HomeMy WebLinkAboutPermit Electrical 2009-4-13
Electrical Authorization To Begin Work
E~mailed To: tena@orelectricservice.com
Receipt # EC5500t7
4/13/20094:48:49 PM
~CJ,ft;
(A,/
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City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
I 0 NeW'Ollstruclion 0 Addition/altcmtionlreplacement
\~~~"!~c~~f~'G_~~Y~9Fi9~q~~i~1j~9Ii9}iJf f'~J:r~}1;i'f*'~~'~~~~tl
10 1 or 2 family dwelling 0 Multi-family 0 Commercial i lndustrilll I
11,000 sq. ft. or less [4J
I Ea. addl 500 sq. fl. or ponion
IJob no.: IJQbmJdrt>~.~: 5256 DA1SY ST
I Cit)'/Stllte/ZIP: SPRINGFIELD, OR 9747&-6781
1 Suitc/bldg.lllpt.no.:
\ Project' name:
I Subdivision:
I."" m"plpm,1 no.: 1702333404609
Changeout dectric furnace & heat pump
I Lot no.:
I I -, Limited energy, residential
I (wIth above SQ, ft,)
I-Limited energy, multifamily
I residenlial (with above sq, fU
I I-Limited energy, commercia-]
. (with above sa, fU
I - Stand-alone liillited energy,
residential
I - Staild-al6ne limited energy,
multi-family
- Stand-alone limited energy,
commercial
t~c~ic~{Q].'~~~e'rs,)J!~t!if~~ii?~t~~e,i~J~,,~!Ar'j~~q,~~~~1~~~I'ti1,~S{<~'~1
1200 amps or less (21 I I
1201 amps tn 400 amps [2] I I
[401 amps to 599 amps [2] I
l~tF;..~r~l~.~-., '~t.y.. ",,-e.Ri5~e~~O..R,-(~irs'!~.~t]lla!i.-R~;-
~~pig!t'rcloc~tiol)' "'1;;:t;~tb,,-"+r':;t~:!'!-:' <J:,
i 200 amps or less [2J
1201 amps to 400 amps [2] \
1401 amps to 599 amps [21 , I
1:B,r~p~~1CJt~f'-i~S?ri~~~:;Iii~.~~i!!'!;'S,~~t~p~_i;~!R~~~a~~'tf4~~:;::."- '~'i;
I A. Fcc for br.anch circuilswith
service or feeder fee, each
branch cirCUli .
I I' B., fee for branch circuits 11 $55_00 $5500 I
I w\lhout servIce or ["ceder fee,
nrst branch circuit 121
I I each addl branch ClrClllt II $600 $600 I
I ~1~~~~fOlls~~~.€.... !~::_~~\.i~~~s~j~.r~;!t: if{&/~;;'{Y':i"i/
lis 1.::-:r....i....I-'Ehr. .....,I1~v,llo.yy 'C'\.iUIIt:l!;) Uu lU
ervlceff,.;olW,e.~t~r.~..J2 ......l...._~_...J E' t~ ..
II ~;~~;I:;~r~~lre&t~~li~~t~ ~Th~~e', ~Ies are et forth
I 121 in OAR >l!';~-nn1-nr 1 n thrnlt"h n
I P"mp<t9lili@iiol(err'rrftJvob aincoo;, s of the JI,,~ hv
I Sigo n'n.,olilHiij~tic~!J']Cente'. (Note: the telephone'
I Sigoal ,i~liIl~lJ>t)ljJjljJfdtne u,.egon Ut lity Notififation
"'''gy panel. oltemO'Ilf?Cer is -800.33' '-2344)
extenSlOn [2] . T .
1~~~~~tl~~~~~'4T~I9w~~;~E~~I!J~!E~'t~~~"..~~.fil'
I State Surcharge (12% of permit fee)
I City Of Springfield fees '"
I TOTAL PEI{MIT FEE I
'" City or Springfield fees: 5% Technology Fee
fDefulIlr number ojinspeCfiotl.'i allowed)
not offered online atlhis jurisdiction
Cross street/directions to job site:
52nd Street
I Name: Jeff Brooks
I Phone: (541) 343-1681
/Email:
IF.."
Inlic.no.: C408 ICCBlic.llo.: 181997
I Business Name: OREGON ELECTRIC SERVICE LLC
I Contact: Tena.BruQ~
..~_.~
IAdd"''' IPl:l.s6X\22"_ _._ ~ 'll [YflIR~ n: TI-U= WORK
I ' ''',", V".l."<"'I<' ,Hn '" ,-.
eityIS,..teIZIl'='EUG'''"_CJ.R ~~4,~r Tille Dt:OMIT I~ NOT
I Phone: (54'!\i431'6a'tiILt:U l.i..'~U,,;:'l.,, ~~h~'tt!f\4~\I\~
I" . ." 111/1'\/11-:1\11 .1:-1/ \In Iv rUJA,w",j-.,jl'._-
Emall: tena@ureleclflcservlce.c2!ll._...........
