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Home My WebLink AboutPermit Electrical 2010-4-2 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us '.Residential Electrical Authorization To Begin Work 69600-BEl-10-00138 Approval Code: 212032 4/2/2010 10:26 am E-mailedTo:kelly@builderselectric.com ,,',~pLAN:RE\lIEW'/ . I r': . " c'+;<::: ,",~:'. .' .4' " 'hi "'0';;.' D New Construction 0 Add ition/alte rationfreplacement I ~ :.iA:'::;Y '. 'hGAl'EGORYOEco.NSTRUCTION .' .";,)'I'(',.? Ji 0 1 or 2 family dwelling D Multi-family D Commercial D Accessory ! "< ~:fe,', ''!l.OSSITE INFORNlA TION'ANOIUOCATION ':., ,~ ',.c":~ I Job Addru~~. "".,..c.,,- MTVERNON Ro5W22- City/State/ZIP: SPRINGFIELD, OR 97478 Suitelbldg./aptno.: Project Name: 10-0818-5 , .. Cross Street/directions to job site: Tax maplparcel no.: 1802032307900 ..: '0 '."1' :""":DESCRI~'fJON:9F:WQR.K:' , 'c'.": 2 circuits for garage for city job # com2009-01713 L.." ~ ;.,h"?,...." ..: ,.. :~[TE'C:ON:TACT7tf;{; ',,<., -.",-~~ .,'A.;, .~ .. .. . ' - '. . Name: Kellv O'Brien Phone: 541-485-0922 Fax: .. Email: /'. 4~'t;;f ";:"',;}.~CONTRACt(')R''';V", . "':":,.':',"': ..:,;.... Elec lie. no.: 20-12C CCB lie. no.: 4296 Business Name: BUILDERS ELECTRIC INC Contact: Address: 195 MADISON ST CityJStatelZlP: EUGENE, OR 97402 ....". ..' "..-, _.<c.. _. Phone: 541485092t".... Fax: 5414854055 ~~. .. Email: FRED@BUf':9.~IYiilh'fTofe em, !:YPIO!: I Metro lie. no.: ! ('!ZED UNDER TI-N~ ptEFlMIT IS NOT Supervising Electrician.'s(jjc~.~.O R IS,&BANDONEO FOR .. . Supervising Electrician's Nam~:l-'t K U~~EL 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 v.:J1I be e-malled or faxed wlthinonebusinessday,withlnstructionsonhowtoscheduleyourinspection.. NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained. The local building department may determine that an Authorh:allon To Begin Work Is null and void If Itdoes not meet applicable land l.lse laws and local ordlnanc es. Please check all that apply: o A service 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 all other o Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Healtl1 care facilities CCf\- 11\3 o Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "j-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Description !3J~~ch[ciX~!-!Jts:.. ~~';"t \ > ,,= .,,': Branch circuits without service or feeder Branch circuits each additional circuit without service I:lectrjc~ll:'~.r~It,Fe~.~' ; Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE . \ ,(. l1- 11\3 n:,';.",-r $55.00 $55,00 $6.00 $6,00 $61.00 $7.32 $3.05 $71.37 kL' LtlillO ATIENTION: Oregon law requires you,t,o follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001. 0090, You may obtain copies of the rules by cailing the center, (Note: the tel~~ho~e number for the Oregon Utility Notification Center is 1.800-332-2344). ~~ ~ \01'\\ \~\ .9 'tx.. ':J j..~ ~ 8" Inspections Phone: 541.726-3769 This Authorization To Begin Work ~ust be poste~ at the job site until replaced by a Permit - CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01713 ISSUED: 01/12/2010 APPLIED: 12/01/2009 EXPIRES: 10/02/2010 VALUE: $ 30,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5422 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802040001800 ,....: :!' Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace roof with trusses and add carport Owner: GARDNER GUADALUPE Address: 5422 MT VERNON RD SPRINGFIELD OR 97478 Phone Number: 54]-870-1756 Contractor Type General Electrical I CONTRACTOR INFORMATION ~ Contractor License RJ KRUMDIECK CONST INC 70686 BUILDERS ELECTRIC INC 4296 BUILDING INFORMATION ~ Expiration Date 1211012011 12/10/2011 Phone 541-746-1238 541-485-0922 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: Height of Structure Type of Heat: Water'Type: , 'Range'Type: Energy Path: Sprinkled Building: Lot Size: 15.