HomeMy WebLinkAboutPermit Miscellaneous 2009-1-23
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00113
ISSUED: 01123/2009
APPLIED: 01123/2009
EXPIRES: 07/23/2009
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1360 S 2ND ST
ASSESSOR'S PARCEL NO.: ]80302240]600
Springfield TYPE OF WORK: Use Initials
TYPE OF USE: New
Residential
,PROJECT DESCRIPTION: Temporary Service for new construction
Owner: YOGI CHARLENE
Address: 1360 S 2ND ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
KS ELECTRIC
License
70889
BUILDING INFORMATION ~
Expiration Date
]2/30/2010
Phone
54]-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:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I,
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
~~
,~~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I :UBLICIMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special InsU~PllE: '
THIS PERMIT SHAll EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
._- --1- 'B'PI8'''I["r:no
L.rUIVIIVICI'H.JCU VIl U I 1\ -"I _.--
ANY 180 DAY PERIOD. I Valuation DescriDtion I
Sidewalk Type:
--Ilo.WIlSlJp.utslDrains" .
ATTENTION: oregon raw reqUires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
n/"'lon v,...., n"'I"'I, I"\ht~in ,...".....ioC' nf tho. rl doC' h"
Dcscript~on
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
calling the center. (Noie: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Value
Date Calculated
Page] of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00113
ISSUED: 01/23/2009
APPLIED: 01/23/2009
EXPIRES: 07/23/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Pees Pai~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less .
Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
1123/09 .
1/23/09
1/23/09
2200900000000000091
2200900000000000091
2200900000000000091
Total Amount Paid
$73.71
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:0.0
a.m. will be made the same working day, inspections requested after 7:00'a.m. will be made the following
work day. .
Ref{ lJired I n,slle,~t,jo.~~ I
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, 1 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 plans will rema.in on the site at all
times during construction. -
Owner or Contractors Signature
Date
Paee 2 of 2
Electrical Authorization To Begin Work
E-mailedl".K..l..€I::.:-::l.*AOL.COM
. j('N~N\I\~BQ...~ II.\)\.,. C\llJ\
Check on statns of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
Subtotal I
State Surcharge (] 2% of penn it fee) I
City Of Springfield fees"
I TOTAL PERMIT FEE
.. City Of Sprlngfield fees: 5% Technology Fee
(D'fe,,'~~::~oo:.q ~8c51 r~)
RCPT#.WOq~ q \
DATEPROCESSED:W~ \ (}J{
This Authorization TQ Begin Work must be posted at the job site until replaced 9Y fi'er~
. PROCESSED BY: ~. ~
City of Springfield
\0 New construction
o Addition/alteration/replacement
r=:;J'~:Ji.~9~~:~::~~~;;;:~~~qf_~:riQ~_l'i~ii1z1}~~41
I City/State/ZIP: SPRINGFIELD, OR 97477-5364 I
I Suitelbldg.lapt:no.: I
I Project name: 1
Cross street/directions to job site:
\ Subdivision:
ITax map/parcel DO.: 1803022401600
ILotno.:
I Name: Charlene Yogi
I Phon" (54] )746.6746
IEmail:
IFa"
I EI. lie. no.: 2Q-289C I ceo lie. no.: 70889
r Business Name: KS ELECTRIC & CONSULTANTS INC
I Contact: Kevin W. $iICE:
IAdd"": PO BOX2Jl1'l~ PFRMIT SHALL EXPIRE IF THE WORK
jCiIy/Slat,IZIP: EU,/!!Pl1fl'lfllRWtZW11NDER THIS PERMIT IS NOT
IPhon" (54])6866231l:0MMFNr.m OR I&,AffiMIlDONED FOR
lEma;]: KSWCHAF\!OOl;'q1.j:ffil1fllAY PFRlillJ
I Metro lie. no.: I City lie. no.:
1 Supenising electrician's lie. no.: 3497S
1 Supenising electrician's name: KEVIN W SCBAFER
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.
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.
Receipt # . EC545637
1/23/2009 10:53:44 AM
11,000 sq. ft. or less [4]
J Ea. add] 500 sq. ft. or portion
I-Limited energy,
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft)
I . Limited energy, commercii!l
(with abovc sq. ft)
I' - Stand-alone limiled energy,
residential
I - Stand-alone liinited energy,
multi-family
I .- Stand-aJone limited energy,
commercial
not offered online at this jurisdiction
1200 amps or less [2f
201 amps to 400 amps [2]
1401 amps to 599 amps {2]
1~.~TEl\nlORA. ~"Ryrserfi.CeS:OR.TfcC..~.ersliiistlilliiii.onj;)lieraiion;.h
'4-"'~~'I%!I,*,.n.-!'"1i-"'l["7.."~ " .,' -
;~IJ{qli!~J~('llli~(,~lff:tf;~l; M,;_
1200 ainps or less [2] $63.00
J 201 amps to 400 amps '[2]
1401 amps to 599 amps [2]
$63.001
I
I A. Fee for branch circuits with
service or feeder fee, each
branch circuit
B. Fee for branch circuits I t
witllouAlifENr&GM:f.Qreg In law re ~u res yo J ,0
",st bfem!iW'I"'fOlo .rlnntf;l hv the Oreaon (lIMy
"'hfli1'\\A\~;I1.i?\'i';~"nter. .fhose rul~s are sellorlh
fMire ~....".: ~ .. ]Q;!nrou' hlQ)X\.I'f!;l:IO.";u\:!lt~'ffii
1~;;~=~::;~~~~I~ln-cop;~;1l1"il;~T~~Cy"":
I Each m~aJ>>t~ttl'Jenoomer. \1'iUll;!.. l. Ie ~cl~~" -".'... I
dW']"'l'lu'flll5ef'Wt'tm!'On .gon UI]II:y Not]I]C ll]on
]21 . ~ ! '- 1 nc~ ;{"lAA)
I Pump or irrigatlon'tff8e 'rll ........- -
1 Sign or outline lighting [2]
I Signal circuit(s)"or Iimited-
alteration, or
$63.00
$7.56
$3.]51
$73.71.1
, .'
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00113
COM2009-00113
COM2009-00113
Payments:
Type of Payment
ONLINE CHGS
cReceintJ
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000091
Date: 01/23/2009
Description
Temp Power 200 amps or less
+ 5%Technology Fee
. + 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
\
Item Total:
(;heck Number Authorization
,
'Received By Batch Number Number How Received
kr
ONLINE ks electric Online
Payment Total:
Page 1 of 1
12:00:53PM
Amount Due
'63.00
3.15
7.56
$73.71
Amount Paid
$73.71
$73.71
1/23/2009