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Home My WebLink AboutPermit Electrical 2009-1-28 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00130 ISSUED: 01/28/2009 APPLIED: 01/27/2009 EXPIRES: 07/28/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 843 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703352211700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Emergency replacement of meter hase on weekend; Eqnipment had a tree fall on line and separ,ate from wal,!. Owner: HALEY JANICE E' Address: 843 KELLY BLVD SPRINGFIELD OR 97477 I "CONTRACTOR INFORMATION' Contractor Type Electrical Contractor ,MY ELECTRICIAN INC License 87506 Expiration Date 11120/2009 Phone 541-729-1454 'I BUILDING INFORM A T10N I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Group: , Primary Constrnction Type S~condary Construction Type: # of Bedrooms: " #'of Stories: ' Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: , Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: .8q Ft GaragelCarport Sq Ft Other: Occupant Load: ula I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: #,Street Trees Rqd: Paved Drive Rqd:' % of Lot Coverage: '.,Total: ,- Handicapped: Compact: ATTENTION: Oregon law requires you fo 4....11.....,., ..1I1....~ ~~.........."nrl h" tho t"'\rot"'ll"'\n IltilltH I PUBLIC 'IMPROVEMENTS ,Notification Center. Tho'se rules are set forih JlInTJ&~" in OAR 952-001-0010 through OAR 952-001- Street Impr vem .' HALL EXPIRE IF 1HE WORK 009iP.i~yYcPS1ain copies of the rules by Storm sewe,.T~WJ~IT ~NDER THIS PERMIT IS NOT cafjlJ~J~Po\Ws7ij'faih~,ote: the telephone Special Instr~lionp'A'iZED ABANDONED fOR number for the Oregon Utility Notification COMMENCED OR IS, c,enter is 1-600-332-2344). Notes: ANY 180 DAY PERIOD. ' I Valu~tion Descrintion I Description Tvpe of Construction $ Per Sf( Ft , or multiplier Square Footage or Bid Amonnt Value Date Calcnlated Pa2e 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee' Service Reconnect Total Amount Paid Amonnt Paid' $7.56 $3.15 $63.00 $73.71 Total Value of Project Fees Paid' Date Paid Plan Reviews I 1128/09 1128/09 1128/09 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00130 ISSUED: 01/28/2009 APPLIED: 01/27/2009 EXPIRES: 07/28/2009 VALUE: Receipt Nnmber 2200900000000000106 2200900000000000106 2200900000000000106 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. ' Reouired Tnsnection, , Electric Service: Approval reqnired prior to utility company energizing service. By signature, I state and agree, that I have carefully hamined the completed application and do hereby certify that all information hereon istme 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 La;ws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure withont permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees'who are in compliance with ORS 701.005 will be nsed on tbis project. , I further agree to ensure that all reqnired inspections are reqnested 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 Pa2e 2 of 2 Date City of Springfield Electrical Authorization To Begiu Work , E-mailedTo:ejgnidry@msn.com , Receipt # EC545763 1127/20095:52:37 AM . Check on status of permit By Phone: (541)726-3753 or Em.ii: permitcenter@ci.springfield.or.us [KJ J or,2 family dwelling . D Multi-family o Commercial I Industrial 11,000 sq. ft. or less [4] I Ea. addl 500 sq. ft. or portion [i] Addition/alteration/replacement address: 843 KELLY BLVD ICUy/SlatcIZIP: SPRINGFIELD, OR 97477-3873 I Suitelbldg./apt.no.: I Project Dame: Edward Guidry Cross street/directions to job site: I-Limited energy, residential I (with above Sq. it) . I-Limited energy,' multifamily I residential (with above Sq, ft.) I-Limited energy, commercia"] not offered online at this jurisdiction I (with above Sq, ft.) I - Stand-alone limited energy, 1 residential I - Stand-alone limited enefgy. I' , multi-family I - Stand-alone liinited energy, . J commercial Ij~erq~li;cd~~!!!{~~ii1J2~~g~=illi~~ 1200 amps or less [2] 1 . 1201 amps to 400 amps [2J I 1401 amps to 599 amps [2] I 1~!t~w_~~~$~.~c"f,.s~~~tr~~~.wl,illi}I}Iai~lrrnijop; t~~Q~9!~ES~~~~~~!lir~.~r~~:);;~:~1~~' 1200 amps or less [2] 1201 ampsto 400 amps [2] :l~~~\;;;l~i~IWjf~"FI;~~~~)::~~;P~~J~~~~j A, Fee for branch circuits with I I I service or feeder fee, each branchci . '""I.__ 1 B. Fee lit anc cj~~U1ts ' .:;..) U ::IV" lavv (e:qUlres ) OU to I wi'hoot~\!..g~,rM!.!MlfasJOP ed by thl' Oregon Utility fi~st b~aib1reuItr~l1 CRntar Thr,,:~ t'1 '!ss a~3-S ~t fu. lh II 11,~:;;,::~~~~~~J8t+9JPJ~!~j~44.~~J,P1;f.1I1 II~;:IC; r~\MI{i!~]Ej~~i;i~I~(~::;:;;:~~~~;;:X~~&1 I I Each m!h\il\t'''''''O oMhdd.",Ur ,gon'Uli111Y Notifi( ation '/ I dwellmg, semoo alill>I" r6f1~s 1 '800-332 2344) m . I i Pump or irrigation circle [2J I I I I Sign or outline lighting [2] ,I I Signal circtiit(s) or limited- I panel, alteration, or 1 Subdivision: 32316 Riley ITax map/parcel.no.: 1703352211700 I Lot no.: 32316 Riley Emergency replacement of meter base on weekend. Equipment had a tree fall on line separate from wall. I Name: Edward Guidry IPhone: (541) 729-1454 I Email: ejguidry@msn.com IFax: (541)767-0315 lEI. lie. no.: 20-337C I CCBlic. no.: 87506 I Business NameM~pRJCIAN INC IConlacl: Ed G~~~ OCRMIT SHALL EXPIRE IF 1 Ht: WUtlI\ IAdd"'s: 32316A{'l'~\!\litm~n IINnER THIS PERMIl I::) NUT I Cily/State/Z[P:,C;S,T.i.~~e r;jlKt'fJi <Pm91!1fmNOO NED FUK IPhon" (541)729){j~;'~;,j f) W on:nnrlrax: (541)7670315 I Email: ejguidry@:n~s~,c~; - -. - I J\letro lie. no.: I CUy lie. no;: I Supervising electrician's lie. no.: 3423S I Supervising electrician's name: ED GUIDRY Upon review and'approval by your local jurisdiction, your permit will be e.maile~ 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. I Subtotal I I State Surcharge (12% of permit fee) I City Of SDringfield fees * I I TOTAL PERMIT FEE I * City Of Springfield fees: 5% Technology Fee [Default number of inspections allowed) 0.9-130 t~ l128109 $63.00 I $7,56 I $3,15 I $73,71 I This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street :Spri~gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00 130 COM2009-00130 COM2009-00 130 Payments: Type of Payment ONLINE CHGS cReedntl RECEIPT #: Description Service Rec'onnect + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 2200900000000000106 Received By kr Page 1 of 1 Check Number Batch t:'lumber City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/28/2009 Item Total: Authorization Number How Received. ONLINE my Online electrician Payment Total: / 8:19:25AM Amount Due 63,00 3,15 7.56, $73.71 Amount Paid $73,71 $73.71 1/28/2009