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HomeMy WebLinkAboutPermit Electrical 2009-3-20 .I , . City of Springfield Electrical Authorization To Begin Work E,..mailed To: tena@orelectricservice.com Receipt # EC548663 ~? 3/20/20093:01 :57 PM i\)} o Ch~ck on status of permit . By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 10 New construction IKJ Addition/alterationlreplacem:nt !XII or 2.family d~elling o Commercial I ]ndustri~l DMulti-ramily I.JOb no.: IJob address: 1385 OKSANNA ST ICily/State/ZIP: SPRINGFIELD, OR 97477-3541 I Suite/bldg.lapt.no.: Il'rojcctname: Cross street/directiolls to job site: Aspen I Subdh'isi~n: !Tax map/parcel no.: '[70334220]900 ILot no.: Replace disconnet for heat pump :;> I Name: JeO' Brooks I Phone: (541) 343-J68) I Fa" lEI. lie. no.: C408 ICCBlic. no.: 181997 I Business Name: OREGON ELECTRIC SERVICE LLC IConta't' Tena llm~k\OTICE: IAdd"'" PO BOX 22?'liS PERMIT SHALL EXPIRE lETHE WUKK Ic;ty/State/ZIP, EUGENt!t;l1\f~E@D UNDER-THI~ f't:KIVIIT IS NU I I Phon" (541)3431681 'PM~NCED OR l[faAB.PirI,\9€lNliD FOR I Email: leria@or~Iectricsc~vic~:coln}/\Y PERIOD. I Metro lie, no.: ICity lie. no.: I Supervising elcctrici~n's lie. no.: 1.J92S I Supervising electrician's name: IJERMAN OLLAR Upon review and approval by your local jurisdi~tion, your permit will be a-mailed or faxed within one business day, \ ",'t ./ With instructions on how to schedule your inspection. w, ~~y:Ei; :h~:~~:~~~:t~~~a~~e~e9in Work exp"es wdhln 180 D...F(}I..}S\ The local building department may determine that an 0 ~~ Authorization.To Begin Work is null and void if it does not '\ \ .. meet applicable land use laws and local ordinances. ,() \, J Description 'Qty. . Ea. Total 11,000 sq. ft, or less [4] I Ea. addl 500 sq. ft. or portion I-Limited energy, residential (with above Sq, ft.) I-Limited energy, multifamily rcsidcn\ii"ll (with above sa. ft.) I . Limited en erg)', commercia'J nOI oirered online at this jurisdiction (\\;ith'ubove SQ, ft.) I' - Stand-alone Jirnfted'energy, residential 1 - Stand-alone limited energy, multi-famllv I -,Stand-ill one limited energy, commercial 1;$$~I~~s,fg~~tt1~tJ!~~~sl~1tt~&li1i!!rt~t\~:~!~~~~QB:i~~~!io~,~,~fil 1200 amps or less [2]' 120 I amps to 400 amps [2] I 40 I amps to 599 amps [2] 1':TEMPO-RAR,'YServl."ccSTOR... "feede.'r.;.".insiall:itio.~ii;,a.~ltcrut, ioIi;',;.J"';, ":"~l..'/ ~1~t.>JO~i~efo~ltio~:+~~~~~~ki~t~L~.~t,~~:~r:",c~~~:'t~~;'fJ!5,': 1200 ainps or less [2] 1 I 120 I <imps to 400 amps [2] ::~~i;:~~j~.~~~~~iS~~}ftfi~A~l'~OR~lte,,;joh,fP:Cfh~"~,)t ~"4.1 lA, Fee for br,anCh circuits with I service or-feeder fee, each branch'circlIll I' S, Fee for branch circuits . $55.00 $55,00 I without service or feeder fee, first branch circuit r21 i ,"ch ad~\i,f'irfl'\"'I' nroA("\J:'-'~.\'1 X' ~()IJ.irJ's ,If )1) Ir,- I I IfFJ.i@J\i\I~;ii:;liM;'ad'6'6Mt:l1B\f~fll'i!\0Hk.i6r\40timv~~;"i: I I Servi<ft<l~tif>ill'<!ti@1! lGIlnter. Those r1es are SI ,t forth _ I I Eoch jvl>'@IAA~31!4li@q"'!lO' 0 lhroug UAH!,Jb <-UU1- I f;;ell\5M~''1'ffif\'hf1~5bt 1in.copie o/the r~ les by I I Pllmp or\t~UiW (.~R'ffi r,rllltn \1...Ulti., llti lcl~t:"lrv,:C" I S. 1,"uf"I."~I,,, :+ie-9tp;,I':''-' :.J:,[ ty ~JJ-:;j;; ~tlofl I Ign orou1THli:ilglJ.4,11 n~-:...