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Home My WebLink AboutPermit Electrical 2010-2-22 t1!tJ-C)CJ.f Residential Electrical Authorization To Begin Work 69600.BEL-10-00080 Approval Code: 012233 2/22/2010 8:34 am E.mailed To: kelly@builderselectric.com PLAt;U~EVIEW City Of Springfield 225 Fifth 51 Springfield, 9R 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ":':',;I':;/>;;'kJ -;:":Z .._'""~ :TYPE;OI'WO~K~ _~",,'~'".7,:~; TIC.;.,;";; jn.: D New Construction IRl Add ition/alleration/rep lace,menl i';" ',fc\>',..; .' CATEGORY 01' CONSTRUCTION , , " IZl 1 or 2 family dwelling D Multi-family D Commercial D Accessory .,'. ';t't: JOB SITE INFORMATION/AND LOCATION 'z;. , Job Address: 157 12TH 5T City/Stat~/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: 37 Project Name: 10-0468-5 Cross Street/directions to job site: Tax mapfparcel no.: 1703354100201 f' ~ ';./i:;.~".;;,." ".. -- ','\DESCRfFiTIONdFWORK: ";-'Y';;:iY-&;" ~" ,-.ii" " ,-_. - ......,...-- Connect mobil home .. " ~. ,: ~ t ,"';<',:,::siiE CONTACT z" , ,.',;";C,':, , ..,....' '! ,- Name: Kellv O'Brien .. " , ..' ., Phone: 541-485-0922 Fax: .,'.., ,,. Email: ,~.' ;t ',,, L" :'~ ',CQNTRACTOI'l .. " . , . , --' '-.- . , Elee lie. no.: 20-12C cea Iic. no.: ~296 Business Name: BUILDERS ELECTRIC lNC Contact: Address: 195 MADISON ST City/State/ZIP: EUGENE, OR 97402 Phone: 5414850922 Fax: 5414854055 Email: FRED@BUILDERSELECTRIC.COM Metro lic. no.: City lic. no.: Supervising ~lectrician's lic. no.: 3290S 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 wifhin Dne oosiness 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: D 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 D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o 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 Recreational Vehicle Parks o Supply voltage for more than 600 supply valls nominal Description $~ryices orJ~f}d.ers Services 200 amps or less EJ~s:tri~almpe~rmit.Fees Subtotal State surcharge (12% of permit total Technology fee (5% of permillotal) TOTAL PERMIT FEE $81.00 $972 $4.05 $94.77 QillX to ~ - \W.~ -~ :~~ \" \- D ~O\v ~ T~~~oG5> .J _ tf( ~ ~~{J \ \>~O V roo 'd- ~~<r ~0 \j Co/YlZtJ/O ~ ()O;;)'d <? /7/'Y--' GJ-dd _/0 Inspections Phone: 541-726,3769 This Authorization To Begin Work must be posted at the jOb site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00224 ISSUED: 02/22/2010 APPLIED: 02/22/2010 EXPIRES: 08/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 157 12TH ST SPACE 37 ASSESSOR'S PARCEL NO,: 1703354100201 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Connect mobile home Owner: Address: OLOF JACK & ANN 450 NEWPORT CENTER DR STE 595 NEWPORT BEACH CA 92660 I CONTRACTOR INFORMA TlON I Contractor Type Electrical Contractor License BUILDERS ELECTRIC INC 4296 BUILDING INFORMATION I Expiration Date 12110/2011 Phone 541-485-0922 # of Units: Pl'imary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt 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 Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: ATTENTION: Oregon law reqUlru,to # Street Trec'fb'RSlN rules adopted by the OreiM ~~'}lCd: Paved Drive ~ijt\fication Center, Those rules ~111:- % of Lot CO~W@lAA 952-001-0010 through OA I by ,,- . 0090 You may obtain caples of the ru es " _ on! Note: the tetephone I PUBLIC IMPROVE~ rr the Oregon .Ut~lty 0 I. v2nter is 1_800-33~-2344), Sidewalk Type: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Strcet Improvefll,Q,TJCE: Storm Sewer AHJlibfeERMIT SHALL EXPIRE IF THE WORK Speciallnstrucfi!'~1HOiWED UNDER THIS PERMIT IS NOT i:OMMENCED OR IS ABANDONED FOR Downspouts/Drains: Notes: .,"\, .}~(i nr,\,' ()CPlr~'\. I Valuation DescriPtion I Description Type of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calculated Pa2e 101'2 i" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00224 ISSUED: 02/22/2010 APPLIED: 02/22/2010 EXPIRES: 08/22/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees ~ Fee DescriPtion + 1201., State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 2/22/10 2/22/1 0 2/22/10 2201000000000000157 2201000000000000157 2201000000000000157 Total Amount Paid $94.77 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 Reauired InsDections ~ Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that Ihave 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 Ordinallces 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 the Community Services Division, Buildillg Safety. I further certify that only cOlltractors and employees who are in compliance with ORS 701.005 will be used 011 tbis project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, tbat the permit card is located at the frollt of the property, and. the approved set of plans will remain on the site at all times during construction. . . "i. .j Owner or Contractors Signature Date . Pa2e 2 01"2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone liP*N"Q....I..~~.,...."............, ..'t. ~' .. , , . . - . .' ".... " .. , , ..~.u...._......,...... ,'" /' ... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000157 Date: 02/22/2010 8:50:47AM Job/Journal Number COM20 I 0"00224 COM20 1 0"00224 COM20 10"00224 Description Penn Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authoriz;)tion Received By Batch Number Number How Received Amount Dut' 81.00 9.72 4.05 $94.77 Amount Paid njm ONLINE builders Online Payment Total: $94.77 $94.77 .,. ":.,. .t cReceintl Page 1 of 1 2/22/20 I 0