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Home My WebLink AboutPermit Electrical 2009-3-30 City of Springfield Electrical Authorization To Begin Work E~rhailed To: ejguidry@~sn.com Receipt # EC549JIl9 3/30/2009 11 : 15:40 PM ~'?'}/ GI\/ - Check on status of permit-- -By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I 0 New construction [X] Addition/alteration/replacement 1 Y".- 10 I Of 2 family dwelling D Multi-family 0 Commercial/Industrial I: ;.~, t, _:?j~~~:~~LtEjN~~~M,AT)9i!~tiblL:9~~e:tJQN~,_~~',,~:,i~>J~'~~4~~ IJob no.: IJob address: 254 W CENTENNIAL BLVD I City/State/ZIP: SPRINGFIELD, OR 97477-2924 I Suirc/bldg./iipt.no.: I Project naillI.': Cross street/directions to job site: ..!SubdivisiOIl: ITax map/paTcel no.: 1703274406100 !totno;: Panel Change out and heater circuit and install.llions. I Name: Sidney Davis I jl'hone: (541)747-0384 IFax: 747~0384 I IEmail: I -~.lNOJE.~~_~~Z::i1R6t~i~9t9!t~~~~~'~~:~~'~~:f~~',:~~~;~&., I:Ilk. nn 20-3l3'l!S..Ei=RMIT S~ltlr.iF'!'~ WORI{ I IBn"n"'N"mCMm~I'll'1"~D'I)l)iIb~i:! :~12 ~m I:) NOT I ICnn.,," Ed G"i'!'I'1in1~4EMCED OR IS t.B/\NDONED mn I IAddee'" 32316~HfYVtSO DAY PERIOQ.. . I I City/Stale/ZIP: COTTAGE GROVE OR 97424-0000 1 IPhone: (541)7291454 "IFax: (541)7670315 1 I Email: e-jguidry@msn.com 1 IJ\lelro lie, no,; jCity lie. no.: ) I Supervising electrician's lie. no.: 3423$ I 1 Supervising electrician's name: EDGUIDRY 1 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 inspection. NOTE: This Authorization To Begin Work expires within 180" days if a permit is not obtained. \~o/ h" ~cff ~-.s- 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 a-nd local ordinances. I Description Qty. J .:a. Total 1:'Reside-ntiafSfNGLE;,:OR-'mlllti~ramjjY'dwdlin""g' unii~,lncludes' ~~~"~'<I ~J!~H;~IJJ~~~e:~~-~:;.:,::~;~~:~\~Zo,'~~Ci~~~;;;"'J';"';~'":;j,_,'J~, /1,OOO'Q.ftorless[4) I I I I lEa, addl 500 sq, ft. or portion I . Limittd energy, residential (with above Sq. ft.) I - Limitedenergy,multifamily residential (with above Sq, ft,) I-Limited energy, commercial not olTered online allhisjurisdiclion (with above Sq. n.) I - Stand-alone lirryited energy, residential, Ie Stand-alone li1J1ited energy, , multi-family I - Stand-alone limited energy, commercial 1~!:ryJ~irq~~i!e~(!l;?iI2E~~U:t~m~~t,~t!Qe;'7SHD1,Olf'~~12C~~i?n~ ::)::~.~ 1200 amps or less [2] $81.00 $8] .00 1201 amps to 400 amps [2J 1401 amps 10 599 amps [2] 1200 amps or less [2] 1201 amps 10 400 amps 12] 1401 anips to 599 amps [2] 1~~r!0S~:~Irc!~.ts_,i~,~r~!te.tiif,?~~\o~~~\~m!~iOii~p~~p;ijlel~~~,~"~~~',: ~'~I I A. Fee IOl\trl11j:tw~;'t:lre~on lawlleqUi~Ill~OU t66.OO I service r feederlee: cocn" b",nch XRUfilW rUfes adop ed by th 1 Orego Utifity lB. Fee NOO' '.t(;lfi<l&lntljemerjl nose r lies are@et1Orm ,~;tho"IIi"Cij:{fllrf!i5<k'dErl'001 0 throu( hOAR 9: ;2-001- llrstbrmh..CJJCu,I\,I'1! L. .1 J.I . L Ih Hv. .vt..'fllo.y v 'feu" \.Iv..... CIVI lllC" 1 ..in;j;) Y eae a ,..r.!! leI[ 1 CO"" _ I 1_ _. :tl-..... ,,_1__ ---:i.- 1.-.' ._~~fifng5'1\D..~or,t~..,\I':'"to.,...,~.-.o.~".1_..