HomeMy WebLinkAboutPermit Electrical 2010-4-12
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: ~41-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00160
Approval Code: 112142 4/12/2010 9:28 am
E.mailed To; johnr@builderselectric.com
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0 New Construction IX] Addition/a Iteration/replacement
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IX] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 2340 J ST
CitylStatefZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no. :
Project Name: Miller
Cross Street/directions to job site:
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Tax map/parcel no.: 1703254305900 ,',
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Install new 5Q amp sub panel for mise circuits
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Name: Jeff Brown
Phone: 541 -485-0922 Fax:
Email:
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Elec lie. no.: 20-12C cee lie. no.: 4296
Business Name: BUILDERS ELECTRIC INC
Contact:
Address: 195 MADISON ST
CityfStatefZIP: EUGENE, OR 97402
Phone: 5414850922 Fax: 5414854055 .;.1' ..
Email: FRED@BUILOERSELECTRIC,COM .'
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Metro lie. no.: City lic. no.:
Supervising Electrician's llc. 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 busine~s day, with instructions on how to schedule your inspection.
NOTE: This Authorll:ation 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.
. 'pL:AliFREVIEW; "'
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
o Six or more residential units in
one structure
o 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
O "A" "E" or "1-2" or "1-3"
, ,
o Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
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Description
SOrVices'oy,feeders
Services 200 amps or less
ElectricaliPerrnitF.ees
Subtotal
State surcharge (12% of permit
lotal
Technology fee (5% of permillotal)
TOTAL PERMIT FEE
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$81.00
$972
$4.05
$94.77
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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
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00451
ISSUED: 04/12/2010
APPLIED: 04/12/2010
EXPIRES: 10/12/2010
VALUE:
SITE ADDRESS: 2340 J ST
ASSESSOR'S PARCEL NO.: 1703254305900
Springfield TYPE OF WORK: Electrical Work Only
I CONTRACTOR INFORMATION ~
Contractor License
BUILDERS ELECTRIC INC 4296
BUILDING INFORMATION I
PROJECT DESCRIPTION: Install new 50 amp panel for misc. circuits
Owner: FISHER ANGELA J
Address: 2340 J ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Tylie:
"Eii'ergy Pa'th:
SpHnkled Building:
TYPE OF USE: New
Residential
Expiration Date
12/10/2011
Phone
541-485-0922
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Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
Total:
Handicapped:
Compact:
requIreS .yOU ,'~
1101'0\'. Oregon I~W e oregon Utility
I PUBLIC IMPROVEMENTSfcllOW r~\eScente;, ThOse rUne~JI.I'~ 952-001-
I otiiicatlon {lIkHlP10 tnroUg HIle rules by
In OA~llf."" may 'o'tl\lil\n CO?i~~h~ telephOne
0090. Db~~gtlWJra\Wr:'~iil;\Y Notiiicatlon
calling f tne Oregon .., '344).
number ,or . 1_8DD-33~-~
center IS
COMMENCED OR IS AI;/VlilG&tfbtlfi~scri tion
ANY 180 DAY PERIOD. ' ".
$ Per sit .Ft r'o Square Footage
or multiplier or Bid Amount
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes:
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Description
Type of Construction
Page I of 2
REQUIRED PARKING
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00451
ISSUED: 04/12/2010
APPLIED: 04/12/2010
EXPIRES: 10/12/2010
VALUE:
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I~Feesp~U!.j .
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid:.
Date Paid
Receipt Number
$9.72
$4.05
$81.00
4/12/10
4/12/10
4/12/10
2201000000000000344
2201000000000000344
2201000000000000344
Total Amount Paid
$94.77
Plan Reviews ~
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 ReQuired InsDections I
Electric Service: Approval required prior to u,Wity c?mpany energizing service.
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By signature, 1 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 furthe~ 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 certify that only contractors and employees who are in compliance with ORS 701.005 will be used 011 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.
Owner or Contractors Signature
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Omcial Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000344
Date: 04/12/2010
I1:J2:42AM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
9.72
4.05
$94.77
Job/Journal Number
COM20 1 0-00451
COM20 1 0-00451
COM2010-00451
Description
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
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ONLINE
builders Online
Payment Total:
$94.77
$94.77
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cReceioll
Page 1 of 1
4/12/2010