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HomeMy WebLinkAboutPermit Electrical 2008-12-22 _.s!~,Ulll~~,.~!~~... ....',~ ii,' ',i:, ,', ;"i'" '," .~ ., , Lr} { d flyr. '\..-/1" I/!/L S QfZ/ (f'1' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01794 ISSUED: 12/2212008 APPLIED: 1212212008 EXPIRES: 06/2212009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 121 W C ST APT 3 ASSESSOR'S PARCEL NO.: 1703352312101 Springfield TYPE OF WORK: TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace 100 AMP service Owner: BRIGGS FAMILY TRUST LLC Address: 798 DORRIS ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 181465 Expiration Date 04/14/2010 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 ] st 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 I 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 I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I, V aluation DescriDti~n I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amonnt Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01794 ISSUED: 12/2212008 APPLIED: ] 2/22/2008 EXPIRES: 0612212009 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 $7,30 $8.76 $3.65 $73.00 12/22108 12/22/08 12/22/08 12/22/08 3200800000000000798 3200800000000000798 3200800000000000798 3200800000000000798 Total Amount Paid $92.71 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, Reouired' Insnections I III, Electric Service: Approval required prior to utility company energiz!ng service. , By signature, I state and agree, that I bavecarefuUy examined the completed application and do hereby certify that aU information hereon is true and correct, and I further certify that any and aU 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 Page 2 of 2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:JULlE-DPE@COMCAST.NET Receipt # EC543965 12/22/20089:57:56 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ~ ] or 2 family dwelling o Multi~fami]y o Commercial (Industrial I J,OOO sq< ft or less i Ea, addl 500 sq. ft. or portion o New construction lliJ Addition/a]teration!rep]acem~nt no.: IJobaddress: 121 WeST 1 City/State/ZIP: SPRINGFIELD, OR 97477-5504 I Suitc/bldg./apt.no.: APT 3 I Project nllme: Cross street/directions to job site: /SUbdivision: ITax map/parcel no.: 1703352312101 !LQtno.: I. - Limited energy, residential (with above SQ. ft.) I-Limited energy, multifamily residemial(with above sq. ft.) I . - Limited energy, commercia-] (with above Sq. fU I - Stand-alone limited energy, . residential I' ~ Stand-alone limited energy, mU]li~family I - Stand~a[one limited energy, commercia] 1 200 amps or less 1201 amps to 400 amps 140] amps to 599 amps $73,00 $73,00 I I SERVICE JULIE FORD 1 Phone: !Email: IF.x: 1 200 amps or less 120 I amps to 400 amps 140] amps to 599 amps I EI. lie. no.: C263 lie. no.: 181465 I Business Name: DOUG PALMER ELECTRIC LLC I Contact: JULIE FORD Address: 1368 BARRINGTON AVE ICity/StatelZIP: EUGENE OR 97401 I Phon" (541)4345600 IF.x: (541)7621056 I Email: JULIE~DPE@COMCASTNET I MC,tro lie. no.: I City lie, ~o.: ISupen'ising electrician's lie. no.: 2742S I Supervising eleetTician's name: DOUGLAS G PALMER I A. Fee for br.an ch circuits with service or feedcrfee, each branch circUlt I I B. Fee for branch circuits I without service or feeder fee, first branch circuit I I each addl branch circuit I I I I I I I 1 Service reconnect only I. Each manufacluredor modular dwelling. service and/or feeder I Pump or irrigntion circle I Sign or outline lighting Signal circuit(s) or limited~ . alteration, or Upon review and approval by your local jurisdiction, your permit wilfba a-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. I Subtotal $73.00 I State Surcharge (12% of permit fee) $8.76 I 1 City Of Springfield fees * $]0.95 I I TOTAL PERMIT FEE $92,71 I . City Of Springfield fees: 10% Administration Fee; 5% Technology Fee The local building department may determine that an Authorization To'Begin Work is null and void ifit does not meet applicable land use laws and local ordinance~. ~LGDf:;- O\-;C{ '+ I ~ - ).): -0 ~ r- (\rY\ This Authorization To Begin Work must be posted at the job site until replaced bya Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-01794 COM2008-0 1794 COM2008-0 1794 , COM2008-0 1794 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200800000000000798 Date: 12/22/2008 10:24:27AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 73,00 3,65 8,76 7.30 $92.71 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By , ONLINE PERMIT CHGS Amount Paid njm ONLINE doug palmer Online elect Payment,Total: $92,71 $92.71 Page 1 of 1 12/22/2008