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Home My WebLink AboutPermit Electrical 2010-4-5 o New Construction lZJ1 or 2 family dwelling City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us IX] Additionfalteratjonf~eplacement ,C;o.TEGOR'fOFiCONSfRUCnON 'c',',. :' , o Multi-family D Commercial Job Address: 1846 F ST '::"JOB,SITE'INFORMA TION AND'lOCA nON:', D Accessory City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: 10-0822-s Cross Street/directions to job site: Tax map/parcel no.: 1703362115700 Tree hit service mast ..tree won...reparied mast ~ --. ., Name: Kellv O'Brien Phone: 541-485-0922 Email: , Elec lic. no.: 20-12C '" '-SIT,E,CONTACT. l' "' Fax; :CONTRA,CTOR ;:::j':'," , '-''''"'C'.t-. -1,'3< Business Name: BUILDERS ELECTRIC INC CCB Iic. no.: 4296 Contact: Address: 195 MADISON ST City/State/ZIP: EUGENE, OR 97402 Fax:5414~54055 Phone: 5414850922 Emall: FRED@BUllDERSElECTRIC.COM City lic. no.: Metro lic. no.: Supervising Electrician's lie. no.: Supervising Electrician's Name: 3290S 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 !>!._e.m~!.:.~ :?r faxed within one business day, with instructions on how to schedule your inspection. ;"1 NOTE: This Authorization To Begin Work expires within 180 days if a permit is nofi:!btahled. The local building department may determine thai an Authorization To Begin Work is null and VOid if it does not meet applicable land use laws and local ordinances. ~.;,._i ,:~ 'il C 10- L\-l ~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00139 Approval Code: 905013 4/5/2010 7:34 am E-mailedTo:kelly@builderselectric.com -~;T;piAN REV-fEW ,'; Please check all that apply: o Aservice or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for alt other o Hazardous locations o A service or feeder rated at 600 amps or more D 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 O "A" "E" or "1-2" or "1-3" , . o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal D Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities ,', i ''i. ~:'i'#d'i~~- FEE:SCHEDU ~E};:; . ,,~. ...'-... ., -.' . __ __L Description Qty. Service reconnect only E:lectriqal'Permit~9_es'" Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $63.00 $7.56 $3.15 $73.71 TOTAL PERMIT FEE iJ/~ ,() ~ " It\V ='~~ \t')x. ~'~ ~I:j ~ 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: COM2010-004I3 ISSUED: 04/05/2010 APPLIED: 04/0512010 EXPIRES: 10/0512010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1846 F ST ASSESSOR'S PARCEL NO.: 1703362115700 "";' Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service Reconnect " Owner: FOUMAL LAURA A Address: 1750 WASHINGTON ST EUGENE OR 97401 I CONTRACTOR INFORM A TION ~ Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12/10/2011 Phone 541-485-0922 iihLDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: 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 Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ " Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks:"" Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: N' oregon laW requires YUti\\ty Storm sew':tTJi~J}2, ~dopted by the \Oe~e~~nset loi~h I\'b~ 1Vf"" Those ru 5' 2 001- Special Ins l~li811flon center. o through OAR 9 - by , AR 9S2..()01-001. co ies 01 the rules Notes: ~O. You may Ob\S'o(NOfe: the \ele.~:~:n NOTICE: ' ' \he center. Utility Notlti IS PERMIT SHAll EXPIRE IF THE WORK wwmbetcen\er Is 1-800-33 - THORIZED U Valuation Descri tion MMENCED OR IS ABANDONED FOR $ Per Sq'Ft , Square~YtJJl,O DAY PERIOD. or muIiip!ier';' "i;l", or Bid Amount Value Sidewalk Type: DownspoutslDrains: DescrhJtion Type of Construction Date Calculated .:; ~-"' ('; ! " , ~ >:> ": .,., ,', Pa2e I of2 , ~,,~ "'; :i 'I: :~ Ii l~ ", ,[. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00413 ISSUED: 04/0512010 APPLIED: 04/05/2010 EXPIRES: 10/0512010 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 Fees Paid , Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid. ",\. , ,:t,11 f.,_ 1 ".,~' Date Paid Receipt Numher $7.56~~"-.' $3.15:' " $63.00 . 4/5/10 4/5/10 4/5/10 3201000000000000119 3201000000000000119 3201000000000000119 Total Amount Paid $73.71 I 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 r~quested after 7:00 a.m. will be made the following work day. Reouired Insnections , Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully!\e:~_~mi~ed ,thec~mpleted application and do hereby certify that all information hereon is true and correct, and I furthH:~"rtify.t!tat 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 struct~r~ witbout'permission of the Community Services Division, Building Safety. 1 further 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 constructioll. Owner or Contractors Signature Date Paee 2 of 2 I... .~;~:~/.~ ~ f\" ';:~. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000119 Date: 04/05/2010 7:54:42AM Job/Journal Number COM20 1 0-00413 COM20 1 0-00413 COM20 I 0-00413 Payments: Type of Payment ONLINE CHGS cReceintl Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS '4 i~ ':J:t, l ;- "1;' I :.~ Cheel( Number Batch Number Received By njm ONLINE . ~_~' ,:1 0" ,;,.r',;, I". ,', ~l,: ~ t' ':._...... ,., )" : !i '" Page I of I Item Total: Authorization Number Amount Due 63,00 7,56 3,15 $73.71 How Received Amount Paid builders Online Payment Total: $73,71 $73.71 4/5/2010