HomeMy WebLinkAboutPermit Electrical 2009-12-30
SPRINGfiELD
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City Of Springfield
225 Fifth 8t
Springfield, OR 97477
Phone: 541.726~3753
Email: permitcenter@cLspringfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00312
Approval Code: 719221 12/29/2009 3:13 pm
E-mailedTo:johnr@builderselect~ic.com
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I Branch circuits without service or j I $55.00 I $55.00
feeder
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I Balance of permit fees I I J $3.00-
11;i~~!11C:..Ij"ii[mlt'E,..~f~"*.'i!5!til,~y,'.'~d~~~~Jj
I Subtotal $58.00 I
I State surcharge (12% of permit $6.961
total) ,
'1 Technology fee (5% of permit total) $2,90 I
I TOTAL PERMIT FEE I I $67,86 I
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I D New Construction [K] Addition/alteration/replacement
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1001 or 2 family dwelling 0 Multi~famjly D Commercial 0 Access~ry
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I Job Address: 1266 1ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.lapt.no.:
I Project Name: Zimmerman
I C<oss S",,"d;,.ctlons to job sl'"
I Tax map/parcel no.: 1703351101200
Install 2 new ground rods and ground wire.
I Name: Sreve Fountain
I Phone: 541-485-0922
I Email:
Fax:
Elec lic. no.: 20.12C
cee lie. no.:
4296
Business Name: BUILDERS ELECTRIC INC
I Contact NOTICE:
I Addr,s", 195 MfldlSDrPffiMIT SHAll EXPIRE IF THE WUHK
I . ,LIlli H' IKI/HI UI~Utti I MIS r-tr\lviii i3 IJC7
City/State/ZIP: EUGENE;'QR"'?7'402
nno 'I'~"^~'" 0'" I^ ~n "j"""'"" F"P
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Phone: 5414850~%2,1 tAn nf1V DI=Rlnrfax: 5414854055
I Email: FRED@BUILDERSELECTRIC.COM
Metro lie, no.:
City lic. no.:
Supervising Electrician's lic. no.:
I Supervising Electrician's Name:
5275S
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 permJt will be" e.malled or faxt!d
within one bllslnt!ss day, with Instll.lctlons on howtosched.ult!yollr Inspection.
NOTE: lllls Allthorizalion To Bt!ginWork expires within 180 days If a permit Is not obtained.
The local buildIng department may cletermlne that an AllthOrlzallon To Begin Work 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 at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP' 9r more
O ,',
Six or mci~ residential units in
one structure
o Health care facilities
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cq . I ~It
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 buiidings
o Commercial-use agricultural
buildings
o Installationofa 150 KVAor
larger seperately derived sys
DnA" "En or "1-2" or "1.3"
, '
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
r;~- _
ATTENT10N: Oregon law requlres you to
fonow rules adopted by the Oregon Ubl!lJ
Notification Center. Those rules are setfoltlll
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules br
calling the center. (Note: the telephone
number for the Oregon Utility NotificatiOn
Center Is 1-800-332-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job sjte until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01S46
ISSUED: 12/30/2009
APPLIED: 12/30/2009
EXPIRES: 06/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1266 I ST
ASSESSOR'S PARCEL NO.: 1703351101200
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install 2 new ground rods and ground wire for resideuce.
Residential
Owner: JENNIFER C DEFAZIO REVOCABLE TRUST
Address: 6518 DEVINE ST
MCLEAN VA 22101
, I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12/10/20 II
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 Ty'pe:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq FI Other:
Occupant Load:
n/a
I DEVELOPMENT INFOR1\oJA TION, ,
REQUIRED PARKING
,
Street Improvements:
Froutyard Setbaek'CE' ,.Overlay Dist: Total:
Side I Setbac~:U II . H.!IWlirees Rqd: ATTENTI H;dic~i?:
Side 2 SelbacI~IS PERMIT SHALL EXPIRE IF T 'P,~v ive Rqd- fol ' ON:'Oregjij ilhar es you to
Rearyard Set~~~1J:IORIZED UNDER THIS PERMITo/,Po t Covera~e: Not,.ofjWcat"!-'IeSC8dtOpteTh" 8 regon Utility
IGDMMENCED OR IS ABANDONED FOR I Ion en er.. oserulesaresetforth
Solar Setbac . :", ""1.1' _ '\"_~_I()"I. In OAR 952-<lOf-OOfOthrough OAR 952-<l01-
'''~. 'VV ...;';-.1 r ..... u...... . ~:.::.. ..:"'''''1110.)' UIJ'CUIIl.;UfJltI~ t;n me rUles Df
I PUBLIC IMPROVEMENTS I calling the center. ,(Note: the telephone
numklltfm t/lA,gregon Utility Notification
. - C'ente( Iii 1-80ll-332-2344). '
DO\\'nspo u tslD rains:
I '."
Storm Scwer Available:
Special Instruction:
Notes:
I Valuation Des,criotion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage '
or Bid Amount
Value
Date Calculated
Paee 1 of 2
.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01S46
ISSUED: 12/30/2009
APPLIED: 12/30/2009
EXPIRES: 06/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees.Pair! I
Fee Description
+ 12% State Surcharge
,+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
$6.96
$2_90
$58.00
12/30/09
12/30/09
12/30/09
Receipt Number
2200900000000001444
2200900000000001444
2200900000000001444
Total Amount Paid
$67.86
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.
~,~olJirer!lns,)ections .
Rough Electric: Prior to Cover,,;.,,"' '.":,
Final Electric: When all electrical work is co~~let~': " '
By signature, I state and agree. that I have carefully examined the completed application and do hereby certify thai all
information hereon is true and correct, and 1 further certify that any and all work performed shall he 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
times during construction.
Owner or C.ontractors Signature
Date
," ;':
,
Page 2 of2
225, Fifth Street
Springfield, Oregon 97477
,I .
541-726-3759 Phone
Job/Journal Number
COM2009-0 1846
COM2009-0 1846
COM2009-0 1846
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
Desc~iption
Add, Aller, Extend Circ
+ 5% Technology Fee
+ 12% Stale Surcharge
Paid By
ONLINE PERMITCHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001444
Date: 12/30/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE BUILDERS Online
ELECTRIC
Payment Total:
".,....;i.
,,,",.
"..,
Page 1 of I
1:41:26PM
Amount Due
58.00
2,90
6,96
$67.86
Amount Paid
$67.86
$67.86
. 12/30/2009