HomeMy WebLinkAboutPermit Electrical 2010-4-29
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541.726.3753
Email: permitcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00187
Approval Code: 219242 4/29/2010 10:28 am
E.mailed To: johnr@builderselectric.com
[g] 1 or 2 family dwelling 0 Multi-family
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Job Address: 928 CLOVERLEAF LOOP
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 Volts or
less to ground exceeds
14,000 Amps for all other
o Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three star
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 volts nominal
City/State/ZIP: SPRINGFIELD. qR 97477
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
Suite/bldg.lapt.no.:
Project Name: Emerald Properties
Cross Street/directions to job site:
Tax map/parcel no.:
1703223100900
Replace burned up meter clip
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Reconnect only $63,00
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$63.00
Name: Mel Mannino
Phone: 541--485-0922
Fax:
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$7.56
$3.15
Email:
$73.71
Elec lie. no.: 20-12C
CCB lie. no.:
4296
Metro lie. no.:
City lie. no.:
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NOTICE: '-../ '\
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. _., ()~'lDDJ'
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'iotificatfon Ceo: ptfKI by ltle Orl1l1on. Ulilit"
n OAR m-oo .r. Ttl()S{) rulell are Sf}! fo'
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dam ~.y Obtarn copitls Of the rulos
n.......~ ~. (No!s: the t\tlephone
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Business Name: BUilDERS ELECTRIC INC
Contact:
Address: 195 MADISON $T
City/State/ZIP: EUGENE, OR 97402
Phone: 5414850922
Fax: 5414854055
Email: FRED@8UrlDERSElECTRIC.COM
Supervising Electrician's lie. 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 locaJ jurisdiction, your pormlt will be o-mailcd. or faxed
within one business day. with Instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Wor1l: expires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Wor1o; Is null and
void if it docs not meet applicable land use laws and local ordinances.
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: C0M2010-00S39
ISSUED: 04/29/2010
APPLIED: 04/30/201 0
EXPIRES: 10/29/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 928 Cloverleaf Lp
ASSESSOR'S PARCEL NO.: 1703223100900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace bnrned meter clip
Owner:
Address:
VLS MANAGEMENT LLC
PO BOX 1307
RANCHO SANTA FE CA 92067
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
BUILDERS ELECTRIC lNC 4296
BUILDING INFORMATION ~
Expiration Date
12/10120 II
Phone
541-485-0922
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Hei~ht of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
SqFt Garage/Carport
Sq Ft Other:
Occupant Load:
n1a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard 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~
Street Improvements:
Storm Sewer Available:
Special Instruction:
'Sidewalk Type:
Downspoutsffirains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00539
ISSUED: 04/29/2010
APPLIED: 04/30/2010
EXPIRES: 10/29/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
l.J:w.J:iWU
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
Receipt Numher
$7.56
$3.15
$63.00
4/29/1 0
4/29/10
4/29/10
3201000000000000172
3201000000000000172
3201000000000000172
Total Amount Paid
$73.71
I 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.
~eouiredJnsnec~
Electric Service: Approval required prior to utility company energizing service.
By signature, T 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
that NO OCCUPANCY will be made of any structure without permission ofthe 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 agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that tbe permit card is located at the front ofthe property, and the approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~ii
", . < _ ...,V"~'_' '.' ! J
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000172
Date: 04/29/2010
12:14:07PM
Job/Journal umber Description
COM20 1 0-0 5 'I Service Reconnect
COM2010-0 1 + 12% State Surcharge
COM20 1 0 053 + 5% Technology Fee
(l /~D.:.a 12>~
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63.00
7.56
3.15
S73.7\
Amount Paid
ONLINE CHGS
ONLINE PERMIT CHGS
nJm
ONLINE
builders Online
elect
Payment Total:
$73.71
cReceintl
$73.71
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4/29/2010