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Home My WebLink AboutPermit Electrical 2009-5-18 City of Springfield Electrical Authorization To Begin Work E-maiIedTo:JULlE-DPE@COMCAST.NET Receipt # EC55t846 5/18/20098:]7:35 AM ~\ fA)J ~ t\ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I D New constmctiol1 [i] Addition/alteration/replacement 10 I or 2 t::JJniJy dwelling 0 Multi-family c.~~"; '\i:~~~~~'~~:9!f~ry:~m~~b~~M~f~9R~EQLt:Q9~~TI2-~~~~~'L;:;-::4l~'~'7~! I.lob no.: IJob IIdd~ess: 189 33RD ST I I City/State/ZIP: SPRINGFIELD, OR 97478-5835 I I Suite/bldg.lapt.no.: I I Project name: I Cross street/directions to.job site: ISubdi\'iSioll: I Tax map/pareelno.: 1702313102800 I Lot 110.: install 200 amp melermain I Name: julie ford I Phone: !Emllil: IF,,, I,' lEI. ,lie, no.: C263 ICCBlic.no.: 181465 I Bu.siness Nlll1ll'N6l!m.pMER ELECTRIC LLC ICon",": JULlIf~PI=RMIT Si-lIlJ.b-€.":PIRI: IF T-M€-W9RY. IAdd"": 136811N~~MfE't)EU~JDtR THI&: r~11T IS NO-T IGlY/S'a"/ZJPrliY~m.fdW!9R IS ,~B^NDONED Fcn II'hon,: (541)43d~~ 180 D/',Y PERICrlF,,: (541)7621056 I Email: JULlE-DPE@COMCAST.NET I Metro lie. no.: I City lie. no.: I Supervising electriCian's lie. no.: 2742S I Supervising electrician's name: DOUGLAS G PALMER 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. ~tJ.i'Jtf' ~:IJ 'o~~ ~~ 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 -,..,,~" ..,.. '-.' ,., '-~~\l Ea, Total 11,000 sq. f1 or less [4] 500 sq. ft. or portion - Limited eriergy, residential (with above SQ. n.) - Limited energy. multifamily residential (with above SQ. tU I-Limited energy, commercin'l li'ot on~red online at this jurisdiction (with above SQ. ft.) I - Stand-alone limited energy, residential I - SI.and:a,lone limited energy. multl-famllv I - Stand-alone limited energy, commen.:iaJ lrt~~~,~It}(isd.~1;}~~J:~J!~i~2ll.;:~t1~iii~~NR79~rJ;ei~~~(}:'i!;~~~~; 1200ampsorlessl2j $81.00 $81,00 1201 amps to 400 amps [2] 1401 amps to 599 amps'f2] I I I I I ,! I I 1401 amps to 599 amps [2] I IleJi~cE~~~t!~~P~'\!~iilfliJ:'~'cl1eh\;tlilJ:Jij!iPl!il:Wog;!g;~; I A. fee fottlllliriOll ciroMtlti@.Ju1,eu oy H e uregoln ulImy ,,,,,;ce tQ@til!cl!iii<'?lqlCente . Thoseules are iet forth branchl:W:I.t1t^RnJ::"""-1" -1nthr ~l\r"'I~"'^I"l"-1 I I ~it~~~:t~~~:~~;t t~in ~'o~ ~~' ;;t' ih~'~ule;; I (Irst branc1n<1r~oht1nthp. C':p.ntll(. fNntA thp tp!Pllhnnp I I mh addl/ll:ll'l'l1:Ytifcofor the 'reaon cation I 'I I I I I I 1200 amps or less [2J 1201 amps to 400 amps [2]_ I I I I I 1~i:~,;;'.;'"\':,:~.~~L~~3Ei.:lfcfRjCAl.'fPERMIT~J:EtEs~r~ 'f:~PC,/,,"';.:'f!<~"" :,;'1 _'-""'_~..'",,""-,.-,"""""=...""'."""'-L',,_',......- '." '0 ,.~__""",,~.'''' ..-"'1"~' . _., $81.00 I $9,72 I $4.051 $9"-'71 1 Service reconnect only [2J I Each manufactured or modular dwelling, servIce and/or feeder 121 I Pump or irrigation circle l2] I Sign or outline lighting [2J I Signal circuit(s) or limited- energy panel, alteration, or extension 121 Subtotal I State Surcharge (12%' of pemit fee) City OfSpiinglleld fct:s *'1 I TOTAL PERMIT FEE "City OfSpringtleld fees: 5% Technology Fee [Dejallfl number of inspections allowed) Cq-LQfs\ K\L ~l /glOQ 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: COM2009-0068I ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 189 33RD ST ASSESSOR'S PARCEL NO.: 1702313102800, Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install200amp metermain Owner: ALDAL TIMOTHY WAYNE Address: 189 33RD ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I ' , Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 181465 Expiration Date 04/14/20]0 Phone 541-434-5600 BUILDING ]NFORMATlON 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 ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ff Other: Occupant Load: n/a I DEVELOPMENT INFO,RMATJQN 1_ IJregon law reqR~m PARKING. foHow rules adopted by the Oregon Utility Front yard Setback: Overlay Dist: Notification Center. Those rule:rI!.\~5et forth Side I Setback: # Street Trees RqdiAR 95.2-001-0010 through a1lVi<!.i9l!PPSc1; Side 2 Setback: Paved Drive R<flV,90,. You may obtain copies c([;omplIJ1t1s by Rearyard Setback: % of Lot Covera{e?'ling the center. (Note: the telephone Solar Setbacks' number for the Oregon Utility Notification Nllrlr.F' CFmtAr io 1_Rnn_'<'<')_')')AAI THIS PERMIT SHALL EXPIRE IF i IH:IIf~"MPROVEMENTS I Street Im~VmR.~~?f.D UNDER THIS PERMI11!f WI Sidewalk Type: COMMENCED OR IS ABANDONED FOR Stor~ SeA'iW^''O'tiI'tl'A'v PERIOD. Downspouts/Drains: Special InstructIOn: Notes: \ I Valuation Descriotion I Description Ty'pe of' Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00681 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 1111812009 VALUE: 225 Fifth Street, Springtield, 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 Fee Perm Serv/Fdr 200 amps or less , Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 5/18/09 5/18/09 5/18/09 3200900000000000371 3200900000000000371 3200900000000000371 Total Amonnt Paid $94.77 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. '. Rellllired InsoectillnsJ Electric Service: Approval reqnired prior to ntility company energizing service. By signature, I state and agree, that I have carefully examined the completed lIpplication and do hereby certify that all information bereon 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 permissiun of the Community Services Division, Building Safety. ] 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 tbe street, tbat the permit card is located at the front of the property, and the approved set of plans will remain on the site at'aIl times during construction. ,/ Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Strect . Springfield, Orcgon 97477 541-726-3759 Phone '\ Job/Journal Number COM2009-0068I COM2009-0068I COM2009-0068I Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: ~ PRI.NOFII."- 014 "4l....., ':.',,: '.~'11 ' ..:.- ", City of Springficld Official Receipt Dcvclopment Services Department Public Works Department 3200900000000000371 Date: 05/18/2009 Description + 12% State Surcharge Perm Serv/Fdr 200 amps or less + 5% Technology Fce Paid By ONLINE PERMIT CHGS Item Total: Check Number AuthoriZlltion Received By Batch Number Number How Received KR ONLINE DPE Online Payment Total: Page I of I 8:34:09AM Amount Due 9,72 81.00 4,05 $94.77 Amount Paid $94,77 $94.77 5118/2009