HomeMy WebLinkAboutPermit Electrical 2010-2-5
City Of Springfield
"
225 Fifth ,SI
Springfield, OR 97477
Phone: 54'1-726-3753
Email: permitcenter@ci.springfield.or.us
(:,IO'15L
Residential Electrical Authorization To Begin Work
69600-BEL-10-00059
Approval Code: 015062 2/5/2010 8:26 am
E-mailedTo:johnr@builderselectric.com
o New'Construction 1Rl" Addition/alteration/replacement
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[K] 1 or 2 family dwelling' 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 1406 34TH 5T
City/State/ZIP: SPRINGF:IELD, OR 97478
Suitelbldg.lapt.no.:
Project Name: Emerald Property mgmt
Cross Street/directions to Job site:
Tax map/parcel no.:
1702303407000
Change out 200 amp panel for new
Name: Russ Robbins
Phone: 541-485-0922
Fax:
Email:
I'.
,
Elec tic. no.: 20-12C
4296
; .;t;~.
CCB'lic. no.:
Business Name: BUILDERS ELECTRIC INC
Contact:
Address: 195 MADISONST
CityfState/ZIP: EUGENE, OR 97402
Phone: 5414850922
Fax: 5414854055
Email: FRED@BUILDERSELECTRIC.COM
Metro lie. no.:
I Supervising Electrician's lie. no.:
I Supervising Electrician's Name:
City lie. no.:
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 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.
j ..~.;
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10.000 Amps at150 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
o Health care facilities
D Hazardous locations
o A service or feeder rated at
600 amps Of mOfe
D Buildings more than three star
o Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
D "A" "E" or "1-2" or "1-3"
, ,
o Recr~ational'Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
I Description
I Services 200 amps or less
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
~~-[)
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~l(f.
&
C(YYl t.O /0
/)/Yl
$81.00
$9,72
$4.05
$94.77
~
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n.t; ,0
v \1'&'
00/ S ~
O'dCJ/S'/~~
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 Permi.t
PERMIT NO: COM20IO-00152
ISSUED: 02/05/2010
APPLIED: 02/0512010
EXPIRES: 08/05/2010
VALUE:
Status
Issued
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1406 34TH ST
ASSESSOR'S PARCEL NO.: 1702303407000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Change ont 200 amp panel
Owner: MILLER V ALLEY L TD PTRSHP
Address: 3330 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
1 CONTRACTOR INFORMATION ,
Contractor Type
Electrical
Contractor
BUILDERS ELECTRIC INC
License
4296
Expiration Date
12110/2011
Phone
541-485-0922
-' ".
BUILDING INFORMATION'
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction 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 FI'Other:
Occupant Load:
n/a
I DlC v J<.LvPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:,. -' , Sidewalk Type: Ires you to
" , . nr lll,on law rellU . .
Storm Sewer Available: . .". , . A'TTENTlOtD<lW~'lli~l?i'illil!K.egon Utility
Speciallnstruction: , . folloW rules adop ThOse rules are set forth
. NOTICE: Notiticationcenter. o through OAR 952-001-
Notes: CHIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0g: 'n copies of the rules by
d \T~(jRI7m liNGER THIS PERMIT IS NOT 0090. you m~~~,}1 (Note: the telep'ho~~_
;OMMENCED ORllS ABANDONw-t't::< . . . ~jb~/i~~ the Oregon Ull\lW~~4'''1~_L
\i\IY 180 DAY PERIOD. I. ValuatIOn DescrlOtJ(flIl., Center is 1_BOO,332-2 ).
Description
Type of Construction
$ Per Sq Ft
or multiplier
Squa,re Footage
,or Bid Amount
Value
Date Calculated
..>:'..
Page 1 of 2
Status
Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Li~e
Fee Description
+ 12% State Snrcharge
+ 5% ,Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
$9.72
$4.05
$81.00
Total Amount Paid
$94.77
;..:
Total Value of Project
Fees Paitll
Date Paid
215110
2I511~
215110
Plan Reviews I
CITY:' 01' ~rIuNGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00152
ISSUED: 02/05/2010
APPLIED: 02/05/2010
EXPIRES: 08/05/2010
VALUE:
Receipt Number
2201000000000000105
2201000000000000105
2201000000000000105
To Request an inspection call the 24 hour rec~rding at 726-3769. All inspections requ~sted before 7:00
a.m. will be made the same working day, inspection~ requested after 7:00 a.m. will.be made the following
work day. .
Reouired Insnectinns I :
, ,
Electric Service: Approval reqnired 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 Springtield 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 permissiun of the Commnnity Services Division, Building Safety.
I fnrther 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. I
Owner or Contractors Signature
:'_0'"
.'!'
Paee 2 of2
, Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00 I 52
C0l'020 I 0-00152
COM20 I 0-00 152
Payments:
Type of Payment
ONLINE CHOS
cReceintl
RECEIPT #:
~~.~q~;:", ~,".."'.". '."
~".i
...,.c..
. ~ --.... " ..
City of Springfield Official Receipt
Development Services Department
Pu~lic Works Department
2201000000000000105
Date: 0210512010
Description
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHOS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE
builder's Online
elect
Payme~t Total:
. ',;;~D. '<'- 1';
, ~
Page I of I
9:08:04AM
Amount Due
81.00
9,72
4.05
$94.77
Amount Paid
$94.77
$94.77
2/5/2010