HomeMy WebLinkAboutPermit Electrical 2009-4-28
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Elecjrical Authorizajion To Begin Work
[-mailed To: apexdesser@comcast.net
Receipj # EC550734 SlY q
4/28/2009 11:36: 18 AM C\ I
C
City of Springfield
'~
Check on status of permit
By Pbone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meelapPlica~nd us. laws and local ordinances,
~~~ ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
'........
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. ~,:~ ;-,:~ ' :1~ 'e~IYP~9!fi~P.,.~K~~:~t=.t'~:~
[X] Addition/alteration/replacement
'::-:t~:.,,:.: . ~;~'_ 'r~~:;;
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j 0 New construction
I. '." '''~'- ":- C~~~OR'(9F,GgNSTRUCi19_N t_'::-~~i~;~:i~~'..~
10 I or2 ramily dwelling 0 Multi-r[lmily D Commcrciill I Industrial
I ~"':,;: - "JOB SIT~,I~FORM.AiIONAND LOCATION, "::'::: ; o-j,,,, Z .',
I .Iob no.: I.Job address: 662 72ND ST
ICity/Stllterl.lp: SPRINGFIELD, OR 97478-4219
I Suitc!bldg.lapt.no.:
1 Project name: Peteson
Cross street/directions to job site: Nearest cross street: F Street
1 Subdh'ision: 1 Lot no.:
ITa:\ map/pllrcrl no.: 1702352409700
I', ';'f.~~:". -1'._:~::~'::'7',,:.!:, ,~g;'D,I;S<;:~I~tte.N}9('!JORR:-~:,
Installation of residential security system.
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I Name: David & Mal)' Peterson
1 Phone: (541) 344-~~48 _ _ 1 Fu:
I Em"'" l~iJTh,t;." . ~" "'.. WI; wnRI(
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lEI. lie, no,' 20.401I'sUoIHUtiILtU U,_, ~Q-H"
I Uusim'ss N:lIIll': Apk,x\S\\s~~\M:.5liNCun Iv
ICon'",', Pete! DcA,,~JY 1 tlU UI-IY t'cnIJEi.
IAddress: PO BOX 5945
1 Cit}'1State/ZIP: EUGENE OR 97405
I Phon" (541 )7448949 1 F"" (541 )7263939
1 Email: apcxdesser@comcast.net
1 Metro Iic. no.: I City lie, no.:
1 Supervising e1ectrichtn's lie. no.: 1470LEA
I Supervising eIeclrician's nllme: PETER F DESSER
Upon review and approval by your local jurisdiction, your
permit will be e.malled 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.
It.~~~!€~~, .,~~ .!\lc~:;:,~~:T FEi:~<?~-EQ~,L(e:_'~";;~":i t~;;" - ~ '~'.~ ~.~ -.1
Description I Qty. I Ell. Total I
.Residentiid SINGL;E:.'ORmlllti~fa'iliily:'d~'rIIing'unit. Include.~:"- '~I
:.atta~_h!((gli'r~ge:::. ::-~::..~: ~'Z ;.c:o:r;-: : -;_;-~'~_"-l'.",, .,~: _-~ ',' '.,
II,OOOsq,ft,orkss[4] I 1
I Ea. addl 500 sq. ft. or portion . I
I:Li~~ffEnerg}.', I
I-Limited energy, residential I
(with above Sq, fU
1 - ~imited encrgy,multifamily I
residential (with above sq. Ii.)
I-Limited energy, commercia'[ not olTered online at this jurisdiction 1
(with above Sq, ru
1 . Stand.alone limited energy,
reSIdentIal .
1 - Stand-alone limited energy,
multi-familv
1 - Stand-alone limited energy,
commercial
1'~f~l~~&'~~reed.e!r~nst~f(~I~:'~ft.~a~ioi~"-~BIEOJ~~reIO~!!E~~+~",,,, k'l
1200 amps or less [2J I
1201 amps to 400 amps [2J I
1401 amps to 599 amps 12] I
I' r~-'-"!yOR~\I~Ysen~~~s OR' fL-C~~~)!l-,~~lI.lIat,jO_n,;rllltera!iOn;-~ ~;;,:.';.. ~ .,.1
~Al'iD1P~ rel~.~ution -};,!i. '... ~5E:" ,:, '; .;.. ..?;,;~.~ ::- ", -~~,~1-'A' ,
1200 amps or less [2J I
1201 amps to 400 amps [2J I
1401 amps to 599 limps [2J
I B~~~~:;ci~ui~ ~~~..alte~~i~n_;.:9R ~e.xten,s~o.n';per.pa.n.el,}"
A, F'efJf~~rIrlcifbTllrrti-lv;Ii{,,, JUII taW Il"qulres JOU to
se,,"er WI!~8f IIk\IIlSladop1 ed by thrl Oregon Utility
~~a~~~~~,...phi~Cn/:-,:,...~?~. Tr.~se ri r~:~ are-s.f~ ;VI ~II
withoJfY;&.2[tmZe~fJJ, ,00 0 throug h OAR 9~ 2,001.
