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HomeMy WebLinkAboutPermit Electrical 2009-4-1 ~'iJ~ 0{ G City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com Receipt # EC549299 4/1/20098:23:41 AM Check .011 status of permit By Phone: (541)726-3753 or Email: permitcenter@Ci.springlield.or.us 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 \ ~y r4.~,. meet applicable land use laws and local ordinances. \.:::f:J \J k~~ ~~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit I D New constnlction !2U Addition/alteration/replacemem I ~ ] or 2 family dwelling 0 Multi.family 0 Commercial I Industrial I;~';';~(-:- ~~:t::;;';~< ,~'::;~O,'B' SI!EWF;,QtL~~jI9'~f~~Jj~h'9E~tI2~~~~~~ IJoh 110.: IJobaddress: 304 23RD _S'!' I.City/Stale/ZIP; SPRINGFIELD; OR 97477-5109 I Suite/bldg./apt.no.: 1 Project name: Cross slreel/direl'lions to job site: Subdivision: I'lilx map/pareelllo.: 1703361405800 1 Lolno.: Changeout he,ll pump, wire new gas fUTl'1ace, \\'ire new Rinnai \vater heater , I Name: Jell Brooks IPhone: (541) 343-1681 IEmail: IFa" "" I EI. lie, 110.: C408 ICCB lie. no,; ]81997 I Business Name: OREGON ELpCnUC SERVICE LLC 1 Contact: Tell:! Brooks !Address: PO BOX 2237 I'City/Stale/ZIP: EUGENE OJ{ 97402 Il'holle: (541)3431681 IFax: (541)3431683 I Email: ten:J@orekctricsl'rvict':com I Metrolic. no,: I City lie,IIO.: I Supervising elcctrician's lie. no.; 1392S Supervising electrician's name: HERMAN OLLAR Upon review and approval by your local jurisdiction, your permit will be e~mailed or faxed within one business day, with instructions on ho~ to schedule your inspection. ~L/~: I 1 I I 1 ...1 I I Description Qty. Ea. Tolal I' ResidcnHllr'SiNGt;E~'OR"nYulti;;fanlil);dwl'ili~g un~t!"fiiclui:lcs" .', ,:.ah~f~~~,:gal~g~~~:~~:,~~7~ >:;f5\:.~';,'~'-";f~:.+tr{f;~, ~''''J jl,000sq:.n.orless[4] I Ea. addl 500 sq, ft. or portion :{ I I - Limited energy, residential ,I (with. a~ove Sq. f1.) I - Ll1TIlled energy, multifamily I residential (with above sq. ft.) I I-Limited energy; commercial (with above Sq. ft.) I - Standcalone limited energy, residential I - Stand~alone limited energy, multi-family I - Stand:alonelirnited energy, commercial li~~~1,[~~7>.'Wf~~~~~1!!t~!~li.tiI~~arie~!j~i~~,!?Zq'If;e!ifgit~_r;~:;,~' i 200 amps or less [2] 120 I amps to 400 alTIpS [2J .1,401 amps to 599 amps [2] not offered online at this jurisdiction ,..', 1200 amps or kss [2] 120] amps to 400 amps [2] 1401 amps to 599 amps [2] 1~~~~~S~~:~(tc~i~~~~).v;ii~ta~}onF9.R,~,~ie~ii~~Tper .p~~eJ' ~~,-- I A. Fee for branch circuits with service or feeder fee, each branch circuit I I B. Fee' for bmnch circuits I without service or feeder fee, first branch circuit f21 1 1 each add! branch circuit I I 1 I I 1 I $55.00 $55.00 $12.001 I 1 I I 2 $6.00 I Service reconnect only [2J l'Each manufactured or modular dwelling; servlceand/or reedel 121 ' 1 PUI11p or,irrigation circle [2] 1 Sign or ci'utlinc,lighling [2] I Signal circuit(s) or limited- energy panel, alteration,or extension (2) I~::_:j: ,':~-:~,~_:'};~~.:~,E,~~'CT~-IC~~'~,ERMlli:F~~E:~~~.~'. I Subtotal I State Surcharge (12% of permit fee) I CitY or Springfield fees +. I TOTAL PERMIT FEE. *' City Of Springfield fees: 5% Technology Fee [Dejaull number ojinspections allowed} Com2fj?)9 ~ O0L/:5-r" ',,' . $67.00 I $8.04 I $335 I $78391 y- ()/-oJ /lJ~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00434 ISSUED: 04/01/2009 APPLIED: 04/01/2009 EXPIRES: 10/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 54l-726-37691nspection Line SITE ADDRESS: 304 23RD ST ASSESSOR'S PARCEL NO.: 1703361405800 Springfield TYPE OF WORK: Heating System TYPE OF USE: Residential PROJECT DESCRIPTION: Change out heat pump, wire new gas Owner: SINCLAIR SHARON L Address: 304 23RD ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 5~1-343-1681 BUILDING. INFORMATION I # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: 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 INFORMA nON , Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: . REQUIRED PARKING Total: Handicapped: Compact: ._u. ~.....,...,,jr(:l.C;: \lOU to Description NonCE: THIS PERMIT SHAll !'lIPIRI: II: TUI: IMrIDV '.!! I HORIZED UNDER THiel i:':J1M'I.'S 1ILnr .. I !iVIf'1ENCED OR IS ABAWV~lu~ 1~~'IYe'scnotlOn '\' "'....J rl !I',' ...;.. - -.......... ......,. , . "<( PtRIOD. $ Per Sq Ft Square Footage Type of ConstructIOn I . I. B.d A or mu tip lef or I mount I PUBLIC IMPROVEMENTS II\TTEI'II IU",..d' Vt~d .bY the 01 egon Utility , . ollow rule!'" ,00 ~Th oe lules are set fOlth Notill(Si(jewfIl{l'i'~~eO t~;'OUgh OAR 952-00i- in OAR 952-00i-uv1 . __ les olthe rules by 0090 Downspouts/DralOs:P I hone . \U",' -, t (Note. the te ep calling the cen~r. on Utility Notilication number for the 'ie8g00_332-2344). Center IS - Street Improvements: Storm Sewer Available: Special Instruction: Notes: Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00434 ISSUED: 04/01/2009 APPLIED: 04/01/2009. EXPIRES: 10/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fe~s Pa~d I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Cire Add, Alter, Extend Circ Ea Add Amonnt Paid Date Paid Receipt Number $8.04 $3.35 $55.00 $12;00 4/1/09 4/1/09 4/1/09 4/1/09 3200990000000000206 3200900000000000206 3200900000000000206 3200900000000000206 Total Amount Paid $78.39 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, inspections requested after 7:00 a.m. will be made the following work day. Reouirerllnsllections I Illtf, ,r Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefnlly 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 ill accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the 'York described herein, and. that NO OCCUPANCY will be made of any strncture without permission ofthe.Community Services Division, Bnilding 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 pCI'mit card is located at the front of the property, and the approved set of plans will remain on the site .It all times during construction. 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 Serviccs Dcpartment Public Works Department Job/Journal Number COM2009-00434 COM2009-00434 COM2009-00434 COM2009-00434 Payments: Type of Payment ONLINE CHGS cRcccint] RECEIPT #: 3200900000000000206 Date: 04/0112009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% Statc Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number. Number How Received NJM ONLINE OREGON Online ELECT SERV Payment Total: Page I of I 8:43;34AM Amount Due 55.00 12.00 3.35 8.04 $78.39 Amount Paid $78.39 $78.39 411 /2009