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Home My WebLink AboutPermit Electrical 2010-3-17 SPRINGFIELD.U. ~"I\J--V ',~~' ~'I' ,~ . " - '-;;';;;;" <,. ", OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 EmaiJ: permitcenter@ci.springfield.or.us " , '">:0:;' , , ,--- " <- ." ,,;'" , TYPE OF. WORK ",' " c, " D New Construction IRl Addition/alteration/replacement " , CATEGORY' OF CONSTRUCTION ,._~ - , , . , IZl 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory '" JOB SITEINFORMA TION AND LOCATION , " , .- Job Address: 157 12TH 5T Clty/StatefZIP: SPRINGFIELD, OR 97477 Suitelbldg./apt.no.: 59 Project Name: 10-0609-5 Springlane Cross Street/directions to job site: Tax mapfparcel no.: 1703354100201 ':, ' .. "''': DESCRIPTlON..OF,WORk' 'f. ; .~,';:>, ".':" , service change " . , SITE CONTACT ~ Name: Kellv O'Brien .... rl'(ljf. " Phone: 541-485-0922 Fax: .- l , .~, ., Email: " , , , CONTRACTOR:: " ", ;,- " '" Elee lie. no.: 20-,2C CCB lie, no.: 4296 Business Name: BUILDERS ELECTRIC INC Contact: Address: 195 MADISON 5T CityfStatefZIP: EUGENE, OR 97402 Phone: 5414850922 Fax: 5414854055 Emall: FRED@BUllDER5ElECTRIC.COM Metro lie. no.: City lie. no.: Supervising Electrician's lie, no,: 32905 Supervising Electrician's Name: RUSSEL W CRANE 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 ellplros within 180 days if a permit is not obtained. The local buildIng department may dotormino that an Authorization To Begin Work Is nult and void if it docs not meet applicable land use laws and local ordinances. W D /' ~J~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00115 Approval Code: 907182 3/17/2010 7:32 am E.mailed To: kelly@builderselectric,com l::'"\,'C, ~". -"' ,.~.... PLAN REVIEW' ~'. ' , Please check all that apply: o Hazardous locations D A service or feeder beginning D A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more than three stor 10,000 Amps at 150 Volls or less to ground exceeds D Marinas and boat yards 14,000 Amps for all other 0 Floating buildings 0 Fire pumps 0 Commercial-use agricultural buildings 0 Emergency systems 0 Installation of a 150 KVA or D Addition of a new motor load larger separately derived sys of 100 HP or more D "A", "E", or "1-2" or "1-3" D Six or more residential units in D Recreational Vehicle Parks one structure 0 Health care facilities o Supply voltage for more than 600 supply volts nominal >", :'i~ >; :', FEE SCHEDULE " " Description I Qly, Ea, Total Services.or feeders .- , ' ' , Services 200 amps or less 1 $81.00 $81.00 Elec~rical Permit Fees , , , ~ , " Subtotal $81.00 State surcharge (12% of permit $9,72 totaH Technology fee (5% of permit total) $4,05 TOTAL PERMIT FEE $94.77 I': ~f"\~ , ~ \S ~ ~\o \~, ~ ~/{} 3,-/7-- /() 00 'd Sd, h )-VI - Inspections Phone: 541.726,3769 This Authorization To Begin Work must be posted atthe job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00232 ISSUED: 02/23/2010 APPLIED: 02/23/2010 EXPIRES: 08/26/2010 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 157 12TH ST SPACE 59 ASSESSOR'S PARCEL NO.: 1703354100201 Springfield TYPE OF WORK: Manufactured Home in Park ';1,", ,r, PROJECT DESCRIPTION: Manufactured home in park TYPE OF USE: New Residential Owner: BRIAN L FITTERER INC (MSD410) Address: 19772 MACARTHUR BLVD STE 200 IRVINE CA 92612 I CONTRACTOR INFORMATION ~ Contractor Type Electrical ManufHome Inst Plumbing Contractor BUILDERS ELECTRIC INC GARY M LARSEN GARY M LARSEN License 4296 39913 39913 BUILDING INFORMATION I Expiration Date 12/10/2011 04/05/2010 04/05/2010 Phone 541-485-0922 541.389-8227 541-389-8227 VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: $p!;inkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occopant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary COllstruction Type Secondary Construction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Real)'ard Setb'lck: Solar Setbacks: PUBLIC IMPRO Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive RIAt-TENT'ON' 0 Compact: % of Lot Cov<fol<<lw rules ~d;e?