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HomeMy WebLinkAboutPermit Electrical 2010-7-8 (JIO. q/3 Residential Electrical Authorization To Begin Work 69600-BEL-10-00314 Approval Code: 618055 7/8/2010 2:59 pm E.mailed To: kelly@builderselectric.com '"" "~;J'~tANJ~EVII:~Wt~~7:;: City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Emsil: permitcenter@ci,springfieJd.or.us o New Construction "'.' -;::CATEGO~Y.OF1CONS.TROqTJON~ ': o 1 or 2 family dwelling o Multi-family lZl Commercial ~D~Accessory ',' ,.~. JOS'SITE:INFORMA miN :ANI:l.LO.CA'i'ION-.;' Job Address: 4660 MAIN ST 0_,'''.'00.", City/State/ZiP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no,: 450 Project Name: 10-1594 Cross Streetfdirectlons to job site: ii.: A ..',:j Ij~ ,"." _".,,",,"'''',-: '.,n,..._ ..~' "'~ ii)!.!:\, :ll t:~{:" .1.,',"" Tax map/parcel no.: 1702324200200 5 circuits for equipment, fan and heater Name: Kellv O'Brien Phone: 541-485+0922 Fax: Email:' CONTRACTOR Elee lie. no.: 20-12C CCB lie. no.: 4296 Business Name: BUilDERS ElECTRIC INC Contact: Address: 195 MADISON ST City/StatefZIP: EUGENE, OR 97402 ;;:':'~:.'.lg:l~-".i. "',->It,,,,",' ':""'h_O'-.- Phone: 541-485-0922 !'~I OJ,': . . ' . Fax: 541-485-4055 d',.'"" '....., Email: FRED@BUrlDERSElECTRIC.COM Metro lie. no.: City lie. no.: 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 local jurisdiction, your permit will 'be e-mailed or"' ia-~~d within one business day, with instructions on how to schedule your inspecti~nT~~:::", 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: 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 D Emergency systems o Addition of a new motor load of 100 HP or more D 'Six or more residential units in one structure o Health care facilities o 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 D "A" "E" or "1.2" or "1.3" . . D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal $24.00 $79.00 $9.48 $3.95 $92.43 U\\\ -,\.\r];\D ~lfS<.y \;~ (Jbn'U)/O- OO<j/~ 7-0'-/0 /1/?^- Inspections Phone: 541-726-3769 This Authorization To Segin Work must be posted at the job site until replaced by a Permit Description B[aHch::.circuiiS;~':~1? " Branch circuits each additional circuit without service $1~~tr'i~arPermit Fees "F- '? ^_ ~ , Subtotal State surcharge (12% of permit lotal Technology fee (5% of permit total) -"'-1" ~!Li~':j , ,'_n~'%': _l~~.F~ -\'0.'1".r~'": TOTAL PERMIT FEE - ~ " . '#J ~~ \\ \)' \'d- .\ " CITY OF SPRINGFIELD Building/Combination Permit , Status Iss u ed PERMIT NO: COM2010-00913 ISSUED: 07/09/2010 APPLIED: 07/08/2010 EXPIRES: 01/09/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , , SITE ADDRESS: 4660 MAIN ST Ste 450 ASSESSOR'S PARCEL NO.: 1702324200200 "';iiF !;;:~j'"sp}jn'gfi~ld TYPE OF WORK: Electrical Work Only ...~ ''i.,,~ .': ',' ~',,,,.~- (. .-.' " TYPE OF USE: PROJECT DESCRIPTION: Five circuits for equipment, fan and heater. Owner: HYLAND BUSINESS PARK LLC Address: PO BOX 7867 EUGENE OR 97401 Contractor Type Electrical I CONTRACTOR INFORMATION ~ Contractor License BUILDERS ELECTRIC INC 4296 BUlL'DING INFORMATION. Expiration Date 12/10/2011 Phone 541-485-0922 # 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 :rype: ' ' . Eii'ergy;PalIi,' . , .1 ,. -..