HomeMy WebLinkAboutPermit Electrical 2009-4-27
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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,
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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
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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.
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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
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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