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Home My WebLink AboutPermit Electrical 2009-10-23 City Of Springfield 225 Fifth St Springfield, OR 97477 Phone:' 541-726.3753 ~mail: permitcenter@ci.springfield,or.u$ Residential Electrical Authorization To Begin Work 69600-BEL-09...00203 Approval Code: 034829 10/23/2009 11:53 am E,mailed To: julie-dpe@comcast.net c,q. &SI o New Construction . IKl Ad~mion/atterationfreplacement Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground Eil'xceeds 14,000 Amps for all other . 0 Multi.family o Commercial o Accessory I City/State/ZIP: SPRINGFIELD, OR 97~,78 I Suite/bldgJaptno.: I Project Name: aldal I Cm.. sueO.dlrect'on. to job .It~: I Tax maplparcel ~o.: 17023131028~O D Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities D Hazardous locations . D A service or feeder rated at 600 amps or more D Buildings more than three stor o Marinas and boat yards 'D Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Total 200 amp service I Services 200 amps or less I Branch circuits with service or feeder each circuit , Name: lulie ford Phone: 541-434-5600 I Email: julie-dpe@comcast.net Fax: 541~762.1056 I Subtotal. I State surcharge (12% of permit tota)) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Elee lie. no.: C263 eee lie. no.: .181465 " Business Name: DOUG PALMER ELECTRIC LLC Contact: cCl-LQI7\ I Address: 1368 BARRINGTON AVE I CityfState/ZIP: EUGENE, OR 97401 I Phone: 5414345600 I Emall: JUL~~f!~:CAST.NET :1 I M....olI',n'r-\-lI~ Pi=RMIT ~I-IAl.L ~E1f'THEWORK I supe"""n.'f!Of'N@~l!fl!l>,UNDEfl4J..HIS PERMIT 15 NU I I Supo",','n. E'i1,M~i\F.~I/;'.!i.o. OR~u8~\W,.\,l~f\ ;\JY IOU l'fI' r.;- cni.:i['. Number of inspections mcTliaed n paid selViees: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Fax: 5417621056 $81,00 $120,00 $201.00 $24,12 $10,05 $235.17 ~ IO\2DID9 ATTENTION: Oregon law requires you tG follow rules adopted by the Oregon Utility Notification' Center. Those rules Bre set forth In OAR 952-oDt-oD10through OAR 952-001. 0090. You may obtain copies of the rules by . ~Ii the center. (Note: the telephone for the Oregon Utility Notification ~ Center is 1-800-332-2344). ~~~:~;':"::'~.:':'~;~'I.:i",:'::~~:'~~~~~:'~:;~i,:::;,,:::;,"~II II, ,-m,II,. " 'm. (\ ~ J>.... ~ ~ t\{)' cf\ :,T~~::':::::":::.:~::"~:~.::~:,:~::~,'::.::~~~:,::'::o:::::m::~ " .ull ... '0 lX. ':-( '\\)' Ln~ voId If It does not meet applicable land use laws and local ardlna.nees, '" '- ~ '~., .;'.'t' Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00681 ISSUED: 05/18/2009 APPLiED: 05/18/2009 EXPIRES: 04/23/2010 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 Springtield 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 CONT~CTOR INFORMATION. Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC , License 181465 Expiration Date 04/14/2010 Phone 541-434-5600 BUILDING I,N,~ORMA TION I # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Typ'e: #of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: ' Energy Path: Spriukled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: , # Street Trees Rqd: ATTENTION: Oregon I~S~Y~I!JJ.ou to S'd 2 sMl"""""'E rD\liy, d D' R d follow rules adopted bit. r .!loti Utility I e r<"a't\"U: , IF THE W4!:'~e nve q: Notification Center. Tho~e e~ are set forth Rearyar1.r\\~IJltEIlfMIT SH"-LL EXPIRE IS NOrf Lot Coverage: In OAR 952-001-0010 through OAR 952-001. Solar SeAml*lRIZED UNDER T...H.1S !!RM~TcnQ' 0090. You may obtain copies of the rules by COMMENGI:U Uti ,I;) "of'\ll~&n[- ' calling me cemer. \I~l;""; \II" ''''''I'..u.... ANY 180 DAY PER,OD. , I PUBLIC IMPROVEMENTS liumber for the. Oregon Utility Notification Street Improvements: -, si&ellllln~~e1300-332-2344). Storm Sewer Available: Special Instruction: '1"".1" Downspouts/Drains: Notes: I Valuat'ion Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 I Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00681 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 04/23/2010 VALUE: I 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee , Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps orOless Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 $24.12 $10.05 $120.00 $81.00 5/18/09 5/18/09 5/18/09 10/23/09 10/23/09 10/23/09 10/23/09 3200900000000000371 3200900000000000371 3200900000000000371 1200900000000001181 1200900000000001181 1200900000000001181 1200900000000001181 Total Amount Paid :i $329.94 I Plan Reviews I To Request an inspectio'n call the 24 hour recording,at 726...3769. All inspections requested before 7:00 a.m. will be madethe same working day, inspections requested after 7:00 a.m. will be made'the following work day. Relluired lnsnections I 'I Electric Service: Apf:!roval required prior to utility company energizing service. Rough Electric: Prior to Cover :Final Electric: Whenl all electrical work is' complete. 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 Siate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will ,be 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 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 the street, that the permit card i~ located at the front of the property, and the approved set of plans will remain on the site at all times during construction. II , , Owner or Contractors Signature Date 'Pa2e 2 of 2 215 Fifth Street Springfield, Oregon 97477' 541-726...3759 Phone Job/Journal Number COM2009-00681 COM2009-00681 COM2009-00681 COM2009-00681 Payments: Type of Payment ONLINE CHGS cRcceintl RE<;:EIPT #: City of Springfield Official Receipt, Development Services Department Public Works Department 1200900000000001181 Date: 10/23/2009 Description Perm Serv/Fdr,200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PEJWIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR DPE Online Payment Total: ONLINE Page 1 of I 11 :55:42AM Amount Due 81.00 120,00 10,05 24,12 $235.17 Amount Paid $235,17 $235.17 10/23/2009