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Home My WebLink AboutPermit Electrical 2009-6-12 " : City of Springfield Electrical Authorization To Begin Work E-mailedTo:KELlASEN@ATT.NET ~eceipt # EC553586 6il2/2009 10:23:30 AM (/~, i.\ /1> (; ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns 'I 1 - Lirriited energy, residential (with above sa. [1.) .11 1 - Liinited energy,multifamily residential (with abo'~e SQ ft.) I-Limited energy, cgmmcrcial not alTered online at this jurisdiction (with above Sq. ft.) II 'I . Swnd-alone limite.u energy, rcsidenllal ~: 1 - Stand-alone limit7u energy, multi-family ;1 I - Stand-alone limit~d energy, 'commercial I: 1~1~:r:vj~~~-Q~I~;f~~F~i~t[llatI~~:iil~e!~'t~i,:X~Nq/<;?,R-";;l~c~.~o:n_.cJ~:~~~1 1200 omp' 0' 1m [2]il $8100 $8100 I 1201 limps to 400 amps [2] I 140 J amps to 599 amps [2] I li:tEl\1PORARY. -.;serv.-"ici<"tj.lffeeders.:;instaliatjo.n~;a-..I.teraUon;",,/- :,.- '\'-:-";~;'I f~i'{f.:)/9~'~~@raIj~J:~~~~);~'o;\C . .Z'{_T:'~? ~.:~ ~ '",' . f~ 1200 amps or less [2]'1 I I 1201 omp' to 400 "m~s [2] I I IAOl amps to 599 amps [2] I 1~~Yailcb~clr'C~i~;:~!~~,~i.tfr~ti~~;-q,R~t~n~i,~~;pei~~~,~X:.;~f. ~<,'t 4i) A. Fee for branch cij-i:uits with service or feeder feel each , branchl~intuiJ."ITI";f\.t. ~ A--law.-rcu t ljrj::l.~ \,nll tf'_ B.Fq/ f~r~FiihcHtii'cuiisd t,j b the IlregOl; Utility w"hJQllffi'tc!/,\lfe~ik:jl,,>!P e Y I firstltiranm,<irloll/iCenter, 1 hose ru\(s are set forth I I eocij~d!D!WiPOOi!'@01-001 q through :JAR 952[001- I : ~:=~~~\7~~~~~~!~;~~~r:e,~;~lJ~~Er1~~?~Y; '\ II E"'h..'""....."""'....t"'O/fuIh('~.I'U" ~'i"j ..,-"",_"",_n I dwelliog, ""'ic<Ol!ltII!18l'eilsr1-ijlOO-332- 344). I 121 c I I Pump or irrigation c!~rcle [2J . I I I Sign oroutlinc lighting [2] I Signal circuit(s) or lmiited. I I energy,p[mel. alteration. or extension f2J _ 11 ~1-~t{:l~'l!i;!a:~Ei!~<::I[lIC~LiP.E!!I\lI:r EEES . I II Subtotal I State Surcharge (12% ofpcrmit fee) I City Of Springfield fees '" I :i TOTAL'PERMIT FEE .' \t\ . '" City Of Springfield'fees: 5% Technology Fee ~V ~ rDefaultnllmberoJil1~pection.saIl0'rI'ed} ~cft.ecL1- <6S:~ \<JL ~~,i \J~ \0 D New construction o Addition/alteration/replacement I [i] 1 or 2 family dwelling o Multi-family o Commercial/Industrial IJob no.: IJob address: 1544 EST I City/State/ZIP: SPRINGFIELD, OR 97477-4142 I Suite/bldg./aptno.: I Project name: PPM Cross street/directions to job site: 14TH STREET & "E" STREET I Subdivision: ITax map/parcel no.: I Lot no.: 1703362302500 REPLACE METER BASE BEN JOHNSEN I Phone: (541)357-2003 IEmail: IFo" I CCB lic. no.: 38497 lEI. lic. no.: 2Q-_5~C_ _ _ _ I B"Incs' Nan!.\! lM.I.~:ELECTRIC I Contort, KARMhtiI~hINMIT SHALL EXPIRl: IF THE WURK IAddm" 25sB\!IHd3ElJJlfiiBIM:lNLJl:R I HIS t'I:KMII IS NU I ICityIStateIZI€)CEl'flfE'IIiNfJJ.ffilrO&Mil ABANDONED FOR Il'honoo (541)4?,NYJI180 DAY PERIOD.IFa" (541)4612340 I Emai!: .KELIASEN@A1TNET 1:\letro lie. no.: I Supen;'ising electrician's lie. no.: 3485$ Supervising electrician's name: GARY E JOHNSEN I City lie. 110.: 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 Authorization To Begin Work is null and void if it does not meet applicable Ian: u~.;s ~~@S ~ \~.\\) I Uescription JI Qty. Ea. J Total I'RC.Sid5ntial" S. ING LE:;:QRi~i"~I.ti.~fa'jnJ.!Yld'feJiing"Unii;_:jn~c.llfdl~~.:~ <<' raE~1h1W~a~"g~i~:t"%t??~~~:-;f~r;...:",~~,;~T* 7" ;;t*?' ,'}:~--: ~. ", 11,000sq,ft.orless[~] I I Ea. addl 500 sq. f1. ~r P?rtion I ,I I 1 I 1 1 I $81.00 $9.72 I $405 I $94.77 I LQ \t1\CR t This Authorization To Begin Work must be posted at the job site until replaced by a Permit. , I' '~ttr!>i,!'I:"'l!"