HomeMy WebLinkAboutPermit Electrical 2009-7-13
City of Springfield
',.'
Elcctrical Authorization To Begin Work
E-mailedTo:julie.dpc@comcast.ncl
Check on status of permit
B)' Phone: 541-726-3753 or Email: pcnnitcenter@ci.springfield.or.us
I D NcwCoIIstruction
o AdditiorrlaltcrationlreplacemcllI
6F.TCONsfRuCT15Ni:~'~~~~i:~'~+r,' +~ ~~~
Pka,e "heck aJl that apply:
o A service or feeder beginningBI
400 Amps where the available fauh
currenlexceeds 10,000 Amps al
ISO Vohs or less 10 ground
exceeds 14.000 Amps fu,all Dther
imlallalions
0] or 2 family dwelling
DMulti-famiIY' Dcommercial
I
DAccessory
.Iob Address: 858 S 46TH ST
City/State/ZIP: SPRINGFIELD, OR 97478
DFlrepulllPs
DEmergencysysle~s
o Addition of anew motor load of
100 HPor more
o Six or more residcmiarunits in one
structure
DHeahhcarefacilities
Suite/bltlg.fapt.no.:
Projeet Name:
Cross Street/llireclions to job site:
\1',,""1'1]'""']00 \Cflf1J:JfML ... .(")?\Q)
1~~~~~~~~~~~DESCRIR,TI6NtOF:w6~RK~~'t~~~;l~~
fUll (2) circuits fora/c unit
69600-BEL-09'00029
7/13/2009 11 :37 am
Approval Code: 033233
DlIal.ardouslocations
DA servic~ 01 fced~r rat.d at 600 amp,
ormor~
DBuildillgsmore than three stor;es
OMarinas and boal yards
DFloatingbuildings.
DCommercial.useagricultural
buildings
Dlnstallationofal50KVAorlarger
scperatefyderivedsy>
D"A".'.E".or.'I-ror"I-3"
o Recreational Vehicle Parks I
DSupplyvoltagefor~;or~than600
supplyvollsnominal
I Nllme:julieford
I Phone: 54]-434-5600 Fax: 541-762-]056. .
I ... isH , 1:.1\1 I IUI\J; VI t:YUII laW I t::4UII t::;:t YLJU lV I
Email:Juhc-dpe@com1~;1~ _._..'__ _..J__~_.J I:-...~l.._ r"\~"'-.:"r 11~:I:hl
::;E;:;~': 00 C263~t~~:~;~~;:~~~~::~:~:~;:::~~;~~_;~~~:;;~l!il
I Bn,;n,,, N.m" DouQI1lOO1EI\'OO<fm1.l'l1)btain copies of the rules by I
I Cool"," calling the cemer. (I~Ole: .l.ne .lel~p'none I
I J3~f.J~~~ tVI lilt: UIC':::!UII V~llny I'lV~I1'vC.aIV" I
AlIdress: 1368BARRl t'---.~-_:- -4 r;r\r\ -:I-:It") t")0.1l1l\
I City/StateJZIP:EUGENE,OR 9740J't.I'~"'" .- . --- --- I I
I Phone: 541-434-5600 Fllx: 541-762-1056 I
I Email: JULlE-DPE@COMCASTNET 1
II "",,];..no., C;tyJ;,.oo., I~HOITSlpCEER:MIT SHAll EXPIRE IF THE WORK
Supe..yising Electrician's lie. no.: :,r
I Snp",;,;n,E],,,,;e;on',N.m,, 'UTHORIZEO UNDER THIS PERMIT IS NOT
: ;OMMENCEO OR IS ABANDONED FOR _II)
~NY 180 DAY PERIOD. \V'- . fA
. \A 0-'
f\'\ ~~
~\
\j
Ia:~ll~~~i~c~iis:.
I Branch circui!s without service or
feeder
I Branch circuilseaehaddilional
cirCUllwithoutscrviee
I Subtotal
I State surchargc (]2%ofpennit
total)
I Technology fee (5% ofpenTlil tOllll)
I TOTAL PERMIT FEE
to-qq19
Number ofinsl'ections inclulled in paid services:
Residential Service: 4
RecOllneclOnly: 1
All Other Services 2
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.
