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HomeMy WebLinkAboutPermit Electrical 2009-3-20 Receipt# EC54R634 \ 3/20/200910:59:56 AM q /1;'\ G City of Springfield Electrical Authorization To Begin Work E-mailedTo:KELIASEN@ATT.NET Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I 0 New constnl~tion lliJ Addition/alteration/replacement I ~ I or 2 family dwelling o Multi-family o Commercial/Industrial ,-~~_.;t'!l ;-"'''- ",~;i' I Job no.: I Job lIddress: 345 S 44TH S1' I City/State/~IP: SPRINGFIELD, OR 97478-5926 I SuitcJbldgJapt.no.: I Project name: eLA Y ~ULLIVA!'J Cross .street/directions to jo~ site: MA!N STREET & S 44TH STREET ISubdivision: !Tax map/parcel no.: 170232340440] I tot no.: REPLACE 200A PANEL I Name: BEN JOHNSEN I Phone: (54!) 556-2] 53 I Fax: I[mail: 1~~~i;::;';~~~~I;i~~~~ogf~~f~~~E~!\~f'J;;~"~tjr IB",i"mNamc: JWVrq<f@li1~jj~D"tJNDER I HI::> t'tn~V~IT_lv r. I le""'aC" KARr'f!{l)I~/?i'tNCED OR \S AtlANUUNCU rJfl IAdd"''' 2585 Rjl.WVYfR(JI3!}M' PERIOD. !City/StateIZIP: EUGENE OR 97402-2500 IPhon.e: (541)461029] !Fax: (541)46]2340. I [mail: KELlASEN@ATTNET 1 Metro lie. no.: [City lie. no.: ISupen'ising electrician's Iie.lio.: 34858 1 Supervising electrician's II1IDI('; GARY E JOHNSEN 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 ioopection. 0\ NOTE: This Authorization To Begin Work expires within 1~O ('..j days if a permit is not obtained. . F\J~ 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. .~~ I Description Ea. Total Q'y. 11,000 sq. ft. or less [41 I Ea. llddl 500 sq. ft. {If portion I-Limited energy, residential (with above SQ. ft.) I - Li1l1it~d energy: multifamily residential (with llbove sq, ft.) I-Limited energy, commercia-I not offered online al this jurisdiction (with above SQ. ft.) - Stano-alone limited energy, residential ~ Stand-alone limited energy, multi-familv - S\<lnd~alone limited energy, j commercial 1~~~;!~::~I;~~e<J~~l2(i]E~2~i;a!!$h,l1!€~~D/Q;;e;~.'iiill~;~~~ ]201 amps to 400 amps'[2] 1401 amps to 599 <Imps [2] 1200 <Imps or less [2J 120] amps to 400 amps [2] 140] amps to 599 amps [2] .L 1. I ;!!i'""Cb_qIffiIi'l;tflil(il,!"lnla!tilli1~~w"!~~'P&]>~Ol,I~r'I':';'~: ~ A Fee IflJIJi@WhW!/ilB",llopeu uy lll~ VI ~",,;1 ~tr...)- serv"'N'cfrff1!!alldl'l'€enter Those r les are f ~t forth branchflrc.u.ll,...,... ........,..v'134--9--G ~ () +1-11"....... h r'lAR ~ 12-001- I B Fee Ibtbfliiltll tftflri:<' : - 'r f th I b w"h""OO9O: o1(lillJI<fiITiIeY ob arn cop, s 0 e lues y ",,' b'"",....l\1!'Ig'lhA ""nt. r. (Note: the teler hone l.ee~~~d~l~r!!1'~"f~~rth~.s_r~gon.Utp'ty NOu~~:u~n _. I 1';:~;:~:~~~::~e~fE!I~I.sjil;~Q9'~~i~~r.t''V';;4;F;'-J\~'\ I Each manufactured or modular I dwelllllg, serVice and/or feeder -[21 I Pump or irrigation circle '[2] I 1 Sign oroutlinelighting [2] I I'signal circuit(s) or Iiniited- I energy Pllnel, alteration, or extension [21 . I;:j?~ .7f~~Z~~'~Tj!It~~~~~t~Ift~'~~~.~1:~.,"'~~("J.:f:~~ I Subtotal $81,00 i Slate Surcharge (12% of per mil fee) $9.72 I CityOfSprlnglicld fees * $4.05 I TOTAL PERMIT FEE $94,77 I * City Of Springfield fees: 5% Technology pee ICq':'~1CPeeIiO~'dJ 3 \201 09 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00371 . ISSUED: 03/20/2009 APPLIED: 03/20/2009 EXPIRES: 09/20/2009' VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectiou Line SITE ADDRESS: 345 S 44TH ST ASSESSOR'S PARCEL NO.: 1702323404401 Springtield TYPE OF WORK: Electrical Work Only TYPE OF USE: Residential PROJECT DESCRIPTION: Replace 200A Panel Owner: SULLIVAN CLAY R & JANET M Address: 345 S 44TH ST SPRINGFIELD OR 97478 I CONT,RACTOR INFORMATION I Contractor Type Electrical Contractor BEACON ELECTRIC License 38497 Expiration Date 01/10/2010 Phone 541-461-0291 BUILDING INFORMATION' # of Units: -Primary Occupancy Group: Secondary Occupancy Group: Primary 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: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Overlay Dist: Side 1 Setback"OTIC'E' # Street Trees Rqd: Side 2 Setbac~~' Paved Drive Rqd: Rearyard Set~~~k<; PERMIT SHALL EXPIRE IF TH~WOOkCoverag.e: Solar Setback~:~:.~?_~'~~D UNDER THIS PERMIT IS NOT ANY';';;-O'D~Y ~EnR;~;IlANU~lli~~MPROVEMENTS' Street Improvements: Storm Sewcr Available: Special Instruction: Total: Handicapped: Compact. . . ATTENTION: Oregon law requires you to . follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth III UMM "o<:-uu jCUUIU mrougn UAH !,lO~-UU1- 0090. You may obtain copies of the rules by . Sfi!JJjy'1fl~I'JEy~@{1ter. (Note: the telephone number for the Oregon Utility Notification DownsR!lIl/f{.!lrili"Ml00-332-2344 ). Notes: . I V aluation Des~riDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated -~.,'" Paee 1 012 Status Issued CITY OF ~rKll~ul' IELD Building/Combination Permit PERMIT NO: COM2009-0037I ISSUED: 03/20/2009 APPLIED: 0312012009 EXPIRES: 09/2012009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-.726-3676 Fax 541'726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or. less Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 3/20/09 3120109 3120/09 1200900000000000202 1200900000000000202 1200900000000000202 Total Amount Paid $94.77 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 day. I Re'1uired Insnections . Electric Service: Approval reqnired 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 and correct, and I further certify that any' and all work performed shall be done in accordance with the Ordinances of the City of Springtieldalld 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 Divisiou, Buildiug Safety. 1 further certify that only contractors aud employees who are ill compliance with ORS 701.005 will be used 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 Date Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-126-3759 Phone Job/Journal Number COM2009-00371 . COM2009-0037I COM2009-0037I Payments: Type of Payment ONLINE CHGS c\{eceintl RECEIPT #: City of Springfield Official Reccipt Development Services Department Public Works Department 1200900000000000202 11:16:34AM Date: 03/20/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 4.05 9.72 $94.77 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS. Amount Paid KR ONLINE $94.77 Beacon Online Electric Payment Total: $94.77 Page I of I 3/20/2009