HomeMy WebLinkAboutPermit Electrical 2009-4-24
City of Springficld
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C
Electrical Anthorization To Begin Work
E-mailedTo:tena@orelectricservice.com
Receipt # EC550505
4/24/20099:00:52 AM
Check on status of permit
By Phone: (541)726-3753 or Em.ii: permitcenter@ci.springfield.or.us
o New construction
[X] Addition/al~eration!rep]acemcnt
0'~'alTIilY
[j"'~ial J Industrial
family dwelling
IJobno.: IJobaddress: 1810 15TH$T
I City/State/ZIP: SPRINGFIELD, OR 97477~2642
I Suite/bfdg.lapt.no.:
I Project name:
Cross street/directions to job site:
ISubdi\'isioll:
ITax map/parcelllo.: 1703252302401
!Lo( no.:
I Wire 2 Ale units & outside n:ceptacl.c
I Name: JeO" Brooks
I Phone: (541) 343-1681
I Email:
I Fax:
I n lie. no.: C408 I CCB lie. no.: 181997
I Busim'ss Nllme: OREGON ELECTRIC SERVICE LLC
I Contuct: Tena Brooks
IAdd'"'' 1'0 ~1i1'lJj11r.1='
ICitY/S""'/ZIITlq~Ijl>1t~~~I't'~'-f'l'l"'~ ~ _ _ .___ ,
I Phone: (541)3AH'18!4nQr:~r 0N-iJ~n rrtt3t.l~4'fI~ VVUNI\
IE,m,;" te""'""'"'lec'I';~. 1~F'l'l' r: Ivlll 1<> I~Ut
q":,.o ..='" "-Et: nn I" ^J',':f.W..,:,;--
!1\-1etrvJk. DO., i --. - ..... ~ nttH.Y'lt'c~J:U rUM
jSupervising c1cddcillll'S lie. no.: 1392 J~.
I 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?" how to.schedule your_,inspection.
NOTE: This Authorization To Begin Work expires within 180 t\/
days if a pennit is not obtained. ~^ ~
The local building department may determine that an ~~ ~
Authorization To Begin Work is null and void if It does not 'h,,~\y. 0'"
meet applicable land use laws and lo~nances. ~ l.b~
~~~~~ ~ ~
! I,OOOsq,ft,orless[4]
I En. addl 500 sq, ft. or portion
I -.Limited energy, residenlilll
(With above Sq. ft.) _ .
I-Limited energy, multifamily
, residential (with above Sq, ru
I . - Limited energy, commercial nOI offered online allhis jurisdiction
(witl1 above SQ. fl.)
I . StaJidcalonc limited energy,
r~sidenlial
I - Stand-alone limited energy,
multi-familY
I - Srand~al~ne limited elierg};,
commt.'rcia!
1[~~'51~:Q~'f~Jj!~~:!lii~Jl~ii.~-~!,alte!II~o*f~~lP~~r~~~\Hf?'n;r~~~
1200 amps or less [2] I
1201 amps to 400 amps l2]
1401 amps to 599 amps [2]
1200 amps or kss [2]
1201 amps tl.) 400 amps [2]
1401 amps 10 599 amps [2]
1:~Ij,fuj;f,h~c~~til:i,~K\Y~:J!Ir!11i?,~i;O~,~~~sio~~~l~~~;~;:~~,~tf~/
I A. Fee for branch circuits with
service or feeder fee, each
br(jJ:c){\dfiIJhNTI9~: Orpt;r n I~\M ror Iljr0~ Vat-ta
I B.. 1.{8(9DI)(m/'!J f,,,goll1' optec' by th t I <5500 'I' $55.00
WJtt\9~1I1~ervlce or feeder'lee, e regoll U Ilty
Iirs['er~l1lh(~iH:t\iW2l,;enter. T lose rulE s are SRt ~()rth
I eacli~~d~'j,h1n~ii'ii,J,\:ll-001O through>' )AR @€!QJl)015'2.001
IT~ii~~na'ilNiIU?lf!~.!Y,~X!9!2,tplln~~q@t~SjotJbe;rules~b~yW~"'!o;t;1
-'""Y'':::"''''I:_"",-"_...l.r_''-''_A,.-."""-dif?"",,,~7,''fl..-,--;'''L .,-:>'\4.. C'.-_k~ ",' .,. ...:;J-,tE'0
Servj~~~~~on(*cY~IjI~~i1)'~;~ J _,~~~;.,l,~I~! .(.el~p'nOle I
Eaeh nUinutactijreo or-J'riodular....l;: ....., '-'way l\H.JlllH.iC1.1 iUn I
dwelling. servl&':li\1di&rrc-\lii,l.-8 )0-332-2l44).
[21-,
I Pump or'irrigation circle [2] I
I Sign or outline lighting [2] r r
I -Signal circuit(s) or-limited- I I
energy panel, allcration,or
extension [21 .
