HomeMy WebLinkAboutPermit Electrical 2009-3-27
City of Springtield
Electrical Authorization To Begin Work
E-mailedTo:ten.t@orelectricservice.com
Receipt # EC549104
'3/27/2009 4:48:39 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
I Description I Qly. . J Ea. I Total
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~:U~~~L~~!agc?\4~:~~~,'" }:i!f'~LJtti<j}?~'~ :.F~~~.;. ~;,;: \.::
11,000 sq. ft. or less [4]
I [[l, add! 500 sq. ft. or portion
I: ~irn~~~~_~
I-Limited energy, residential
(with above Sq, ft.)
I-Limited energy, rnultifmnily
residential (with above SQ. ft.)
- Limited energy, cummefcitd
(with above sq. ft,)
,Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I - Standcalone limited energy,
commercial
1;,~;.-p:Ii~~:9B!c{~:ifl:1NjliLi~i~?~;,~11i_~,~{~~Er;\8b?Q~':r~.~9ia"t~o!i!7:{~
1200 amps or less,[2]
1201 amps to 400 amps [2] I
1401 amps to 599 amps [2J J 1
[~~ff~@~~~:~~1~:~~}~:;i1:~::~~~1~~~~~:':;U~,~~f,X~t{~,~.;; ',"-; [
1 200 amps or less [2J I
1201 <imps to 400 amps [2J
1401 amp;sto ?99 amps [2]
Irg~jSh2:C!!JU!(~~h~~tr~I~c.ra~_i?Ji! g~~c~Fn-siOlil,per.Pltncl'-
I A. Fee for br.anCh circuits with
service or feeder fee. em:h
branch .:ircuit
I I B. Fee for branch circuits
1 withoulservice or feederfee,
nrstbranch mCllit [21
.11 each add] branch circuit
1
I
1
1
I
I
k
10 New construction
o Addition/alteration/rep]acement
10 I or 2 tllmily dwelling 0 Multi-family 0 Commercial/Industrial
1~~-.,,:2:;if"?':<r:[~:yti-_t;JOErSrfE<1 tlFORiiAfiON'~Ar:iD~l6CATIOtre:\'~~0~~~iFJ},;I~:"'C~1
"_..'.- ,. ., . ,/11_-:-... ..,'- . "A -'--..~;,,,,,"" ,_<...._.-,~~.,-. ..~__, "..cc..."""'''''--_ '.~.," ._;;.",~,., __",.!",,,, .,._," "..,_tt..~
IJobno.: IJobaddress: 2150 LAURAST I
I City/State/ZIP: SPRINGFIELD, OR 97477-2]86 I
!Suite/bldg.lnpt.no,: SPC 62 I
I Project name: I
Cross street/directions to job site:
I Subdivision:
1'liIX rnllp/parcclno.:
I Lot~no.:
1703271102100
Changeoul furnace & heat pump
'"
. ~',e. ""1
"-':t'-~li~:~
I
I
I
IName:
/Phone:
IEmail: .
JetTBrooks
IF""
(54 1 ) 520-6034
I EI,lic. 110.: C408 ICCB lie.
I BusilH'SS NallH': OREGON ELECTRIC SERVICE LLC
I Contact: lena Brooks
IAddress: PO BOX 2237
! City/St:ite/ZIP: EUGENE OR 97402
Il'honc: (54])3431681
Email: tenu@ore]ectricserviee.com
I Metro lic. no.:
I Supervising dl'ctricillll's Iic.no.: 1392S
I Supervising electrician's name: I'JERMAN 'OLLAR
no.: 181997
I FllX: (541)3431683
jCitylic, no.:
Upon review and approval by your local jurisdiction, your
permit will be e~mailed or faxed within one business day,
with instructions on how to schedule your inspection,
~~
'Q~
~S
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances,
0<\'\
0.../
\;
I
I
I
I
-I
I
I
I
not offered online at this jurisdiction
$55_00
16.00
155.001
16.001
! Serviee reconnect only [2]
I Each manufaclured or modular
dwell ing, savice and/or fet,;c!er
121
I Pump or irrigation circle [2J
I Sign or oUlline lighting (2J
I Signal circuit(s) or limited.
t:nergy panel, alteratlOn, or
extension [21
I ,)2 C"'70'~*;;"';;'ELECTRICj(i:-PE'RMI1'fEES:"
..j:..J"..,.~;")0,#,,,,,,,,,,,,,, .~~.-c ,_..,....." ~".-"'~ . --",'.- ".~'-..-"'~.