~ ~I SQr) ~3f') 0-:11111) I Signal clfcuit(s) or I: r IS 'I ...... - -- , , -. I energy panel, alteration, or . extension [2) " ly~~.:;,~::1;-::.~"~'ELE.qI~jq'~~,:~,~R~I.f~f~E~,~~?r!%rf,tC~, .'~,- ?~*: _:~" ' I Subtotal I $55.00 I I Minirmlm fee used instead of Subtotal $58.00 I I State Surcharge (12% ofperrnit fee) I $6.96 I I Citv Of Springfield fees * I $2.90 I l TOTAL PERMIT HE $67.86 I * City Of Springfield fees: 5% Technology Fee [Dejal/II number a/inspections allowed} \ I eo; -613 ~ ~ '2r~\ 0'1 This Authoriz~tion To Begin Work must be posted at the job site until replaced by a Permit. _4lii1\l1ItN,QIOIIU.D. I . ' CITY OF SPRINGFIELD " Sta tus Issued Building/Combination Fermit PERMIT NO: COM2009-00373 ISSUED: 03/24/2009 APPLIED: 03/2012009 EXPIRES: 09/2412009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1385 OKSANNA ST ASSESSOR'S PARCEL NO.: 1703342201900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace disconnect for heat pump Owner: HOLLOTER GENE C & VIRGINIA Address: 13850KSANNA SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 541-343-168] BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range 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 INFORMATlO~ I NOTICE: REQUIRED PARKING FrotTt!)l~'Vd~"ijMfF-:SHALL EXPIRE IF THE WORKOverlay Dist: Total: Side1.t~~~l:!AAh:ED UNDER THIS PERM ' # Street Trees Rqd: Handicapped: Sid'\,'2j;'.~m~?reW 0 IT IS NOT Paved Drive Rqd: ATTENTION: Oregon law r€1qnjpll1:t;:ou.'o Reapi1'fd;~l'Ib~~~ R IS ABANDONED FOR % of Lot Coveragefollow rules adopted by the Oregon UtIlIty Solar" Setba&!-!A PERIOD. .' Notification Center. Those rules are set forth . _...... ........" ",..,.. ""i"'\~ /'"\ ""k~....,,....h riAQ a~I)-"'()1_ I PUBLIC IMPROVEME&m.S"::1 'Yo-u-~~y ~btain copies of the rules by . dHllng thl? centAr. (Note: the telephone number jg!d,~nla~l~!!~:Utility Notification C DlMiI~pti'ui's?fi r'i"fu's~344). .. . Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriqtion .1 DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Fermit PERMIT NO: COM2009-00373 ISSUED: 03/24/2009 APPLIED: 03/20/2009 EXPIRES: 09/24/2009 VALUE: " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project c . Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Numher $6.96 $2.90 $58,00 3/24/09 3/24/09 3/24/09 1200900000000000207 1200900000000000207 1200900000000000207 Total Amount Paid $67.86 I Plan Reviews I 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. Reltllire~1 nsnections I Rough Electric: Prior to Cover Final Electric: When 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 be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described 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. 1 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. Owner or Contractors Signature Date Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 54 J'- 726-3759 Phone Job/Journal Number COM2009-00373 COM2009-00373 COM2009-00373 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000000207 City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/24/2009 . Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE OR Electric Online Service Payment Total; 8:46:30AM Amount Due 58.00 2.90 6.96 $67.86 Amount P"id $67.86 $67.86 3/24/2009