HomeMy WebLinkAboutPermit Electrical 2008-7-23
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01109
ISSUED. 07/23/2008
APPLIED. 07/23/2008
EXPIRES: 01/23/2009
VALUE:
Status
Issued
225 F,fth Street, Sprmgfield. OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn Lme
SITE ADDRESS 5680 HIGH BANKS RD
ASSESSOR'S PARCEL NO 1702284300200
Spnngfield TYPE OF WORK Electncal Work Only
TYPE OF USE
PROJECT DESCRIPTION Change out 200 amp panel
Owner MANNHEIM FRED G
Address PO BOX 1651
SPRINGFIELD OR 97477
Owner OWENS SUSAN D
Address PO BOX 1651
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electncal
Contractor
DOUG PALMER CORP
LIcense
90725
ExpiratIOn Date
05/03/2010
Phone
541-434-5600
BUILDING INFORMATION ~
# ofUIIlts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Pdth
Spnnkled Buddmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Garage/Carport
Sq Ft Other
Occupdnt Load
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
SIde 1 Setback
S,de 2 Setback
RearYdrd Setback
Solar Setbacks
Totdl
Aiit:NTlON HandIcapped
fOllow rUle 0 0_" . Compact
Not/flCatlo Sad,,', "
In OAR n Ce.l!c/ , J
NOTter:. Onllt'l "952-001'0(,,
I HIS PERMIT SHAL I PIlBLIC IMPROVEMENTS t Il/lOg-;-h~'~Y Ob!"
AUTHOR ~ "" ~mbe enter ( ,
Street Improvements'COMM IZED UNDER THIS'''Pt: It- I HE WORK ~.(PlJliIk(f'YJ!e:
, ENCED OR ERMIT IS N 'Center IS 1 ~;;
Storm Sewer AvallableNY 180 DA IS ABANDONED OT Downspou s!hl-aU\S~..._.,. ,
SpecldllnstructlOn Y PERIOD FOR J,
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Notes
Page 1 of2
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-0Il09
ISSUED: 07/23/2008
APPLIED. 07/23/2008
EXPIRES: 01/23/2009
VALUE'
225 Fifth Street. Sprmgfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIOn DescflDtlOn I
DescriptIOn
Tvpe of ConstrnctlOn
$ Per Sq Ft
or mnltIpher
Sqnare Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Pald I
Fee DescriptIOn
+ 10% AdmlDlstrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$700
$840
$350
$70 00
7/23/08
7/23/08
7/23/08
7/23/08
3200800000000000519
3200800000000000519
3200800000000000519
3200800000000000519
Total Amount Paid
$88 90
I Plan Reviews ,
To Request an IOspectlOn call the 24 hour record 109 at 726-3769 AlllOspectJons requested before 7.00
a m will be made the same worklOg day, IOspectlOns requested after 7:00 a.m WIll be made the folloWlOg
work day.
I. ReolllrecllnsnechonsJ
Electric ServIce Approval reqUIred prior to utIhty company energIZIng serVice
By SIgnature. 1 state and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby cerlIfy that all
mformatlOn hereon IS true and correct, and 1 further cerlIfy that any and all work performed shall be done 10 accorddnce with
the Ordmances ot the City of Sprmgfield and the Ldws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be mdde of any structure without permIssIOn ot the CommuDlty Service, DIvISIOn, Bulldmg Safety
1 further certlly that only contractors and employees who are 10 comphance wIth ORS 701 005 Will be used on thIS project
1 further agree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each address IS readable from the
'treel, that the permit card IS located at the front ot the property, and the approved set ot plans WIll remam on the SIte at all
times durmg construction
Owner 01 Contractors Signature
Date
Paee 2 of 2
Electrical AuthorizatIOn To Begm Work
E-ma.led To JULlE-DPE@COMCASTNET
Receipt # EC534549
7/23/20089 26 02 AM
CIty of Sprmgfield
Check on status of permit
By Phone (541)726-3753 or Emad permltcenter@c.sprmgfieldorus
TYPE OF WORK
II
II DescnptlOn
RUlIdcnhal SINCLE~~OR
I att:fs~e~ gll6lg~~~l=~ ,"
'.,: FEE SCHEDU,LE
Qly
Ea
Tot.1I
10 New constructIOn
[i] AdditIon/alteration/replacement
CATEGORY OF~CONSTRUCTlqN dJ'0g;€~4~~S
I [Xl I or2 famIly dwellmg 0 Multi family 0 Commercia] IIndustnal
I JOB SITE INFORMATION AND LOCATION
I Job no I Job ndd...eS3 5680 HIGH BANI\.S RD
I Clty/StaterLlP SPRINGrIEl D OR 97478-6856
I SUlte/bldg hpt no
I Project DaUlt.
