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HomeMy WebLinkAboutPermit Electrical 2009-1-8 ;, CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00030 ISSUED: 01108/2009 APPLIED: 01108/2009 EXPIRES: 07/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: . 1055 3RD PL ASSESSOR'S PARCEL NO,: 1703352104700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Changeont units Owner: ARMSTRONG RICHARD & MARY Address: 1055 3RD PL SPRINGFIELD OR 97477 I CONTRACTOR:INFORMATlON I , Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 541-343-1681 Front yard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport ~?'h Sq Ft Other: N~4JI~,,~~ O.ccupant Load: '. ..~ 'v,,'\. I DEVELOPMENT INFORMAr.:.,01li.!,~~o 68(1.' 01'6.9; . -J. I_BS<~C6IJ.CIotJI& 'RFnUIREDPARKlNG Cq~' rOll 00 ~&I" d./)~~ /', fi/;'() Overlay Dist, 111100 ".9 II}, 0ily "00; )'I}do<l't~~ 6911/r, l',y, 7/~ # Street Trees Rqd: 61'.fa e'l9 001(1..0 1~;1i\i'\9},~e~ Yo 4t/7.s p" ~. Paved Drive ~qd: CelJ.'I'll}e '7/&1; 'I} OOtJ~'t1.'4r~OI} 0,~lo C:On"ll-;n"C'lth'l'''' % of Lot Coverage: tel'l8 Ol'e.9; (I\to/&.'&s 0 ~-9 n S&I/, 'ltty v,r.t '''7'1 ' ,'" 01) t, . II} 'III}, "'S<. Ol'fl- 4.A". '4t/'1:4>/'/) <?/'A I '<100 vl1h. &t, &/', '0" 'I 'VI" f" ('j . N . ~ ~.~.... '//,. &/.... lIl.... V7 <YO "t:/' vljr/),.j'p_ -..--<.:, "Ot,.':'l}o vO,. ' 0-", u 0 u~:~ 'm!I,.,IC IMPROVEMENTS I u<J<J' 'lto.o,."& ' '7').- 'It; '/ /," Jr.' '/. ""0 P('.9, IS' 4& tS1.s' "('If:' i Sidewalk Type: " IOq "1/t10;('Ititt,l!,('ith' ~('O '11'i,s qlt.f ,-('Olt /tIOI' , , I BUILDING INFORMATlO~.1 I # of Stories: ' . , Height of Structure Type of Heal': Water Type:! Range Type: i Energy Path:, Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Desc~iption I Description Type ~nstruction .'f\~~ ~~ $ Per Sq Ft or multiplier Square Footage or Bid Amount Value ',. Date Calculated Page I 012 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00030 ISSUED: 01/08/2009 APPLIED: 01108/2009 EXPIRES: 07108/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 I -726-3 769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter; Extend Circ Eli' Add Amount Paid DatePaid Receipt Numher $8.G4 $3.35 $55.00 $12.00 1/8/09 1/8/09 1/8/09 1/8/09 2200900000000000024 2200900000000000024 2200900000000000024 2200900000000000024 Total Amount Paid $78.39 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. . Reuuired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, 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 ofthe 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 Commnnity 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 of2 City 'Of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com Receipt # EC544766 1/8/2009 11 :39:40 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 11,000 sq. fL or 1ess[4] I Ea. addl 500 sq. f1. or portion I 0 New construction IKJ Addition/alteration/replacement I [KJ ] or 2 family dwelling o Multi-family o Commercial/Industrial ]Job no.: IJob address: 1055 3RD PL ICity/StatelZlP: SPRINGFIELD, OR 97477-3015 I Suite/bldg.lapt.no.: I Project name: Cross street/directions 10 job site: I Subdivision: Tax map/parcel DO.: 1703352104700 ILot no.: I-Limited energy, (with above SQ, ft.) I-Limited energy, multifamily residential (with above sq. ft.) I - Liinited energy, commercial not offered online at this jurisdiction (with above Sq, ft.) I ~ Stand-alone limited energy, residential I - Stand.alone limited energy, multi.familv I . Stand.alonelimited energy, commercial . 