HomeMy WebLinkAboutPermit Electrical 2009-2-10
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CITY OF ~rK11'\juJ:lIJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-00I94
ISSUED: 02110/2009
APPLIED: 02110/2009
EXPIRES: 08/10/2009
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1122 31ST ST
ASSESSOR'S PARCEL NO.: 1702303403200
Springtield TYPE OF WORK:: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Straighten up riser and put new roof jack on.
Residential
Owner: EDGAR LIVING TRUST
Address: 7000 ROBERT DIXON DR
AUSTIN TX 78749
I, CONTRACTOR INFO~ nON,
Contractor Type
Electrical
Contractor
DOUG PALMER ELECTRIC LLC
License
181465
Expiration Date
04/14/2010
Phone
541-434-5600
, BUlLDI~G INFORMA nON,
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
I'rimary 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:
SqFt 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
,% of L~tCoverage:
, I
I
REQUIRED PARKING
I DEVELOPMENT INFORMATION
Frontyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
. I PUBLIC IMPROVEMENTS I i
JmI~~~' . , :ATTENTIQtt Qregon law lequires you to
Street Imp THIS PE~MIT SHALL EXPIRE IF THE WORK foHoW"il't~r$'\!ldbyJiea by the Oregon Utility
Storm Sewer,A,,"ailahle~ Not'f'cD\\wnrrRJilt{gTD11\\l~e lules are set forth
Speciallnst~~lJ'ilf.Ji'rlt:D UNDER THIS PERMIT IS NOT in OAR 952-001-0010,through OAR 952-001-
GU~vWVIENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by
Notes: ANY180 DAY PERIOD. calling the center. (Note: the telephone
,number ior the Oregon Utility Notification
....1 . '_ .. "'''f''\ ........." f)I)A A\
I Valuation DescriDtion I
Descriotton
Type of Construction
,$ Per Sq Ft
oj- mnltiplier
Square Footage
or Bid Amount
. Value
Date Calculated
Page I 01'2
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,I", '-,'
it ~ ,~.. ~ "
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-00194
ISSUED: 02/10/2009
APPLIED: 02/1012009
EXPIRES: 08/10/2009
VALUE:
225 Fiftli' Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~s Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
Receipt Number
$7.56
$3.15
$63.00
2/10/09
2/10/09
2/10/09
2200900000000000162
2200900000000000162
2200900000000000162
Total Amount Paid
$73.71
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work da~.
I Re"lJir~d Insl,ections,
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield aud the Laws of the$tate 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 reqnired 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
time,s during construction.
Owner or Contractors Signature
Date
Page 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:JULlE-DPE@COMCAST.NET
Receipt # EC546544
2/10/200912:41:12 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I [K] I or 2 family dwelling
D Multi-family
o Commercial/Industrial
Description I Qty.. J Ea. I Total
~tl~ij~JA~~~~~~~~rnilY:dwellinWU-n!t1I~:~t
I !,OOOsq, ft,or!ess [4] I I I
I Ea. add! 500 sq. fl.or portion
I D New construction
lliJ AdditiQn!alteration/rep\a~ement
IJobno.: IJobaddress: 1122.31STST
I City/State!ZIP: SPRINGFlELD,OR 97478-5509
I Suitelbldg./apt.no.:
I Project name:
Cross street/directions tojob site:
'I Subdivision:
I Tax map/parcel no.: 1702303403200
I Lot no.:
I-Limited energy, residential
(with above SQ. fl.)
I "Liinited energy, multifamily
residential (with above sq: ft.)
I - Limited- energy, commercia-t not offered online at this jurisdiction
(with aoove sa. ft.)
I . Stand-alone limited ~nergy,
residential
I - Stand-alone limited energy,
multi-famllv
- Stand-alone limited energy,
commercial
straighten up riser and put new
on
1200 amps or less [2]
120] amps to 400 amps [2]
401 amps to 599 amps [2]
I Name: julie ford
I Phone:
\ Emllil:
IFal:
1200 amps or less [2J
1201 amps to 400 amps [2]
401 amps to 599 amps [2]
I A. Fee for branch circuits with J I
service or feeder fee, each .
branch circuit _ _ 1-"'--fe1\uir9[ ",... I tn
IB.FeeJljjrPtaJltlJdiuiliilsV'''8''''~'' '~" I
with?ft)fR'j",if"1'l'lf!:."!leafJiopte j by the' )regon t!lity
firstfJa.n~~;~~~i~~.1S::;r.~.c_ . -hn~t:l n II ~s Hre S8,. forth
mh.?_~'l)~1'PJC~~i'fqll{\1_f1(111i1 throuah OAR 95~-001.
f~ii~~;'De~:'~I' ,:~~r1ig~t',;j\'~"';"'Sliiji1~te)n"1lI",S,tgyt~""~'
+,~ .. .jGI'~~1_1.tt++'i"I.VT\:HJO;J:t*;"*~t;!S'!."",","",~~,"r-!""""1,_",4,':,.(','t',
Servi"F.'!wrn'ftHrl~ ~nter.1 (Note: line 1<sG:i;,~dIJ.',"'$6),OO
I Each "l'lrnl{\t\'llfll'l\l"ljtjl!!afJr~gon UlllI y 'W""~)"'~" I
1;'"irlg, servIC' tl'ePft\gfdrs 11800-332, 2344).
I Pump or irrigation circle' [2 J I I I
I Sign or outline lighting [2] I I
I Signal circuit(s) or ]i,mited- I
alteratlOn,or
I EI. lie. no.: C263 I CCB lie. no.: ] 8] 465
I Business Name: DOUG PALMER ELECTRIC LLC
IConlacl: JU~~!::
IAddress: ] 3611 B R Y
'1' 4 1 ALL ~~IF;::: if TilE wa-m<
I Cily/SlatelZlJ!:
!Phon" (541 fJ orifJ::F. ~'~{it!&M~~:; 14eT
lEma;': lUll1\:' ,A .~r_I.~ MlAN fiNED Fan
jMdrolic.no,';'-" JJ 5A) rl:nluCi'lmYlic,no,:
I Supen-ising electrician's lie. no.: 2742S'
I SuperVising electrician's' name: DOUGLAS.G PALMER
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 Subtotal
I State Surcharge (12% ofoermil fee)
I City Of Springfield fees ..
I TOTAL PERMIT FEE
.. City Of Springfield fees: 5% Technology Fee
{D<Jaulr number of inspecrions aI/owed}
C9-ICjt.f ~
2200q - ~UL
$63,00 I
$7,56 I
$),15 I
$73.71 I
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.
211Dlo~
This Aulhorizalion Te Begin Work musl be posted al the job sile until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00194
COM2009-00 194
COM2009-00194
Payments:
Type of Payment
ONLINE CHGS
cReccint] .
RECEIPT #:
Description
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000162
Date:. 02/10/2009
2:IS:4IPM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63.00
3.15
7.56
$73.71
Amount Paid
KR
ONLlNEDougPalmer Online
Electric
Payment Total:
$73.71
$73.71
Page I of I
2/10/2009