HomeMy WebLinkAboutPermit Electrical 2009-4-13
City of Springfield
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Receipt # EC549988 i\
4/13/20091 :28:59 PM J(
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Electrical Authorization To Begin Work
E-mailedTo:awo~d@(.selectric.org
Check on status of permit
By Phone: (541)726-3753 or [mail: permitcentel.@ci.springlield.or.us
I D New construction
[X] Addition/alteration/replacement
i [1] J or 2 family dwelling
D Multi~fami]y
D Comi11Crcial I Industrial
IJob no.: 7355 IJob address: 2470 FST
ICity/Stale/ZIP: SPRINGFIELD, OR 97477A461
I Suite/bldg.Japt.no.:
I Project name: DutTy
Crossstreet/directions to job site:
I Subdivisiun:
ITax map/parcel no.:
ILot no.:
] 703361117200
upgrade service and add outlets
I Name: Mike Dliffy
jPhouc: (541).505-8936
llo:mllil: ...
IF"x;
lEI. lie. 110.: 20-]4C
j Business Name: C & SELECTRIC TNC
IContact: DaveGehrke
IAddress: PO BO~Jl~I"~.
I ..,.........,..
City/State/ZIP: sr19rtfr:.!~y? 9f!.....9?.,477 : . . . ~
IPhoneo (54])74]2' ;! , '- ,fVl" 0H~~~,{{\Pr!f;1fj~4TtlE vvOHI\
IEmail: awood@CAee~t~i~'!lrg. ....__ _~U~n_l_nli) f-'tIiIVIII.I~ I\lUt
IMctrOIil:: no.: V~J~I.v~E.rJC~.~ un_I.~~Wti\:~hLYI\Ji:U fU,1i
Supervising c'cc~H;~1 ,s1IR.G.f! f\Tg-:f n I U U.
ISupervising electrician's name: DAVID,E GEHRKE
I CCB lie. no.: 3849
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 Begin Work expires within 180
days if a permit is not obtained:
I Description l Qty.
[tRCSidC'ii.tiiil, SINGLl!:tQRmlilti.~t~n!ilj';dli;~!li~g '~11!~?tJ(c!u~den\-, '
~!~ShI~'g~rJ~wz:: ~ ~~ ..?:~;':-~~~-~~~}~ ,-:.~ "S~-:2;'-~~12:~'\'r'!:;':i'_>
I ].000 sq. n. or]ess[4] I
addl 500 sq. 11. or ponion
"
I-Limited energy, residential
(with above SQ, ft,)
I . Limited energy, multifamily
residential (with above Sq. fU
I-Limited enerb'Y, commerci,il
(with above SQ. ft,)
I - Stand-alone limited energy,
residential
- Stand-alone limited energy,
multi-family
- Stand-alone limited energy,
commercial
li~e~&j~~~}2!:~~~IJ~t~rt~'i~~'ik~I'i~t~riil~'~,~'~L~~'f!hiSMiOI~_4r ~...t~1
I 200 amps or less [2] $81,QOI $81.00 I
120] "mps 10 400 "mps [2] I I
1401 amps to 599 amps [2] I
[i~fl}~t~J~~~e~r;~~Y~~~~;~{;':~::-~,I.:t.~t~~i~~s~;~:;:~~]~;it:
i 200 amps or less.[2] .~. ,~..'
120 I amps'lO 400 amps [2]
140] amps to 599 amps [2]
not offered online allhis jurisdiction
I A. Fee for branch circuits with 4 $6,00 $24,00 I
service or;ieI!Wee(m~ Ore In law re ~uires yc u to
branch..elrcUJI- II . g. . _ ...'-'1......
B. Feer:f9:~Q.r{1)lc_hLcircliitS1aOplE U 'uy 1I1t::JJI t:i8UII \ fl.."., I
wilhoulServic~orl"der~'''ter Those ru es are sel forth
first Bth\{th1trrmi't.i21 ::'."'~' '1':.... "\_~l--r"" ,..... '"'^ 0 a~~_()()1_
each ~J~tb~R:~'7~(r:t~~,: :~+: 7n':~';~~~ 0f thp. ru~_es by '1
1~~li~ceiiaile'(,~'-~;;t: ',~~,;#riiJjf":~~ij{~-wo' ~;:e~!.}Zt.i:.ja~:i''''''e.I'e.o.u.pe-~'o:"''ne' ,&,€1Ij'.i1
~:"''''''''''''''''',,,,,'nIH--'f1;r..,..r.li;'':~'H''''',..'-.I'l'\! t ,;l!"l.., II,. .:"""'L
I sen,jce,\~~~n,~,0IO~!Yr [gI,a Or, 'flon Utili~y Notific ,lion I
I. Each manufac:urcto,!.{rg~~l,s 1 .800-3321C044). I
dwelllllg, servIce and/or feeder
]21
I Pump or irrigation circle [2] I I
Sign or outline lighting [2] I I
I Signal circuit(s) or li.mited- I I
energy panel, alteration, or -, . , .
