HomeMy WebLinkAboutPermit Electrical 2008-12-22
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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