HomeMy WebLinkAboutPermit Mechanical 2008-10-13
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
;
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01526
ISSUED: 10/13/2008
APPLIED: 10/13/2008
EXPIRES: 04/13/2009
VALUE:
Status
Issued
SITE ADDRESS: ]846 H ST
ASSESSOR'S PARCEL NO.: 1703362108100
Springfield 'TYPE OF WORK:
TYPE9F USE:
PROJECT DESCRIPTION: Change out 200 AMP panel
Owner: BUCHANAN KAROL L
Address: 1846 H ST '
SPR]NGFIELD OR 97477
I C<?N!RAnOR ]NFOR~~TlON I
Contractor Type
Electrical
Contractor
DOUG PALMER ELECTR]C LLC
License
181465
Expiration Date
04/14/2010
Phone
54] ~434-5600
BUILDING I~FORM~Tl~N I
'# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# 'of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
. Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
I DEVELOPMENT ]NFORMATl?N .'
REQUIRED PARK]NG
Front yard Setback:
Side 1 Setback:
Side 2.Setback:
Rearyard Seiback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Or'?d~l~ lAW'"' ,.
follow rules adJ[,anilLcapl'eil9U1res you to
Notifica1ionCent~~'i'u'11?~tl'le Oregon Utility
. .. · oIose ruies are set forth
~no~;~952-001-001 0 through Or\R 952-001-
M';'..o~ may obtain copies of the rulAO h"
i;;I u'.~ ........',',,;;1. \nUlS: .rne telephone -
number for the Oregon Utility Notification
SidewalkcrfJ~! IS 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
. THIS PERMIT SH
AUTHORIZED UN ALl EXPIRE IF THE WORK
COMMENCED OR ~~~ THIS PERMIT IS NOT
ANY 180 DAY PERiOD BANOONED FOR
I ~UBL1C IMPROVEMENTS I
Downspouts/Drains:
Notes:
I Valuation Descript,ion J
Description
Type of Construction .
$.Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount,
Value
Date Calculated
Paee 1 00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54] -726-3 769 Inspection Line
Fee Description
+ ] 0% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amonnt Paid
$7.80
$9.36
$3.90
$5.00
$73.00
Total Amou~t Paid
$99.06
Total Value of Project
,
Fees Paid J
Date Paid
] 0/13/08
] 0113/08
] 0/13/08
10/13/08
] 0/13/08
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01526
ISSUED: 10/13/2008
APPLIED: 10/13/2008
EXPIRES: 04/13/2009
VALUE:
Receipt Numher
320080000000000070]
320080000000000070]
320080000000000070]
320080000000000070]
320080000000000070]
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.
Re/lui~e~ I nS,ne~!i.~,~~ ,
Rough Electric: Prior, to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, ] state and agree, that I have carefully examined .the completed application and do hereby certify that all
information hereon is true and correct, and] further certify that any and all w6r,k 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 bc made of any struct~re without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 atthe front of the property, and the approved set of plans will remain on the site 'at all
times during construction.
Owner or Contractors Signature
Paee 2 01'2
Date
City of Springfield
Electrical Authorization To Begin Work
E"mailed To: JULIE-DPE@COMCAST.NET
Receipt # EC53976R
]0/13/20086:59:]5AM
Check on status of permit
By Phone: (54])726-3753 or Email: permitcenter@ei.springfield.or.us
I D New constmction
[X] Addition/alteration/replacement
.10 ] or 2 family dwell ing
o Multi-family
o Commercial / Industri'il
1,000 sq. ft. or less
I Ea. add! 500 sq. f1. or portion
IJob nG.: IJob addn:ss: 1846 H ST
ICityiStlltc/ZIP: SPRINGFIELD, OR 97477~4239
I Suite/hldg.!apt.no.:
I Project name:
Cross street/directions Co. job site:
ISubdivision:
ITax map/parcel no.,: ]703362]08100
I Lot no..:
I -Limited energy, residential
(WIth above sa. ft:)
I-Limited energy, multifamily
resideritial'(with above so. It.)
I-Limited eriergy, commercial
(with above sa. 1'1:.)
1 - ~limd.-aJone limited energy,
resldentml .
I - Stand-alone limited'energy;
multicfamilv
I - Sland~~J(Jne limited energy,
commercIal
1[$,~:&.~~i;Q,~~~~f~,~~'~J,€llii92i;~a,'t~~~tior;~~p~~~r~11~~!~~~_!~II
1200 amps9r less $73.00 $73.001
1201 amps to 400 amps I
140 I aJ~psto 599 amps 1
change out 200amp panel
I 200 amps or less
120 I' amps to 400 amps
1 40 I amps to 599 amps
I Name: julie foid
I Phone:
!Em,lil:
IF""
lEI. lie. no.: C263 ICCBlic.no.: 18]465
I Business Name: DOUG PALMER ELECTRIC LLC
I Contact: JULIE FORD
IAddress: 1368 BARRINGTON AVE
.1 City/State/ZIP: EUGENE OR 97.401
I Phone: (541)4345600 IF"" (541)7621056
II<~mail: JULlE-DPE@COMCAST.NET
I Metro lie. no.: I City Iic."lIo.:
I Supenising electrician's lie. no.: 2742S
I Supcnising electrician's name: DOUGLAS G PALMER
I A.,Fee forbranch circuits with
service or feeder fee, each
branch circuit
I B, Fec for"branch circuits
without service or feeder fee,
first branch circuit:
I each addl branch circuit
$5,00
$5.00
) Service reconnect only
I Each ~nan~factured or modular
dwellmg, servIce and/or. feeder
I Pump or irrigation circle
I S-ign oroutline lighting
I Signal cir~uit{s) or limited-
energy pmiel, alteration, or
extension.'
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
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.
Subtotal $78.00 I
State Surcharge (12% of permit fee) $9.36 1
City Of Springfield fees * $] 1.70 I
TOTAL PER1\HT FEE $99.06 I
* City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
, e..JOn,:, 'L. C\() &- - 10\ Sd Cp
\ D-I 2:, ....-0 ~ .
'-i0JYl~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1526
COM2008-0 1526
COM2008-0 1526
COM2008-0 1526
COM2008-0 1526
Payments:
Type of Paymeo!
ONLINE CHGS
cRcccintl
RECEIPT #:
3200800000000000701
Date: 10/13/2008
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE DOUG Online
PALMER
Payment Total:
Page I of I
7:15:34AM
Amount Due
73.00
5,00
3.90
9,36
7,80
$99.U6
Amount Paid
$99,06
$99.06
10113/2008