~_, ~1\llscellan"'Q!liBti-"""'" "4:'""c,e'.",l',o'T=, ,". .'fo', M,,~.L .: "'-~I/"'"-i ;;;Y~""'''''r"!UUUJt~pff'lr.',thQ~r=\ t:)fll7\nFI,ltllltv,'t\lntlfi ~~tJf"\n'>';~. I Serv;" ,"connect n(ltelitl;r is -800-33: '-2344\_ I Each manufactured-or modular " dwelling, service and/or feeder [21 I Pump or irrigation cii-tle[2] Sign or outline lighting [2] Signalcircuit(s) or limiti:d- t:nergy p<lilel, alteration, or extension 121 1~.",':~I~:~t~1z:ft:l;ELECTRfCAl."RERMlf F'EES~~,~~'; ~:>,~7;;l-;;,t ~li;.1 .,__,.,_,,,,,"'-"'1',,,,,,' n. ""W"''''','''''', 'c.', _<,,".,,'" '"" ___',"'-',__'"'-i-'''''_ ',," '_ f _,,,',, ,_, I Subtotal I $87,00 I I SWle Surcharge'(J2% of perin it fee) $10.44 J "I City or Springfield fees '"I $4.35 I I TO'I'AL PERl\HT FEE $101.79 I * City OrSpringlidd fees: 5% Technology Fcc fDefal/l1 number afinspections allowed] Cq-t+3~ r L\TT\D~; '\ ------ VO This Authorization To Begin Work must be posted at the job site until replaced by a Permit. CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00432 ISSUED: 04/01/2009 APPLIED: 03/31/2009 EXPIRES: 10/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 254 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274406100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Panel change ont and heater circnit and installation Residential Owner: DA VIS SIDNEY L & SHARLA C F Address: 254 W CENTENNIAL SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION.I Contractor Type Electrical Contractor MY ELECTRICIAN INC License 87506 Expiration Date 11/2012009 Phone 541-729-1454 BUILDING INFORM~ TION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type. Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: S'l Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVE~OP~ENTI~FORMATION 1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I N GTICE: J :..U~jL<; .~OVEMENTS t;iJ~~::~~~~~~?eO; ~~~hr:6~~~~~Utiiity Street ImproJ,\jJ~g~RMIT SHALELRETXHPIS1Rp~ER!~1IT-IS NOT Notific&,i~lJqlr1pl:hose rules are set foort1h AUTHQRIZED UND !1 001-Q9J.o through OAR 952-0 - Stor~ Sewer ~~nl"fJ!IJ~CED OR IS ABANDONED FOR In OA~~~I!O'b'titli!Ii1'L~Pies of the rules by SpecIallnstrnt'lt'oh: t DAv PERIOD 0090.. ouhmay ter (Note: the telephone ANY 180 ,I . callmg t e cenO . n Utility Notification . . . number for the rego Notes. Center is 1-800,332-2344). I V aluati~Ji DescriDtion I . Description Tvpe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Valne Date Calculated Paee I of 2 Status Issued CITY OF SPRINGNELD Building/Combination Permit PERMIT NO: COM2009-00432 ISSUED: 04/01/2009 APPLIED: 03/3112009 EXPIRES: 10/0 1/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee,S Paid' Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm.Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $10.44 $4.35 $6.00. $81.00 4/1/09 4/1/09 4/1/09 4/1/09 3200900000000000205 3200900000000000205 3200900000000000205 3200900000000000205 Total Amount Paid $101.79 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 7:00a.m. will be made the following work day. I, Reollire~ ~ns'Jecti~,ns ,I 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 ITurther 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 wilhont permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. . ] further agree,toensure that all required inspections are requested at the proper time, that each address i.s 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-'726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department . RECEIPT #: 3200900000000000205 Date: 04/01/2009 8:16:13AM Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 6,00 4.35 10.44 $/01. 79 Job/Journal Number COM2009-00432 COM2009-00432 COM2009-00432 COM2009-00432 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee. + 12% State Surcharge Payments: Type of Payment Amount Paid ONLINE CHGS. ONLINE PERMIT CHGS KR ONLINE My Online Electrician Payment Total: $101.79 $/01.79 cReceintl Page I of I 4/1 /2009