HomeMy WebLinkAboutPermit Electrical 2010-7-8
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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
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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
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City/State/ZiP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no,: 450
Project Name: 10-1594
Cross Streetfdirectlons to job site:
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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
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Phone: 541-485-0922
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Fax: 541-485-4055
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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
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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)
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TOTAL PERMIT FEE
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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
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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
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Page I of2
"-'
Status
Iss u ed
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
I '1ii.ees'Paid'~ \.:.,' .
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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
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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 ~
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Rough Electric: Prior to Cover ~:,,~~..tl.'".c.t' ,:ti'.~:,'.~':..;d' " ,.( , .
6"4-"'i l'~':j" 'l
Final Electric: When all electrical work is complete. '..;.: .
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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. '" ",;'\ ,~
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Owner or Contractors Signature
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
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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
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(' ~,t( '{,..Check Number
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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