HomeMy WebLinkAboutPermit Electrical 2010-2-22
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>. . OREGON
City Of Springfield
225 Fifth $1
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.oLuS
~ ~ , TYPE Of:WORK ~ ',; .. ,
..
,
D New Construction IRJ Addition/alteration/replacement
- CATEGORY OF CONSTRUCTION
D 1 or 2 family dwelling D Multi-family [Z] Commercial D Accessory
JOB SITE INFORMATION AND LOCATION
Job Address: 1396 MAIN $T
City/StatefZIP: SPRINGFIELD, OR 97477
SulteJbldg./apt.no.:
Project Name: 100466-5
Cross Street/directions to job site:
Tax map/parcel no.: 1703363203501
.' '. ....."'.. :DESCRIPTION pFWpRK >.,' "
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New circuit for red box
I,' .... SITE CONTACT . , . .'
,
Name: Kelly O'Brien
Phone: 541-485-0922 Fax:
Email:
. . CONTRACTOR. : -
Ele~ lie. no.: 20-12C eee lie. no.: 4296
Business Name: BUILDERS ELECTRIC INC
Contact:
Address: 195 MADISON 5T
City/State/ZIP: EUGENE, OR 97402
Phone: 5414850922 Fax: 5414854055
Email: FRED@BUILDERSElE~TRIC.COM
Metro Iic. no.: City lic. no.:
Supervising Electrician'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 pennlt will be a.mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work upires 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 meetllpplicable land use laws and local ordinances.
CIO-Iff
Commercial Electrical Authorization To Begin Work
69600-BE L-1 0-00079
Approval Code: 902201 2/22/2010 7:10 am
E-mailedTo:kelly@builderselectric.com
"'-".-.',,' 'c,.. PLAN REVIEW
'.
Please check all that apply: D 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 D Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
D Fire pumps o Commercial-use agricultural
buildings
D Emergency systems D Installation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A", "E", or "1~2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
,I FEE SCHEDULE -.,
,
Description Qty, Ea. Total
B~anch circuits ~
Branch circuits without service or 1 $55.00 $55.00
feeder
Miscellaneous . . . ..
Balance of permit fees $300
Electrical Permit Fees ,
Subtotal $58.00
State surcharge (12% of permit $6.96
totall
Technology fee (5% of permit total) $2.90
TOTAL PERMIT FEE $67.86
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Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00184
ISSUED: 08/2212010
APPLIED: 02/11I2010
EXPIRES: 02/22/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa,
541-726-3769 Inspection Line
SITE ADDRESS: 1396 MAIN ST
ASSESSOR'S PARCEL NO.: 1703363203501
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
Commercial
PROJECT DESCRIPTION: Complaint regarding RedBo, Company
Owner: SKILLERN (NV LTD PTRSHP
Address: PO BOX 711
DALLAS TX 75221
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
BUILDERS ELECTRIC INC 4296
BUILDING INFORMATION ~
Expiration Date
12/10/2011
Phone
541-485-0922
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedl'Ooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
'Range Type:
,. Energy Piith:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Ilia
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side I Setback:,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
..~
I PUBLIC IMPROVEMENTS ~
. II L~quireS you to
ATTENTION: ~.{.:c"'.lI1 b aFftfe 'oregon Utility
follow rules a1)b~~~~/~Ig$lalesetforth
Notification Cente . hOAR 952.Q01-
In OAR 952-001.0g; ~~~~~i~S oHhe rules by
0090. You may 0 a {Note' the telephonEl
calling the center. on Utility NotiilcatIOft
Center is 1.800
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
THIS PERMIT SHALL EXPIRE IF
:,LJTHORIZED UNDER THIS PER
Description-'r'liMEifY5Po~80~I,fIl.WIJI;JONEI1 F~.'l Ft
'~.-. r'1/\Y PERIOD. or multlpher
Square Footage
or \lid Amount
Value
Date Calculated
Page I 01'2
Sta tus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Orc
Minimum/Adjustment Electrical
Total Amount Paid
"'];otal ,Yalne of Project
. .,;<;;.,. .
I 'Fees Paid I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00184
ISSUED: 08/22/2010
APPLIED: 02/11/20]0
EXPIRES: 02/22/201]
VALUE:
Amount Paid Date Paid Receipt Number
$6.96 2/22/10 3201000000000000056
$2.90 2/22/10 3201000000000000056
$55.00 2/22/10 3201000000000000056
$3.00 2/22/10 3201000000000000056
$67.86
I . Plan Revie.ws ~
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.
Reauired ilnsDections I
, ~.;
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 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
thllt NO OCCUPANCY will be mllde of IIny structure without permission of the 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 IIgree to ensnre thllt all required inspections are requested at the proper time, that each address is readllble 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. .
Owner or Contrlletors Signllture
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Page 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii[~:
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000056
Date: 02/22/2010
7:29:06AM
Job/Journal Number
COM20 I 0-00 184
COM20 I 0-00 184
COM20 1 0-00 184
COM20 1 0-00 184
Description
Add, Alter, Extend Clrc
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
3.00
6.96
2.90
$67.86
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
njm
ONLINE
builders Online
Payment Total:
$67.86
$67.86
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