HomeMy WebLinkAboutPermit Electrical 2009-12-28
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield:or.us
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Commercial Electrical Authorization To Begin Work
69600-BEL-09-00306
Approval Code: 418273 12/28/2009 12:37 pm
E.mailed To: johnr@builderselectric.com
o New Construction (R] Addition/alteration/replacement
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o 1 or 2 family dwelling 0 Multi-family [E] Commercial D Accessory
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Job Address: 1939 LAURA 5T
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.:
I Project Name: Gee
I Cross StreeUdirections to job site,
Tax mapfparcel no.:
1703271002800
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lns,tall circuits for heat pump and rec .
Name: Russ Robbins
Phone: 541-485-0922
Fax:
Email:
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Elec lie. no.: 20-12C
cee lie. no.:
4296
Business Name: BUILDERS ELECTRIC INC
I Contact:
Address: 195 MADISON ST
CityfStatefZ1P: EUGENE, OR 97402
Phone: 5414850922
Fax: 5414854055
Email: FRED@BUILDERSELECTRIC.COM
Metro lie. no.:
City lie. no.:
I Supervising Electrician's lie. no.: 52755
I Supervising Electrician's Name: RUSSELL R ROBBINS
I 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 penn!t will be e-ffiailed or faxed
within one business day, with instructions on how to'schedule,yo.ur inspection.
NOTE: This Authorization To Begin Work e,,;pires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work Is null and
v?ld if it does not meet applicable land u~e laws and local ordinances.
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
D Emergency systems
o Additio~ of a new motor load
of 100HP or more
D Six or more residential units in
one structure
D Health,care facilities
I. Description
1 Branch circuits without service or
feeder
1 Branch circuits each additional
circuit Without service
D Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
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I Qty lEa,
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Total
$55.00
$55.00
$600
$6,00
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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$61,00 I
$7,321
$3,05 I
$71.37 I
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Inspections Phone: 541-726-3769
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: COM2009-01839
ISSUED: 12/28/2009
APPLIED: 12128/2009
EXPIRES: 06/28/2010
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, SITE ADDRESS: 1939 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271002800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install circnits for heatyump
Owner: ,GEE MARITAL TRUST
Address: 1937 LAURA
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/1012011
Phone
.541-485-0922
~UILDlNG INFORMA nON,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water TY\Je:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ff 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUlRED.PARKING
Front yard Setback:
Side I Setback:
Side Z Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
.Haudi<'apped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspout~!Drains:
ATTENTION: Oregon law requires you.t,o
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
. _. ~ ~,n nn. ,,,,, n thrn"nh OAR 952-001-
,_ _ , I "_'n ,Qq~Q~ ",,'u'may obtain copies ofthe rules DY
t.u i leE: ~3tion DescrIu__the center. (Note: the tele~ho~e
-:-HIS PERMIT SHALL EXPIRE IF THE we, ':': ' . number for the Oregon Utility Notification
D """",'0 '"'-lED "T'I[)~8f"~IIC: ,DFRt~i~IT IS l\i()P.er Sq Ft SquarerootaJI"r Is 1.s00~~?-2344). D C I d
escnp IOn L vype 0 \!..ons rue on . . . ",emo V!lTue ate aleu ate
;;OMMENCED OR IS ABANDONED FOR or mnltlplIer or B,d Amount
"iN 180 DAY PERIOD.
Notes:
';'
, Paee I on
.~,-,>'.~'
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01839
ISSUED: 12/28/2009
APPLIED: 12/28/2009
EXPIRES: 06/28/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ Plid 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
1 ' _!....~1
12/28/09
12/28/09
12/28/09
12128/09
2200900000000001433
2200900000000001433
2200900000000001433
2200900000000001433
',:,
Total Amount Paid
$71.37
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 Reouired Insnections I
Rough Electric: p'rior 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 Ordiuances 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
streel, 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
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1839
COM2009-0 1839
COM2009-0 1839
COM2009-0 1839
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
2200900000000001433
Date: 12/28/2009
Description
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Add, Alter, Extend Circ
Paid By
ONLINE PERMIT CHGS
Hem Total;
Check Number Authorization
Received By Batch Number Number How Received
njrn
ONLINE
builders In Person
Payment Total:
'a;Y ,.::j I-j"
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Page I of I
3: 19:56PM
Amount Due
6,00
3,05
7,32
55.00
$71.37
Amount Paid
$71.3 7
$71.37
12/28/2009