HomeMy WebLinkAboutPermit Electrical 2009-2-23
Electrical A!lthorization To Begin Work
E-mailedTo:JULIE-DPE@COMCAST.NET
Receipt # EC546943
2/18/20098:49:16AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
[2[] Addition/alteration/replacement
New construction
100 I or 2 family dwelling
o Multi-family
o Commerc}al f Industrial
IJobno.: IJobaddress:1122 31STST
I City/SfatelZIP: SPRINGFIELD, OR 97478-5509
/SuiteJbJdg.lapt.no.:
I Projectnllme:
Cross street/directions to job site:
!Subdivision:
map/parcelno.: 1702303403200
/Lotno.:
upgrade to 200amp service
Name: julie ford
\ Phone:
IFa"
IELlk.oo., ,::~'~~~t.m El.l~11 ikwl~0IfTH6;\NORK.
Inos;oe" Name, ~I?~Wi,~4!'~'Pi~ ~Pifff~~ lJ1ll!IS PERMIT IS NOT
ICoolact: JuuEtb)i.Q~~~':;::-;D -gR I~ MllI.MnnNEO FOR
IAdd"'" 1368 B~~i~?,~ol{~\?'[,ES'Q~ .
I Clty/StatelZlP: EUGENE ORu97401 .
IPhone: (541)4345600 IFl.lX: (?~1)76~1056
I Email: JULlE~DPE@COMCAST.NET
J Metro lie. no.: I City lie. no.:
I Supervising e.lectrician'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 o.n 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.
~l{\
~t
~
I l,OOOsq. fl.-or less [4]
I Ea. addl '500 sq. ft. or portion
I . Limited energy, residential
(with above Sq. f1.)
. Limited energy, multifamily
residential (with above Sq. ft.)
~ Limited energy, commercia'l not alTered online at this jurisdiction
(with above Sq, ft.)
I ~ S!and~alone limited eriergy, I
residential
I - Stun9-alonelimited, energy, I
multi-family .
- Stand-alone limited energy,
commercial'
I
I
I
I
1200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps t.o 599 amps [2]
$81.00
$81.00 [
I
I
1200 amps 0' less [2J I
'120 I amps t.o 400 amps [2J I
1401 amps t.o 599 amps [2] ,
Ir:[~1~Tfi[~RE\Y~~!t~Aii~n;1>I~~t~,n:~iAlliKp,~tltai~f,~tU'~1
I A. Fee for branch circuits \vith ~ . ~ J
""ICe 0' f""-- -''''N' 0 I . .
branch ci, 'j"-_' ""'<T;U . . egon a reqUire you to
lB. Fee fo~'!hJJ~'IfWC)li\F~ "uu Jl"U uy lIe uregc!n Utility
~ithout s~lfbBrellieff,gentl 'r. Those rules are set forth
tJrstbranmal~iU.r:al~t:uy!~ CC'~':'-tfrr.et 91; C,;~ :):;2-00 l~
I e~cha~,~~~,c,~~'t_r:qt~r;n<"""~ ~h~,~'JJ-- !_:.
2&tf~H<!lte~~tHi;~Tni^"f~~f'e':;-,aW{.~N~1~t!~~:t-~~\;I~:"I~~VfiP::i~.dff
_~'0==~rfli!\J\iJ.HP.zv,;"Tl.. l::'t{, .. "J M',~iH.h_." ....' ~~;~~""t"t.o=.'"~
Se"icc ,,43blmOOlyfDll the ()reqon UJilitv Noti ir,Rti~n I
E"h maour"'u"d oU1\ltll~@r IS 1-800-31' 2-2344) I
dwelling, service and/or feeder .