extension 121
l:r:~:~t:'t~i:?tf~(~g~g)'-R!g~'~~p.~!3~_ltj,F~_~~':':;,::,
I Subtolal
I State Sun:harge (12% of permit fee)
I City Of Springfield fe~s *
I TOTAL PEH.1\IIT FEE,
'* City Of Springfield fees: 5% Technology fee
I Default nUlI/ber ofimpeclions allowed)
COj -4~9 laL Y./13IJ09
$]05.00 I
$12.60 I
$5.25
$122.Ssl
The local building department may determine that an V&;
Authorization To Begin Work is null and void ifit does not \ \'\
meet applicab]e land use laws and local ordinances. ~ ~ W'
b<~~,y
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: cOM2009-00489
ISSUED: 04/13/2009
APPLIED: 04/13/2009
EXPIRES: 10/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2470 F ST
ASSESSOR'S PARCEL NO.: 1703361117200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Upgrade service and add outlets
Owner:
Address:
DUFFY LORI J
2470 F ST
SPRINGFIELD OR 97477
I ,~ONTRACTO~ INFORMATION I
Contractor Type
Electrical
Contractor
C & SELECTRIC
License
3849
BUILDING INFORMATION I
Expiration Date
09/01/2010
Phone'
541-741-2236
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary ConstructionType:
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
. (vv82-28~:U\3\~lJf'WWJ!ua:J
UO!lB:1!I!ION ^1\1!ln<t.(t'l!P,~ef:eLlI lOI mqwnu
aU04dalal aLII :aION) 'laIUa:1 a41 BU1l18:1
Aq salnJ aLII 10 seidoo U!8lqo A8W no" '0600
-Io-VU U:lUClVV'1~"':'_"~:"~:;':;' ~:;.: :3:~\": "!
Llllolles am salnl esoLl1 'mlua:J UO!l80!l!lON
1llHk';H'fk6fJ.!:V41 Aq paldoPB salnl MOIIOI
01 nOA Sal!l'wal M81 uoBalO :NOI1N3ilV
Downspouts/Drains:
Front yard Setback: Overlay Dist:
Side I Setbac!<lOTlCE" # Street Trees Rqd:
Side 2 Setback':' .rmive Rqd:
Rearyard Setb~JR: PERMIT SHAll EXPIRE IF THIiy, Coverage:
Solar Sethack's!JTHORIZED UNDER THIS PERMIT IS NO:
:~~.~~.~::::~~~(::- ~~ ~~ .^.~.^,~~,=,'::'''I,=,=, enD
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Notes:
. .>I>.~';;'.,.
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
_"\l?,l'lj"'(lIt;;I~,,
';"t
-,
-
" ~"M.."," .",,'~,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00489
ISSUED: 04/13/2009
APPLIED: 04/13/2009
EXPIRES: ]0/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
. I Fees P"i~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amonnt Paid
Date Paid
Receipt Number
$12.60
$5.25
$24.00
$81.00
4/13/09
4/13/09
4/13/09
4/13/09
3200900000000000242
3200900000000000242
3200900000000000242
3200900000000000242
Total Amount Paid
$122.85
1 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 ReQuired '";soeetions, 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 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 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 of 2
225 Fifth Street
Springfield, Oregon 97477.
541-726-3759 Phone
Wrr.':.~.~.'. .'iij
_.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000242
Date: 04/13/2009
] :53:58PM
Payments:
Type of Payment' Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
24.00
5.25
12.60
$122.85
Job/Journal Number
COM2009-00489
COM2009-00489
COM2009-00489
COM2009-00489
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Amount Paid
ONLINE CHGS
ONLINE PERMIT CHGS
KR
ONLINE
C&S Online
Electric
Payment Total:
$122.85
$122.85
cRcceintl
Page 1 of 1
4/13/2009