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HomeMy WebLinkAboutPermit Electrical 2009-4-27 t.}yfJ 0..1 V City of Springfield Electrical Authorizajion To Begin Work Receipt # EC550672 4/27/20093:57:47 PM E~mailed To: tena@orelectricservice.com Check on status of permit By Phone: (54] )726-3753 or Email: permitcenter@ci.springtield.or.us o New construction o Addition/alteration/replacement I w 1 or 2 rami.ly dwelling I~ IJob 110.: IJob address: 1160 F ST ICily/Stille/ZIP: SPRINGFIELD, OR 97477.4153 I Suitc/bldg.l:1pt.no.: [Project name: o Multi-family D Commercial I Industrial Cross street/directions to job site: I Subdivision: jTax map/pan.:e1 no.: ] Lotllo.: 1703351] 05600 Instllll ductless heal pump I i'Illlml': 1~1T Brooks I Phone: (541) 343-1681 I Emllil: I Fa" lEI. lic. nO.: C408 !CCBlk.no.: 181997 I Business Name: oIfJ1@'t:l1:~nuc SERVICE LLC ICon',,": Ten" BrooljiHIS PFRMIT ~WA.~~ ~~{PIRE IF T~E WORI~ [Add"'s 1'0 BOXr\!JTHORI7FD U~I':l!:~ THI~ PERMIT IS NOr I c;'y/SI,,'e/ZIP: EUp.rrnrJ1~!f::: ~Q ~ MJJ'.ND8NE::l r:m IPhone: (5411343161j:\~IY ~ ER '~, (541)3431683 I Em:lil: l~na@orelectricservicc,com I ,'\letro lie. 00.: I City lie, no.: ISupervisillg elt'Clrician's lie. no.: ]392S I Supervising electrician's name: HERMAN 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 Authorization To Begin Work expires within 180 days if a permit is not obtained, -"I "'.J'.....i<,"'~J I Desl'riplion Qty, 11,OOOsq,ft.or1ess[4] I Ea. add! 500 sq. n. or portion I-Limited energy. residential (WIth above Sq, [1.) I - Liinited energy, multifamily residential (with [!bove sq. ft,) , ,- Limited energy, commercial not oflered online at this jurisdiction (with above Sq. fU I - Stand-alone limited enerh,)', residential I - Stand:alone limited energy, multi-Iamllv - Stalid-~lol1c limited energy, I I commerCial i~i~lr!1)2'~;;f~5'~t!~sl~If~~~~tei~!.!}~~'f1!{:2{~~l~~~~a!~oitfi\:'~.~ 1200 amps or less [2] [ I 1201 amps 10 400 amps [2] I 140 I amps to 599 ampS [2J I I IhIE.~~()~~}{Y'~~~iC?S,',O,,, ~J~~~is,' ,J.~it~n~tio~,:~~!t~,r4!i~f1;',~:', ,-~ :~,::'0;,1 ;~~P((~R:,r~loc<!ti.<!~,~~._;t.,-~~~',T ;'r~".:i~;:",7':...~~'~;.:_,>, ,~'"",'~.~;' ", ~ 1200 amps or less [2J [, I 1201 (Imps to 400 amps (2J ,- I 1401 ampsln 599 amps[2j 1 1 li!lj:~~~f~}8;!{~tt~Jt~W,'a~~e~~~~Q1g?!feit~]slo-({pei."plne!2_t~~~V' t l: I A. Fee for branch circuits with I I I ser.:ice or f~de,,"r~e earb ' branch ,ire"ll 1 t:1~ 1 N: 01 egon lall requires you to I B, Fee formnClVeiwuilP.S aQ~'JleQ oy jl1e \.$55130111 U!$5f60 wilhouls'"j'.;r9c&'f!srr~ent r, Those, rules are set forth firstbrancbclrcult~2]""'!1 0.'1"" ("\""_1) .l.l..__. ~L. r\".n <"~.,, ,.v,~ I ~''''''I\II'''''''''''V''''' ....,......"..... ~....."'''. ........- ~ 1...~~I~~".aldl~L.~~~~:~,',!~~~:'.;'J?;;::1?:~3;:;;~E,:~e;JL~h,:.,:lj0~~~~. f,:!,,:~s~;c~J~f1,~i'IliRn"';t6R~r.-p.ntp.i1:~;-a\Jole::tbe:;te;le~&fhp.? I Smice recP1l!lml9~Y I~], the breqon Utilitv Not fication [Each manufactured orQY.9~H!err h 1-800-3j;2-2344) dwellmg, service and/or feeder [21 I Pump or irrigation circle [2] I Sign or outline lighting [2] I Sign~1 circuit(s) or ji,mited- energy panel, altcraUon, or extension 121 I",,', L :';i~,,: p,'ECECTRfcAcJRERMltfEES?t;;jh " ,:,:;\:;-" ~m~'!'~:c-,,:_~' '9,.".~,:""~,m,...,_.'._.,, m ""~m~"'-"'~""m'., ,~...,"'m,,,..t1 'r-",',,\' I Subtotal $55.00 I I Minimum fee used instead of Subtotal $58.00 \ I State Surcharge (12% of permit fee) $6.961 1 City Of Springfield fees" $2.90 I I, TOTAL PERMIT FEE I $67.86 I 'City Of Springfield fees: 5% Technology Fee /tqw:e5~D'aIlO~ 4\2~IOq I I I I I 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 ~rdi es, ~ ~l\~ l><...