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Home My WebLink AboutPermit Electrical 2009-4-7 City of Springfield Electrical Authorization To Begin Work E-mailedTo:JULlE-DPE@COMCAST.NET Receipt # EC549655 4/7/2009l0:47:10AM ~ ~/~ l': Check on status of permit By Phone: (541)726,3753 or Email: permitcenter@ci.springfield.or.us I D New construction [2J Addition/alteration/replacement I[XJ 1 or 2 family dwelling o Multi-family o Commercial/Industrial I.Job no.: IJob address: 5145 CST I City/Stute/ZIP: SPRINGFIELp, OR 97478-6035 I Suitc/bldg./apt.no.: Ihojectnllme: Crossstrect/directions to job sUe: I Subdivision: map/parcel no.: 1702333201300 I Lot no.: inst<lll new 200 amp service -nu additional load !Nllme: julie ford I Phone: I Emllil: I Fax: lie. no.: C263 [CCBliC, no.: 18]465 I Business Name: DOUG PALM'ER ELECTRIC LLC ICo",",t: -Ni/TF1lWf~ IAdd",,, IJlPjlI~A~~'MAN"'HA11 EXPIRE IFTHE WORK ImY/State/~ltrt:mfWl'i!lI\ rg~I\~RA~~;:=T IS NOT !Phone: (5t'l'Ii\\l&R~<j:M('m 1100 IEnm'l: JUhlgJ'llPf@S~SP;~~O{'l I Metro ,;('. no.: ) City lie. no.: I Supervising electrician's lie. no.: 27425 jSupcrvising electrician's name:' DOUGLAS G PALMER Upon review and approval by your local jurisdiction, your ~ permit will be a-mailed or faxed WIthin one business day, with Instructions on how to schedule your inspection. NOTE: This Authorization To Begm Work expires withm 180 ~ days If a permit IS not obtained. V " The {ocal building department may determine that an l\.~ ~ Authorization To Begin Work is null and void if it does not V\. 'F- meet applicable land use laws and local ordinances. ~ \S "-"",- "~'"I "';1::~t':Si"':''''4 I Description . Qty. 1 Ea. j Total I" ResidentiaFSINGLE~'Olflmiilti~f:imily.d~'FHing:unit. 'In'cluaeS>'<,,,~~ ::,.' :~tili5~~~;g~f~~;J'r~~}'_ ~t:'~:~~~.~, '~r..".: 1. ~~~-":.~:~J:~}'~;' ":~:. '1~' 11.000 sq.JI. or less (4) I I addl 500 sq. ft, or portion I I -Limitedenergy, residenlial (with above Sq. ft.) I-Limited energy, multifamily residential (with above Sq, ft.) I-Limited energy, commercia'l not otTered online at this jurisdiction (with above Sq. n,) . I - Slfmd-jJolle ljjriited energy, resIdential I - Stand-alone limited energy, multi-family I - Stand-~~one limited energy, I I commercial lJ'j;rVi~r9_~Tf~~~~1inz~J~il~qtill.f~~a~~~~~ii~!.~R.t.~I~~fi?~ ~(til 1200 omps or less [2] $81.00 $S 1.00 I 20 I amps 1O 400 amps [2] I 401 amps to 599 amps [2] I I 200 amps or less [2] 1201 amps to 400 amps [2] 140 I amps to 599 amps '[2] Ir~~\~T~fr~~~'3;.~I~V/~Jte~a,til1~;;:6~R~~i~e_ils'~~;'p~i:~abeK'~A~1;:~ ~ <:1 I A. Fee fo.r.branChCircuits with I service or feeder fee, each branch CIrcuit I B. Fee for branch circuits I ~:~~~~~~e~~~ <?n !~o~.la~ reguires IO~. t.? I,e~~h :dill~M!~~W~,p~E.t~::Tt.~~~':J~~ ~\JU.:.' ,~"~:I:,:, " f~~~$,~~an~ ','~ -i' --i~f\~n-jtVthtr:l~i~h~ntd~'Ql;?inrt1~li:j ServlCellf1!!lfV'cl'fI'l'1 [?J~tRln ~nni;~ nf thp. 'ules bv I I Each m""UAc"<;W~I'fk>~I'lIlf1u1!!nl~r. (Note Ihe telel1hone I dwelllllg, sM-W~ 'Mill r fce'cr~r ( U '1" N 1"1 I' 121 num er or tlie Tegon Illy 0 I ca Ion I Pump or ;rr;gm;ooo;l;;Iill(li:j3r IS H:JUU-;;~~'~;;44). I I Sign or outline lighting [2] I I Signill circuit(s) or limited. I energy pancl, altcratlOll, or extension.f2] . 1~~~}~~I~I~~~C-!~!9-~~'~{~~r~flrtEf~}~~t~l~~'i;#~i;1 I Subtotal $81.00 I I State'Sllrcharge(12%orpennitfee) $9.72'1 I City or Springfield fees * $4.05 I I TOTAL PERMIT FEE, $94.77 I * City Of Springfield fees: 5% Technology Fee fCq"::+L;zt'''"\d- 411109 This Authorization To Begin Work must be posted at the job site until replaced by a Permit L~-rr '" ,DC\. . 'lJ{' ;e,~ ('f\V . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00464 ISSUED: 04/07/2009 APPLIED: 04/07/2009 EXPIRES: 10/07/2009 VALUE: . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5145 C ST ASSESSOR'S PARCEL NO.: 1702333201300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Install new 200 amp service - no additional load . Residential Owner: BARNETT FRED CLABERN Address: 5145 C ST SPRINGFIELD OR 97478 Owner: BARNETT DEBRA J Address: 5145 C ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 181465 Expiration Date 04/14/2010 Phone 541-434-5600 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occnpancy 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 IstFloor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Ot~er: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~1~;I~:~M1T SHALL EXPIRE II~PU!i1:~~-WROVEMENTS I f~~:'r'~;:'~do-~t~~-~~ the 6r~go~Util;Y Street 1m r~~blliQfiIZED UNDER THIS PE .1.11 . ~o!Mj~ation Qllnt~r. Those rules are set forth p em lY.1~NeED OR IS ABANDONED FOR m u'ATHr~~1!5010through OAR 952-001- Storm Sewe ,aJI1BltiAY PERIOD. '. 0089qJ'irSblThlS'/D\1INWs:copies of the rules by Speciallnst ioh? callmg the center. (Note: the telephone number for the Oregon Utility Notification Center is 1,800-332-2344). Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: Page I of2 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: cOM2009-00464 ISSUED: 04/07/2009 APPLIED: 04/07/2009 EXPIRES: 10/07/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Pai~ I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 4/7/09 4/7/09 4/7/09 2200900000000000341 2200900000000000341 2200900000000000341 Total Amount Paid $94.77 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 Rellllired Insneetions I 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 herehy 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 are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all requir~d 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 01' Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . , it~jl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000341 Date: 04/07/2009 12:01:19PM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 4.05 9.72 $94.77 Job/Journal Number COM2009-00464 COM2009-00464 COM2009-00464 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE Doug Palmer Online Electric Payment Total: $94.77 $94.77 cReceintl Page I of I 4/7/2009