HomeMy WebLinkAboutPermit Electrical 2009-3-10
""City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:kwschafer@aol.com
Receipt# EC547974
3/10/20099:29:15 AM
Check on status of permit
By Phone::(541)726-3753 or Email: permitcenter@ci,springlield.or.ns
I D New construction
[X] Addition/alteration/replacement
/0 I or 2 family dwelling
I;
IJob no.: !Jobaddress: 739 D ST
I City/State/ZIP: SPRINGFIELD, OR 97477.47311
I Suite/bldg.lapt.no.:
I Project name:
DMulti-farnily
D Commercial I Industrial
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1703351308800
ILot no.:
llpgrades Kitchen Electrical
I Name: Kay Clark
1 Phollc: (541) 736-3137
IEmail:
IF."
I EI. lie. no.: 20-289C I CCB lie. no.: 70889
I Busin"s Name: KS ELECTRIGMit9:'(;i8EOOIJ9tlcS! J81U8:J . _....~l:
IContact: Kev;"W S......'IBOIIIION lil!\lln U008JO ,,~\ 'VI ';:..,~'~
~ .. . . - "'"..:fi~'_l'np"
IAddress: PO BOX 249:8U04d8\8l 84l :~l~~~. ;a~~~~l~l n~l ':-nRnn
~ _"".~"UU."'Ull" ,o,jv~ _1_11-. ,.
City/StaterLlP: EU\'iL",,"OR "'4U2,V."4'~5r "11 GlOn-l()()-ZS6 8110 U!
Ilhonc: (541)6866236_~i~;~;C'o ,:,~;~~p, I ~~~.u ]Ntl,l1@lU9:) UOHBQ!I!lON
I Em,,;': KSWCHAFE~I\RAc(51MlaJ0 8L1lliq P8ldopB SalnJ iVI"U".1
I M"m lie. no.: oi noli S8J!rib8JN}1lItjJlitJ?w'!J .NULL.!'::!-'--'-V
!Supen:ising electrician's lie. no.: 3497S
I Supcnisiilg c1ectricia-il's name: KEVIN W SCHAFER
Upon review and approval by your local jurisdiction, your
permit will be e.mailed or faxed within one business ~aYJ
with instructions on how to schedule yo'ur inspection.
NOTE: This Authorization'To Begin Work expireswithin 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.
&~
~~o/
~~
I Description Qt)'.
1~13A~L~~-pilaT;S"jb:~~~:itr-Q~_~I~~!}Il'}i!i~cd_~'CW,~g
l~llac!I~~;g~,\lg~fj,i: .~. '.... .~{ r;.;;; ';_:->e"~':~i- ":,- ~ ~ - .
11,000 sq. f1. or less [4]
I Ea. addl 500 sq. ft, or portion
Ea.
I
~;/, -
- Limited energy, r~sidential
(with above Sq. ft.)
. Limited energy, multif~riiily
residential (with above Sq. ft.)
I - Limitt'd energy, commercia'l not offered online althis jurisdiction
(with abovesu. ft,)
- Stand-alone limited energy,
residential
- Stand-alone limited cn~rgy,
multi-family
- Stand~alone limited energy,
commercial
~~ff~1i?r2X{!~~~~:i,nit~K~!!p~~t~(!,^~2~Fw;1NJij<?~~~difc.1itio~'4~_:~tl
1200 .mps 0' less [2] I
1201 amps to 400 amps [2] I
i 401 amps to 599 mnps [2] _
1:;I..-~~_!:'.'.,().~\RX;'~tt.!:~)fe~-p. .,~~/~,~~.(inst.~~ti~.n~:~Ii,~r~!I.~..,l!;<':~'.~~7,._~:'
l':\NDI,O~r~!o~~<!!~~~ ':f~: ~<~;;s~'~:~JtC:,:'O~-':si:fi~ ~^';.~:\(tff:j~?t"ir';..;"'if~;
I 200 amps or less [2]
r201 amps to 400 amps [2J
1401 amps 10 599 amps [2]
1~#'f~n'f~i~~~~u~~i~'~JtW;raIte!aj'~~fli~~.~'~eX-t~'is~il1:~~Y'~~~Ci!r:
A. Fee for bram:h circuits with
service or feeder fee, each
branch circuit
B. Fee for branch circuits I ~~~:.QO $~~.p'0
w;thoot 5O",;ce orfeedcc fee, .OOl~ 3d A\1U )9 ~ AN\!
