HomeMy WebLinkAboutPermit Electrical 2009-10-28
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,',City Of Springfield
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jl,':j ~mail:.permitcentl~r@ci.~pringfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL.09-00211
Approval Code: 074515 10/28/2009 3:50 pm
E.mailed To: julie-dpe@comcastnet
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New Constructi'o~';'i ..:: .:.:~.:i7tF:.?i.;~!~i:?t~~h\~:~,~ A.d.djtiOn/alteration/rePtacement
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1~~JOB!SITEiN1'ORMAlIONrANDfJ!6CATi<5N~~\'i
I Job Address: 1:050
.1 City/StatelZlP: SPR'IN,~FfE[~::OR 97477
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I Project Name: - . ,.
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I Tax map/parcel no.:" 170~264406300 .-- -."', .,'
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I Name:'iulie ford'
I Phone: 541-434-5600
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~ F~: 541-762-1056
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Elec lie. no.: C26.3 .~~',
~CB lie. no.:
181465
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Business Name: DOUG PAL~ER ELECTRIC'llC.
Contact: ~
I Address: 1368 BARRINGTO~ AVE
I City/StatefZlP: EUGENE, O~;i,97401
I Phone:.S414345600+": 'i;:~.--::_'
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Emall: JULl'N~t{l~ST,~ET
Metro lie, noTHIS PERMIT,SHAll'~lH~f me. 1runl\
SupeNI,'ng ~1.lt\;~1l\1^~1ri!,1: UI~U~~ AIO rE~MIi'18 NeT
CC{/,;I.EfWG:: JR IS ABANDeNEI} 191\ "
Supervising .n~~,~~c~~~s G PALM~~
Nun:sber ~ Ins~cUons Inclu~edln paid S~tv~~~k,".
ResIdential Service: ~,;"._ _4 L~"::""_, ..~:...::.......::.:;-._:~~._.
Reconnect Only: .:!,:" ~1.~, ::..:~.~- j\i ...,h, _.:,
All Other Services' _:::\ -. 2 'j-' '
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.~ Fax: 5417621056
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Upon review and approval byl y~ur local jurisdiction, your pennlt will be e-malled
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within one buslnes.s day, WIth In&!~ctl~ns,o~h'.:~:vt~~~edUle your Inspection.
NOTE; This Authorization To Begln"Work expires within 180 days If a pennit Is not obtained.
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The local building department ~ay detennl~e that an A~thortzatlon To Begin Work Is null and
void if It does not meet applicable land use laws and !?~II?rd~nance~:)
or faxed
Cq,l01l7
Please check aUthat apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
Description
I Branch circuits without service or
feeder
I Branch circuits each additional
Circuit without service
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KV(\ or
larger seperately deri\!ed sys
D "A", "E", or "1-2" or "1,3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Total
$55.00
$55.00
$6.00
$6.00
$61.00
$7.32
$3.05
$71.37
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I Subtotal
I Slate surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-3a2-2344).
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_" ...,_'__ ,;:: ',.:", Inspections Phone. 541,726,3769
1 : i~ !his Authori~~ti'on To Begin W~rk must be posted at the job site until replaced by a Permit
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Status
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Issued ,_,
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225 Fifth Street, Springfield, OR
541-726-3753 Phone:, '" ,i'" -: ' "
541-726-3676 Fax, :::,:: <',:,),S';:;;< '
541-726-3769 InspedioriLiIie "'~,,:':; "
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SITE ADDRESS:";i~, ,1050 LST:--,
ASSESSOR'S PARCEL'NO:," pO~264406300
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PROJECT DESCRIPTION: 'Remodel bath
Owner:
,Address:
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SCinEFFER SHARON' ,
1050LST:. ' ;,
SPRINGfIELD OR 97477
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01563
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/28/2010
VALUE:
Springfield TYPE OF WORK: Bathroom
TYPE OF USE: Remodel
i CONTRACTOR I~FORMATION i
Contractor Type
General
Electrical
Plumbing
Contractor
PREVENTEC INC.
'-: DOUG'PALMER ELECTRI<;: LLC
" : PRICE RITE ROOTER & PLUMBING
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# of Units:
Primary Occupancy Group: 'R-3
Secondary Occupancy Group:
Primary Construction Type - VB
Secondary Construction Type:
# of Bedrooms: r ,~ ~ r :...;:! ~. " .(~' ':;~~ .
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License
113894
181465
159330
BUILDING INFORMATIONI
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
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I DEVELOPMENT INFORMATION I
Residential
Expiration Date
07/24/2010
04/14/2010
03/30/2010
Phone
541-343-4462
541-434-5600
541-221-3212
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ff Other:
Occupant Load:
REQUIRED PARKING
Frontyard Setback: ::' Overlay Dist: Total:
Side 1 Setback:" . ',' # Street Trees Rqd: ATTENTION: Oregor'i'lllW~s you to
Side 2 Setba~OTICE: ".,' Paved Drive Rqd: follow rule8adopte~"~C()regon Utility
Rearyard Selfi!l~:PERMIT SHAtt'EXPIRE IF THewmB~ Coverage: Notification Center. Those rules are set forth
Solar Setbac~rlTHriRIZED lINDER'THIS PERMIT IS. NOT In OAR ?52-001-~01~thro~gh ~A~ 952-'()~1.
