HomeMy WebLinkAboutPermit Electrical 2009-3-9
w-~ . (~,
(\\ t \ u .
~~~ ~SQV
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRING., H.LD
Building/Combination Permit
PERMIT NO: COM2009-00317
ISSUED: 03/0912009
APPLIED: 03/09/2009
EXPIRES: 09/09/2009
VALUE:
SITE ADDRESS: _ 4563 ASTER ST
ASSESSOR'S PARCEL NO.: 170232430350]
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Branch circuits for new heating system
Owner: CONRAD KORBlN D & GEORGETTE
Address: 4563 ASTER ST
SPRINGFIELD OR 97478
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
SPRINTER ELECTRIC INC.
I, BUILDING INFORMA TIOr:"
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type .
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: -
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC ]MPROVEMENTS I
Street Improvements:
Storm Sewer Avaihl~le'
Special Instruction: ~OTlCE:
THIS PERMIT SHA
Notes: AUTHORIZED UNO LL EXPIRE IF THE WORK
'nr,nr",:::::::;:, u ER ~~/.SPFRnm 'f .'/3.
.,,, Fn t1 I::' ACI"'WUIVtD FriQ I
.., '-v DAY PERIOD. ValuatlOn'uescriotion
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee I 01'2
License
174458
Phone .
541-743-]213
Expiration Date
02/20/2011
n/a
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oreqon law requires you to
'..,Pnw "jloS adopted by the Oregon Utility
SIdewall< Tv.pe: Th I et to th
NOlIllCa\lOllvellter. ose ru es are s r
iDownspouts/OhiHls:O through OAR 952-001-
0090. You may obtain copies of the rules by
caiiing the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
541-726-3769 Inspectinn Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Aller, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$71.37
Total Value of Project
Fees Paid I
Date Paid
I Plan Reviews I
3/9/09
3/9/09
3/9/09
3/9109
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-003I7
ISSUED: 03/09/2009
APPLIED: 03/09/2009
EXPIRES: 09/09/2009
VALUE:
Receipt Number
3200900000000000151
3200900000000000151
3200900000000000151
3200900000000000151
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day.
I Relluirecllnsn~cti?ns I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 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 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 thllt only contractors :tnd employees who are in compliance with ORS 701.005 will be nsed 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
Paee 2 01'2
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:Sprinter5c@yahoo.com
Receipt # F.C.'i47911
3/9/200912:39:]5 PM
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
FEE SCHEOULE
I D New construction
lXJ Addition/alteration/replacement
Description Qty. 1':8. Total
Residential SINGLE- OR mulli-family dwelling unit Includes
attached garage
CATEGORY OF CONSTRUCTION
[K] I or 2 family dwelling
1,000 sq. ft.. or less [4]
Ea. add] 500 sq. ft. or portion
Limited Energy
- Limited energy, residential
(with above SQ. ft.)
- Limited energy, multifamily
residential (with above sa. 1'1:.)
. Limited energy, commercia',
(with above SQ. fl.)
- Stand-alone limited energy,
residential
- Stand-alone limited energy,
multi-familv
- Stand-alone limited energy,
commercial
Services OR feed.ers installation, alteration, AND/OR rel.ocalion
o Multi-family
o Commercial I Industrial
JOB SITE ]NFORMATlON ANO LOCATION
IJob no.: IJob addrtss: 4563 ASTER S1'
I City/StattfLIP: SPRINGFIELD, OR 97478-7527
I Suilelbldg.lapt.no.:
Project name:
I not offered on] ine at this jurisdiction
Cross street/directions to job site:
ISubdivision:
I TlllI. map/parcel no.:
ILot no.:
]70232430350]
DESCR]PTlON OF WORK
200 amps or less [2J
20 I amps to 400 amps 12]
401 amps to 599 amps [2]
TEMPORARY services OR.feede_r"S'installalion, alleration,
AND/OR ~Io('alion
Pulling branch circuits lor new heating system.
I
I Name: Jeremy Cooper
I Phon" (54])743-]213
I Email: Sprinter5c@yahoo.com
I
200 amps or less [2]
20 I amps to 400 amps [2]
401 amps to 599 amps [2]
S]TE CONTACT
I Fax,. (54]) 895-2207
Branch circuits - NEW, alteration, OR extension, per panel
A. Fee lor branch circuits with
service or feeder fee, each
branch circuit
B. Fee tor branch circuits
without service or feeder fee,
first branch circuit [21
each addl branch circuit
CONTRACTOR.
11<:1. lie. no.: C256 I CCB lie. no.: 174458
I Business Name: SPRINTER ELECTRIC INC
I Contact: Jeremy Cooper
IAddress: 82924 FLORENCE AVE
I City/Sfllle/ZIP: CRESWELL OR 97426
!Phone: (541)7431213 IFax: (541)8952207
. i Email: Sprinter5c@yahoo.com
I Mdro lic. no.: 541743.1213 I City lic. DO.: Creswell
[Supervising electrician's lie. no.: 5407S
ISupen.jsing eleelrician's name: JEREMY J COOPER
$55.00
$6.00
Miscellaneous
Service reconnect only [2]
Each manufactured or modular
dwelling, service and/or feeder
12]
Pump or irrigation circle.[2J
Sign or outline lighting 12]
I.signal circuit(s) or ]imited-
energy pane], alteration, or
extension [21
Upon review and approval by your local jurisdiction, your
pennlt will be e.mailed 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 detennine that an
Authorization To Begin Work is null and void If it does not
meet applicable land use laws and local ordinances.
I
I Subtotal
I State Surcharge J12% of~nnit fee)
I City OfSprin~fie]d fees *
I TOTAL PI:RMlT FEE I
. City Of Springfield fees: 5% Technology Fee
{Default number of inspections allowed]
0Dm'Lc5DJ - 003,)7
2~~ ~o9 NM
ELECTRICAL PERMIT FEES
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
$55.001
$6001
I
I
I
I
I
I
I
$61.00 I
$7.32 I
$3.05 I
$71.37 I
225 Fifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
Job/Journal Number
COM2009-00317
COM2009-00317
COM2009-00317
COM2009-00317
Payments:
Type of Payment
ONLINE CI.IGS
cRcccintl
RECEIPT #:
~p. '~I.NQF,tllL;D,~..,. " .
I, .... :- ~
~-
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000151
Date: 03/09/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+'12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE SPRINTER Online
Payment Total:
Page I of I
12:58:09PM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount PlIid
$71.3 7
$71.37
3/9/2009