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Home My WebLink AboutPermit Electrical 2009-1-13 u~ '['l'-WV rnrroOl \ r I'; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00058 ISSUED: 01/13/2009 APPLIED: 01/13/2009 EXPIRES: 07/13/2009 . VALUE: Status Issued 225 Fifth Street, Springfield, OR 54i-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 611 19TH ST ASSESSOR'S PARCEL NO,: 1703361212900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace sub panel Owner: AYRES BARBARA A Address: 611 19TH ST SPRINGFIELD OR 97477 I, CONTRACTOR INFORMA TlON I Contractor Type Electrical Contractor C & SELECTRIC License 3849 ~U1~DI~G INFORMATION I Expiration Date 09/0112010 Phone 541-741-2236 # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla ". I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: . Frontyard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: ATTENTION' Ore9on,la'N reoa,.yo' ~f L~t'<t~verage: fO"OW rules adoDted IJY the '"""u.. "I....) Solar Setbacks: .. . C t' Th so rllle'-- are 'let forth t\],iflfH".Riton en er. o. v ~__ _~~ . OAR gCo'-UU1-UU IU.u........., , ,-" ....~ -- , In ,,~ . . I P.UBLlGIIMPR0'\6"MENTS I 0090, You may obf:,m ( ", .. d .. ....... ... Street Improvements: calling the center. (Note: the telepoone. Sidewalk Type: . umber for the Oregon Utility NotificatIOn 1('1:.. . . Storm Sewer AvatlabU: Center is 1-800-332-2344).. NODownlipouts/Drams: F'THE WORK Special Instruction: THIS PERMIT SHALL EXPIRE 1 NOT AUTHORIZED UNDER THIS PERMIT IS Notes: COMMENCED OR IS ABANDONED FOR "~,u..c nt'\ n^" DCQlnn I Valuation Descrinti?n I Description Tvpe of Construction $ Per Sq Ft or multiplier , Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued .CITY OF SPRINGFIELD Builcfing/Combination Permit PERMIT NO: COM2009-00058 ISSUED: 01/13/2009 APPLIED: 01/1312009 EXPIRES: '07113/2009 VALUE: . 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 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 1113109 1/13/09 2200900000000000046 2200900000000000046 2200900000000000046 Total Amount Paid $94.77 . 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. I Reouired Tnsnecti~n;~ . 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 Ol'egon 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 projec't, 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 ofthe 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 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00058 COM2009-00058 COM2009-00058 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000046 Date: 01/13/2009 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM C & S Online Payment Total: ONLINE Page I of I 1:45:08PM '. Amount Due 81.00 4.05 9.72 $94.77 Amount Paid $94.77 $94,77 II! 3/2009 City of Springfield Electrical Authorization To Begin Work E-mailed To: .wood@cselectric,org Receipt # EC545034 1113/2009 1:01 :44 PM Check on status of permit By Phone: (541)726-3753 or Em.iI: permitcenler@ci,springfie\d,or,us I , 10 New construction [K] 1 or 2 family dwelling D Multi-family o Commercial/Industrial I Description I Qt)'. J Ea. I Total iJl. ~~.~~?~:',rP]Ni{m"N.iIY;~~CIIL.ng'UI!iL~IncjudesF~, ~~"!k f;fita~~f~lg~g~~~~J.~~~. . .!I), 1.000 sq. n. or less [4J I I addl 500 sq. ft. or'portion I lliJ Addition/alteration/replacement I Job no.: 7267 IJob address: 611 19TH ST I City/State/ZIP: SPRINGFIELD, OR 97477-4211 I Suite/bldg./apt.no.: I Project name: Cross street/directions to job site: I Su bdivision: ITax map/parcel no.: 1703361212900 I Lot no.: I -.Limited energy, re~i.dentiaJ (wIth above Sq. fL) , I - Limited energy, multifamily residential (with above sq, it) I-Limited energy, cOI'!1mercial . not offered online at this jurisdiction (with above Sq. ft.) I - Stand-alone limited energy, residential : I -,Stand-alone lirilitedenergy, multi-family , I - Stand-alone limited. energy, commercial I replace sub panel 1200 amps or less [2} 1201 amps to 40'0 amps_l2] 140] amps to 599 amps, [2] II $81.00 $81.001 I I I Name: Barbara Ayres I Phone: (54]) 746-4253 I Email: I Fax: 1200 amps or less [2J 120] amps to 400 amps [2] 401 amps to 599 amps.[2] lEI. lie. no.: 20-14C ICCBlie. no.: 3849 I Business Name: C & SELECTRIC INC I Contact: Dave Gehrke !Address: PO BOX 1482 I City/Slate/ZIP: SPRINGFIELD OR 97477 IPhone: (541)7412236 IFax: (541)7412473 I Email: awood@cselectric.org !Metro lic. no.: I City lie. ~o.: I Supervising electriCian's Iii:. no.: 4894S I Supervising electl'_ician's name: DAVID E GEHRKE I A. F.ec for branch Circ~its with servIce or feeder fee, each branch circuit j I B. Fee for briulch Circuits without servi~e o~ fee1er fee, first branch CIrCUIt r27, eachaddl branch circ~it 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. I Service reconnect only [2] I Each manufactured or',modular dwell ing, service and/or feeder r2l : Il~llmp or irrigation cir~le [2] I _ Sign or outline lighting [2] I Signal circuit(s) or Jirriiled- energy pane], alteration, or extension J2] ; .. 1,*~~E~ECtRICAIf-~ERMitigEES-~W.~C =",l&~"'..P~r'";bil1~L__""~k"'" ..,...>,'."'_ ~L '."" I Subtotal $81.00. I State Surcharge (12% of permit fee) $9.72 I : City Of Springfle]d fees" $4.05 I TOTAL PERMIT FEE . $94.77 '" City Of Springfield fees: 5% Techno]ogy Fee (Defau/tnumber of inspections allowed) Can~'1 - CXXJ5~ \ - I .:; ----(J'1 ~~: 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 sife until replaced by a Permit. . ,I