~ ~ ~ ~.o-..:--'O ~~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. _S!!,_RIN"~,P"I"~,' " ','.'," Witk i,~~ ' f _ il "-.-.. 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".,"_' . _ .,.. ~ r Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1160 F ST ASSESSOR'S PARCEL NO,: 1703351105600 PROJECT DESCRIPTION: Install ductless HIP Owner: SHA W RICKY B & JULIE ANN Address: 1160 F ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00560 ISSUED: 04/2712009 APPLIED: 04/27/2009 EXPIRES: 10/27/2009 VALUE: Springlield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential r CONTRACTOR INFORMATION I Contractor Type Electrica' Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: License 181997 106275 Expiration Date 05/09/2010 08/3112010 Phone 541,343,1681 541-683,2590 BUILDING INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Se~IU."Wii~le: SpeciallnsUu:8iOlERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT is NOT Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERiOD. # of Stories: Height of Structure Type of Heal: Water Type: Rauge Type: Energy Path: Spriukled Building: Paee I of 3 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rea''Yard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: , Sidewalk T)'pe: ADb~rI;r.\QJls,1lr.Ih'V:1law requires you to follow rUles adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952.001- 0090, You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1,800-332-2344), Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fees Paid I Fcc Description + 12% State Surcharge + 5% Technology Fcc 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fcc Add, Alter, Extend Circ Amount Paid $11.52 $4,80 $79,00 $17,00 $6,96 $2,90 $58,00 Total Amount Paid $180,18 I Plan Reviews I Date Paid 4/27/09 4/27/09 4/2 7/09 4/27/09 4/28/09 4/28/09 4/28/09 CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2009-00560 ISSUED: 04/27/2009 APPLIED: 04/27/2009 EXPIRES: 10/27/2009 VALUE: Value Dale Calculated Receipt Number 3200900000000000276 3200900000000000276 3200900000000000276 3200900000000000276 1200900000000000303 1200900000000000303 1200900000000000303 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. Reouired 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, Pa2e 2 of 3 _S,P.'_AIN O,",F!"",I,~""O,',. ,."',,,'..', lI:' ':i 'JA " 1 ",J, '" J ~ .. ,j "- ~/ ,~I .. .....~,."... -",~. .., ,-" ,,; ',-- "'," , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00560 ISSUED: 04/27/2009 APPLIED: 04/2712009 EXPIRES: 10/27!i009 VALUE: 225 Fifth Street, Springlield, 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 Springfield and the Laws of the State of Oregon pertaiuing 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 alll'equired 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 Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541~726-37591)hone Job/Jour~al Number COM2009-00560 COM2009,00560 COM2009-00560 Payments: Type of Payment ONLINE CHGS cReccinl1 RECEIPT #: Description Add, Aller, Extend Circ + 5% Techno!ogy Fcc -1- 12% State Surcharge Paid By ONLINE PERMIT CHGS ",P"'HQ~I,EJ.O" dij," I" .j., :,' ;: A.t. Tl[.",' '. ~- 1200900000000000303 City of Springfield Official Rec~ipt """lIIIIIIIII Development Services Department Public Works Department Date: 04/28/2009 8:18:18AM Amount Due 58,00 2,90 6,96 $67,86 Item Total: Check Number Authorization Received By 8atch Number Number How Received KR Page I of I Amount Paid ONLINE OR Elect, Online Service LLC Payment Total: $67,86 $67,86 4/28/2009