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Home My WebLink AboutPermit Electrical 2010-1-19 (2) City Of Springfield 225 Fifth 5t Springfield,OR97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us G 10- 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 I~~~."ew c::,;:;o,~~~fA:tEQ0RY~Q-F1CQN~~;_~;;~e;';:;;;~~;:'''jf:d 00 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory Job Address: 246 W K ST City/StatefZIP: SPRINGFIELD, OR 97477 Suitefbldg.lapt.no.: ..,;.. Project Name: Emerald Propertymgml Cross StreeUdirections to job site: I Tax map/parcel no.: 1703274401400 1~41~~.:f,;;~n1l::;.~il!k~~~~~~9RI~JJQf.R(5.~1\N~BB~~~:?i~"~~~~~1i~~;t~~ Repair mast hub from storm damage , I Name: Sreve Fountain I Phone: 541-485-0922 I Ernail: Fax: Elee lie. no.: 2Q-12C CCB lie. no.: 4296 Business Name: BUILDERS ELECTRIC INC Contact: Address: 195 MADISON ST CitylStatelZIP: EUGENE, OR 97402 Phone: 5414850922 Fax: 5414854055 Email: FRED@BUJLDERSELECTRIC.COM I Metro lie. no.: City lic. no.: Supervising Electrician's lie. no.: 5275S Supervising Electrician's Name: 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 permit will be e-mailed or faxed within one busim:ss 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 department 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 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 or more o Six or more residential units in one structure D Health care facilities I Description Reconnect only I Subtotal I State surcharge (12% of permit total) I TeChnology fee (5% of permit total) I TOTA~ PERMIT FEE o Mazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor D Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1.3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal .~ $63.00 $7.56 $3.15 $73.71 ~ , \ 0'\" .~ ~~o _I\~~~.\\ \;~,.Q/ W\ro-\O ~t.tt<' ~ ~ 0007.3 /7 /Y1.-' Inspections Phone: 541-726-3769 This Authorization To Begin Work m:ust be posted at the job site.until replaced by a Permit Corn wi 0 /- /9-/u Status Finaled CITYOF SPRINGFIELD Building/Combination Permit PERMIT NO: C01\12010-00073 ISSUED: 01/19/2010 APPLIED: 01/19/2010 EXPIRES: 07/19/2010 VALUE: 225 Fifth Street, Springfield, 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 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Repair mast hub from storm damage Owner: MILLER V ALLEY L TD PTRSHP Address: 3330 HAYDEN BRIDGE RD . SPRINGFIELD OR 97477 I ~ONTRACTOR 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 Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: WaleI' 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 I REQUIRED PARKING Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard.5etback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I to , ",. Qres~:m law requires you Street Improvem~n.ts: . "TTENtIiQ~w'::!oo\eB'bY the Oregon Utility . ,... , follow rutes a op les are set forth Stor~ Se,,:erA,Y~:',I~~WSHALL EXPIRE IF THE WORK Notiflcat~"~ts;r~;J,uh OAR 952-001- SpecIal Ins\~~m'mZEO UNDER THIS PERMIT IS NOr In OAR 952-o~1-~gt~~n COPi~S of the rules by Notes: 'jivlMENCED OR IS ABANDONED FOR OO:ii:~~h~ ~nter. (Note:t~e ~e\~C=:n ,NY 180 DAY PERIOD. number for the Ore~o~ ;';~I't~A~\1 llienu:t1 1..:1 , :/:..e, -. I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft 01' multiplier Square Footage 01' Bid Amount Value Date Calculated " . - ~V' ..~.... Pa2e I of 2 SF.!RlINCiP.Il::tLP, -1 " ,," , Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee,Description + 12";', State Surcharge + 5% Technology Fee Service Reeon neet Amount Paid Date Paid $7.56 $3.15 $63.00 Total Amount Paid' $73.71 I Plan Reviews I 1/19/10 1/19/10 1/19/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00073 ISSUED: 01/19/2010 APPLIED: 01/1912010 EXPIRES: 07/]9120]0 VALUE: Receipt Number 2201000000000000045 2201000000000000045 2201000000000000045 To Request an inspection calI the 24 hour recording at 726-3769. AIl 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 folIowing work day. ;",,' ....... Reo,!ired Insr,e,~tions I Electric Service: Approval required prior to utility company euergizing 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 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 the work described herein, and that NO OCCUPANCY will be made of any structure without permission of tbe 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 dudng construction. . Owner or Contractors Signature :,., j Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00073 COM20 I 0-00073 COM20 i 0-00073 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: Description Service Reconnect + 12% State Surcharge +,5% Technology Fee Paid By ONLINE PERMIT CHGS ~p.j~Q~..: '..~."'..'."I~I...:_ fi. iii: - .. City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000045 Date: 01119/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE In Person Payment Total: ; ~;~ ',":. Page I of I 7:19:20AM Amount Due 63.00 7.56 3.15 $73.71 Amount Paid $73.71 $73.71 1/26/20 I 0