I ~~:~ ~::lc~r:~~t{I:M3NOor lTIoV 5~jffi-t1~~b :m~'iml
II I ;:~~:::{:!:~:~(~~~d~; l1f.~~,~~;t~~~~
EdCh manulacturcd or modular . :I'JI.1U Nj
d\\elllllg, service and/or feeder
I ~I .
I Pump or irrigiltion circle [2J I
I Sign or outline lighting [2] '1
I Signal circuit(s) or limited- I
alteration, or
1
I
I TOTAL PERMIT FEE,
.. City Of Springfield fees: 5% Technolugy Fee
feQ:'32D,,;on'l/'D
Subtotal
StJte Surcharge (12% of permit fee)
City Of Springfield fees ..
3\\D\D'\
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
. \)
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Tutal
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$67.001
$8.041
$3.351
$78:39 I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00320
ISSUED: 03/10/2009
APPLIED: 03/10/2009
EXPIRES: 09/10/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone ~
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 739 D ST
ASSESSOR'S PARCEL NO.: 1703351308800
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Upgrade electrical in kitchen
Owner: CLARK PATRICIA KAY
Address: 739 D ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
KS ELECTRIC
License
70889
BUILDING INmRMATION'
Expiration Date
12/30/20 I 0
Phone
541-686-6236
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height 0)' Strncture
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:
Occupant Load:
n/a
.,.,., "
! DEVELOPMENT INFORMATION' .
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: '(17178(:-(:88-008- ~ SI J81U8:) Paved Drive Rqd:.
Rearyard Sctb'l!'/):flEOI)I\oN Al!llln U068JO 841 JOl JW~IOI"IJot Coverage:
Solar Setbacks: 8U04d8\81 841 :810N) 'J81U80 841 6U!IIBO
, _ _ ~.-._ __"...J~.... ,."................ ,c"II nrn 'I"\~f'ln
...., ~-I.'- - -"IT;r~ -..
-~00-(:96I:l\lO 46noJ41 0 ~,OO-lIRUBme\I~PROVEMENTS'
!:W01}?S 8JE S81nJ 8S041 J81UvoJ ~~"~~,;,,-,,
Street Improvclit@l1:u068JO 841 Aq P81dopB S81nJ MOllol
Storm Sewer A,q;1I~(jt\,i>8J!nbaJ MEI U068JO :NOI1N311\f
Special Instruction:
'OOIl:l3d AltO 09 ~ ANIt
SidMQ,:j~\.J:ONlt81t SIl:lO 03:JN3\f1lIJlJOJ
lQN SI11~1Ud SIHll:l30Nn 03ZIl:lOHlnlt
)lE5'M'N~~~r3~JrJX311\fHS 11l^Jl:l3d SIHl
:3:JIION
Notes:
I Valuation DescriDti~n I
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Pa~e l on
Status
Issued
CITY'OF SPRI1"luJ<IELD
Building/Combination Permit
PERMIT NO: COM2009-00320
ISSUED: 03/10/2009
APPLIED: 03/10/2009
EXPIRES: 09/10/2009
VALUE:
j,
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Une'
Total Value of Project
Fe~s Pai~, I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add; Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$8.04
$3.35
$55.00
$12.00
3/10/09
3/10/09
3/10/09
3/10/09
3200900000000000153
3200900000000000153
3200900000000000153
3200900000000000153
Total Amonnt Paid
$78.39
I Plan Reviews I
To Request an inspection cali 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.
Renuired J nSllections ,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 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 Serviccs Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther 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
225 Fifth Street
S~ingfield, Oregon 97477
541-726-3759 Phone
.,
. '.;
City of Springfield Official Receipt
. Development Services Department
Public Works Department
Job/Journal Number
COM2009-00320
COM2009-00320
COM2009-00320
COM2009-00320
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000153
Date: 03/10/2009
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
KR
ONLINE KS Electric Online
Payment Total:
Page I of I
9:42:02AM
Amount Due
55.00
12.00
3.35
8.04
$78.39
Amount Paid
$78.39
$78.39
3/1 0/2009