121
Pump or.irrigation circle [2] 1 1
Sign or outHne lighting (2]
Sign,a! circuit(s) or limited- I
energy panel, alteration, or
extension r21
1'""iii1'ti\li~Ei!EC'fRjCA[iRERMlt;F.EES'-01"i,,"';!~!i!l; ,it
~.7:m~'"V."'~.'$"'.'",."_"",*=".""._, ,""".":A.:.~w~~,rt;}',~,~,,
I Subtotal I $81.00 I
! State Surcharge (12% of permit fee) $9.72 \
I ,City Of Springfield fees. $4.051
I TOTAL PERMIT FEE' $94.77
. City Of Springfield fees: 5% Technology Fee
[Default number of inspections allowed)
. P\
0,~\\-.o\O
This Authorization To Begin Work must be posted atthe job site until replaced by a Permit
Status
Iss u ed
CITY OF SPKll"\.JJ'lELD
Building/Combination Permit
PERMIT NO: COM2009-00251
ISSUED: 02/2012009
APPLIED: 02/20/2009
EXPIRES: 08120/2009
VALUE:
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'
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Upgrade to 200amp service
Owner: EDGAR LIVING TRUST
"Address: 7000 ROBERT DIXON DR
AUSTIN TX 78749
I CONTRACTOR INFORMA!ION.
Contractor Type
Electrical
Contractor
DOUG PALMER ELECTRIC LLC
License
181465
Expiration Date
04/14/2010
Phone
541-434-5600
BUILDING INFOR~A TIO~ I
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: '
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
_,fj
"
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Storm Sewer Available:
Special Instrnction:
Frontyard Setback: Overlay Disi:
Side 1 Sethack: NOTICE' . # Street Trees Rqd:
Side 2 Setback:' J'~yr,d ,Qr,~' ~qd:
Rearyard SetbackTHIS PERMIT SHALL EXPIRE It'olo1'fL'/,\' :jCerage:
Solar Setbacks: AUTHORIZED UNDER THIS PERMIT IS N I
- --~. ~-~J""""''''' 1"'\';" '/" At\,\~ln(u.lcn eno
VVIVlIVIL.I VI.,.... ....I~ 1<.. ,\-. .----
ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS'
~~
tV~
Total:
. _u 'd'~1i '~l"'" 'ires you to
ATTENTION: Ort:<~an I' ppeu: U\'l",ty
"'"' ~,. '''e Oregon ,
io'llow rules ado~Gumpac". t forth'
Those rules are se
. ~otification cen:e~1 0 lhrough OAR 952.001-
In OAR, ?52~?,1 ~hto;n .r.noies of the r\lles by
VU;jV. . v_ .. - . (Note' tne 181eplllJ11V
calling the centoer. on UiililY Notification
hf>r .wr the reg
SRU\OllIkC~'tI?l6r is 1.800.332.2344). "
Downsponts/Drains:
Street Improvements:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
Status
Issued
CITY OF SPRINGFIELD
'Building/Combination' Permit
PERMIT NO: COM2009-00251
ISSUED: 02/2012009
APPLIED: 02120/2009
EXPIRES: 08/20/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726~3676 Fax
541-726-3769 Inspection Line
, Total Value of Project
'I Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$9.72
$4.05
$81.00
2/20/09
2/20/09
2/20/09
2200900000000000199'
2200900000000000199
2200900000000000199
Total Amonnt Paid
$94.77
I Plan Reviews ,
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.
I Renuired J nsnections I
Electric Service: Approval required prior to utility 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 arid 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 he made of any structure withont permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all reqnired inspections are requested at the proper time, that each address is readahle 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
225 Fifth Street
.
Springfield, Oregon 97477
541c726-3759 Phone
,{
Job/Journal Number
COM2009-0025 I
C0M2009-0025 ]
COM2009-0025 I
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000199
Date: 02/20/2009
3:31:23PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE Doug Palmer Online
Electric
Payment Total:
A~()Unt Due
81.00
4.05
9.72
$94.77
Description .
Penn ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Paid
$94.77
$94.77
Page I of 1
2/20/2009