.,Q
[:io..
t>--: ~
The local building department may determine that an Authorization To
Begin Work is null and void if it does riot meet applicable land use laws
and local ordinances
This Authorization To Begin Work must be posted at the job site ~ntil replaced by a Permit
555.00
555_00
$6.00
$6.001
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
I
PERM]T NO: COM2009-00996
ISSUED: 07/07/2009
APPLIED: 07/07/2009
EXPIRES: 01/]3/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 858 S 46TH ST
ASSESSOR'S PARCE.L NO.: 1802051205100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Install Air Conditiouer
Owner: THOMPSON CARL
Address: 858 S 46TH ST
SPRINGFIELD OR 97478
Phone Number: 541-746-0644
I CONTRACTOR INFORMA;WNI
Contractor Type
Electrical
Mechanical
Contractor
DOUG PALMER ELECTRIC LLC
CHARLES ISAAC OSGOOD
License
181465
168942
Expiration Date
04/14/2010
03/07/2010
Phone
541-434-5600
541-988-5674
l BUILDING INFORMATION'
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type . Water Type:
Secondary Construction Type: . o~~!lge Type:
# of Bedrooms: laW leQlllles Y ,Enel;gy Path:
ON' Olegon Olegon V"''', '
ATTENT\ . d ted bY tne sb~p.!'i.Qlded Building: n/a
_",Ioe.:=l. op ~_ .."Ip!=; are _^A
lUIIV..", teL \11"'-- I ....~u'-'." .....-
Notilicat\On_~~~_0010t\110ug]} 'DEY.ELOP,M'ENT INFORMATION I
in OAR 952 may obtain COPle;:\1~ telep\1One
n!lClO '{ou t I (Note. fI'-"atlQn .
Frontyard Sematk':.ng the cen e . n Utility No \ uverlay Dist:
Side I Sethack: ca~bel 101 the.or~~~O_332-2344).# Street Trees Rqd:
Side 2 Sethack:nu centellS 1 . Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Strect Improvements:
Storm Sewer A vailahle:
Special Instruction:
I PUBLIC IMPROVEMENTS I ' "]Ol"-\<.
, ~\I'\'C~'
NOi\C~:. "'\" SI'\r>-\..\.. ~-,~W~I"-t\\'\' IS ~O\
II'\\S ?'CI"-\I1I1 U~D'C\WJ;\I~sB'm~@tli~:
r>-U\I'\OI"-I7.'C~D 01"- IS r>-Br>-~
CO\l1l\l1l'C~C ~ ?'CI"-IOD.
r>-~'i "ISO Df>;
Notes:
Pace I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phooe
541-726-3676 Fax
541-726-37691nspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
7/7/09
7/7/09
7/7/09
7/7/09
7/J3109
7113/09
7/13/09
7/13/09
Total Amount Paid
$183.69
I Plan Reviews l
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00996
ISSUED: 07/07/2009
APPLIED: 07/07/2009
EXPIRES: 01/13/2010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000782
1200900000000000782
1200900000000000782
1200900000000000782
1200900000000000799
1200900000000000799
1200900000000000799
1200900000000000799
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 Reollired Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
_~e"''''IGIIl'I~9",
,.
,
:t
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00996
ISSUED: 07/07/2009
APPLIED: 07/0712009
EXPIRES: 01/1312010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 further certify that any and all work performed shall he 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 he 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 he 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.t .11
times during construction.
Owner or Contractors Signature
Date
Pa2e 3 of 3
225,Fifth Street
Spr.ingfield, Oregon 97477
541"-726-3759 Phone
Job/Journal Number
COM2009-00996
COM2009-00996
COM2009-00996
COM2009-00996
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000799
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/13/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
ONLINE DOUG Online
PALMER
ELECTRIC
Payment Total:
-.
11 :47:03AM
Amount Due
55.00
6.00
3.05
7.32
$71.37-
Amount Paid
$71.37-
$71.37
7/13/2009