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HomeMy WebLinkAboutPermit Electrical 2009-3-25 City of Springfield Electrical Authorization To Begin Work E-maiiedTo:JULlE-DPE@COMCAST.NET Receipt # EC548961 3/25/20094:16:56 PM &\LP "!] 1A.1 G Check on status of permit By Phone: (541)726-3753 or Emaii: permitcenter@ei.springfield.or.us 10 New construction IX] Addition/alteration/replacement I [:KJ 1 or 2 fmni!y dwelling o Multi-family D Commercial! hldustrial l.Jubno.: IJobaddress: 601 MALLARD AVE -ICity/Shllc/ZIP: SPRINGFIELD, OR 97477-7557 I Suitc/bldg.lapt.no.: I Project name: Cross street/directions to job sill': I Subdivision: map/parcel no.: 17032213] 5500 I Lot no;: replace 200 amp service I Name: julie ford I Phone: Email: I Fax: . EI. Ii,. no.: ..~ _~~ r'1,~wt1='llRF1WORK I Bo,'n", Nam,l_ Ti)!5lJ6 ~i: ,I 't)M~l\'\ ~IC:: PI=RMIT IS NOT Icon"'~t: J~L1(;1Fb\. ":-r. 0:118 M~I'.NonMl=n FOR IAdd"'s, l'68IlMiRl\ll~~It~~ "leI}, IGtYls,"''lzIPilm,,",ENe~R4IJ401' L I . IPhone: (541)4345600 IFnx; (541)7621056 Emllll: JULIE-DPE@COMCASTNET I Metro lie. no.: 1 City lie. no.: I Supervising electrician's lir. no.; 2742S I Supervising elcctrician:s name: DOUGLAS G PALMER Upon review and approval by your local jurisdiction, your permit will be e.malled or faxed wlthm one busmess day, _ V"l / w,lh mstruct,ons on how 10 schedule your inspeclion. Wv:.....l ~~y:~; :h~:~~:~~~~~I~ob~a~~e~egin Work expires within 180 (\.~<\,o'\ The local building department may determine that an OVI ~ Authorization To Begin Work is null and void if it does not ..,,~ meet applicable land use laws and local ordinances. '\j."' Description Qty. lEa. J Totnl ilfcsjdeniiaFSiNGEF;~()RfniuHi~fuiiiil)~wcliing:ii'nii.jnClu(ies'10'i:i;}1,,'" ~ ~,[tif~~J~~i!~i~_:~~Ji~~~F~~1t~1v~~~~lt~l:; 1 I,OOOsq. ft. or less [41 1 Ea, addl 500 sq. f1. or portion I -Limited ~nergy, n:sidential (wall [lbove Sq, fU I-Limited energy, multifamily residential (with above Sq. ft.) I - Limiledenergy, commercial nOI olkred online at this jurisdiction (with above SQ. ft,) . - Stand-alone limited energy, residential - Stand-alone limited energy, multi-family I - Stand-~lone limited energy, I ~ commerCial. 1~~~~~2~~f~~~:in~t~~1L~~jj!1~1i~~~D/<?R!ci~~~o.n';:~~.~~:; 1200 amps or less [2] $81.00 $81.00 I 120 I amps to 400 amps [2] I 401 amps to 599 amps [2] ::rEjvIP(.jR~ltY!'se'rvice.':~OR(fecders.'iiistallationt'Ujter1It.iO~".'.WI({~i.'" &~I!LCi~!~{i~~om;,,;,t~;ft~~P<~t::'~~~'~~~j!~~~~:~R~):~ 1 200 amps or less [21 1201 amps to 400 amps (2] 140] amps to 599 amps [2] 1~~~~]I~~;:fi,?~,qji~{~,~lY;;,~[~~afi~n'{9:Rr~~,~~iliiO"~~pei';f~iF~.i~;;: ~;~':1'::'1 I m-'i.'E1'l~N':'@pjJ1PIllIa'fV reqult "e yuu v I . SIr"{' or ~iiiig ~ao1Jt'ed by ~he Oreg n Utility lilfLIl,l/JMt\1f TI' I-r ,. sot 'M+I , r~6~~a;==t.e, t'h';;"u';h voAIf 952-001: I ~ 11 or' 'h 'i .' S:~~~n ~r, "ip~ nf tt.J'e rules b'r " 1 n . A: the telephone I ~n~W;~a~iC\'Mr:iheY5redorr'Jjtjlil\7;N9\if.if~~$~fl; ';J;c~:. I S",i" "<eJeFfl!1!1Plis[~-600- 332-,,;;4'l). I Each.manufanured or modular dwcllmg, service and/or feeder I r21 I I I Pump or irrigation eirele [2] Sign or outline lighting [2L Signal circuit(s) or !imiwd- energy panel, alteration, or extension Subtotal I StuteSurcharge (12% of permit fee) I City Of Springfield It:es * I I TOTAL PERMIT FEE I * City Of Springfield fees: 5% Technology Fee {Defl/lllll1/IJuber oJi.nspections aI/owed} Cq - 3q(; ~ .3} dS)Oq $81.00 $90721 $4.05 $94.77 I This Authorization To Begin Work must be posted at the job site until replaced by a Permit _"M~. r2..,.".. !