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Home My WebLink AboutPermit Electrical 2010-2-16 SPRINGFIELD ' ."'h,""'" ~'~~r:0( ,i11; . """OREGON City Of Springfield 225 Fift~ 51 Springfield, OR 97477 Phone: 541.726-3753 Email: permitcenter@Ci.springfield.or.us , I' Residential Electrical Authorization To Begin Work Ii 69600-BEL-10-00074 I Approval Code: 615153 2/15/2010 2:35 pm Ii E-maile~.To:joh.nr@builderselectric.com "I' ATTENTION: OregoA law requires you to foll.ow '!oIIes adoptedl:by the Oregon Utility Notification Center. TIlose rules are set forth In OAR 952-001-001 0 through OAR 952.()O1. 0090. You may obtalni:copies of the rules by calling the center. (Note: the telephone number for the Orega,n Utility Notification Center i8 1-80p-332-2344). I IRl Addition/alteration/replacement Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps lll150 Volts or less to ground exceeds 14,000 Amps for all other I [g) 1 or 2 family dwelling 0 ,Multi-family 0 Commercial 0 Accessory IC{,:~,:,t,X';:';JOB'sifE'INF6RniI~TION1:A:N-fi'IL:OCATION c 'j'If"71 I Job Address: 677 52ND 8T I City/State/ZIP: SPRINGFIELD, OR 97478 I Suitelbldg./apt.no.: I Project Name: Jennings & Co I Cross StreeUdlre,Uons to job sIte: D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one slru,clute D Health care facilities Tax map/parcel no.: '1702332400128 I Description- Inslall new 100 amp panel Ir;;' l1',j ,~ I Name: Jeff Brown I Phone: 541-485-0922 I Email: I Services 200 amps or less IE~::~::laU~er.riiifF.ees/~~ -, ~'~) I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Fax: Elee lie. no.: 20-12C 4296 CID-61 I eea lie. no.: Business Name: BUILDERS ELECTRIC INC I Contact: Address; 195 MADISON ST C;tyJStaleIZIP: rt!k~tld;:97402 """'''''.''.,,,,'-.. I phon'541485do9j5 rcnMli~nki.i.~l~l1~~i!:~~K lIg:j:HORI:!E: ImOCn T I Em.n.. FREO~hjj':mn'R"l~ ARANnn~lI:n mR I Metro ,;" no,: ANY 180 DAY PERIOQ:.'ty II" no,: I Supervising Electrician's lie, no.: I Supervising Electrician's Name: Number of inspections included In paid services: Residential Service; 4 Reconnect Only: 1 All Other Services: 2 52755 RUSSELL R ROBBINS 'v<V~ '" .'fl.\'J O~~ \\-IJ' Upon review an'd approval by your local Jurisdiction, your permit will be e-malled or faKed wilhin one business day, with inslructionson howto schedule your inspection. NO"TE: "This Autt\orintlol\ To Beyin Work e~p\res within 1&0 days", a permit Is not obtaIned. The local building departmenl may determine that an Authorization To Begin Work is null ana void if it does not meet applicable land use laws and local ordinances, 1'0 Hazardous locations :!O A service or feeder rated at 600 amps or more o Buildings more than three stor 10 Maiinas and boat yards :.0 Floating buildings o Commercial-use agricultural buildings o InslaHation of a 150 KVA or larger seperately derived sys o "A" HE" or "1-2" or "1-3" 1'0 Recreational Vehicle'Parks 10 Supply voltage for more than J~ 600 supply volts nominai "1 $81.00 $9.72 Ii Ii ~~ $4.05 $94.77 'L\\li~\D '- ~~~ ,\\ \ ((;- .