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Home My WebLink AboutPermit Electrical 2010-2-17 SPRINGFIELD rL..\'C~. " . ,..-~ ." ,,, ",+- ' ..' _. d. ~ ;.,A- f,' -' 'OREGOl-l City Of Sprin9field 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us "". Ii-~ TYPE O'F WORK "',' , .. . o New Construction IKl Addition/alleration/replacement .:. ." CATEGORY OF CONsfRUCTioN . '': , ,. [K] 1 or 2 family dwelling o Multi-family 0 Commercial o Accessory r - ~ . JOB SITE INFORMATION AND' LOCATION Job Address: 1365 C 5T City/State/ZIP: SPRINGFIELD, OR 97477 SuitelbldgJaplno.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1703362310700 r-," -' ," .' .~DESCRIPTIONOFWO~K',' replace existing fuse box with 200 amp panel , .. -'i~'_ , SITECONTAq " .' :1 , . Name: Tulieford Phone: 541-434-5600 Fax: 541-762.1056 Email: h.... . i ...' .' . , .' CONTRACTOR .' '.l' ., , . Elec lie. no.: C263 CeB lie. no.: 181465 Business Name: DOUG PALMER ELECTRIC LLC Contact: Address: 1368 BARRINGTON AVE City/State/ZIP .."; !"'::;'\;;';,':{;~~.<~:i;S :'\'::-'~ 97401 Phone: 54143i'fflS PERMIT SHAll 00Ri~5Th1~ t:1ORIt, Eman, JULlE.AW;a;HGRIZEIlloUNDER nlls_. Metro II'. no., v,,,,. J ^~~~~~ ,Uti l>l~no., Supervising EIe~~i~ia~~~c.~~1 I 2742S. :r..;.", '''''''' ,,),;.":: Supervising Electrician's Name: DOUGLAS G PALMER Number of inspections Included In paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your tocal Jurisdiction, your permit will be e-malled or faxed within one business day, with InstructJon5 on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit II not obtained. The local bullcllng clepartment may determine that an Authorizallon To Begin Work II null and voicllfildoesnotmeetappllcablelanduselawsand local ordinances. {l.IO-~/S Residential Electrical Authorization To Begin Work 69600-BEL-10-00078 Approval Code: 012912 2/17/2010 9:29 am E-mailedTo:julie-dpe@comcast.net ., "." " '. PLAN:REVIEW .,' '., "(:. "1 Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more than three stor 10,000 Amps at 150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for all other o Floating buildings o Fire pumps o Commercial-use agricultural buildings o Emergency systems o Installation of a 150 !<VA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "A" "E" or"I.2"or"I.3" o Six or more residential units in ' , o Recreational Vehicle Parks one structure o Health care facilities o Supply voltage for more than 600 supply volts nominal .. d . FEE SCHEDULE' .' , Description Qly. Ea. I Total Services or feede~_ , , . . . Services 200 amps or less 1 561.00 I $61.00 Elect~i~al Permit Fees, . .,. . '" .. Subtotal $81.00 State surcharge (12% of permit $9.72 total) Technology fee (5% of permit total) $4.05 TOTAL PERMIT FEE $94.77 C.Ol-'l\O - 2..\5 '2-\ n \ I D ~ A'i1aI'OON: Oregon ~~ ~\l:;) ~ MOO cdopted by tho Oregon UlIIilll \\IotIfIcatlon Center. Thos& nd80 m 001 ~ tlI OAR 262.(101.(1010tlnoughOARe52-C01o ClO9O. You iiWY obtain copl8ll dJ tho ruIoo Rsv ClQIIlng thQ canter. (Note: th0 tGloPhcmO Iilt!IIlW for Uw Oregon UtIlity N~ Center 10 1~.2344). ~ ~. ;-.0 K:~ "--~ [)..~.\O ~S<r ~ Inspections Phone: 541.726.3769 T,hiS Authorization To Begin Work must be posted ,at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00215 ISSUED: 02/17/2010 APPLIED: 02/1712010 EXPIRES: 08/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 I'hone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1365 C ST ASSESSOR'S PARCEL NO.: 1703362310700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Replace existing fuse box with new 200 amp panel in residence. Residential Owner: LEONARD KATHLEEN RAE Address: 4969 D ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License DOUG PALMER ELECTRIC LLC 181465 BU'ILDING INFORMATION I Expiration Date 04/1412010 Ph'one 541-434-5600 # of Units: Primary Occupllncy Group: Secondllry Occupancy Group: Primary Construction Type Secondllry Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: RlInge Type: Energy PlIth: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft BlIsement: Sq Ft GlIragelCal'port Sq Ft Other: Occupant Load: nla REQUIRED PARKING Front yard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicapped: Side 2 SetlJack: Paved Drive Rqd: Compllct: ::1:7=:~b~~~~mICE: t EX1'~~~i';;:~':~~KCTerage: ATmmON: Oregon law requires you to AUTHORIZED UNDER PROVEMENTS otiflcatlonCenter. Those rules are set forth (' mn MENCED OR IS ABAN.., n OAR~52-o01-OO10 through OAR 952-001- Street I mprovellri!ft'l'S~ v PERIOD 0090~.Si lI'illc.Tll8U1In copie8 of the rule8 by ANY 180 D/l;, . ;i.. may I h Storm Sewer Available: call1nJW~&tM1~aMiote: the.te ep ono - - number for the Oregon Utility NotlflcatlOft Special Instruction: Center is 1-800-332-2344). I DEVELOPMENT INFORMATION ~ Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value DlIte Calculated Pa2e I of2 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "j.:'. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-0021S ISSUED: 02/1712010 APPLIED: 02/1712010 EXPIRES: 08/17/2010 VALUE: Status Issued Total Valne of Project Fees Paid I Fee Description + 12% State Snrcharge + 5% Technology Fee Perm Serv/Fdr,200 amps or less Amonnt Paid Date Paid Receipt Nnmber $9.72 $4.05 $81.00 2/17/10 2/17/10 2/17/10 1201000000000000145 1201000000000000145 1201000000000000145 . Total Amonnt Paid $94.77 I Plan Reviews ~ 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, insp~ction~ requested after 7:00 a.m. will be made the following work day. Reouired InsDections I Electric Service: Approval reqnired prior to ntility company energizing service. By signatnre, 1 state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther certify that any and all work performcd shall be 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 strnctnre withont permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 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 Signatnre Date .rl) i ", Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "J:QPl~.B.J'.~.O... ..... 1IiL' ' ^.......~,. ,} _......~"-,.,."....,,.,.. .".,' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000145 Date: 02/17/2010 9:47:02AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 9.72 4.05 $94.77 Job/Journal Number COM20 1 0-00215 COM20 1 0-00215 COM20 1 0-00215 Description Penn Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE DOUG Online PALMER ELECTRIC Payment Total: $94.77 $94.77 'it., cRcccintl Page 1 of 1 2/17/2010