first b~h!~fa(~~Qt!n may obt :tin conip. i..Oi.1bp. rl do~ h~/_
1 eoch addICblll.,Hcgi,tl];e center, (Note: Jhe teleoi lonA
l~t~ell~.er'i}Q! lne'()regot]'.Utility/Notificailon,
I Scrv;cereconncct il1I~' \\111 lti 1'(lUU'JJ~ '~J44).
I Each manufactured or modular
dwellmg, service undJor fceder
121
I Pump or irrigation circle [2)
1 Sign or outline lighting [2]
I Signal circuit(s) or limitcd-
energy panel, alteration, or
extension 121
$32,00
$32,001
I
1
I. ,,';.:"':ELECTf{ic;~~!'cERMlt~EES'
I Subtotal I
I Minimum fee used instead of Subtotal
I State Surchar~c (12% of~nnil fee)
I City Of Springfield fees. 1
I TOTAL PEH,J\-'1IT FEE
. City Of Springfield feeS: 5% Technology Fec
IDefaull number oJinspeclions ullowed}
C.9 -SlL>CJ kLc~rJlt~\~
$32,00
$58,00
$6,96
$2,90
$67.86
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CITY OF SPRINGFIELD
Building/Combination Permit
Sta tus
Issued
PERMIT NO: COM2009-00569
ISSUED: 04/28/2009
APPLIED: 04/28/2009
EXPIRES: 10/28/2009
VALUE:
225 Fifth Street, Springfield, OR '
54]-726-3753 Phone
541,726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 662 72nd St
ASSESSOR'S PARCEL NO,: 1702352409700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installation of residential security system
Owner: PETERSON DAVID S & MARY F
Address: 662 72ND ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
APEX SYSTEMS INC
License
100283
Expiration Date
05/13/20 I 0
Phone
541-744-8949
BUILDING INFORMATION 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
NOTICE: F_u:.:..Il\1PROVEMENTS I ATTENTION: Oregon law requires you to
Street 1m THIS PERfyllT SHALL EXPIRE I - .. foll~i'Mltltl!i ~~l?-ted by the Oregon Utility
'XB~IHW.HZED UNDER THIS PERMIT IS NOT Notificallon'Cerller, Thoserulesaresetfo~th
Storm Se'mli<.\YJl~p,tntD OR IS ABANDONED FOR in Oll~OOt\;I(j)}hih!llrough OAR 952-001- '
Specialln}{fN9'b'U DAY PERIOD. 0090, You may obtain copies of the rules by
calling the center, (Note: the telephone
Notes: number for the Oregon Utility Notilication
Center is 1-800-332-2344).
I Valuation Descriotion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00569
ISSUED: 04/28/2009
APPLIED: 04/28/2009
EXPIRES: 10/28/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fcc
Low Voltage - Commercial Indus
Amount Paid
Date Paid
Receipt Number
$6,96
$2,90
$58,00
4/28/09
4/28/09
4/28/09
1200900000000000311
1200900000000000311
1200900000000000311
Total Amount Paid
$67,86
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 Renuired Insneetion~ I
Low Voltage: Prior to cover,
By signature, I state and agree, that I have carefnlly 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 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 of 2
225 F...ifth Street
Springficld, Oregon 97477
54-:;:726-3759 Phone
Job/Journal Number
COM2009-00569
COM2009-00569
COM2009,00569
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
~-
City of Springfield Official Receip
Development Services Department
Public Works Dcpartment
1200900000000000311
Date: 04/28/2009
Description
Low Voltage - Commercial Indus
+ 5% Technology Fcc
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Apex Online
Systems
Payment Total:
Page I of 1
II :46:03AM
Amount Due
58,00
2,90
6,96
$67,86
Amount Paid
$67,86
$67,86
4/28/2009