HomeMy WebLinkAboutPermit Electrical 2009-4-1
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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
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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.
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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
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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