~ Inspections Phone: 541-726'3769 This Authorization To Begin Work ~~st be. posted at the job site until replaced by a ~ermit ...... " CITY OF SPRINGFIELD r Building/C9mbination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , PERMIT NO: Ci:OM2010-002II ISSUED: 02/16/2010 APPLIED: 02/16/2010 EXPIRES: 08/16/2010 VALUE: Status Issued SITE ADDRESS: 677 52ND ST ASSESSOR'S PARCEL NO,: 1702332400128 I' Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Install new 100 amp panel in residence, TYPE OF USE: New Residential Owner: LOUIE JACK & ILLINE Address: PO BOX 2617 EUGENE OR 97402 I, CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 BUILJ?Ir-:G 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 Type: Energy Path: ' Sprinkled Building: nla I.DEVELOPMENT INFORMATION I II I' II Expirati~n Date " 12/10/2011 Ii Ii I, Lot Size: Ii Sq Ft 1st Floor: II Sq Ft 2nd Floor: 'I Sq Ft Basement: Sq Ft Garage/Carport " Sq Ft Other: ' II Occnp~;nt Load: Phone 541-485-0922 REQUIRED PARKING F~ontyard Set~ack: Overlay Dist: ,ATTENTION: Oregon IawT~ires,r; to Side I Setback. '. .. ", ",".,,, . # Street Trees Rqd, foIl I d t d b tg"'~B l'lity , " ".y "'''''"'''7;,'''', ow ru 9S a op e y 81 Side 2 S~ID!CE: Paved DrIve Rqd: Notification Center. Those illisetforth Rearya~m(lt~E'RMIT SHALL EXPIRE IF THE Woa~f Lot Coverage: In OAR 952-001'0010thr~ugh OAR 952.001- Solar Se AllTtfhFlIZED UNDER THIS PERMIT IS_NOr, 0090. You may obtain copies of the r~fes by COMMENCED OR I:; A~ANuul~c'MJ.. :il11I"Y III" "..""". I"V"" ."... ,,,,,,,,",,,vuv D -Tl'UBLIC IMPROVEMENT~',anber for the Oregon Utility Notification ANY 180 nAY PERIO . ' " , ""'22344) Street Improvements: ' 'iillleW'~t~Q~~ ' . Storm Sewer Available: Special Instruction: " r' . t,:;!~; ,.1; ;,. Notes: ,',. I I Valuation DescriDtion I Description $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Tvpe of Constrllction Paee I of2 , I, DownspolltsfDrai~s: il II il " Valne Ii Date Calculated 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ',:,,'ci' CITY OF SPRINGFIELD B 'ld' Ie]! b' t' P , Ul 109 om lOa IOn ermlt II " PERMIT NO: GOM2010-002Il ISSUED: 02/16/2010 APPLIED: 02/16/2010 EXPIRES: 08/16/2010 VALUE: Status Issued 'I Total Value of Project, Fees Paid J $9.72 $4.05 $81.00 2/16110 2/16/]0 2/]6/10 Receipt Number 1; 1201000000000000]4] 1201000000000000]41 " 120]000000000000]4] Fee Description + ]2% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid Total Amount Paid $94.77 ' I Plan Reviews I II To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a.m. will be made the same working day, in~~sctions requested after 7:00 a.m. will!lbe made the following work day. ";~', ,,' , ReouirNllnsnection,s I Electric Service: Approval required prior to utility company energizing service. By signature, ] state and agree, that I have carefully examined the completed application and do h~reby certify that all information hereon is true and correct, and I fnrther 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 wJrk described herein, and that NO OCCUPANCY will be made of any structnre without permission of the Commnnity Servi~es Division, Building Safety. ] further certify that only contractors and employees who arc in compliance with ORS 701.005 will:ibe used on this project. I further agree to ensure that all required inspections arc requt;sted 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 wil" remain on the site at all times during construction. Owner or Contractors Signature Date .";'" , ,~, \ Paee 2 of2 I; , II ! 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00211 COM20 I 0-00211 I COM20 I 0-002 I I Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Ili~ City of Springfield Official Receipt Developm~nt Services Department " , pJblic Works Department 1201000000000000141 II:SI:3IAM Date: 02/16/2010 " " , Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 81.00 9,72 4,05 $94.77 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KR ONLINE BUILDER'S Online ELECTRIC Payment Total: $94.77 $94,77 ./ '.. '. .i, .' , Page I of I 2/16/20 I 0