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Home My WebLink AboutPermit Electrical 2008-4-17 City of Springfield . Electrical Authorization To Begin Work E-mailedTo:JULIE-DPE@COMCAST.NET Receipt # EC528874 4/17/20088:07:31 AM ~.o1'Q.. A''\. '-fK.- \-"-~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us I, ':~t1'<'t ,:...~:CA TeGbRY: 9~,~ONStRUCTI91':',;h IK] I or 2 famIly dwelling D MultI-family D Commercial/ Industnal 'I FEE SCHEDULE ," I I DescnptIon I Qty I Ea. I Total Residential SINGLE- OR'multiTfamily dwelling unit. Includes attached{'gfa~ia"*g~~\lIHiI:,' t II'JilIiI<I'(I{'<,;,/>,\ IVN J >V~\<<'I\"1<{,*,," I 1', 1','11"", ~ ,< I ) 11,000 sq ft or less I Ea addl 500 sq ft or portIOn LIinl!e~I.,.!;j~,~rgy - LImIted energy, resIdentIal (wIth above sq ft) I-LImIted energy, multIfamIly resIdentIal (wIth above Sq ft) - LImIted energy, commercial (wIth above sq ft) - Stand-alone limIted energy, resIdential I - Stand-alone limIted energy, multI-famIly I - Stand-alone limIted energy, commercIal I' Services O~ f~~dets installation, alteration', AND/O~ rdocatIou I 200 amps or less 2 $70 00 $140 00 I 20 I amps to 400 amps 1401 amps to 599 amps JEMPORARY ser,vl~e~ qR feeders IUstaIJatlon, alteratIOn, "AND/ORrelocatlOn' I "'rily",,\'IJ." . "':'':'.' ,I, ;;, " ~I '<<'ww l ; . '1"" I I I j 1200 amps or less 120 I amps to 400 amps 1401 amps to 599 amps I BranClf:Cl!,~~I,~,~l[~ ~EW, alt~ra'hon;,()R;'i~~~e".sion', per panel , A Fee for branch CIrcuIts with' . servIce or feeder fee, each branch CIrCUIt B Fee for branch CIrCUIts without servIce or feeder fee, first branch CIrCUIt, I each addl branch CIrCUIt I ..' ~~s~~I!~~eous I Service reconnect only I Each manufactured or modular dwelling, service and/or feeder I Pump or IrrigatIOn Circle I SIgn or outline IIghtmg SIgnal clrcUlt(s) or IImlted- energy panel, alteratIon, or extens IOn not offered online at thIS Junsdlctlon IY'j<1 . TYPE .QF, WORK;': "., , [X] AdditIOn/alteratIon/replacement I, I ~ ~+ I D New constructIOn I , JOB SITE'IN~,q~M~T10N AND.L~gAlION I Job no.: I Job address: 555 S 53RD ST I City/State/ZIP: SPRINGFIELD, OR 97478-6787 I SUlte/bldg.!apt.no.: I Project name: Cross street/directIOns to Job site' I SubdiVISIOn: I Tax map/parcel no.' I I Lot no.: 1802042104200 DESCRI~:r:19!'J OF WORK ',,::1," changeout 200 amp servIce 'Ill> ' "SITE CONTACT",p >1IJ"'I< ' I Name: Julie ford IPhone IEmail: I lEI. hc. no.: C263 I Busmess Name. JULIE LEIGH FORD I Contact: JULIE FORD IAddress: 1368 BARRINGTON AVE City/State/ZIP: EUGENE OR 97401 Phone' (541)4345600 Emall: JULlE-DPE@COMCASTNET Metro hc no: I City hc no' I Supervlsmg electriCian's hc. no' 2742S jSupervlSlng electriCian's name: DOUGLAS G PALMER I Fax: "; 1'>'Y1 {'< I I ~(,1 1/< I 'e , I .CONTRACTORiN'" " (~r III' /-J' fY~' , I CCB hc. no.: 171130 I Fax: (541)7621056 Upon review and approval by your local JUriSdiction, your permit Will be e-malled or faxed Within one bUSiness day, With instructions on how to schedule your inspection " e'\' ELECTRICAL PERMIT FEES I Subtotal $14000 I State Surcharge (12% of permit fee) $16 80 I City Of Spnngfield fees * $21 00 I TOTAL PERMIT FEE $17780 I 10% Local Admm Fee, 5% Local Technology Fee 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. I I I I. * CIty Of Spnngfield 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: COM2008-00533 ISSUED: 04/17/2008 APPLIED: 04/17/2008 EXPIRES: 10/1712008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 555 S 53RD ST ASSESSOR'S PARCEL NO.: 1802042104200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Changeout 200 amp service. Owner: KING MARK Address: 555 S 53RD ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JULIE LEIGH FORD License 171130 Expiration Date 07/20/2008 Phone 541-434-5600 BUILDING INFORMATION I # 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 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 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: , I PUBLIC IMPROVEMENTS. Street Improvements: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Special Instruction: AI I t:.NTION: Oregon law requires you to Notes: follow rules adopted by the Oregon Utility Notification Center. Those rule: ~~e _5_8; f.?!!h !V "'Tff t" r'. In OAR 9b~-UU1-UU I U llll UU\::J" vA;' 'N'" U" . , . "'" . ,... '-. 0090. You may obtain copies of the f:: ~R.~tion Descri tio~-~ IS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: t.he telep ~",' l' !,1ORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notlfl~~~or~ Ft S uare'/F06ta- Descripffon CefllijfW{:~44). .q . q . ~J_,,,,,,,g~CED OR 1~a4&4NDONEIiI>:fiQitalculated or multiplIer or BlcJ.\i\;IJlOI"o"l!) DAY PERIOD. Palre 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00533 ISSUED: 04/17/2008 APPLIED: 04/17/2008 EXPIRES: 10/17/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $14.00 $16.80 $7.00 $140.00 4/17/08 4/17/08 4/17/08 4/17/08 2200800000000000470 2200800000000000470 2200800000000000470 2200800000000000470 Total Amount Paid $177.80 I Plan Reviews I 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. I Reouired Insoections I Electric Service: Approval required prior to utility company energizing service. 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 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 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 the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 54i-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00533 COM2008-00533 COM2008-00533 COM2008-00533 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 2200800000000000470 Date: 04/17/2008 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received ddk' ONLINE JULIE Onlme LEIGH FORD Payment Total: Page 1 of 1 9:18:41AM Amount Due 14000 700 1680 1400 $177.80 Amount Paid $177 80 $177.80 4/17/2008