The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-1-7 i I\~ (F~/ vr' 11 ,'7\' " (f" CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00018 ISSUED: 01107/2009 APPLIED: 01/07/2009 EXPIRES: 07/07/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 2435 A ST SPACE] ASSESSOR'S PARCEL NO.: ]703364]0]500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Repair service disconnect on pole. Emergency pwoer loss due to burnt breaker. Replaced. Owner: SCOTT BEVERLY J Address: 327 S 46TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor MY ELECTRICIAN INC License 87506 Expiration Date ] 1/20/2009 ' Phone 54]-729-1454 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 REQUIRED PARKING Frontyard Setback: Side] Setback: Side 2 Setback: Re"ryard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' .<;\'0 ~r. loW requires you to ATTENTION:~ioe'Ralk Tl\pe: Oregon Utility follow rules adopte.:t, oy .' :e""o 1re set forth N t'fcation cJl1!~Wspouts/BralJls. 2-001- o I I 0010 through OAR 95 In OAR 952-001- btain copies of the rules by 0090., You may 0 (Note: the telephone callmg the chen~~~gon Utility Notification n"mhprfort e --- M"l CE' Center 15 I-OVV-~..r- _./, NOT'PERMIT SHAll EXPIRE IFIT~:fa~~ Descrintion I THIS DER THIS PER".(I t" . ., . DescriPtioJ'UTH01\J~~1tt~i1hhJDONI!i\),~ ~t Squa,re Footage COMM~Nvl:u U'fI' or multJpher or Bid Amount ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: Value Date Calculated Page] of2 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00018 ISSUED: 01/07/2009 APPLIED: 01/0712009 EXPIRES: 07/07/2009 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone . 54]-726-3676 Fax 54]-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + ]2% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number $7.56 $3.]5 $63.00 ]/7/09 ]/7/09 ]/7/09 3200900000000000004 3200900000000000004 3200900000000000004 Total Amount Paid $73.7] 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 theJollowing work day. I ReolJir~rl Insnections I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have 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 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 plaus will remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of2 City of Springfield , Electrical Authorization To Begin Work E-mailedTo:ejguidry@msn.com Receipt # EC544645 117120096:35:55 AM Check on status of permit By Phone: (54])726-3753 or Email: permitcenter@ci.springfield.or.us [KJ 1 or 2 family dwelling o Commercial/Industrial o New construction IX] Addition/alteration/replacement o Multi-family I J ,000 sq. ft. or less [41 I Ea. addl 500 sq. ft. or portion Job no.: I City/StateIZIP: SPRINGFIELD, OR 97477-5]20 I Suifelbldg./apt.no.: SPC 1 jProjectname: Cross street/directions to job site: ISubdivision: ITax map/parcel no.: ]703364101500 ILof no.: 1 - Lirilited energy, residential (with above 5q; ft.) I-Limited energy, multifamily residential (with above Sq. ft.) I-Limited energy, commercia-] not offered online at this jurisdiction (with above Sq. fl.) I - Stand-alone limited energy, residential I. - Stand~a]one limited energy, multl-familv I. ~ Stand-alone limited energy, commercial Name: Beverly Scott I Phone: !Email: I Fox, 120q amps ~r less [2] 120] amps to 400 amps [2] 140 I amps to 599 amps [2] 'I~T~M~.Q.Wr~].mill.ST12 ~~~JIt~~cr.j1-i~~~~.,~;a,l~ey!ii()~;" t~~,!?!,gI!i~J2.~atil!'!~~~~At,,;;;~~,;~i'~ 1200 amps or less [21 1201 at~ps too 400 amps [2] II, 1401 amps to 599 amps [2] service on pole. Emergency power loss due to burnt breaker. Replaced. A. Fee for,branch circuits with service or feeder fee,.each branch circuit B. Fee for branch circuits without service or feeder fee, first branch circuit r21 I eachaddl branch circuit lie. no.: 20-337C 1 CCB lie. no.: 87506 I Business Name: MY ELECTRICIAN INC I Contact: Ed Guidry I Address: 32316 RILEY LN I City/State/ZIP: COTTAGE GROVE OR 97424-0000 I Phone: (541)7291454 IF"" (541)7670315 I Email: ejguidry@msn.com ) Metro lie. no.; ICity lie. no.: I Supervising electrician's lie. no.: 3423$ 1 Supen.'ising clectridan's name: ED GUIDRY Service reconnect only [2] Each manufactured or modular dwelling, service and/or feeder r21 ' I Pump or irrigation circle [2] $63.00 $63001 I I I I 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. Sign or ouPine lighting [2] Signal circuit(s) or limited- energy panel, alteration, or extensionJ21 . i~~lr~~.~~q[R:(21J!rFfL~'~~~~7SJb~~~~~I, ! State Surcharge (12% of per mil fee) 1 $7.-561, 1 City Of Springfield fees *1 $3.151 I TOTAL PERMIT FEE I $73,71 . * CityOf Springfield fees: 5% Technology Fee {Default number of inspections aflowedJ ~d,CJD1 - 0<:90\ ~ NfV\ [-l-OC, 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. 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 Job/Journal Number COM2009-000 18 COM2009-000 18 COM2009-000 18 Payments: Type of Payment ONLINE CHGS cReceiritl RECEIPT #: Description Service Reconnect + 5% Technology Fee ,+ 12% State Surcharge Paid By ONLINE PERMIT CHGS I City of Springfield Official Receipt Development Services DepartmJnt . Public,Works Department' 3200900000000000004 Date: 01107/2009 , Item Tot~l: Check Number Authorizatjon Received By Batch Number Number How Received NJM ONLINE my Online electrician Payment Total: Page I of I 7:43:]9AM , Amount Due 63',00 3,15 7.56 ; $73.7] Amount Paid $73,71 . $73.7] I I , 1/7/2009 I