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Home My WebLink AboutPermit Electrical 2010-1-19 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726~3753 Email: permitcenler@ci.springfield.or.us Clb'1~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00030 Approval Code: 519155 1/19/2010 1:55 pm E-mailedTo:johnr@builderselectric.com o New Construction [R] Addition/allerationlreplacemenl 1""X4;".l",'1?J'''''''4;jl1li.\7C'A''''''E-G'-0''R-v'0;-~rC'O' 'N"S"T"R'U'-C'T'I'O' N' -;",.-t?;"':"~:~'{',~'iiitl E~:::;;'~.L-J ,;. ,.0<.'%,,;,>v::_. ,:1:.. _ _ ,',1",,- !l;)_,.._.....';_~ ,_ . m '.' _ _"".~jd..2i; "F~P._;,.~'tb'~.')_L.:l [Z] 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory r\7t '~$~~:er,,":::JOB;sl11EfiNF;ORMA1110NiANO;IiO:CAT"ION~t~,fr.,\j1i!r~~ I Job Address: 246 W K ST I CityfState/ZIP: SPRINGFIELD,OR 97477 I Suite/bldg.lapt.no.: I Project Name: Emer.ald Property mgml Cross Street/directions to job site: Tax map/parcel no,: 1703274401400 Repair mast hub from storm damage If?',', I Name: Sreve Fountain I Phone: 541-485-0922' I Email: Fax: Elec lie, no,: 20.12C CCB lie, no,: 4296 Business Name: BUILDERS 'ELECTRIC INC Contact: Address: 195 MADISON ST City/State/ZIP: EUGENE, OR 97402 Phone: 5414850922 Fax: 5414854055 Einail:FRED@BUILDERSELECTRIC.COM Metro lie, no.: I Supervising Electrician's lie, no.; I Supervising Electrician's Name: City lie. no,: 52755 RUSSELL R ROBBINS Number of inspections.ineluded in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e.mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin WorK expires within 180 days if a permit Is not obtained, The local building departmenl may determine that an Authorization 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 faull current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other D Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more D S'IX or more residential units in one structure D H~alth care facilities I Description I Reconnect only I Subtotal I State surcharge (12% of permit totall I Technology fee (5% of permit total) I TOTAL PERMITFEE '-;"'f o 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 D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1.2" o'r "1.3" o ~ecreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal -,'J $6300 I '~~_~il $63,00 I $7,561 $3151 $73.71 I ~1: ~ \.f); ~ \S)~~ \~ ~~ (!pm 2.0/0 - ()O072 / __ 19 _ /0 , /?/YL-- Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20IO-00073 ISSUED: 01/19/2010 APPLIED: 01/19/2010 EXPIRES: 07/19/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 246 W K ST ASSESSOR'S PARCEL NO.: 1703274401400 Springtield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Repair mast hub from storm damage Owner: MILLER VALLEY LTD PTRSHP Address: 3330 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2011 Phone 541-485-0922 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat, Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: j n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: . ...~, ' ...,. Total: Handicapped: Compact: I Sidewalk Type: I Downspouts/Drains: I ATTENTION: ~reici ~~~hr:6~~~~~0~i~i~Y follow rules a op e I s are set forth Notification Center. Those rUh80AR 952-001- '. ~''i? "r::?_M1-QC\10 throug . 't.. NOTIt.:t: '. uni{ 0090. YoumayobtaincopUil~U"""'~~--e'" THIS PERMIT SHALL EXPIRE 1~~Yi'.afi$n Descriotion I calling the center. (Note:.t~e ::I:~~~"", ~UTHORIZEO UNDER THIS PE ",rntl. ' 'numberforthe.orego~~~it~\ I . .' "",..e ^"l~MnONEIlI ret'Sq Ft ,Sqnare Footage Center J111-80...-- l" DescnptlOnlMME~[lHUrUt>8tl'lltllO'It' It' I' B'd A Vafue Date Calculated 'J PERIOD or mu Ip ler or I, mount '" 180 DAY . ' I PUBLIC ~MPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstrnction: No'tes: ~,..,"-'" ,-' ,. , Page 1 of 2 .;"' I CITY OF SPRINGFIELD Building/Combination Permit Status Issued , PERMIT NO: COM2010-00073 ISSUED: 01/19/2010 ! APPLIED: 01/19/2010 EXPIRES: 07/1912010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line Total Valne of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid $7.56 $3.15 $63.00 1/19/10 1(19/10 1/19/10 Receipt Number 2201000000000000045 2201000000000000045 2201000000000000045 Total Amount Paid $73.71 Plan Reviews , 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 Reolliredlnsnections I Electric Service: Approval required prior to utility company energizing service. 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 tbe 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 setof plans will remain on the site at all times during construction, ,___..., "t ~ ..' " 1';1 I Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 \ 0-00073 COM20 I 0-00073 COM20 I 0-00073 Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000045 Date: 01/19/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE In Person Payment Total: t:;Ui ,;':~' ..c,~ , .,l j',' Page 1 of I 2:30:29PM Amount Due 63,00 7,56 3,15 $73,71 Amount Paid ,$73,7\ $73,71 , ... 1119/2010