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Home My WebLink AboutPermit Electrical 2009-4-24 City of Springfield Electrical Auth.orization To Begin Work [-mailed To: morgan@olssonelec.com Receipt # EC550566, Sf.y~ 4/24/20092:46:38 PM (;\ / V Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us , [K] New construction D AdditionJalteration/replacement 101 or2 tllmily dwelling D Multi-family [i] Commercial/Industrial I Job no.: I Job address: 642 S67TH 5T I City/StaterLIP: SPRINGFIELD, OR 97478-4759 I Suitc/bldg./api.no.: I Project name: CrosS streetldirt'ctions to job site: I Subdivision: ITax map/parcd no.: 1802031107600 ILot 110.: Moving Service I Name: Doug Heer .1 Phone: (541) 747-8460 IEmail: I FlU: (541) 747-4846 I EI. lie. 110.: 20-241 C I CCB lie. no.: 63473 I Business Nllme: OLSSON INDUSTRIAL ELECTRIC INC leunlllct: Dougl-ker IAddress: PO BOX 70413 I City/State/ZIP: EUGENE OR 97401 i Phone: (541 )7478460 I Fax: None I Email: morgan@olssoilelec.com I Metro lie. no.: 1 City lie, no,: I Supervising, electrician's lie. no.: 33345 1 Supervising e1ectrician'snume: DOUGLAS M I-lEER Upon review and approval by your local jurisdiction, your permit will be e-rnailed 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. The local building department Q1ay determine that an Authorization To Begin Work is nul.1 a~~ it does not meet applicable land use laws and 10C~ ___n:nces. _t..f;;[)~ C'y..j~ W" ~O'\ ~~1' I I Description Total I 1,000 sq. ti.or less [4J I Ea. addl 500 sq, ft. or portion ~:,~';.;?~~~~.{ I-Limited energy, residential (with above Sq. ft) I-Limited energy, multifamily residential (with above sq, f1.) I-Limited energy, commercial not offered onllll~ at this jurisdiction (with above Sq, ft,) I - Standcalone limited energy, residential I - Stand-alone limited energy, multi-fnmily I - Stand-alone Jimiled eneQ,'}', commercial F*~'l?:i~!J?,,~~1{f~.~15i.ij,~t~~i~tiJ>.!lt3J!~~t!~~\-KNPt5.>~I~!IiLC~lI~'~:~:~' ~~I 1200 'mps or less [2J 2 $81.00 $16200 I 1201 flmpno 400'amps [2] I 140 I amps to 599 amps [2] 1200 nmps or less [21 120 I amps to 400 amps [2} 1401 amps to 599 amps [2J I A. Fee for branch circuits with servIce or feeder fee, each bmnch circuit I'B. Fcc for branch circuits without service or feeder fee, first branch circuit r21 leach addl branch CircLiit $600 $72.001 I 12 1 Service reconnect only [21 I Each munllftlclured or modular dwellmg; service and/or f~eder 121 . I Pump or irrig.lIion circle [21 I Sign or outline lighting [2J I Signal circllit(s) or limited- energy panel, alteration, or extensionJ2l I!~r~~~_':z'~::~:i':} r~~E9J~i~~f~~(RMIt:F,E~~~'~~~$~~~: f~;',~: I Subtotal I $234,00' I State Surcharge (12% of penn it fee) $28,08 I City Of Springfield fees * $l1.70 I TOTAL PERMIT FEE I $273,78 . CityOfSpringtleld fees: 5% Technolog); Fee (De/Gull n1lmber o/inspeclions allowed) &/Y72I?) '1 l' --- /)v> GT r; I cttS--S- 7 ,N/l'J This Authorization To Begin Work must be posted at the job site until replaced by a Permit. _SI;'FlIN~fi'llill<:!, . it' , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 642 S 67TH ST ASSESSOR'S PARCEL NO.: 1802031107600 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00554 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Relocating service Owner: Address: HYMER KENNETH & KATHLEEN 642 S 67TH ST SPRINGFIELD OR 97478 TYPE OF USE: Alteration Commercial Phone Number: 541-747-8460 I. CONTRACTOR INFO~MA TlON , Contractor Type Electrical Contractor OLSSON INDUSTRIAL ELECTRIC License 63473 Expiration Date 01/26/2011 Phone 541-747-8460 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigh t of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMA nON , Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Availa~I'e~TENTION: Oregon law requires you to Special Instruction: allow rules adopted by the Oregon Utility Notification Center. Those rule~ are set forth Notes: In OAR 952-001-0010 throu[;h GAS G,)2-001- OO~_~;_Y~~ may obtain" c"pic f (""i ,e rules by Sidewalk Type: NOn CQ"qwnspoutslDrains: THIS PERMIT SH AUTHORIZED UN~~~ ~~~~RE IF THE WORK COMMENCED OR IS AB PERMIT IS NOT ^ "" " - - - AMnnMcn rnr. . . ...v ...- --.."" v ~.. 'vv UfH t'tKIOD . - , number for the Or~r "-I .'. " .. I . Center is ,-VO" ValuatlOn.DesCnDh?n ,. Description Type of Construction $ Per Sq Ft or multiplier Page 1 of 2 Square Footage or Bid Amount Value Date Calculated Status Iss u ed CITY OF ~rK.ll~GFIELD Building/Combination Permit PERMIT NO: COM2009-00554 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es 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 $28.08 $11.70 $72.00 $162.00 4/24/09 4/24/09 4/24/09 4/24/09 3200900000000000273 3200900000000000273 3200900000000000273 3200900000000000273 Total Amount Paid $273.78 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 7:00 a.m. will be made the following work day. I R~,ouirerl !.~..~I7~C!jo~~ ~ Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 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 ofany 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 Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00SS4 COM2009-00SS4 COM2009-00SS4 COM2009-00SS4 Payments: Type of Payment ONLINE CHGS cRcccintl Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 3200900000000000273 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add +}% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS NJM Page I of I City of Springfield Official Receipt Development Services Department Public Works Department Date: 04/24/2009 3:03:09PM Amount Due ]62.00 12.00 11.70 28.08 $273.7H Amount Paid ' ONLINE OLSSON Online Payment Total: $273.78 $273.7H 4/24/2009