA'1:IONmf!;~i:~J2,.~ : I Job Address: 205 S 54TH ST CityfState/ZIP: SPRINGFIELD, OR 97478 Suite/bldgJaplno.:.31 Project Name: 09-6524 I C'o55Stree"d;..ct;ons to job site: I Tax mapfparcel no.: 1702330001200 1..".,,~'!F!!h''''''q'')!&'''''''''''~DEscRlj#i0N;oEWVORK('''''''''''\,-'''~'1il,1i,l'F''\-';-il ~::'~~Ell.t,;m~~_.m_. .._~_~__,.L_m"_'''' _ _"___'m.__.~mJj.;.c)~m'.~"l:~ re-wire 8 circuits I jTl'>i"(!;'W''''''1''(ii'1J?''''~.lI<i~'~4SifEiCONfAtl:''''f:.''''''m'<!~'''''IlI'''>:'''f~~ ",1l:^~,,,,\\1;_i~,,~~,,.c_ ,,,~, .",... ",_~~',..I_""-~~ <>. I Name: Kelly O'Brien I Phone: 541-485-0922 Fax: Email: ~""'li\:='~''''''j~<<~'~CON;rRACfoR!'''''~4WI;;'ii'''!l:''''''''''W!~'''''~'' P1~L~~~~~ ._~_._ ___,~,_-,-_._,~_.:F~____._~."t'!~__~~~~:.t:~~ Elec lie. no.: 20-12C CCB lie. no.: 4296 I Business Name: BUILDERS ELECTRIC INC I Conta~t: . I Address: 195 MADISON ST I City/StatelZIP: EUGENE, OR 97402 I Phone: 5414650~22 Fax: 5414854055 I Email: FRED@BUILDERSELECTRIC.COM ,.'..:;' , I' NU \Il.~. " I" 1 tlt wr::'.J,\ M,tm hc, no,: .. ~ IT ,dill!t'E ~1'\lk r _ ~ (' MnT I 1!:1l0 f ...:-UJ\ ' - TU\" ytr\t!tl, L ' SupervlslngEleCtriCian'~lli~',oernQI7~7UNOER n ~ r:n ~nR I "~ ' "" D '" LlKJ-\I,[,;Jt!-- Supervising Electrician's ~8m~MEN~'[~dl{R RQ_BBH1S" . , .":on"^Vl-'rr\IU[,, Number of Inspections Included mpaid servlces:- Residential Service: 4 Reconnect Only: 1 All Other Services; 2 Upon review and approval by your local Jurisdiction, your pennlt will be e.maUed or faxed within one business day, with Instructlons on how to scheduie your Inspection. NOTE: This Authorization To Begin WorX expll'\!lIi within 180 days If a permit is not obtained. The local buildIng department may determine that an Authorization To Begln Wor1l. Is null and void If It does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for aU other o Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities C,Q-J1'gl o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D Installation of a 150 twA or larger seperately derived sys O "A" "E" or "1-2" or "1-3" , , D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal 12;';"~"''';;~!'3'1"2''f$i'EE\SCHEDuiIw'''''''''''l!~~~'''''~1 m\h~"lt~l~~%:!<;Jf,,-~^".,,^~~_,,_,,___..^~.^._."..._~,fi}~~"'l!2.~~ I """,Iption J Oty, I fa, I, Total I E1i'@~n;cliC~it~~"'\!;~i,t~~~~~~iS1~1 Branch circuits without service or $55.00 $55.00 I feeder I Branch circuits each additional 7 $6.00 $42.00 I circuit without service Igie~rjQai~~e,-~~i~~f,!~~~~~~~~~~~'~'&1 I Subtotal $97.00 I I State surcharge (12% of permit $11.641 total} I Technology fee (5% of permit lotal) $4.85 I I TOTAL PERMIT FEE $113.49 I ~9- II'6l ~ 12115'O~ ATTENTION: Oregon law requires you to foll.ow "!l'es adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090., You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). ""~~\)~\. \y)Y 0\ \<); '\ L--Q~.O\ \V~~ ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status ' Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I787 ISSUED: 12/15/2009 APPLIED: 12/14/2009 EXPIRES: 06/15/2010 VALUE: SITE ADDRESS: 205 S 54TH ST SPACE 31 ASSESSOR'S PARCEL NO,: 1702330001200 Springtield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Re-wire 8 circuits for residence. Owner: LEWIS HORTENSE-M Address: 205 S 54TH ST #31 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION. 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: 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 DEVELOPMENT INFORMATION' ~ .. -:~_. --: ..:";~."~ . REQUIRED PARKING Front yard Setback: overl~~st: Total: Side 1 Setback: "'ill\~t)!llel 'i"es Rqd: ATTENTION: Oregollll8tllirGlllPIrlbs you to Side 2 Setback: C~: E)\P\I'\E \~ ~'\1ll) ~e Rqd: follow rules adoptecl:lltpf/J8:Gregon UtIlity Rearyard Setba~j[;\i\ t:R\\iI\"'i SI-\~\..\.. "'il-\\S pEI'\\-ii ~t Coverage: Notification Center. Thoserulesaresetfortll Solar Setbacks: "'il-\\S P<- " Ijl'mEI'\ "OO~E' In OAR 952-o01-0010through OAR 952-001. ..~\1r\?\lEu _~ Ie. J:>..BJI\" nnql1 Vntlm~Ri'lt"nri,,~ft'IR'I'lllQIw CO~\\iIH\C\~, '?E?-\OO, I PUBLIC IMPROVEMENTS I calling the center, (Note: the telephone , .", 'II\} 0,,1. number for the Oregon Utility Notificatloa Street Improvements:1 \ Side~ti[~Ill'~-80D-332-2344). Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation DescriDtion I Description Type of Construction $Pcr Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 01'2 -Wi:S~R..I"'G1~IE.!,t:!! t . r . , ~ . . "0 ... . CITY OF SPRINt.NI!.LD Building/Combination Permit PERMIT NO: COM2009-01787 ISSUED: 12/15/2009 APPLIED: 12/14/2009 EXPIRES: 06/15/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees PlIirl 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 $11.64 $4,85 $55,00 $42,00 12/15/09 12/15/09 12/15/09 12/15/09 220090000000000]383 2200900000000001383 2200900000000001383 2200900000000001383 Total Amount Paid $] 13.49 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, Relluired Insneetions . Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature. I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and] 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 strncture 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 nsed on this project. 1 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 l'a2e 2 01'2 225 Fifth Street Sprillgfield, Oregon 97477 541-726-3759 Phone ii4tii -..,-,--,.-..--.. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001383 Date: 12/15/2009 8:44:38AM Job/Journnl Number COM2009-0 1787 COM2009-0 1787 COM2009-0 1787 COM2009-0 1787 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + J 2% State Surcharge Paid By Item Total: <"':heck Number Authorization Received By Batch Number Number How Received Amount Due 55,00 42,00 4,85 11,64 $113.49 I>ayments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS KR ONLINE BUILDERS Online ELECTRIC Payment Total: $113.49 $113.49 cRcceintl Page I of I 12115/2009