HomeMy WebLinkAboutPermit Electrical 2010-5-28
City Of Springfield
225 Fifth 51.
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-10-00232
Approval Code: 218240 5/28/2010 10:07 am
E.mailed To: johnr@builderselectric.com
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0 New Construction IKI Addition/a Iter~tion/replace ment
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0 1 or 2 family dwelling 0 Multi-family lRl Commercial 0 Accessory
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Job Address: 4136 MAIN ST
City/State/ZIP: SPRINGFIELD. OR 97478 ~[,., t .' ~~,
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Suite/bldg.lapt.no.: ; ::;'~ f,,;. .'
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Project Name: Frisendahl
Cross Street/directions to job site:
Tax map/parcel no.: 1702323201400
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Install circuillo hook up sign ;n parking lot
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Name: John Risbrouqh ....:.:
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Phone: 541-485-0922 Fax:
Email:
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"'i: j...;;~.,:CONTRA~TOR:s ..,,'-
Elee lie. no.: 20-12C CCB tic. no.: 4296
Business Name: BUILDERS ElECTRIC INC ,.
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Contact: ""
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Address: 195 MADISON ST i':~- ..
City/State/ZIP: EUGENE, OR 97402
Phone: 5414850922 Fax: 5414854055
Emai1: FRED@BUILDERSELECTRIC.COM
Metro lie. no.: City.lie. no.:
Supervising Electrician's lie. no.: 32905
Supervising Electrician's Name: RUSSEL W CRANE
Number of inspections included ;n paid services: ',';'
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Residential Service: 4 "11 l .. . --
Reconnect Only: 1 . t}l' ~
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All Other Services: 2 ..
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization 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.
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 Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health cafe facilities
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
O "A" "E" or "1_2" or "1-3"
. .
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
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,;'; FEE 'S.CHEDULE'
Oty.
Description
:B~al1(ih circuits
Branch circuits without service or
feeder
MisC9*IIClne~l!~
Balance of permit fees
gl~~trlc-alpermii:.Fees'
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permiltotal)
TOTAL PERMIT FEE
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$58 00
$6,96
$2.90
$67.86
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Inspections P-hone: 541-726-3769
This Authorization To Begin work.'';;';'st b~posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00635
ISSUED: 05/19/2010
APPLIED: 05/18/2010
EXPIRES: 11/28/2010
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4136 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323201400
Springfield TYPE OF WORK: Sign
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Sign - B & A AntomoJ!y.e fr~es~.anding
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Owner:
Address:
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FRISENDAHL RONALD & MARIE.f!!. .
475 RIVERVIEW BLVD '
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Sign
Contractor License
BUILDERS ELECTRIC INC 4296
DENNIS ROY HYDE " . .. 92628
BUILDING INFORMATION ~
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Expiration Date
12/10/2011
09/21/2011
Phone
541-485-0922
541-942-1059
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.'
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# 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 ~
PUBLIC IMPROVE
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.overlay Dist: Total:
# Street ~rees Rqd: .' Handic~8~6d:
Paved Dnve Rqd: on laW req(l\~uh
% of Lot Covera!ji;rTENT\ON: dOrered by the Oregon ~ I~h
follow rules a op Those rules are set 0001
enter. 952- .
.. 52-00 - . leS 01 the ru es
ou may obtaIn cOf . the telephOne
.caliing th~namllrk ~R~\i\ity NotificatIOn
b lof.,the Oreg ~ 0'\44)
i . Ii. ::n.um ~rceK&'r%P'PtjfsWWltJir. .
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REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction :
,,;,
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE iF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
:;OMfVlENCED OR IS A8ANDONED FOR
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541_726-3676 Fax
541-726-37691nspection Line
Description
Type of Construction
Sien
Use Bid Amount
Fee Description
Sign Plan Review
***+ 100/0 Administrative Fee***
+ 5% Technology Fee
Sign 61-100 Square Feet
+ 12% State Surcharge
+5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
Sie:n Review
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00635
ISSUED: 05/19/2010
APPLIED: 05/18/2010
EXPIRES: 11/28/2010
VALUE: $ 10,000.00
I v alu~tionD~~~;'i~tion ~
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Square Footage
or Bid Amount
10,000.00
Value
Date Calculated
$ Per Sq Ft
or multiplier
$1.00
Total Value of Project
$10,000.00
$10,000.00
05/19/2010
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Amount PaJ<<!.r;::.t
''l
$42.00 .
$14.00 .
$7.00
$140.00
$6.96
$2.90
$55.00
$3.00
$270.86 :'
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Date Paid
Receipt Numher
5/18/10
5/19/10
5/19/10
5/19/10
5/28/10
5/28/10
5/28/1 0
'5/28/10
. 1201000000000000495
1201000000000000501
1201000000000000501
1201000000000000501
1201000000000000583
1201000000000000583
1201000000000000583
1201000000000000583
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I{Plan Reviews ~
05/19/2010
05/19/2010
APP DJB
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. ':~Jft':-{:~">~;"'~'f(
L.Reri::iireI1,;,Tn,~necti~ns ~
Sign Location: To verify the location ofthe p~oposed sign.
Sign Footing: After excavation and forms are in place, hut prior to concrete.
Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of holts or welds.
Sign Final: After all required inspections are conducted and' approved and the sign installation is completed.
Sign Electrical: After connection is made but prior to energizi'1g.
Paee 2 of 3
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00635
ISSUED: 05/19/2010
APPLIED: 05/18/2010
EXPIRES: 11/28/2010
VALUE: $ 10,000.00
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 pe.rmission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are i'1 cO,mpliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requisted at the proper time, that each address is readable from the
street, that the permit card is located at the front'o(\he property; and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000583
Date: OS/28/2010
10:26:43AM
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
Job/Journal Number
C0M20 10-00635
C0M20 10-00635
C0M201O-00635
CO M20 10-0063 5
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 12% State Surcharg~
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
njm
ONLINE
builders Online
Payment Total:
$67.86
$67.86
cReceint 1
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