~~..!1!"".~..~..P.J i .. ,..,....'.,", " "'- "--""'-' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00396 ISSUED: 03/26/2009 APPLIED: 03/25/2009 EXPIRES: 09/26/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 601 MALLARD AVE ASSESSOR'S PARCEL NO.: 1703221315500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace 200 amp panel Owner: FLOYD MARCEL & BRANDON DEON Address: 601 MALLARD AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 181465 Expiration Date 04/14/2010 Phone 541-434-5600 BUILDING INFORM~ TION I # 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Front yard Setback: Overlay Dist: ATTENTION: Oregon lawfllMlglres you to Side I Setback: # Street Trees Rqd: follow rules adopted by mtllrlilregIJ11'dJtility Side 2 Setb~aTICE: Paved Drive Rqd: Notification Center. Thos9JQ';..-..~ set forth Rearyard SY~~'PERMIT SHAll EXPIRE IF THE ~dRk't Coverage: In OAR 952-001-001? through OAR 952-001- Solar Setba~ .:<.;. 0090. You may obtain copies of the rules by A J I HORIZFO IINnFR THI!=: PFRMIT I!=: NQT' . ~_,,:_~ "1Q ~?ntM (~Inlo' tho IOlOnhn"" COMMENCED OR IS ABANDOI~l!uJt1JM: IMPROVEMENT31rmber for the Oregon Utility Notification ANY 180 DAY PERIOD. . Center is 1-800-332-2344). Street Improvements: SJdewalk Type: I DEVELOPMENT INFORMATION I Storm Sewer Available: Special Instruction: Downspouts/Drains: ' Notes: I Valuation DescriDti~n I Description Tv!!e of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pace I 01'2 ii 1: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $9.72 $4.05 $81.00 $94.77 Total Value of Project Fees Paid I Date Paid 3/26/09 3/26/09 3/26/09 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00396 ISSUED: 03/26/2009 APPLIED: 03'/25/2009 EXPIRES: 09/26/2009 VALUE: Receipt Number 3200900000000000188 3200900000000000188 3200900000000000188 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 Re9uired Tnsnections , 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 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 that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, that thc permit card is located at the front of the property, and the approved set of plans will rcmain on the site at all times dUl"ing construction. Owner or Contractors Signature Page 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726~3759 Phone Job/Journal Number COM2009-00396 COM2009-00396 COM2009-00396 Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: 3200900000000000188 Description Perm Serv/Fdr 200 amps or less + 5% Technology pee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/26/2009 Item Total: Lheck Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE Doug Palmer Online Electric Payment Total: 8:40:18AM Amount Due 81.00 4.05 9.72 $94.77 Amount Paid' $94.77 $94.77 3/26/2009