$67.00 I
$s.041
$3.35
$78.39 I
1 Subtotal
I Stale Surcharge (12% ofpermjt fee)
I Cil)' Of Springfield fees *
I TOTAL PER"...T FEE,
* City OrSpringlield fees: 5% Technology Fee
fDeflllll! /lumber uJinspeClions aI/owed]
C'1-Sy.2.. ~
Lf }2..LfI D9
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00542
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/23/2009
10/24/2009
SITE ADDRESS: 1810 15TH ST
ASSESSOR'S PARCEL NO.: 1703252302401
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
. Commercial
PROJECT DESCRIPTION: Install 2 AC units for Metco oftices
Owner:
Address:
RONALD D & LINDA G PERKINS REV TRUS
40995 DEERHORN RD
SPRINGFIELD OR 97478
, CONTRACTOR 1NFORMA nON I
Contractor Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC SERVICE 181997
ANDY'S HEATING AND AIR COND1T10N1N 164497
BUILDING 1r-:FORMATlON I
Expiration Date
05/09/2010
07/11/2009
Phone
541-343-1681
541-461-1282
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
NOTICE: Sprinkled Building: n/a Occupant Load:
r~iH6~~~~~ ~~~JE~ ~~iij~~FORMATI~~~4NTION: OregOj{Em;lf{II,~~ING
COMMENCED OR IS ABANDONED FOR follow rules adopted by the Oregon Utility
Front yard Setbac~:NY 180 DAY PERIOD. Overlay Dist: Notification Center. TJi~:rules are set forth
Side 1 Setback: # Street Trees Rqd: in OAR 952-001-001 Olill/:lutifjl:PDM 952-001-
Side 2 Setback: Paved Drive Rqd: 0090. You may obtaiiCoDJIiactof the rules by
Rearyard Setback: % of Lot Coverage: calling the center. (Note: the telephone
Solar Setbacks: number for the Oregon Utility Notification
rAntor ie 1_Qflr'L~~,)-')'=IIIA\
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB.
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2e 1 uf 3
_<i'ij~~~"FlI~"z:>,'
I,
"
I
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00542
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/23/2009
10/24/2009
I Valuation Descrintion'
Description
Tvpe of Construction
$ Per Sq ft
or multiplier
Square footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F'i.e~ P.ai,d I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$8.04
$3.35
$55.00
$12.00
4/24/09
4/24/09
4/24/09
4/24/09
2200900000000000432
2200900000000000432
2200900000000000432
2200900000000000432
Total Amount Paid
$78.39
I Plan Reviews "I
SUB Review
04/23/2009
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 Reonin,,1 Insoections I
Rough Mecbanical: Prior to Cover
final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e20f3
Status Pending
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00542
ISSUED:
APPLIED:
EXPIRES:
VALUE:
. . 04/23/2009
10/24/2009
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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
t~at NO OCCUPANCY will be made Many structure without permission ofthe Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.00~ will be used on this project.
1 further agree to ensure that all required inspections are reque~ted 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
Paee 3 of 3
Date
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00542
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/2312009
10/24/2009
SITE ADDRESS: 1810 15TH ST
ASSESSOR'S PARCEL NO.: 1703252302401
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install 2 AC uni.ts for Metco oflices
Owner: RONALD D & LINDA G PERKINS REV TRUS
Address: 40995 DEERHORN RD
SPRINGFIELD OR 97478
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
OREGON ELECTRIC SERVICE 181997
ANDY'S HEATING AND AIR CONDITlON1N 164497
BUILDING INFORMATION.'
Expiration Date
05/0912010
07/11/2009
Phone
541-343-1681
54 I -461-1282
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height 0(' Structure
Type 0(' 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 INFORMATION I
Front yard Sethack:
Side 1 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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstruclion:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I 01'3
_~~AIf!lAijl!!!-'A'
;~
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multipliei"
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$8.04
$3.35
$55.00
$12.00
4/24/09
4/24/09
4/24/09
4/24/09
Total Amount Paid
$78.39
Pli'n Reviews ~
SUB Review
04/23/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00542
ISSUED:
APPLIED:
EXPJRES:
VALUE:
04/23/2009
J 0/24/2009
Value
Date Calculated
Receipt Number
2200900000000000432
2200900000000000432
2200900000000000432
2200900000000000432
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 Reo!lirerl Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 01'3
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00S42
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/23/2009
10/24/2009
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 Springtield 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.
1 further certify that only contractors and employees who are in compli,mce with ORS 701.005 will.be used on this project.
!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
Page 3 of 3
Date
225 Fifth Street
Springfield,Oregon97477
54.1-726-3759 Phone
Job/Journal Number
COM2009-00542
COM2009-00542
COM2009-00542
COM2009-00542
Payments:
Type of Payment
ONLINE CHGS
cReceintJ
RECEIPT #:
2200900000000000432
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 1-2% State Surcharge
City of Springfield Official Reccipt
Development Services Department
Public Works Dcpartment
Date: 04/24/2009
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
ONLINE OR Electric Online
Service
Payment Total:
10:33:58AM
Amount Due
55.00
12.00
3.35
8.04
$78.39
Amount Paid
$78.39
$78.39
4/24/2009 .