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Home My WebLink AboutPermit Electrical 2009-5-12 City of Springfield Eleetrical Authorization To Begin Work E-mailed To: awood@delectric.org Receipt # RC551581 5/12/200912:46:46 PM Check on status of permit By Phone: (541)726-3753 or Em.il: permitcenter@ci,springl1eld,or,ns I 0 New construction. IDesl"ription Ea. Ql), [KJ Addition/alteration/replacement 0~ ~/lP G Total (KJ.] or 2 Ihmily dwelling DMulti-fmnily 11,000 sq. ft, or less [4J I Ea. addl 500 sq. ft or portion I-Limited energy, n:sideritial (with above sq, ft,) I-Limited energy, mul1ifamily residential (with above SQ, [1.) I-Limited energy, c'ommercia-I not otlered online allhis jurisdiction (with above sq, ft.) I - Stand-alone limited energy, residential I - Stand-alone limited energy, multl-familv I - Stand-alone limited energy, commercial I lj~!ril{i$9]Jf~<[er:~,i~Jt;!IFJW~~(~r~)~1irk;'1mo'Ii're~"iU~~,,~t':~;'l 1200 amps or less [2] I [' 1201 amps to 400 amps [2] 140 lamps to 599 amps [2] 1 D Commen.:i<.ll / Industrial IJOb no.: 7380 IJob~ddress: 2470 r ST !city/State/ZIP: SPRINGFIELD, OR 97477-4461 I Suite/bldg.Jllpt.no.: I Project name: Duff}' Cross street/directions tojob site: ISuh'""""- n05"'3.(J\\ I Tax map/parcel no.: 1703361117200 \\L.UU 1....,(.0., hot tub .r'~~.::<:,;r 1200 amps or less [2J 1201 amps to 400 amps [2] 140 I amps to 599 amps [2] IfMl~!l~~lt~~'[s.:r~-tW~~!jbilliiij~QK~!ihill~n~~'p.~~!?~!I~Ii:0i~'t$ I A. Fee for branch circuits with service or feeder fee, each . branch circuit lB. Fee for branch circuits without service or feeder fee, firSI branch circuit 121 I each add I branch circuit IName: Mike Duffy I Phune: (541) 505-8936 i':i"nail: I FllX: I EI.lic. no.: 20-14C ICCB lie. no.: 3849 I Business Nallle: C & S ELECTR]C INC I Contact: Dave Gehrke IAddress: 'PO BOX 1482 ICity/State/ZIP: SPRINGF]ELD OR 97477 I Phone: (541)74]2236 IFax: (54])7412473 I Email: awood@cselectric.org I Ml'tro lie. no.: I City lie. no.: I Supcn:ising electrician's lie. no.: 4894$ I Supervising electrician's flllllle: DAVID E GEHRKE 155.00 I Service reconnect only [2J I Each manufactured or modular dwellmg, service and/or feeder [21 I Pump or irrigation eircle [2i 1 Sign or outline lighting [2j Signal circuit(s) or limited- energy panel, alteration, or extension 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. Subtotal Slate Surcharge (I 2%of permit fee) ()I"'\ City Of Springfield fees * \ ~V -fA I TOTAL PERMIT FEE , \.)V ~V' ' * City Of Springfield fees: 5% Technology Fce 'b~ C;;;';;;"9':'{;(j{;S-cr ~~~J S\~noP 1\ \~ 5//,?/o r ,/VA-^--- '-' ~\ $ ~\\$ \Y" ThiS AuthOrization To Begin Work must be posted at the job site until replaced by a Permit. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. 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 and local ordinances. 155.001 16001 I I $61.00 I' $7,32 I $3,05 I 171.371 Status Iss u ed CITY OF :'SI'Klf'lCFJELD Building/Combination" Permit PERMIT NO: COM2009-00658 ISSUED: 05/12/2009 APPLIED: 05/12/2009 EXPIRES: 11/12/2009 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: Hot tnb Owner: DUFFY LORI J Address: 2470 F ST SPRINGFIELD OR 97477 Phone Number: 541-505-8936 I CONTRACTOR 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 Constructiou 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ,I PUBLIC IMPROVEMENTS I ATTSidewalk Type: N '-,.., 'UI\J' U(~gon I OnCE' follO\'D' ....-- ' 't ID "aw requires you to T . N. ownspou s, rams: the 0 HIS PER ' O!lfication Center -ii -J reg on Utility AUTHQ ,MIT SHALL EXPI In OAR 952-001-0010 t~se r~es are set forth (~orAi,liE~6~~ UNDER THiS ~E~rv;I~E WORKOO;a~iin~O~l~l~~r~I~;ain,\;o~~;;~ ~~~ ~~T~~~I; ,\IV 'nr, _ OR IS IlO ,,,,,~ _ I IS i\lnT n. "...,__ , ' ( Jle, I,'n kln"h_.., .. 0 U'\ r , h 11J{1~lua~;~'n' ~~;C~fD1ion I -C~:',,~' '_ '; :r:'V~~:;~3~~tmcat;0-n Notes: Description Type of Construction $ Per Sq Ft or mU,ltiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 U 1 l' OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00658 ISSUED: 05/12/2009 APPLIED: 05/12/2009 EXPIRES: 11/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid' Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7,32 $3,05 $55,00 $6,00 5/12/09 5/12109 5/12/09 5/12109 3200900000000000355 3200900000000000355 3200900000000000355 3200900000000000355 Total Amount Paid $71.37 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 ,Re!l"ire~ ln~.'ections , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, By signature, I state and agree, lhat I have carefnlly examined the completed application and do bereby certify that all information hereon is lrue and correct, and 1 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 lhe State of Oregon pertaining to the w?rk 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 Of Contractors Signature Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00658 COM2009-00658 COM2009-00658 COM2009-00658 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Date: 05/12/2009 3200900000000000355 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE C & S Elect Online Payment Total: Page J of I 12:58:58PM ' Amount Due 55,00, 6,00 3,05 7,32 $71.37 Amount Paid $71.37 $71.37 5112/2009