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