-" .. It." '~: ') i ,! I' > .Sprinkle.1.iluilding: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla 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: DownspoutslDrains: ATTENTION' Ore foHow rules ~do t~~n law requires you to NotIfication Ce P by the Oregon Uti/it "JOTlr.F' ' in OAR 952- ~ter. Those rules are set f ~ 'HIS PERM ou may bt . ~ Ii 852-001_ IITHORIZE~USHALL EX )~!llIfaTfO'ii \Ijj i tidfl1' g the ce~er~'(~~i'et~ of the rules by ; ,1, NDER TH . ,,' . ,OT :, er for the Ore 0 e... e telephone ffi.ENCErJ OR IS ABA$'I'er.S"""I"'.-"llli',.Square Fo~' g n Utility Notlflcati Type of,Construction ""'ul~~1t., OfL.ii"'" '. er,s 1-80~2344) IJaqPCalculated , IJf\Y J-'cKIOD. or mult!p'ller" ':,~,..I "or BId Amount . i~. 'C ~;\(: Sidewalk Type: Notes: Description L\" ;; Page I of2 "-' Status Iss u ed ,'I ...r'.o" 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . :..' .r:.: ~ \~; . Total Value of Project I '1ii.ees'Paid'~ \.:.,' . (l.flH~ ;"':,," '!" . Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amouut Paid:. :- Date Paid '~j $9.48 $3.95 $55.00 $24.00 7/9/10 7/9/10 7/9/10 7/9/10 Total Amount Paid $92.43 Plan Revie~s; t .>1 "".,., " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00913 ISSUED: 07/09/2010 APPLIED: 07/08/2010 EXPIRES: 01/09/2011 VALUE: Receipt Number 3201000000000000406 3201000000000000406 3201000000000000406 3201000000000000406 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. wiIlbe made the following work day. ' Reouired InsDections ~ _':'~f;....., ~" , " I :~:E~i ::;i~~"J ~Iin.t..;' . Rough Electric: Prior to Cover ~:,,~~..tl.'".c.t' ,:ti'.~:,'.~':..;d' " ,.( , . 6"4-"'i l'~':j" 'l Final Electric: When all electrical work is complete. '..;.: . I..L._ :-..' 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensnre that all required inspectious 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 properly, and the approved set of plans will remain on the site at all times during construction. '" ",;'\ ,~ :.. .,:f:",::':.' 1;'01' I " .~ Owner or Contractors Signature ,::j .-.... J:~~~;~' '~,~~{:t~j.~:~~ i ..."f';}r1;f I'~,..," P3ee 2'of2 ~:p;(iP,i ; i :.., Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: . " .~ ~i'., . .. . 320~lj00000000000406 Date:' 07/09/2010 7:34:43AM Job/Journal Number COM2010-00913 COM20 1 0-00913 COM20 1 0-00913 COM2010-00913 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 .0;/'. (' ~,t( '{,..Check Number ~~~Jj~edj~y" ~~;!.~.a~ch IN umber inj'ii '-::.;-'''', , ;. ONLINE .'. 't. .)!. , :,')i,: 'I!j !h:~jJ";if' ., ~,~.' .:.L,,, , '., II >.'1 i"i:J;~:~:l\fJ> . . .,-..;..;t-. '''''-ri'':;'' ..-t1J~i\ ,"; .-~h,< . ,!'.,', . i,; . "i:! ;L~:1;~i~~'" ,"; ",/.'F .....,,,.. . .. i~1 J<r '~-'f:' .. ':.\~~J~ttl k:j~,t ::~!1 :1' "I ;f. "~ ;"'t.. O>.t--:"! . , ,11~'?~lj , Page 1 of 1 Item Total: Authorization Number Amount Due 55.00 24.00 9.48 3.95 $92.43 How Received Amount Paid builders Online elect Payment Total: $92.43 $92.43 7/9/2010