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Home My WebLink AboutPermit Electrical 2010-1-15 City Of Springfield 2_25 Fffth 51 Springfield, OR 97477 Phone: 541.726-3753 Email: permitcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00026 ApprovalCode:115162 1/15/2010 9:26am E-mailedTo:kelly@builderselectric.com G 10. (pO IRJ Addition/alteration/replacement :~1 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 Volls or less to ground exceeds 14,000 Amps for all other 1001 or 2 family dwelling D Mulli.family 0 Commercial 0 Accessory 1~~"'::S':::"'"f';;JOB;5fTE'I"fFORMATjON<t.;NDi~OCA"lbN:,."i,';;j~~ Job Address: 2161 LAURA 5T City/State/ZIP: SPRINGFIELD, OR 97477 I S~itefbldg.lapt.no,: I Project Name: Hershel Todd I C'o" St..e"di..etions to job site: I Tax map/parcet no.: 1703271101300 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 o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings mpre than three stor D 'Marinas and boat yards o Floating buildings o Commercial.use agricultural buildings o Installation of a 150 l0/A or larger seperately derived sys D "A" "E" or "1-2" or "1-3" , , D Recreational Vehicle Parks o S~PPIY voltage for more than 600 supplyvolls nominal I Description IE~::~:~~:;~;;~:,~n~~S'T~;~:'~jF}~'~~~~'~;';~:~ I Subtotal $63.00 I 1 State surcharge (12% of permit $7.561 totall I Technology fee (5% of permit total) $3.15 I I TOTAL PERMIT FEE $73,71 I replace main breaker reconnect service Name: Kellv O'Brien I Phone: 541.485.0922 Fax: Email: CCB lie, no,: 4296 t\D~ LoD kJL" )1/5/1 D I Elec lie, no,: 20-12C I Business Name: ~UILDERS ELECTRIC;; INC I Contact: I Address: 195 MADISON ST I CltylStatelZIP, ~ffi~ 97402 I Phone 541485mSPE-RMIT SHALL ~R~~f;5['HE ,!,,~RK I Om.il, FR<D@!\lij.pOO~dJNDER THIS PI:K1V1I1 10:1 !'i0T I Met,o lie, no,: CONlNlENL;l:U UIi I:> '<\/iVi\!~M,9ItE~ rV? M.~Y n ~.wt'~;1KlD. I Supervising Eleclflclan s'Jic, no,: ' 5275S I Supervising Electrician's Name: RUSSELL R ROBBINS ATTENT10N: Oregon law...... JIIU" follow rules adopted ~ the Oregon UlII., Notification Center. TIlose ruIelIlV8181 fodII In OAR 952-OO1-OO101hrough OAR 85N01. 0090. You may obt8In copIee of 1M ruIeIbr calling the center. (Note: lhelelephont IIUmber for the Oregon UtiIIly NvllAr~_ Center 18 1~ 11IP....). Number of inspections included'in paid services: Residential Service: 4 Reconnect Only 1 All Other Services: 2 Upon review and approval by your local Jurisdiction, yourpennlt will be e-malled or faxed within one business day, with Instructions on howto schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 dayS If a pennlt Is not obtained, The tocat building department may determine that an Authorization To Begin Work Is null and vord if it does nol meet applh:;able land U50 laws and local ordinances, ~~~ \ c&.~ ~~ Inspecti'!.". Phone: 541-726-3769 This Authorization To B~gin Work ~~st be posted at the job site until replaced by a Permit _$~~I,"!~F:'~_9, it ..,:' Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00060 ISSUED: 01/15/2010 APPLIED: 01/15/2010 EXPIRES: 07/15/2010 VALUE: 225 Fifth Street, Springfield, .oR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2]6] LAURA ST ASSESSQR'S PARCEL NQ.: 1703271101300 SPRINGFIETYPE .oF WQRK: Electrical Work .only TYPE .oF USE: New PRQJECT DESCRIPTIQN: Replace main breaker reconnect service in residence. Residential .owner: TQDD LEQNA A & HURSHELL D Address: 2161 LAURA SPRINGFIELD .oR 97477 I CONTRACTQR INFQRMA TIQN I Contractor Type Electrical Contractor BUILDERS ELECTRIC ]NC License 4296 Expiration Date ]2/10/2011 Phone 54] -485-0922 BUILDING INFQRMA TIQN I # of Units: Primary .occupancy Group: Secondary .occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: # 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 Ganlge/Carport Sq Ft .other: .occupant Load: nla REQUIRED PARKING Frontyard Setback: .overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setb'I{h:,TICE" Paved Drive Rqd: ATTENTION: OregordalllJf~lres you to Rearyard SJI\hI~II:" LL EXPIRE IF THE\\rtf,*t Coverage: follow rules adopted by the Oregon Utility Solar SetbaJM!S PERMIT SHA ,',' Notification Center. Those rules are set forth ^IJTul:l2l.71:n mlnl=R THI~ PI=RMIT IS NOT , IR 'JA'" """J\n1_M1n tnrnl/nh OAR 95?-OOl. COMMENCED OR IS ABANDOJ'IlUB~IMPRQVEMENTS l1OO9O. You may obtain copies of the rules by ERIOD'" '. 1- -ci8JJJ"9 the center. (Note: the telephone Street ImpnMJ~Jml DAY P . " nun'lillIM~tflO'egon Utility Notification Storm Sewer Available:, Do"Q~ft{.-iRJ'~.2344). Special Instruction: I DEVELQPMENT INFQRMATIQN I Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00060 ISSUED: 01/1512010 APPLIED: 01/15/2010 EXPIRES: 07/1512010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Paid J Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid $7.56 $3.15 $63.00 1/15/10 1/15/10 1/15/10 Receipt Number 1201000000000000048 1201000000000000048 1201000000000000048 Total Amount Paid $73.71 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 Reollired Insnectiol1s 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 trne and correct, and [.fnrther certify that any and all work performed shall be done in accordance with the Ordinances of tbe 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 timeS during construction, .' !~~ ',' '\ ,.t:: ,,' ;, ',.' , Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00060 COM20 1 0-00060 COM20 I 0-00060 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS S.;i:,'~.~ ."'-', if,' .-' -~,' City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000048 9:40:15AM Date: 01115/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63,00 7,56 3,15 $73.71 Amount Paid KR ONLINE $73,71 Builder's Online Electric Payment Total: $73,71 i;l i .. 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