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HomeMy WebLinkAboutPermit Electrical 2009-2-10 \(y~ 0V1 o \ / z:- ~i/ 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 -Z;;J,~t~09l~!!)~~1';;h'w,':;, ,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