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Home My WebLink AboutPermit Electrical 2010-4-12 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfieJd.or.us --".-. ' ,-"~ ~, " -h., -- -....-..- -. '7;;~'-~' ,"~7;., , , , ''T~PE'OF'\NORK'' ", 0 New Construction ~ Addition/alteration/replacement , , , CA'TEGORY OF CQNS'TRUC'TION '. . ' IZI 1 or 2 family dwelling 0 Multi-family o Commercial D Accessory JOB SI'TE INFORMA nON AND LOCA nON~,. ., Job Address: 962 MST , City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1703264306400 , , "'#,,~. "' :" . '. DESCRIP'TiONOF WOR~' ' " .. ~ raise riser " i'ri:, ';y !'. * SI'TE CON'TAC'T " ;> ' " ' "C,.. .... Name: iulie ford Phone: 541-434-5600 Fax: 541-762-1056 Email: ,"c. , CON'TRAC'TOR ,.-, I ~ ...... - "",~ .. Elee tic. no : C263 CCB lie. no.: 181465 . .- " , - Business Name: DOUG PALMER ELECTRIC LLC Contact: Address: 1368 BARRINGTON AVE City/State/ZIP: EUGENE, OR 97401 Phone: 5414345600 Fax: 5417621056 Email: JULlE-DPE@COMCAST.NET Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 2742S 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 local jurisdiction, your permil will be e-mailed or faxed within one business day, with Instructions on how to schedule your inspection. NOTE: This Authorization To Beg;n Work expires wilhln 180 days if a permit Is not.obtained. The local building department may determine that an Authorization To ~e~!n ~ Wo~ is null and void if it does nol meet applicable land use laws and local ordinances. c.IO- 4-S0 Residential Electrical Authorization To Begin Work 69600-BEL-10-00162 Approval Code: 020015 4/12/2010 10:03 am E-mailed.To:julie-dpe@comcast.net ,,"C,'-i. '"',"3"";" 'PLAN,REViEW 1.;\,.)',. ',', . Please check all that apply: o Hazardous locations D A service or feeder beginning D A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds 0 Buildings more than three ster 10,000 Amps at150 Valls or less to ground exceeds D Marinas and boat yards 14,000 Amps for all other D Floating buildings 0 Fire pumps D Commercial-use agricultural buildings D Emergency systems D Installation of a 150 KVA or D Addition of a new motor load larger seperately derived sys of 100 HP or more D "A", "E", or "1-2" or "1-3" D Six or more residential units in D Recreational Vehicle Parks one structure D Health care facilities o Supply VOltage for more than 600 supply volts nominal .,. ,FEE SCHEDULE " Description aly, Ea, I Total Mj~c9ilanQ'olJS ' , 0'." ,>,'J-, '<-' . " ., - Service reconnect only 1 $63,00 I $63.00 Electrical Permit Fees .,' . Subtotal $63,00 State surcharge (12% of permit $7.56 totall Technology fee (5% of permit total) $3,15 TOTAL PERMIT FEE $73.71 ~ .91~~ ~'Q' ~ K~ Q/ ~~.\O ~\ ~~~qJ \}\ Com'do/U /0 _/;;).~/O oCYf50 17m ,/ Inspections Phone: 541-726-3769 'This 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: COM20I0-00450 ISSUED: 04/12/2010 APPLIED: 04/12/2010 EXPIRES: 10/1212010 VALUE: 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 962 M ST ASSESSOR'S PARCEL NO.: 1703264306400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Raise !'iser Owner: WINSOR PAUL A Address: 2058 WISCONSIN ST EUGENE OR 97402 I CONTRACTOR-INFORMATION ~ Contractor Type Electrical Contractor DOUG PALMER ELECTRIC LLC License 181465 Expiration Date 04/14/20 I 0 Phone 541-434-5600 BUILDING INFORMA nON , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructi~n Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: ' R.i1\ge Type: . .' 'Energy Path', Sprinkled 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 ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/. Of ~?i~o~erage: Total: Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS. I . es "OU to fji'bY'[!\\krry\w:reqUlr , Utility ~iiENi\O ~tfd by the. o~e~~~et forth tollow r~\e ter."i'l\b'Jlf~" a 952-001- NotilicatlO~_~~~_001 0 through ~~~e rules bY In O~R ~5u may obtain COPI~~\18 telephone N~T1~:!=: v D~ RK ~90i\in~ t\18 center. t~~t~ii\it'{ _NotificatiOn A"Ul~HORIZE'D UNDER HlIS p_!~OT. . "f e center is 1-800- '~- ,_IOn DescrlptlOn_ COMMENCED OR IS ABANDO, D " ANY tiln nl1,y' D~RlnDt' $ Per'S'q Ft 'Square Footage escnotlon JI1'PC"'ol CotTst -'dc IOn . . . , or multIplier or BId Amount Value Date Calculated Street Improvements: Storm Sewer Available: Special Instruction: Page I 01'2 ~;~"" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00450 ISSUED: 04/12/2010 APPLIED: 04/1212010 EXPIRES: 10/12/2010 VALUE: '~:, l . ( <. ".'-.;-' l' '~.- .. Status Issued 1" 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project .Fees P.iWU Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Numher $7.56 $3.15 $63.00 4/12/10 4/12/10 4/12/10 3201000000000000141 3201000000000000141 3201000000000000141 Total Amount Paid $73.71 I., ,,' Plan Re:v.iews ~ 'j; ... 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 Reuuired Insoections I Electric Service: Approval required prior to utility conlpl111'Y energizing service. " I . I,. By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed 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 descrihed 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 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 is located at the front of ,the" property, and the approved set of plans will remain on the site at all times during construction. . .'>01," .-. ......', , . ;T! ~!: .....,' ;." .... ~'~',"h' '. ..;.r;, 'v'" " Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000141 Date: 04/12/2010 10:57:46AM Job/Journal Number COM20 1 0-00450 COM20 I 0-00450 COM20 1 0-00450 Payments: Type of Payment ONLINE CHGS cReceintl Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS , . ~~". '. ;.r., Amount que 63.00 7.56 3.15 $73.71 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM , ;:~:k ",'" ,'.\.,., :' r~ . :,~ ~!": Page 1 of 1 Amount Paid ONLINE DOUG Online PALMER Payment Total: $73.71 $73.71 4/[2/2010