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
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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
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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