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a Occupant Load: 23,522 391 REQUIRED PARKING Front yard ~i~~k: 25.00 "'Qr;rlay Dist: ATlili-~IlA-'h.o.reegon la"THt~ires you to 2 Side 1 Setbfck':ERMIT SHAll EXPIRE IF THE WO/ll~reet Trees Rqd: follow rules ad'8pted by tA~n C~9.\l,(lJ,J:tlllty , "'RIZED UNDER THIS PERMIT IS N"T " Notification ce~. Those,.(U1e iil~eHorth Side 2 Setback:, '~ :aved Dnve Rqd:, in OAR 952-o,q,l- 01 0 thrOLr~l\'R:952-001. Rearyard Setba_~I!,-,ED OR IS ABANDONED FOR Yo of Lot Coverage: 0090. You mll)''lltain copies of the rules by Solar Setbacks: - "lAY PERIOD. ','''' , calling the center. (Note: the telephone m PUBLIC IMPROVEMENT I DEVELOPMENT INFORMATION ~ Street Improvements: Storm Sewer Available: Special Instruction: Storm water to tie into existing system Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: Notes: \\;'i;; ';r:~ ( I ,'Ii' . .",,,,.,,.. . .~. ','l 1."""" .. '. '-1'1' :"" Page 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Estimate Estimate Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review Minor. Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Public Works Review 12108/2009 I Valuation Description ~ $ Per SqFt "", or multiplier "'0- ," . n.oo '. Square Footage or Bid Amount 30,000.00 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01713 ISSUED: 01/1212010 APPLIED: 12/01/2009 EXPIRES: 10/02/2010 VALUE: $ 30,000.00 Value Date Calculated : Total Value of Project Fees Paid ~ Amount Paid Date Paid $30,000.00 $30,000.00 12/01/2009 $207.25 $38.26 $21.89 $318.85 $19.55~ $119:00 ' $9.96 $199.27 $7.32 $3.05 $55.00 $6.00 1211/09 , 1/12/10 . 1/12/1 0 1/12/10 1/12/10 1/12/10 1/12110 1/12/10 4/2/10 4/2/10 4/2/10 4/2/10 Receipt Number 2200900000000001337 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 2201000000000000314 2201000000000000314 2201000000000000314 2201000000000000314 Waiting for answer on storm water called Randy at Krumdieck Const on 12-9-2009. Initial Review 12/02/2009 12/02/2009 APP LLH Structural Review 12/02/2009 12/0212009 APP CJC Planning Review 12/0212009 12108/2009 APP DDK Public Works Review 12/11/2009 12/11/2009 ' APP LKW .' ~ '. ":i $1,005.40':'!+ ' ',:n!r: Plan Reviews ~ 10 As noted on plans Storm water to tie into existing system 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. ,;..(}. "ti1~ ' , ':;. Pa2e 2 of 3 P:'/ ',.h' . , ,~Hj.'~ CITY OF SPRINGFIELD J.'i'." tJ. ..~ , ::.;-: Building/Combination Permit PERMIT NO: COM2009-01713 ISSUED: 01112/2010 APPLIED: 12/0112009 EXPIRES: 10/02/2010 VALUE: $ 30,000.00 Sta tus Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired InsDections ~ Footing: After trenches are excavated. . Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Insulation: Prior to cover. Final Building: After all required inspeCtio~t~~v~..!'e~,~requested and approved and the building is complete. Rough Electric: Prior to Cover ;ii~. ,", ,. Final Electric: When all electrical work is cofuplete. By signature, I 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 without permission of the Community Services Division, Building Safety. I further certity 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 construction, I ',' , I; ,~ Owner or Contractors Signature Date 'r..i' ..........'. '< , 1'J .~. Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000314 Date: 04/0212010 IO:44:2IAM Job/Journal Number COM2009-0 1713 COM2009-0 1713 COM2009-0 1713 COM2009-0 1713 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Received By KR ~ Page 1 of I. Item Total: Check Number Authorization Batch Number Number How Received Amount Due 55.00 6.00 7,32 3.05 $71.37 Amount Paid ONLINE BUILDERS Online ELECTRIC Payment Total: $71.37 $71.37 .,. . , 4/2/2010