~~!i:t~f 1 ..' '. .... "'~n.,......_;._;~.." '"' ""'''''~- . CITY OF SPRINGFIELD' Buil~ing/combination Permit , , PERMI"T NO: COM2009-0085] ISSUED: .06/12/2009 APPLIED: 06/]2/2009 . EXPIRES: 12/]2/2009 VALUE:: Status Issued 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection.Line SITE ADDRESS: 1544 E ST ASSESSOR'S PARCEL NO.: 1703362302500 Springfield TYPE OF WORK: Electrical Work Only ii TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace meter base Owner: KOTHE LIVING TRUST Address: 90449 SUNDERMAN RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION , Contractor Type Electrical Contractor BEACON ELECTRIC License 38497 "I : Expiration Date 01110/2010 Phone 541-461-0291 BUILDING INFORMA nON I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: . ' # of Stories: I Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnp,ant Load: n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I SetPilcJ"CE' .' # Street Trees Rqd: Ii H,ndicagped: Side 2 Se~ba'ci{\ .' T SHALL EXPIRE IF THE WeMd Drive Rqd: . ATTENTION: ore9oeoffil\~~DUlres y~~';'~y RearyanilS'~fbPfk?oMI RMIT IS llIDf Lot Coverage: follow rules adopt,ed by tne regon II S I S t1ia'1{k:ORIZED UNDER THIS PE . Notification Center.Those rules are set forth oar e ,~~. ':'I:ro,r.rn "D I~ ARANDDNED FOR In OAR 952-001-0010 through OAR 952-001- VV"''''~''--- 0090 Youmayob\alncople"Ullll~IUI~OUY ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS' caliing the center. (Note: the telephone Street Improvements: mJ'iiJlj),)valk'l1}1ltGregon Utility Notification . Center is 1-800-332-2344). Storm Sewer Available: Down~ponts/Urains: ' , Special Instruction: 'I Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or mnltiplier Sqnare Footage 01' Bid Amonnt Valne Date Calcnlated Page I of 2 ':' Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Snrcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Total Amonnt Paid Amonnt Paid $9.72 $4.05 $81.00 $94.77 Total Valne of Project Fee. Paicl , Date Paid I Plan Reviews I 6/12/09 6/12/09 6/12/09 CITY OF SPRINGFIELD Building/Combination Permit II PERMIT NO: COM2009-00851 ISSUED: 06/12/2009' APPLIED: 06/12/2009 EXPIRES: 12/12/2009 VALUE: Receipt Nnmber 2200900000000000668 2200900000000000668 2200900000000000668 / ( . . , 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 7:001:a.m. will be made the following work day. I Relluirecl T"'",ectio". , Electric Service: Approval reqnired prior to utility company energizing service. ;; II By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all I' ." information hereon is tme and correct, and I fnrther 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 pertaini'lg to the work described herein, and that NO OCCUPANCY will be made of any strnctnre withont permission of the Community Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS ~~1.005 will be used on this project. I fnrther agree.to ensnre that all reqnired inspections are reqnested at the proper time, that each address is readable from the 1 . 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 Page 2 of 2 Date " 225 Fifth Street SpTingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00851 COM2009-0085I COM2009-00851 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department II Public Works Department !I 2200900000000000668 11 Date: 06/12/2009 'l ,.. 1O:52:IIAM D.escription Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Paid By, ONLINE PERMIT CHGS Amount Due 81.00 4.05 9.72 $94.77 Item Total: , Received By Check Number Authorization Batch Number Number How Received ,I Amount Paid KR $94.77 $94.77 Page I of I 6/12/2009