!J\-'lctrolic.mf!Y lt5U UAY ic:nluiJ. [City lie, no.:
ISupen'ising c1ectricillll'slic. no.: 1392S
I Supervising elcctricilln's mime: I-IERM^N OLLAR
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within.one business day,
with instructions on how to schedule your Inspection.
NOTE' This AuthoTlzation To Begin Work expires within 180
days tf a permit is not obtamed. ~
The local bUlldmg department may determine that an
Authonzation To Begin Work IS null and void if tt does not ~" ~
~"W'<'" "..". ,_... ,.~ '.'M'_ ~~
~
I
J
$61.00
$732
$3.05
$71.37
Q q~ Llq3
vo
L\ -14'"D9
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
City of Springfi~.Id
Mechanical Authorization To Begin Work
[-mailed To;. associatedheating@gmail.com
Receipt # EC550016
4/13/20094:35:04 PM
Ch~ck on status of permi~
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
10 New construction
ru Addition/alteration/replacement
I Description
[K] 1 or 2 family dwelling
o Multi-family
o Accessory Building
I Furnace- up to 100,000 BTU
I Furnace - above] 00,000 BTU
I Electric Furnace
I Duel alterations and additions
I Gas hcaleriJnils/in-wall, in-
duct, suspended. clcl
I Vent, flue, finer fo~above
I Air Conditioner
II-kat Pump
I.Air Handli;r
$17.00
$17.00
1
$17001
$17.001
~..: f',,""<'5_: :<'F~ ,,;rJ;:~6B'SWEHN~ORMA:Tj6N'AND'i!bcATi6N-lll;~""'~4f_~4'!!1
E>', ,_ . )._ ''''", - '... e ~.^,,""'" '" . ,~.",,~="" ..." _,.c.'"_."'.....,..,_ _..' _. """"'--",',",,," _ '_wx=~",."'" .~,. .~~""._ 'I ~~ _.~
,Job no.: 3608A IJob address: 5256 DA}SY ST' I
I City/State/ZIP: SPRINGFIELD, OR 97478-6781 I
I Suite/bldg.lapt.no.: 1
Project name: I
Cross sln'ct/directions to job site:
i'il
IN"m" j;m'll!>l1VlfIr.s:. 1
I::::::: (54I:~:i:~;~~~~I;~~~r;~~~~~EI~~~~' . I
Wf",;;&?'&;"",".: b!w...~'.._ 'o""~~7~:'-'-: ,--' "'--~'---'" -;W<''='''P'~'- -, ."" iifi#~'&J~';!~ :'-'~I
1(~Y~~~~?ini\n1i~i€ED"eR:'f&!'f{~~m\llNF[)\:F0R,::,:~?",;:;,;:t1:uc;*""4"
ICCBlk.nO:.,\~W7tgC [},~Il:~_ I
I Business Nmm': ASSOCIATED HEATING & AIR CONDITION!
IContact: Brandy Forsman
IAddress: POBOX412
I City/State/ZIP: EUGENE, OR 97440
I Phone: (541 )6832590
i f:maif: associatedheating@gmail.com
I Metro lie. no.:
I Wat(;rhcater
I Gas fireplace/insert/stove'
I Gas logl log lighter
Gas.clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I' Wood/pcllNstovelinsert
I Wood fireplace I
~hjl11neY/linerlflue/vent WID I
~~p~a~ce" .,;-;-:':-'"~. :t, l:.'.~.' r~._nil '~r?,== YfPI_,l,t,O, "c., ..'
,~::!"p,~cl'_&.!.f~~'tiil\~~9{!'~I;RP;iW,,;hreaon'Utlllty ;;;;",1
I R"ngl~J1~:';E~~;~~:;'ntP-r Tho'se rules are SE; tortn I
I Clothesdfl)'i\r'~'\S?_on1_00' Othroug~ OAH 9b~-UU1- I
I smgIJ~!flA'h'll'.s,\\bm't\1Dt lin caple; aT me 11'1"" \"y I
totl" !),\iiil!/try1<!m!i ~~~'t'e t (Note: he telepll,one
...."') cal\Jno \ne en el, J.... tJ ."''', ^S'M
1.~,l~:~~.~~~~~I~~or th: ~~~Y~~:~o~~~~~.;)~::J~:-,~,' )
1;"~,U~,)~,lrt~~J\~l;i-t':l~t!yL~~~::J;',~ ~~')~.0kt ;;fl~i{:i$l'F~~;;~':"
I upto lIrs14 outlets(enter Qty=l) I
I each additIOnal ollllel
I I/fk:~, "~"lj[1f)~~:-r-, Z;MECt"IANicAL,PEFfhkf;ifEES~#~~~:~ :~: '?-'~ 1CI
11.~__\ii ,,~,--~-,'~<, J'--~", -"~'.,.~~,L-.,. SlJ-~~~;j" '-~""~ . '$3~~U'OJ
II CilyOfSpringileld First Applianct' ft'e $79.00 I
I State Surcharge (12% of per mil fee) $13.561
Cny OfSprmgficld fees + $5,65 I
I TOTAL.. PERI\-HT FEE $132.21 I
* City Of Springfield fees; 5% Technology Fee
I Subdh'ision:
I Tax map/pareclllo,:
lL..ot no.:
1702333404609
Instiilll-1/P system
I Fax: (541 )6070287
I City lie. 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.
