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Home My WebLink AboutPermit Electrical 2009-1-7 Status Issued CITY OF SPRINGFIELD Building(Combination Permit PERMIT NO: COM2009-00020 ISSUED: 01107/2009 APPLIED: 01107/2009 EXPIRES: 07/07/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 750 S 28TH ST ASSESSOR'S PARCEL NO.: ]8030]0000]00 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Wiud damage mast Owner: HARRAL CHARLES W Address: PO BOX ]27 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 18]465 Expiration Date 04/]4120]0 Phone 54] -434.5600 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: ,,;//7)-,s , Sq Ft Basement: Range Type: Iv. 0~01l- 11t770", Sq Ft Garage/Carport Energy Path: I" 011Iic,{li1e,s : q;.a. Ft Other: ' Sprinkled BUildingOoB.O~-9B.:Ii'!lIC eO'oN~i.lnt Load: \1 " v.:> ~ ~n,. &r-I . Jlft- ' I DEVELOPMENT INFOlW)~,~W~"OO~/ho;lh& 'dlJ1r&,s '~I/ 06Ie/" IhrOiJ. r4oT'1{~[J,;;'hlPtORKING C. '/'111 te" cO, '{).1'Ii:"~;;"tit/!., Overlay Dist: el)ler ~ Or; (lI/ol:'I&,s '.9. ,sella fly # Street Trees Rqd: '8 1-(J.'{J01) U. : the ~}~I} Paved Drive Rqd: , oo.aa t11t1y !i6q. 6" % of Lot Coverage: '<-<IJ<t/ltltoq ol)e ~ !I. tlOI) ~ ~~~ Frontyard Setback: 'C;'i'u~ ,o~~~ Side] Setback: _' ~ O~?-a '9~ Side 2 Setback: '1-1' ~ ~ ~ Rearyard Setback: {slO 1e>~ <? ~ &'~ Solar Setbacks: ~1' ~ O~ ~t:'y.( A . <'~;O~~~~~IC IMPROVEMENTS 1 ~ '1''h 't A); , ~a '9~?-~ Storm Sewer Available: \ ~l\y""[l ..J ~ ~~ ~," , Special Instruction: ,'~V' \' ~?' 4'0 ~1" fi' c:f( ~ :~~ Street Improvements: Sidewalk Type: Downspouts/Draios: Notes: I y ~I~~tio~ Descri9tion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or,Bid Amount Value Date Calculated Page] of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00020 ISSUED: 01/0712009 APPLIED: 01/07/2009 EXPIRES: 07/07/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone , 54]-726"3676 Fax 541-726-3769 Inspection Line Total Value of Project ~e~~ ~3id I $7.56 $3.]5 $63.00 ]/7/09 , 1/7/09 1/7/09 Receipt Number 2200900000000000022 2200900000000000022 2200900000000000022 Fee Description + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Amount Paid Date Paid Total Amount Paid $73.71 I Plan Reviews , , 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. ~e'l\lired In~n~ctions N Electric Service: Approval required prior to utility company energizing service. By signature, I state ard agree, that Ihave 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 arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required iuspections 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 Coutractors Signature Date Page 2 of2 City of Springfield , Electrical Authorization To Begin Work E-maiiedTo:JULIE-DPE@COMCAST.NET Re~eipt # EC544659 ]/7/20098:42:34 AM C_heck on status of permit By Phone: (54])726-3753 or Emaii: permitcenter@ci.springfield.or.us [.KJ ] or 2 family dwelling D Multi-family . D Commercial! Industrial Il,OOO sq. ft. or less [4} ad,dl 500 sq. ft. or portion ID Ncwconstmction IX] Addition/alteration/replacement IJob no.: IJob address: 750 S 28TH ST .ICily/State/ZIP: SPRINGFIELD, OR 97477-5256 I Suitelbldg./apl.no.: I Project name: I-Limited energy, residenti::il (with above SQhfU I-Limited energy, multifamily residential (with above sq. [1.) . I-Limited energy, commercia-[ not offered online at this jurisdiction (with above SQ. [1.) , I - Stand-alone limited energy, residential I - Stand-alone limited energy, multi-family I - Stand-al9ne liiilited energy, commercia] r~l~~tt~!