Subtotal
I Slate Surcharge (12% of permit fee)
I City Of Springlield l'ees *
I 'rOTAL P[R~IIT FEE
. City Of Springfield fees: 5% Technology Fee
fDefallll number of in spec lions alloll'ell)
c;b/h.:2ov9 - c:JO~/7
j'J;?L/ 8/30/ cJ l'
This Authorization To Begin Work mu~t be posted at the job site until replaced by a Permit.
161.00 I
1732 I
1305 I
171.371
Status
Iss u ed
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 62
ASSESSOR'S PARCEL NO.: 1703271004400
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00417
ISSUED: 03/27/2009
APPLIED: 03/27/2009
EXPIRES: 09/30/2009
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Replace HIP system
Owner:
Address:
ROBERTA MANSFIELD
2150 LAURA STREET
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
Phone Number: 541-747-6855
I CONTRACTOR IN~ORMATIONt
Contractor Type
Electrical
Mechanical
Contractor'
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2010
08/31120 I 0
Phone
541-343-1681-
541-683-2590
BUILDING INFORMA !1Or:' I
# or Units:
Primary Occupa~cy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Co'nstruction Type:
# or Bedrooms:
# of Stories: .
Height or Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sej Ft Garage/Carport.
Sq Ft Other:
Occupant Load: .
>
I DEVELOPMENT INFORMATION I
Tutal:
Handicapped:
ATTENTION: Oregon loS,om~r~12S you to
follow Ft:!es adopt,~d by ti,B Oregorl Utiiity
Notification Center. Those rules are 38t forth'
1" VKn '::::J...,c...V'JI-VV IV L111.....U~I' vr\l~ vvc...-vv 1-
IPUBLlC IMPROVEMENn;'I90. You may obtain copies of the rules by
callirsid~~aij{ri:Ype!.Note: the telephone
number for the 0, egon Utility Notification
DQ,~!1!PP ItlsiI1.r",InS:32 -2344).
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Disi:
. # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction: . .
Notes:
NOTICE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORiZED UI~DER THIS PERMIT IS NOT
. COMMENCED OR is ABANDONED FO'R
I~NY 180 DAY PEt,IOD. '
Pa2;e I of 3
. ,"".. "
REQUIRED PARKING
_S.~RIN91'1~!,tl,
I
,
-'I
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Iyaluation Descrintion I
Description
Tvpe of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
L."pp\PiW
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance I
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcliarge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$13.56
$5.65
$79.00
$17.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$203.58
Plan Reviews ,I
Date Paid
. 3/27/09
3/27/09
3/27/09
3/27/09
3/27/09
3/30/09
3/30/09
3/30/09
3/30/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00417
ISSUED: 03/2712009
APPLIED: 03/27/2009
EXPIRES: 09/30/2009
VALUE: .
Value
Date Calculated.
Receipt Number
2200900000000000308
2200900000000000308
2200900000000000308
2200900000000000308
2200900000000000308
3200900000000000195
3200900000000000195
3200900000000000195
3200900000000000195
To Request an inspection call the 24 hour recording at 726-3769. All inspeetions 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.
,~r.'\l&iw\ Iml'Ppril'~
Rough Mechanical: Prior to Cover
Final Mechauical: Wheu all mechanicarwork is complete.
Rough Electric: Prior 'to Cover
Final Electric: When all electrical work is complete.
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00417
ISSUED: . 03/2712009
APPLIED: 03/27/2009
EXPIRES: 09/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Spriuglield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be 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 reqoested at the proper time, that each address is readable from the
street, that ihe 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
Pa!!e 301'3
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Phone
..L;C!F.~~~.'..'
:0\ "
. .
iii: .
Job/Journal Number
COM2009-00417
COM2009-00417
COM2009-00417
COM2009-00417
Payments:
Type or Payment
ONLINE CHGS
cReceintl
RECE]PT #:
3200900000000000]95
Description
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/30/2009
Item Tot:ll:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page 1 of 1
ONLINE OREGON Online
ELECT
SERV
Payment Total:
7:25:35AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
. 3/30/2009