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