HomeMy WebLinkAboutPermit Electrical 2009-1-13
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00050
ISSUED: 01/13/2009
APPLIED: 01/13/2009
EXPIRES: 07/B12009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 814 S 37TH ST
ASSESSOR'S PARCEL NO.: 1802061202200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace damaged meter base
Owner: PRIEBE GARY M
Address: 1708 CARRIAGE PL
SPRINGFIELD OR 97477
j'CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
KS ELECTRIC
License
70889
BUILDING INFORMA TIO~J
Expiration Date
12/30/2010
Phone .
541-686-6236
# 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:
Sl(Ft IstFloor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupan1 Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyal'd Setback:
Solar Setbacks:
'Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
}: "~.'J.,~t,~.
I PUBLIC IMPRO~EMENTS ,
Street Improvements:
Sidewalk Type:
DOl\:nspoutslDl'ains:'qu'lres you to
ATTENTiON: LJre,!,J!' '0'" ", . '
I ad'op'~d b" tr.e Oregon Utility
follow ru es 1_, f th
. Notification Center." Those ?~e~:~ ~~~-g~1"
in OAR 952-001-00 10thlOUg
_ ___ "..., ~oU Aht~in r.aDles of the rules by
NOTICE: J- nij{), 'Y-liin - the center. (Note: the tel~~IM'"
THIS PERMIT SHALL EXPIR~ \l'al~~t~H ]fscl'iotion, luamb~rfor the Oregon Utility Notljlc~tlon
AUTHORIZED UNDER THIS PtKIVIII IU" f Center is 1-800-332-2344),
r'r,;\TYoe'lof'CO~tji\u~cMnlAND~illtOSl ,!iCJR" squBardeAFootage Value Date Calculated
\.I'J\!!l\;L ';v~t..!' or rou tip ler or I mount
I~NY 180 DtN PEHIOD,
Storm Sewer Available:
Special Instruction:
Notes:
Description
Paee I of 2
,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
. PERMIT NO: COM2009-00050
ISSUED: 0110/2009
APPLIED: 01113/2009
EXPIRES: 07/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pair! I
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$9,72
$4,05
$81.00
1/13/09
1/13/09
1113/09
3200900000000000020
3200900000000000020
3200900000000000020
Total Amount Paid
$94,77
Plan Reviews I'
To Request an inspection can the 24 hour recording at 726-3769. An 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 fonowing
. . . I
work day.
I, Refl!Ji~e~ In~Jl~~tions ~
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
informatio'n 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 ~e 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
. Paee 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailed To:' kwschafer@aotcom
Receipt # EC544973
111312009 7:00:46 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
I [X] 1 or 2 family dwelling
o MuJti-f~mily
o Commercial/Industrial
addl 500 sq. ft. or portion
I 0 New construction
[iJ Additionlalterationlreplacet!lent
IJobno.: IJobaddress: 814 S 37TH ST
I City/StatelZlP: SPRINGFIELD, OR 97478-6533
J Suitelbldg./apt.no.:
I Project name: Gary Priebe
I Subdivision:
!Tax map/parcel no.: 1802061202200
I Lot no.:
I - Liinited energy, residential
(with above Sq, [1.)
I-Limited energy, multifamily
residential (with above sq. ft.)
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-alone limited energy,
commercial
Cross street/directions to job site:
S. 37th & Cherokee Drive
Replace Damaged Meter Base
1200 amps or less [2]
I 20 I amps 10 400 amps [2]
II
1401 amps to 599 amps [2] l.,
I~TEi\1P'6RA"RY;services:OR(fee'dCrS'i"staifa(iOri~'aiteratloiii':~"~'?ti5,:
t~\'J'iQ?f>,,~::~~l2f;)fi9;;~~1i~~~\~ :~~Jt?~~~4f:~i:~t!~1t~~*!~
1,200 amps or less [2]
120 I amps to 400 amps [2]
401 amps to 599 amps [2]
$81.00
$81.00
I Name: Dennis Wirth
/Phone: (541) 744~7927
IF."
I EI. lie. no.: '20~289C ICCB lie. no.: 70889
I Business Name: KS ELECTRIC & CONSULTANTS INC
I Contact: Kevin W. Schafer
IAddress: PO BOX 24933
[CitylStateIZIP: EUG~NE OR 97402~0444
Phone: (541)6866236 I Fax: None
I Email: KSWCHAFER@AOL.COM
I Metro lie. no.: I City lie. no.:
I Supcn'ising electrician's lie. no.: 3497S
I Supen'ising electrician's name: KEVIN W SCHAFER
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
Fee for branch circuits with
service or feeder fee; each
branch circuit
I I B, Fee for branch circuits
I without service or feeder fee,
first branch circuit [21
I each addl branch circuit
I
I
I
I
I
'1
I
j Service reconnect only [2)
I Each manufactured or modular
dwelling, service and/or feeder
[21
I Pump or irrigation cirCle [2J
I Sign or outline lighting [2]
I Signal circyit(s) or limited-
energy panel, alteration, or
extension J2J
I~Mi~~~i\fJ~"Q~3fT~i~Al~~liN,llTi~'E'$~~~,_;_~:1
1 Subtotal I $81.00 I
1 State Surcharge (12% of permit fee) 1 $9,72 1
1 City or Springfield fees +1 $4.05 1
I TOTAL PEIlMln'U I $94.77 I
* City Of Springfield fees: 5% Technology Fee
[Default number afinspections aflowed}
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.
r, ...--
~:q - (-:)00,,:>0
\-\3--0'1
!'t"'-^
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
COM2009-00050
COM2009-00050
COM2009-00050
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
3200900000000000020
Description
Penn ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
"
Public Works Department
Date: 01113/2009
Item Total:
Check,Number Authorization
Received By Batch Number Number How Received
NJM
Page 1 of 1
ONLINE KS ELECT Online
Paymen\ Total:
7:46:5IAM
Amount Due
81.00
4,05
9.72
$94,77
Amount Paid
$94.77
$94,77
1113/2009