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Home My WebLink AboutPermit Electrical 2009-1-30 -. ~...~-..-. Status 'Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00141 ISSUED: 01/30/2009 APPLIED: 01130/2009 EXPIRES: 07/30/2009 VALUE: \ SITE ADDRESS: 3550 VALENTINE CT ASSESSOR'S PARCEL NO.: 1702194203400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Reconnect Only Owner: Address: BORREVIK BRANDON A & HEATHER M 3550 VALENTINE CRT SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 181465 Expiration Date 04/14/2010 Phone 541-434-5600 BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stol"ies: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Spl"inkled Building: Lot Size, Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:, n/a I DEVELOPMENTlNFORMATION I REQUIRED PARKING Frontyard 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: 1_..' ..nr~l'i'."t" .,r." ..~ ATT\:N IIV'", V'~~-' . ' II rules'adoplec",tJY q PUBLIC 1MPRO,VEMENTS. fo ow . t Th',<(.- ..,. a. ,......... . .. , . Street Improvem~nts:IlCatl~n c~n Oe~lO t'1rOGUr, O;.>.K ,;52-00t- 'n nAR 902-001- '- , '~, lIhe rules by Storm Sewer Avallalile: You may obtain caples 0 I I phone , , UU"U, (Note'the e e SpeclallnstrnctlOn: calling the center. " , N litication number for the oregon Utility ~ Notes: Center is 1_800-332-234 ). / . t~~~ Type oltnstruction Sidewalk Type: Downspouts/Drains: Description I I~u-'ft;t: F THE WORK Valuation DescriDtionlCtPERMIT SHALL EXPIRE I 'T Ie: NOT fiIITI-l~R\ZED UNDER THIS PERMI u $ Per S Ft S ullre'Fo a D. NED OR It.ql' q ..r.dil~n~ e'~"'ED OR IS ~lfr~DO ~ate Calculated or mu Ip ler or... ",mount' ERIOD ' , . ANY 180 DAY p. Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00141 ISSUED: 01/30/2009 APPLIED: 01/30/2009 EXPIRES: 07/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' Total Valne of Project Fee~ Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number $7.56 . $3.15 $63.00 1/30/09 1/30/09 1/30/09 3200900000000000049 3200900000000000049 3200900000000000049 Total Amount Paid $73.71 I Plan Reviews I To Request an inspection calUhe 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 Renu,ired I,n~n,ec!inns I Electric Service: Approval required prior to ntility company energizing service, 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 \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 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 remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of2 City of Springfietd Electricat Authorization To Begin Work E-mailedTo:JULIE-DPE@COMCAST.NET Receipt # RC546017 1/30/20097:05:55 AM Check on status of permit By Phone: (541)726-37:53 or Email: pcrmitcenter@ci.springfield.or.us I 0 New construCtion [K] Addition/alteration/replacement Description l Qty. J Ea. ] Total I l~li~~!NG~E~()~iftiUltirfaUitIY~,~3!ling'f_unit~lnclu'des""': .: "~I 'attachedtQa1"a~5".:"'~.~~~~.:." , 11'':''~' ',",~''',~~,.<r',' .~~~,J:., ,,,,"",' ~,"'" 11.000sq,ftorless[4] I I I I Ea. addl 500 sq. ftor portion o Multi-family o Commercial/Industrial IJob no.: IJob address: 3550 VALENTINE CT I City/StatelZIP: SPRINGFIELD, OR 97477~ 1849 I Suitelbldg.lapt.no;: I Project name: Cross street/directions to job site: 1 Subdivision: map/parcel no.: 1702194203400 I Lot no.: I-Limited energy, residential (with above Sq. [1.) I-Limited eilergy, multifamily residential (with above Sq. ft.) 1- - Limited energy, ccimmercia-I not offered online at this jurisdiction (with abOve SQ. ft.) I - Stand~alone limited energy, residential . I" ~ Stand-alone hmited energy, multi-family . Stand-alone limited energy, commercial r.s:e'zJE1~!!t;!~ml~lili~!,~:ii2iL~tj~~~~9~~1 I ZOO amps or less [2] I IZ01 amps to 400 amps [2] I 140]' amps to 599 amps[2] I reconnect only I Name: julie ford I Phone: !Email: 'I Fax: 200 amps or less [2] amps to 400 amps [2] 140\ amps to 599 amps [2} I~E~[tli!~~~~~ElYi:~~fiO:?,t9,~1X~~]fP1~Sin~~y~~-1 I' A. Fee for branch circuits with service orfeedcr fee, each branch circuit I B, Fee for branch circuits without service or Feeder fee, first branch circuit [21 each addl branch circuit __I!!:.lic.no.: C263 ICCB!ie.no.: \8]465 I Business Name: DOIJGPAL.MER ELECTRIC LLC . I Contact: JULIE FORD !Address: 1368 BARRINGTON AVE City/StatefZlP: EUGENE OR 9740\ !Phon" (541)4345600 I Fax: (541)7621056 I Email: JULlE-DPE@COMCAST.NET \ Metro lie. no,: ICity lie. no.: I Supervising electrician's lie. no.: 2742S I Supervising electrician's name: DOUGLAS G PALMER Service reconnect only [2J I Each manufactured or m?dular dwelling, service and/or feeder 121 I Pump Of'irrigation circle [2] I Sign'ciroutline lighting [2] Signa] or limited- or Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed within one !:>usiiless day, with instructions on how to schedule your inspection. I I I I TOTAL PERMIT FEE I ,* CitY Of Springfield fees: 5% Technology Fee [DefaulT number of in,S"pection.s allowed) . Subtotal I State Surcharge (12% of penn it fee) - City Of Springfield fees 'I $63.00 I $7,56 I $3,15 I $73.71 I NOTE: This Authorization To Begin Work expires within 180 days if apennit is not obtained. The local building department may detennine that an Authorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances. Cor.~~ N ('-^... \ - 30 ~ 0 "l CO(~ 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 COM2009-00 141 COM2009-00141 COM2009-00141 Payments: Type of Payment RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge ONLINE CHGS O,NLlNE PERMIT CHGS Paid By cReceintl J City of Springfield Official Receipt Development Services Department Public Works Department' 3200900000000000049 Date: 01/30/2009 Item Total: . Check Number Authorization Received By Batch Number Number How Received NJM ONLINE DOUG Online PALMER Payment Total: Page 1 of 1 7:44:15AM Amount Due 63.00 3.15 7.56 $73.71 Amount Paid $73.71 $73,71 1/30/2009