~~~~~~iO"~t~~~i!i~!f~"-D?q~~~S,~I!mJ.~~; [200 amps or less [2] 120] amps to 400 amps [2 ] 40] amps to 599 al1)ps [2] I I ~,l,;~g.~Q~_R~,,.;~ryl~SIO,.'- ~i(ee:dCfs,'!_.inmlUli:~(j.~f~!.~_e~,-trQn,..i",~~~~M~Z',:litl t~~~~e_!oc~~~':;:~{ti'iiJa~jj)m;t2R7it~l;,i!{ i/;glr(}~. L 1 $63.00 $63.001 _ IilWp?elb' "I94,,\,f4{Qh I IName: juliefocd I; -W/e i"rf/ ~{JO. ' I I::::: ......' ,.IFU: ., . . ,.',. ,'. "..,"~;<" r c c _~-~il~ilV'~~Ji:l[~]lli$\!-J~'\11 1~~~,f~<~~im~T~IQ:~~~~~1 /,:!~/ltfl~(J8Jf;ot;'ro el't;/e~:~~~/J~~fJ,j I lEI, Iic, no,: C263 '_0~ Z CCB I", no,: 181465 I IBF<€'l\'h , ,tslA,-Op ,10",/;:: 89,II/ify I I ' ~-,: 'is' 1~ I wllhouF/./fjj"D 1\1[""'Ct.. 8 0, 'T is: "ON Busoness Nam" DOUG PALI)lffU)>fC~ '= firs! branch ",l6\'12 YO e. t. \8 ";' I Contact: JULIE FORD 4;~4?A.:O..(>~:Tifb~ I I each.add]branchcirc ~, ili &Ie 8.sf?.. I :~:t:;:::;c~;;:B::~~:~:~~~~i;t~~::?(, ~ : :;:;:~;;':~:;;~~t:-~1:~6~;~:~~~t~~~~\ I Phone: (541)4345600 . ""r~ '-Y~y:~f~\7~ II E.ach~mmUfac~uredOrmOdU]ar I -,tl"' 'U' i~:" '1; dwelling, service and/or feeder lEma;!: JULIE-DPE@COMCASTNET ~~, -1~:.Y,{1' .~/.i' I 121 IMetrolic, no,: l6l1hc'~/)":(<'J9' ~^ II Pompocimgat;nnc;ccl,[2] I I Supervising electrician's lie. no.: 27425 - l'4'iC'; ;~/} "'" ~ I I Sign or outline lighting [2] I I ".3 /J" ~~ I Signa] clrcuit(s) or limited- I I Supervising electrician's name: DOUGLAS G PALMER i<""~;:, I alteration, or' . 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. Cross street/directions to job site: !Subdivision: ITax map/parcel no.: I Lot no.: ]8030]0000100 wind damaged mast. NOTE: This Authorization To Begin Work expires within 180 days if a per.mit is not obtained. . I Subtotal I State Surcharge (12% of permit fee) I City Of Spring fie I,! fees * I TOTAL PERMIT FEE, * City Of ~pringfield fees: 5% Technology Fee [Dp(mdt YlfIIl1hpr n(jn~nprlinn~ allowedl COM' '1rrfA - nnn;;JD RCP'I"#' ~8. 001 -. :J:l D~ PROCEss"n. II '1-1 Cf1 This Authorization To Begin Work must be po?ted'attl e job site until replaced by'a Permit----'. , " PROCESSED BY' ~ f! P...,~ , $63.00 $7,56 $3,15 I $73,71 I 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 10c~1 ord!nances. 225 Fifth Street Springfield, Oregon 97477 , 541-726-3759 Phone City' of Springfield Official Receipt Development Services Department Public Works Department '. RECEIPT #: 2200900000000000022 Date: 01/07/2009 8:53:]4AM ' Payments: Type of Payment 'Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63,00 3,15 7,56 $73.71 Job/Journal Number COM2009-00020 COM2009-00020 COM2009-00020 Description Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge Amount Paid ONLINE CHGS ONLINE PERMIT CHGS KR ONLINE DOUG Online PALMER Payment Total: $73,71 $73.71 cReceintl Page I of I 1/7/2009