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Home My WebLink AboutPermit Electrical 2009-6-3 10 /\ vrA Cjty of Springfield Electrical Authorization To Begin Work E-mailedTo:JULlE-DPE@CQMCAST.NET Receipt # EC55289R 6/3/20099:17:47 AM Check on status 'of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I 0 New construction' L I [K] 1 or 2 family dwelling D Multi-family D Commercial/Industrial ."..;,; .,.. 5!ij.2jj@T~rNF.qRMI\T1QN.:ANp'~bC~!2.N.~<.":7">" IJob no.: IJob address: 3636 CHEROKEE DR ICity/State/ZIP: SPRINGFIELD, OR 97478-6346 Is u it,C/bldg.lll pt. no.: Project DlIme: [i] Addition/alteration/replacement Cross street/directions to job site: !Subdivision: ITax map/parcel no,: 180206120]200 I Lot no.: 200amp panel change IName: julie ford I Phone: IEmail: IF"" lEI. lie. no.: C263 ICCBlic, no.: 181465 I Business Name: DOUG PALMER ELECTRIC LLC I Cont.lct: JULIE FORD IAddrcss: 1368 BARRINGTON AVE' ICity/Statc/ZII': EUGENE OR 97401 I Phone: (541 )4345600 I Fa);: (541 )7621056 I Email: JULIE-DPE@COMCAST.NET I Metro lie. no.: I City lie. no.: !Supen'ising electrician's lie. no.: 2742S I Supen'ising 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. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. ~ The local building department may determine that an Author;zat;on To Beg;n Work;s null and vo;d ;I;t does not ~ _..~;:;'".- ~vt~ '.1 Dl:scription I Qty. I Ea. I Total 1 :ReSideniial'SINGLE:tORcm:ulii~'famiiy:dwellin"grU"itlncl~des2'!.'. ';',1 ,_~!i~~I,~ed~g~'~-':~Jf;: ~;:~,~~';~,.:;,:f~/!;Z~:\f~"~~,:d~;i;~~J~~f::;~~'!, ,~:\ l'I,OOO,q ft. m less [4] I I' Ea, addl 500 sq, ft. or portion 1 >'1 I I I I , I I ' -', Limited energy, residential (wnhabove SQ, ft,) - Limited ~nergy, multifamily residential (with llbove sq. n.) - Limited energy, commercial (with above sq. ft.) I - Stand-alone limited energy, residential I' - St~i1d-alone limited energy, multi-famIly - Stand-alone limited energy, I commercial ~~[~~2~3~~g~rs.i:!~_t~fWl~J1~f~611~~":Dr.ojI~~~cafion.ht~~.1 I 200 amps or less [2] $81.00 $81.001 1201 amps to 400 amps [21' I 1401 amps to 599 amps [2J \ I.':J:',F:~:P)O. .%,~,r.Js,~!i..i~~l*:f~.-'-~~ej{i.nsI~. ii.llti~~~;~I_t~[~tio~;r '. ' h~J~P~,Og/~lopt!oil ~;;~'t:~:r~~~\:,:'>/+ . ':,".""~'{',~i\,if~'>? 1200 amps or less [2] I 1201 amps 10 40'0 amps[2] 1 1401 amps to 599 amps [2] I Ij~r.~nrh,~lrc~)~s "iiti~~Y~:~11er~tt~Ii~:, () ~ :~~t!i1's-iOll, :'P'"~~:~ln~i:~:,~:'<-~:~ "~; I I A. Fee for branch circuits with I service or feeder fee, each branch circuit I B. Fee for branch circuitS I without service or feeder fee, first branch circuit [21 add I branch circuit I I I I I I I I,not otTen~d online at this juri~diction 1 Servi(;e rewnnect only [2] I Each manufactured or modular dwelling, service ~ndJor feeder 121 I Pump or irrigation circle [2} I Sign or outline lighting [2) I Signal.Circuit(S) or limited- energy panel, alteration, or extenslOn[21 . 1~~.~~j;,li~S.f.~!q~!,'~g~.~JT,,!;E!,~j; I Subtotal I State Surcharge (12% of permit fee) City Of Springfield lees '" TOTAL PERMIT FEE '" City Of Springfield fees: 5% Technology Fee fDefault number ofinspecrions allowed] $8100 I $9.72 I $4.05 I $94.77 I Corn 1-(1)q - 001 ,S f,- 3 -t) Q N J"A.- This Authorization To Begin Work must be posted at the job site until replaced by a Permit _~r'liN~"'~t~1 t Ii Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00775 ) ISSUED: 06/03/2009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726,3676 Fax 541-726,3769 Inspection Line SITE ADDRESS: 3636 CHEROKEE DR ASSESSOR'S PARCEL NO.: 1802061201200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: . New Residential PROJECT DESCRIPTION: 200 amp panel change Owner: BROWER KAREN D Address: 3636 CHEROKEE DR SPRINGFIELD OR 97478 'I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 181465 Expiration Date 04/1412010 Phone 541-434-5600 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 FInnr: Sq Ft 2~d Floor: Sq.Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: Oregon law requi'res you to r .,_ _n.I__ _..J__."~..J 1-.. ...h.... '"",.....,........... 11+;lif-.. .'t..._..._._______," ~ _ I I PUBLIC IMPROVlEMENTS'I Center. Those rules are set forth . 11 r UM" ",,~-001,n.01 0 throrJQh O/I,Fr ,'52-001- 0090, You may ~1l\~1Y~ltJlJ~ebf !h& r~lics by NOTICE: calling the CeiDiiwns'piititstlJ'rains':'I' 1'1'7 THIS PERM number for the OrefO!l.'~t~l! 1 Nc:,,::~.:...~ AUTHORIZE IT SHALL EXPIRE IF. Center IS 1-5()U-"",~ ."j'-'i. COMMENCEg UONDER THIS PER~~E WORK AMV<n'". RI.') LlO.",n_ ISAlnT . "V LIllY PERu "'u""'::': :Cii I \YaIuation Descriotion I Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft or multiplien Square Footage or Bid Amouut Value Date Calculated Pa2e I of2 Status Issued 225 Fifth Street, Springfield, OR 541"726-3753 Phone 541- 726-3676 Fax 541-726-3769Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amount Paid 'Amount Paid $9.72 $4.05 $81.00 $94.77 Total Value of Project Fees Paid I Date Paid . 6/3/09 6/3/09 6/3/09 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00775 ISSUED: 06/03/2009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 VALUE: Receipt Number 3200900000000000415 3200900000000000415 3200900000000000415 ToRequest an inspection call the 24 hour recording at 726-3769. AII.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~~I~ired I~S1oeetio~s,1 Electric Service: Approval reqnired prior to utility company energizing service. 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 fnrther certify .that any and all work performed shalI'be done in accordance with the Ordinances of the City of Springfield and the Laws of the State nf Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will he nsed 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 Sig~ature Paee 2 of 2 Date 225 Fifth Street SpringfielIJ, Oregon 97477 541~726-3759 Phone ~:- City of Springfield Official Receipt Development Services Department , Public Works Department RECEIPT #: 3200900000000000415 Date: 06/0312009 . 1I:16:06AM Paid By Item Total: Check Number Authorization Received By Batch Number. Number How Received Amount Due 81.00 4.,05 9.72 $94.77 Job/Journal Number COM2009-00775 COM2009,00775 COM2009-00775 Description Perm Serv/Fdr 200 amps or less " + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Amount Paid ONLINE CHGS. ONLINE PERMIT CHGS njm ONLINE doug palmer Online Payment Total: $94.77 $94.77 ~ cReceintl Page I of I 6/3/2009