C-ct-L\q3>
~
L.\'~\y--DC]
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
m,eet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
225 Fifth Street, Spriuglield, OR
541-726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5256 DAISY ST
ASSESSOR'S PARCEL NO.: 1702333404609
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00493.
ISSUED: 04/14/2009
APPLIED: 04/1412009
EXPIRES: 10/14/2009
VALUE:
Springlield TYPE OF WORK: Heating.System
PROJECT DESCRIPTION: Installing heat pump and air handler
Owncr: STANARD JAMES R & MARILYN R
Address: 5256 DAISY ST
SPRINGFIELD OR 97478
Owner: STANARD JAMES R & MARILYN R
. Address: 5256 DAISY ST
SPRINGFIELD OR 97478
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2010
08/31/2010
Phone
541-343-1681
541-683-2590
BUILDING I~,FORMA TION I
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type: .
Range Type:
Euergy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVEL?P~ENT INFORMATION I
Front yard Setback:
Side I Setback:
Sidc 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. .""~'''f'
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
NOTICE: . ATTEN""''''''',r...
Stre~tHrsPWR~WSHALL EXPIRE IF THE WORK follow n:;~;~dl;~t~a~h~eg~ires you. to
Stor~U'mvml)!il~al~DER THIS PERMIT IS NOT ~otificatiY.'1~!!~lmr.t;mIi~~%es ~~~~e~~'~~ih
Spelltj~'v~M'C~~em:; OR IS ABANDONED FOR In OAR 952-001-0010 through OAR 952-001-
ANY 180 DAY PERIOD 0090.. You may obtain copies of the rules by
Notes:' calling the center. (Note: the teiephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Paee I of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00493
ISSUED: 04/14/2009
APPLIED: 04/14/2009
EXPIRES: 10/14/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Desc~i()tion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date C.lculated
Total Value of Project
L-Fpp, PqirIJ
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcbarge $7.32 4/14/09 2200900000000000374
+ 12% State Surcharge $13.56 4/14/09 2200900000000000373
+ 5% Technology Fee $3.05 4/14/09 2200900000000000374
+ 5% Technology Fee $5.65 4/14/09 2200900000000000373
1st Appliance $79.00 4/14/09 2200900000000000373
Add, Alter, Extend Circ $55.00 4/14/09 2200900000000000374
Add, Alter, Extend Circ Ea Add $6.00 4/14/09 2200900000000000374
Air Handling Unit Up to 10,000 $17.00 4/14/09 2200900000000000373
Heat Pump $17.00 4/14/09 2200900000000000373
Total Amount Paid $203.58
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.
IR~~
Rough Mech,;nic,": Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa~e 2 of 3
Status
Issued
CITY OF SPRINCFIELD
Building/Combination Permit
PERMIT NO: COM2009-00493
ISSUED: 04/14/2009
APPLIED: 04/14/2009
EXPIRES: 10/14/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefully examined the completed lIpplication and do hereby certify that all
information hereon is true and correct, and] further certify that any and all work performed shaJI be dOlle in accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO occur ANCY will be made of any structure withont permission of the Community Services Division, Bnilding Safety.
1 further certify that only contrllctors 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 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
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~
Job/Journal Number
COM2009-00493
COM2009-00493
COM2009-00493
COM2009-00493
Payments:
TYI}C of Payment
ONliNE GIGS
cReceintl
RECEIPT #:
2200900000000000374
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technoiogy Fee
+ 12% State Surcharge
I'aid By
ONliNE PERMIT CHGS
Received By
KR
Check Number
Batch Number
ONLINE
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/14/2009
Item Total:
Authorization
,~ Ilow Received
OR Eiec!. \ Online
Service
Payment Total:
8:41:03AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
411 4/2009
225 Fifth Street
SpriIigfield, Oregon 97477
541-726-3759 Phone
~~
City of Springfield Official Receipt
Development Scrvices Department
Public Works Department
.Job/Journal Number
COM2009-00493
COM2009-00493
COM2009-00493
COM2009-00493
COM2009-00493
Payments:
Type of Payment
ONLINE CHGS
cReccioll
RECEIPT #:
2200900000000000373
Date: 04/14/2009
Description
I 5t Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number /ftUmb8~ How Received
KR ONLlNEK A550ciated-, Online
~atin& 8:
. \ Air
Payment Total:
Page i of I
8:38:52AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.2 i
$132.21
4114/2009