HomeMy WebLinkAboutPermit Electrical 2010-7-26
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00342
Approval Code: 906245 7/26/2010 7:57 am
E-mailedTo:kelly@builderselectric.com
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
. Phone: 541-7;26-3753
Email: permitcenter@ci.springfield.or.us
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D New Construction IRl AdditionlaIteralion/rep laeemenl
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IZI 1 or 2 family dwelling D Multi-family D Commercial D. Accessory
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Job Address: 1225 GST
CityfState/ZIP: SPRINGFIELD, OR 97477
Suitelbldg./apt.no.:
Project Name: Ed Johnson "
Cross Street/directions to job site: ,n,,' ,,'iT,;';
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Tax mapfparcel no.: 1703351104100
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200 amp service change
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Name: Kelly O'Brien
Phone: 541-485-0922 Fax: ...,..".
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Email: , ...- ._.~
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Elee lie. no,: 20-12C CCB lie. no.: 4296
Business Name: BUILDERS ELECTRIC INC
Contact:
Address: 195 MADISON ST
City/State/ZIP: EUGENE, OR 97402 ,. n. ..... .. ..
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Phone: 541-485-0922 Fax: 541-485-4055 ,
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Email: FRED@BUILDERSELECTRIC.COM
Metro Iic. no.: City lic. no.:
Supervising Electrician's Iic. 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'
within one business day, with instructions On how to schedule your inspecti~~:2: .,.::,_, "
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is no', obtained.
e-mailed or' faxed
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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
D Fire pumps
o Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
Description
Services
Services 200 amps or less
'~H~ctHcal:'P,er~ft:FeE!~.&i~,' ',1)
Subtotal
~ State surcharge (12% of permit
total
[fechnology fee (5% of permit total)
TOTAL PERMIT FEE
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D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
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
$81.00
$9.72
$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
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Status
Issued
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00979
ISSUED: 07/26/2010
APPLIED: 07/26/2010
EXPIRES: 01/26/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1225 G ST
ASSESSOR'S PARCEL NO.: 1703351104100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 200 amp service change
Owner: JOHNSON EDDY 0
Address: 1225 G ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor License
BUILDERS ELECTRIC INC 4296
BuiLDiNG INFORMATION ~
Expiration Date
12/10/2011
Phone
541-485-0922
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
. .
-.:#.of Stories:
.H.eight 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 I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay DiSt:: ;;" .
II.Street Trees Rqd:
. Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
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PUBLIC IMPROVEM rules adopted by the Oregon IJt:lity
. . . ~Wr TrOSe rules are set forth
NotificatIOn Ii alk yne: hOAR 952-001-
in OAR 952- u1- uTO ",uug b
Storm Sewer Available: .E;E _.: ..:.. . _ 0090. You ~!!;pYfi\ts/lJr'aj\iflf the rules y
Special Instruction: ..1I.!Y"'(; 1l':,.;;,:' '. . the center. (Note: the telephone
".".'~' ",>0.,"",,;,' ':.1 '~~~~~r for the Oregon Utility Notification
NOTlCE:\&O'RK': :e,: Center is 1-800-332-2344).
THIS p MIT SHAll EXPIRE IFTHE" '
\UTHORIZED UNDER .
ClMMENCED OR IS ABANDOt E'OaQQi'tion Descri
IV 180 DAV PERIOD.
Type of Construction
Street Improvements:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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L,;Total Value of Project
I Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$9.72
$4.05
$81.00 .
7/26/10
,7/26/10
'7/26/10
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Total Amount Paid
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$94.77
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I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00979
ISSUED: 07/26/2010
APPLIED: 07/26/2010
EXPIRES: 01/26/2011
VALUE:
Receipt Number
3201000000000000468
3201000000000000468
3201000000000000468
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, inspe,ctions requested after 7:00 a.m. will be made the following
work day. ~ iT ,,:. "':\i\.
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~Reau~red InsDect.ill.lli.l
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Electric Service: Approval required prior to utility company energizing service.
By signature, 1 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 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 ill compli~nce 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 the permit card is located at the front ofthe,'propei-iy, and ihe 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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Paee 2 of2
Date
225 Fifth Street
Spri~gf.ield. Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000468
Date: 07/26/2010
9:02:06AM
Job/Journal Number
COM20] 0-00979
COM20 1 0-00979
COM20 1 0-00979
Description
Perm Serv/Fdr 200 amps or less
+ ] 2% State Surcharge
+ 5% Technology Fee
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Item Total:
Amount Due
81.00
9.72
4.05
$94.77
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Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
"::!:~",.l(l'. Check Number Authorization
Ric'eived By Batch Number Number How Received
Amount Paid
njm
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ONLINE
builders Online
Payment Total:
$94.77
$94.77
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