HomeMy WebLinkAboutPermit Electrical 2009-10-13
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CITy' OF ~nuNGFIELD
Building/Combination Permit
': 225 Fiftb S~reet,'Sprjng!ield, OR
':"541-726-3753 PIl,mer,,:::,,
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541-726-3676 Fax .""
541-726-3769 Inspection Line
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PERMIT NO: COM2009-01491
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ISSUED: O,~/09/2009
APPLIED: 10/09/2009
EXPIRES: 04/13/2010
VALUE:'
Status
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SITE ADDRESS: 1000 3RDPi:J{, ," "
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ASSESSOR'S PARCEfiNO:, ",pARKER 3RD PLACE P
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Springfield TYPE OF WORK: Electrical Work Only
, TYPE OF USE: New,
Residential
": PROJECT ))ESCIUPTION: 200 AMP meter cbange
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Owner:
Address:
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JOHN PARKER "
1000 3RD PLACE
SPRINGFIELD OR 97477
Pbone Number: 541-741-1298
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Contractor Type; :"Contractor ,
Electrical 'tll(i~;;( :~i",BURRELL BROS ENTERPRISES INC
Plumbing " , -~ OWNER ':'
License
136446
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Expiration Date
08/20(2011
Phone
541-747-2724
I CONTRACTOR INFORMATION I
, BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
d.
Secondary Occupancy Group:
Primary Construction Type
"Secondary Construction'Type:
# of Bedrooms: ..; ~. \0;'\ .:,:. ~.
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
SprinkledBuilding: nla
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Lot Size:
Sq Ft * Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Gllrage/Carport
Sq Ft Other:
Occupllnt Load:
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I,DEVELOPMENT INFORMATION I
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Overlay Dist:
# Street Trees Rqd:
Pllved Drive Rqd:
% of Lot Coverllge:
REQUIRED PARKING
, Total:
'L Hllndicllpped:
, Compllct:
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Frontyard Setbllck: t '/:''', '
Side 1 Setbllck:; , " ,"
Side 2 Setback"';' '''', ",
: Rearyard Setb~~k:'-;' "~ '
Solar Setbacks:
,I PUBLIC IMJ>ROVEMENTS I
Street Improvements:
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Sidewlllk Type:
DownspoutslDrllins:
ATTENTION: Oregon law requires you:to
foilow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-901-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
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Storm Sewer Available::-,
Speciallnstructi~n: I
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Notes:
NanCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS'NOT
COf'Af\1ENCm OR IS ,ABANDONED FOR
:-,NY 180 DA'lpERIOD,
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Status 'Issued""':~"
225 Fifth Street,Springfield, OR
541-726-3753 Phone .
541~726-3676 Fax
, .541-726-3 769 In.sp~coHg~:J,ine,;'
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TVpe of Construction', ,'., $ Per Sq Ft
or multiplier
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Description
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee '
Perm ServlFdr 200 amps or less,.,I.,
+ 12% State Surcharge, .' ..'J~'
+ 5% Technologyl~e;:' ,
Water Line - 1st 100'
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; Water Line - Each Addtl 100'
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Total Amount Paid " .
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CITY OF SPRINGFIELD
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Building/Combination Permit
PERMIT NO: COM2009-01491
ISSUED: 04/09/2009
APPLIED: 1'0/0912009
EXPIRES: 04113/2010
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VALUE:,
I Valuation Descrintion ,
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Amount Paid
$19.44
. J $8.10
$162,00
$11.40
$4.75
$76.00
$19.00
$300.69
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Square Foot~ge
or Bid Amount
Valu~
Date Calculated,
Total Value of Project
Fpp., P~irlJ
Date Paid
1
Receipt Number
10/9/09
10/9/09
10/9/09
10/13/09
10/13/09
10/13/09
10/13/09
3200900000000000700
3200900000000000700
3200900000000000700
2200900000000001176
2200900000000001176
220Q90000000000ll76
2200900000000001176
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I Plan Reviews I
,To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a,m. will be ni'ad~ th'e same wo'rking day, inspections requested after 7:00 a.m. willi:be made the following
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~'I Rrnllir,p~p,('Jion"'1
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Electr!c ~ervic~; ~App~ov'ai ;~quired prior to utility company energiziug service.
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Water Line:, rrior to filling trench and including required testin'g,
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CITY OF SPRING1<lJ!,LU
\ Building/Cdmbination Permit
PERMIT NO: COM2009-01491
ISSUED: 04/09/2009
APPLIED: 10/09/2009
EXPIRES: 04/13/2010
V ALUE:\ 'I
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Status Issued, , ,,' ',,"
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, 225 Fiftb StreetrSpririgfield;;'OR'.'(;~S, ,','
541-726-3753 Phone'~",<'" <(
541-726-3676 Fa~,:' '
:- 541-726-3769 InspectiOli'Line
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By signatnre, I state and agree, tbat,~ bave carefully examined the completed application and do h:ereby certify tbat all
information bereon is true and corr~ct, and'! further certify that any and all work performed sbal,1 be done in accordance witb
, tbe Ordinances "ftb,e<::i,ty o~,SPr.iligfieldand the Laws of the State of Oregon pertaining to tbe w~rk described be rein, and
tbat NO OCCUrA,~,sy"villtie mad{of any structure witbout permission of tbe Community Servtces Division, Building Safety.
I furtber certify:tba':only contractors and employees who are in compliance with ORS 701.005 win be used on this project.
:.:I,furtber agree tiren~u~e_,\bat all required inspections are requested at the proper time, that each address is readable from the
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I ;'street, thafibe permit ,cli~d isIoca,ted at the front of the property, and the approved set of plans will remain on the site at all
, times during constructio'n: : ';";':".:~:>:::~i.~ ' ::
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225 FIfth Street,"-''''';;''<'i'''','
Spri~g'fi~ld,' Or~g~ri'1}7 477
541~726-3759 Phone':;,
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RECEIPT#:' 2200900000000001176
Job/Journal Number '~escription,. .,:f:. ',:;
COM2009-01491 . q' : ".\\fater Line:;;!s!lOO", ;
COM2009-01491' ~~:i,'{:~W~ter i:iii'~2:E~~h'AddtII00'
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COM2009-01491 '.fS"{+5%'Technology Fee
COM2009-0149J;.::;i}; :;+ 12% State Surcharge
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Payments:
Type of Payment
Cash
Cash
Job/Journal Number
COM2009-01491.
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COM2009-0 1491
COM2009"0 1491
C0M2009-01491
Payments:
Type.of Payment
Cash
Cash
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cReceintl
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Paid By
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Description
::,Water Line - 1st 100'
i ; Water Line - Each AddtlIOO'
+ 5% Technology Fee
+ 12% State Surcharge
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Received By
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'Received By
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Page 1 of I
City of Spr,ingfield Official Receipt
Developm~nt Services Department
Public Works Department
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Date: 10/13/2009
Item Total:
Check Number Authorization I~
Batch Number Number How~.Received
In Person
In Person
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Paym~nt Total:
Check Number
Batch Numher
Item Total:
Authorization
Number Howi~Received
In Person
In Person
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Paym~nt Total:
8:13:36AM
Amount Due
76,00
19,00
4.75
11.40
$11 1.15
Amount Paid
$120,00
($8,85)
$11 1.15
Amount Due
76,00
19,00
4.75
11.40
$11 1.15
Amount Paid
$120,00
($885)
$11 1.15
10113/20.09