~n law requires you to Notification Cent:'. eTh~~~he Oregon Utility M6lI - . . t rough OAR 952-001_ ay obtain COpies of the rules b nUmber fO~ t:"We>{ttllltJ~ttfe telephone y Center i&>~=.JU~~~~~fication Street Improvements: Storm Sewt.~ele: ' , Special In~i~RMIT SHALL EXPIRE IF THE WORK Noles: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. L!\.c . ":, ~ , , i;~~> ,.~, ~ f,' .-' . , ':Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00232 ISSUED: 02/23/2010 APPLIED: 02/23/2010 EXPIRES: 08/26/2010 VALUE: $ 10,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amouut 1.00 02/24/2010 Value Date Calculated Manuf Home Tvpe of Construction Manufactured Home Fee Description + 12% State Surcharge + 5% Technology Fee Manuf Home State Issuance Manufactured Home Placement + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps 01' less Reversal - + 12% State Surchar Reversal - + 5% Technology Fee Reversal- Perm Serv/Fdr 200 a + 12% State Surcharge + 5% Technology Fee I'erm Serv/Fdr 200 limps 01' less Totlll Amount PlIid :);otal Value of Project $1.00 $1.00 ~ Amount PlIid Receipt Number DlIte PlIid $47.64 $19.85 $30.00 $397.00 $9.72 $4.05 $81.00 $-9.72 $-4.05 $-81.00 $9.72 $4.05 $81.00 2201000000000000163 2201000000000000163 2201000000000000163 2201000000000000163 2201000000000000219 2201000000000000219 2201000000000000219 2201000000000000223 2201000000000000223 2201000000000000223 3201000000000000090 3201000000000000090 3201000000000000090 2123/10 2/23/10 2/23/10 2/23/10 3/10/10 3/10/10 3/10/10 3/10/10 3/10/10 3/10/10 3/17/10 3/17/10 3/17/10 $589.26 n.n Reyiews, ~. 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. L...PenllirerU nsnections ~ MlInuf Home Set Up: When instlllllltion of 1111 piers 01' stllnds is complete. Final Manuf Home Set Up: After all required inspections are requested and approved lInd porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. MlInuf Home Plnmbing: After home has been connected to water and sewer. MH Electric: When blocking, setnp and plumbing inspections have been approved and the home is connected to the panel. Paee 2 of 3 ...-,_! ". "".. ' CITY OF SPRINGFIELD Building/Combination Permit. PERMIT NO: COM201O-00232 ISSUED: 02/23/2010 APPLIED: 02/23/2010 EXPIRES: 08/26/2010 VALUE: $ 10,000.00 .~ :., \' Status Issued , . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 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 the work described herein, and that NO OCCUPANCY will be made of any structure withontpermission of the Community 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 reqnired inspections are requested at the proper time, that each address is readable from the street, thallhe permit card is localed at the front of the property, and the approved sel of plans will remain on the sile al all times during construction. Owner or Contractors Signature Date ! ,.' "'.:~,\;, :}{ . ,~\,;. ;"; ,". .. .\,,, Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~q~;- Wit. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000090 Date: 03/17/2010 8:44:29AM Paid By ONLINE PERMIT CHGS Item Total: Check Number ~uthorization Received By Batch Number Number How Received Amount Due 81.00 9.72 4.05 $94.77 Job/Journal Number COM20 I 0-00232 COM20 I 0-00232 COM20 1 0-00232 Description Penn ServlFdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid NJM ONLINE BUILDERS Online Payment Total: $94.77 $94.77 cReceint] P~ge l.of I 3/17/20 I 0