1 I I 401 ampSlo 599ymps [2] I I :1~EMPORA~~~,"eS:OR,'Tfcedeliiilstalla,tionra,heratjori~,:irR,' '~'i:~,~1 ~A:NDi61~;:r%'/.(;:o~"I'~~~";;'3?1f<0:17s~,,;'i;fZ"9i#~;~~.J;&fffi~~''1 .-............-.7ft. ':"C11..".;~V./1_.~'!...Ji0.,~);y'Ji.., '.J~:',.,. '..~'.='l1!~~" *,.,,~~,'0 1200 am4<J1e%~] r&/.. v'v.. rill 1 1201 aM(tt,o;~.~~ ~(Z ~ &,9. ;. I I INam" JeffBmoks 1 401 "'1if. "5 ;;;lis <'I}I&()I. r&C/;'/~~. I !Phon"(541)520-6034~' 1 ",l\ili,~',~g;,€{~~$P,!cl;t".JiIFJiil ~,;:'~:~""""'iEE2_d"CF'i'i~_"",4.~;""_____"""->l11 ~~~~ ~;~'f!1~i%,. ~i? ~1}/"o;&I.~V/"&.9~; .14&1. - ~?i€~iL~~:'2?:f?:'Y:~~.~i~(;~~~'t*~~~"L1f:1~~Agjl"WlA.~'S,ii: branch circuiY'l}lf3 . rO.lM...'1 ql"tQ _ ~.,. 0 IEJ.I'c.no., C408 ,'"'Y-, ~/~~'~~,b';"-no.: 181997 I B,Feeforb',anch i>t-i'i :901) &:;'~'Of1, i"i,,<'lfiljj "!l'$55,OOI 1 ' - - - .. ~;;i;("M'1" 1 ",lhoutsorvlCc or feede!'i9fj Z' ~& '& "'o5'.?o. ~~ BusmessName: OREGONELECTRI~#I;l..>>,..I..-~ ~ . lirstbranch circuit r21 C?...~ Iq-tl. 1&1'" . I Contact: "renaBrooks -(YA"~;U/t' <>,t._ Leac~addl~ranchcircuit, '.', :, 4?~,~VO~. ~(), . ~. $12.0~ !Address: PO'BOX 2237 --y~ <?~~;<':, .It[~isC(;i.ffiieI~~~~~~tl~~~1t~~~i{~~~If~1 I qty/StaterLlP: EUGENE OR 97402 ~ r.{(') 'f.~ ~~... I Service reconnect only [2] I I Phone: (541)343168] 1"~~~.l.,1.~~ I Each~anurac~uredormodular I . ..' -;; -'""""q '(;.. \~ dwellmg, service and/or feeder 1 Emall: tena@orelectncservlce.com .,....~ A~ ~ .[21 ,.. . ) Metro Iie~ no.: I City lie. no.: ~ ~ ~4 I Pump or IrrigatIon CIrcle [2] \ ISupervising electrician's lie. no.: 1392S '"~<? ~? \ -4 Sign or outline lighting [2] I . . .., ",.- '(;-: <:,;. Signal circuit(s) or limited. I I Supervising electnclan s name: HERMAN OLLAR 0'1' t,;.~fr 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. 1 200 amps or less [2] 1201 amps to 400 amps [2] 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 I State Surchan~e (12% Of permit fee) I City Of Springfield fees'" I I TOTAL PERMIT FEE I ... City Of Springfield fees: 5% Technology Fee fDefaulr number of inspections allowed} tDYn dt0i -~~ {)VOOq - '2.. '1 , $67,00 I $8,04 I $3,35 I $78,39 I \~ \ \B\OC\ 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 COM2009-00030 COM2009-00030 COM2009-00030 'COM2009-00030 Payments: Typ.e of Payment ONLINECHGS cReceintl RECEIPT #: 2200900000000000024 Description. Add, Alter, Extend Circ ' Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/08/2009 Item Total: Check Number Authorization Received By Batch Number Number How ~eceived' Paid By ONLINE PERMIT CHGS KR '- Page I of I ONLINE OREGON Online ELECTRIC SERVICE Payment Total: Il :56:22AM Amount Due 55.00 12.00 3.35 804 $78.39 Amount Paid $78.39 $78.39 1/8/2009