Cross streef/dlrectlOn~ to Job site
Iu he no C263 ICCBhc no
I BUSIDC!lll Ndme DOUG PALMFR FI ECTRIC LLC
I Contact JULIE FORD
IAddre!l!l 1368 BARRINGTON AVE
IClty/State/l.IP I::UGENE OR 97401
IPhon, (541)4345600
Itmlul JUi II: DPI-@COMCASfN[T
I Metro IIc no
I Supervising electric I lil'S IIc 110 27425
I Supervl~mg electrlCIIO'S nllm{' DOUGLAS G PALMER
181465
I
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I
I
I
I ~~ry!ces OR feeders m!>talllltloll, ulterdtlOlI, .\NDfOI~ ~lo~itIM0 I
1200 amps or less $7000 $7000 I
120] amp!> to 400 amps I
1 40] amps to 599 amps I
I TFMPORARY '!tcrvILes OR fceders lIlsta!ln!IOE' ~Itcratlon} I
AND/Olt relocatIon ~ ~ ~ ~ u ,
1 200 amps or less I
1201 amps to 400 amps I
140 I amps to 599 amps I
I Branch CIrcUit!> ~ NEW, .llteratlOll, ~OR exten'Jloll, per panel I
I A Fee for branch clrculls with I
~ervlce or feeder fee, each
branch Circuit
I B Fee for branch ClrCUltS
without service or feeder fee
first branch circuit
1 each add! branch cm.U1t
I MIscellaneous
I Service reconnect only
I Each manufactured or mod.llar
dwell mg. senlce and/or feeder
I Pump or Irngatlon circle
1,000 sq ft or less
I Ea addl 500 sq ft or portIOn
I LllUled
I Lllmted energy, resldentlal
(with above Sq ft)
I Limited energy, multifamily
reSidential (WIth abo\e Sq ft)
I Lllmted energy commercia']
(With above sq ft)
I Stand alone limited energy
re~Jdentlal
I - St,md alone hmlted energy
multi-family
I-Stand alone limited energy
commerLlal
!SubdlVlslOn
1 Tax map/parcel no
ILot no
1702284300200
DESCRIPTION OF WORK
changeout 200 amp panel
SITE CONTACT
IN,m,
Phone
Ilmad
I
Juile ford
IFlX
CONTRACTOR
I CIty hc no
Sign or outlme hghtmg
Signal clrcUlt(s) or limited
energy panel alteratIOn or
extenSion
not offered onhne at thiS JunsdlctlOn
I
I
I
I
I
I
$70 00 I
$840 I
$1050 I
$8890 I
,eal Tel.hnology
I~.x (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
ELECTRICAL PERMIT FEES
Subtotal
State Surcharge (12% ofpenmt fee)
M'
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COM ~":"pYf!~uld Am WiJJUU!~'..;/. ~n J%L
Fee
RCPT#' ,-=3 2J57J '?:' -- ~ /7'
DATE PROCESSED 7' -;:)3 -0 \Y'
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PROC
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Ite until rMaced by a Permit
NOTE ThiS Authorization To Begin Work expires wlthm 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
ThiS Authorization To Begin Work must be posted at the Job
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008,Oll09
COM2008-01109
COM2008,O II 09
COM2008-0 II 09
Payments
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #.
4PRfNOFJ8LD .." II. 1,,1
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City of Sprmgfield Official Receipt
Development Services Department
Pubhc Works Department
3200800000000000519
Date. 07/23/2008
DescriptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Pard By
ONLINE PERMIT CHGS
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm ONLINE dong palmer In Person
Payment Total
Page I of I
11 22 24AM
Amount Due
7000
350
840
700
$88 90
Amount Paid
$88 90
$88 90
7/23/2008