COtv1rv1ENCED OR IS ABANU~PlJ~iU:'1MPROVEMENTS' aa~ii';;ih~~~~i~~~"iN~&:-ih;'t~i;Ph~;e-i
St t I 4NY 1RP DAY,~~R\OH. "numhAr fat",e Oregon Utility Notification
ree mproWMedfi. . ,1;iiI1!~fmElr&e,-aoO-332-2344).
Storm Sewer Availab!e: .';' Downspouts/Drain's:
Special Instruction: .'
Notes:
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Status
Iss'ted;': '. ~:'
225 Fiftb Street,;Springfield, OR
, 541-726-3753 pii'One\l;'f.\ ")">/"
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541-726-3676 F~x " . ")' ;).
541-726-3769Inspection Line
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. Ilescription,'
" ~;5,:TYiJe of Construction
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Fee Description~. ~"
t 12% State S'!,~CIl~rge:;:
+ 5% Technology Fee h, "
Fixture ,~lJI. ;;;
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Ex(end ~ir" Ea Add
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Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009~01563
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/28/2010
VALUE:
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I Yalu,a~i?n D~scription I
$ Per Sq Ft
or ~ultiplier
Sqnare Footage
or Bid Amount
Value
Date Calcnlated
Total Value of Project
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Fees P3idJ
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Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$57.00
$1.00
" $7.32
$3.05
$55.00
$6.00
10/26/09
10/26/0,9
10/26/09
10/26/09
10/29/09
10/29/09
10/29/09
10/29/09
1200900000000001186
1200900000000001186
1200900000000001186
1200900000000001186
1200900000000001207
1200900000000001207
1200900000000001207
1200900000000001207
$139.23
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Plan Reviews I,
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To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be n.i,l!d~!;t1~~ same ~ork~ng day, inspections requested after 7:00 a.lII. will be made the following
work day: 11 '. .
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I ,Rell(uired Ir1nedinns .
Rougb Plumbing: Prior to cover and'including required testing,
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Final Plumbing: ,Wben all plumbing work is complete.
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Rough EleCtri~: Prior to Cover
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Final Electric:!', Wben all electrical work is complete.
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CITY OF SPRINGFIELD I
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Building/Combination Permit
PERMIT NO: COM2009-01563
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/28/2010
VALUE:
:1
Status ,IssH~~';'I,:,:., .',
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225 Fiftb Street;' Springfield;'OR>",lC
541-726-3753 Pbone .. -- 'f",'
541-726-3676 Fax
541-726-37691nspection Line
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By signature, I state'~nd agree, that I have carefully examined the completed application and do bereby certify that all
information her~ohIs'true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances 'Of the' City of Sp~ingfield and the'Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANGy'will be modi'- of any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project.
I further agree to enstire that all required inspections are requested at the proper time, that each address is readable from the
street, tbat tbe permil.card is loc,at~~,at tbe'front of the property, and the approved set of plans will remain on tbe site at all
times during constru~tion. . ~,.(.'..(;~{}::~:{>./.::~, .'~. -.
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Owner or Contracto'rS Signature
Date
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Paee 3 of 3
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2e~5Fifth St;~eti{::'lt;f< ':,";,;i",.
Springfield, Oregon97477" '/\1""
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541-726-3759 Phone;,'
City of Springfield Official Receipt
Development Services Department
Public Works Department
, 'ii~;; JU;CEI~1:j;#: :1200900000000001207
Date: 10/29/2009
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Job/Journal Numbe~';.'> ~~: I;)escription
C0M2009-015fi3 '-"", "Add, Alter, Extend Circ
COM2009-0 1563': --?,?/"Add;Aiter, Extend Cire Ea Add
C0M2009.01563:+5% Tecnn?}o~Fee : __ '
COM2009-0 1563 + 12% State Surcharge'
Payments:
Type of Payment
ONLINE CHGS
'Paid By:;
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'oP:l:ILINE PERMIT CHGS
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Received By.
Item Total:
l.:heck Nomber Authorization
Batch Number Numbe~ How Received
KR
ONLINE OPE Online
Payment Total:
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8:44:42AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
10/29/2009 '