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Home My WebLink AboutPermit Electrical 2009-4-30 ~ aI, ,.,;.... :;.,,' " E-mailedTo:tena@orelectricservice.com Receipt # EC550929. 4/30/20093:08:25 PM 0o...~ 1\1 ~ City of Springfield Electrical Authorization To Begin Work . Check on status of permit By Phone: (541)726-3753 or [mail: permitcenter@ci.spriugfield.or.us " I D New construction lliJ Addition/alteration/replacement I [X] I or 2 family dwelling o Multi-fClmily o Commercial/Industrial 11,000 sq ft or less [41 lEa, addl 500 sq. n. or portion IJob 110.: IJobaddres.~: 5257 DAISYST I City/Stllte/ZlIl: SPRINGfiELD, OR 97478-6764 I Suit{'/bldg./apt.no.: II'rojcct name: Cross street/directions to job site: I Subdivision: ITax m:lp/parcelno.: 1702333404625 ILot no.: I - Li11lit~d energy, residenlilll (witll above SQ. fl.) I - Limite(Jcnergy, multifamily residential (with above sq, fU - Limited energy, commercial not offered online lltlhisjurisdiction (with above Sq, ft.) - Stand-alone limited energy, residential I - Stand-alone limited energy, multi-famIly I - Stand-~loneJimited energy, commercIal 1200 amps or less [2] 1201 amps to 400 amps [2] 1401 amps to 599 amps [2] J 1~:(~J~Q~R):"~.~Pj~~91~}!L!JC~'il1n~!~on!.ilit~rati!ljj:,,~~~tr~~~1 :~I':UIQ~~r!!2!ati(f~L~/~:;z'tt'i~~1;:~'!.?fZ-","i:i,;i::~;~~{,,<<; ~,,"~~ ~ ,~ 1200 amps or less [2] 1201 amps to 400 amps [2] 1401 amps to 599 amps [2] 1~~ri~c,~,'itl;1Us.;:~~lV'-~a"I~~~~_~~1;I9,Mrcifsns(o.njiP'~r;P:l!~i~~'~~.~>;~~1 A. Fee for branch circuits with I I service or feeder fce, each ., branch clrcuii B. Fee for branch Circuits without service or feeder fee, rirstbranch circuit 121 1 each addl branch Circuit $55.00 $55001 $6,001 Wire electric furnace with heat pump I Name: JeIT Brooks I Phone: (541) 343-1681 jEmail: I""" lEI. lie. no.: C408 ICCBlit.no.: 181997 I BiJsiness NllIne: OREGON ELECTRIC SERVICE LLC I COlltact: Tena Brooks IAddress: PO BOX 2237 i City/Stale/ZIP: EUGENE OR 97402 !PIIOIH': (541)3431681 IFllx: (541)3431683 II<~mail: lena@orelectricservicc.com I Metro'lic. no.: ICily lie. no.: I Supervising eleclrician's lie. no.: 13925 I Supervising electrician's name: !!ERMAN OLLAR $6,00 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. I Service reconnect only [2) I Each mrinul"uctured or modular dwelling, service iJndJor feeder .121 I Pump or irrigation circlc,[2] Sign oromline lighting [2) Signal circuit(s) or limite9- energy alteration, or extension NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. ! Subtotal I I State Surchari!,e (12% of penn it fee) I I Clly Of Spflngfield fees * 1 TOTAL PERMIT FEE 1 * City or Springfield fees: 5% Technology Fee ! De/Old/l1umber o/inspecriolls '1lIowedj $61.00 I $7,32 I $3.05 I $7\,371 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 ordinances. &/)'72(jVY' /J )"'; :{-/-u<) This Authorization To Begin Work must be posted at the job site until replaced by a Permi! (,J()."S'7'3 " '--., 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~f'RINQ'IEL!"'~, I.' .';: " A.t. "'\I ; IIIi: .. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00593 COM2009-00593 COM2009-00593 COM2009-00593 Payments: TYI)e of Payment ONLINE GIGS cRcceintl RECEIPT #: Date: 05/0112009 3200900000000000290 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received nJm ONLINE oregon elect Online serv Payment Total: Page] of I 7:3S:04AM Amount Due 55,00 6,00 3,05 7.32 $71.37 Amount Paid $71.37 $71.37 511 /2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00593 ISSUED:' 05/01/2009 APPLIED: 04/3012009 EXPIRES: 11/01/2009 VALUE: -s.r~IIII..G,'!"'rlllL-~~ "".' . f... Wit: .' ~~ ' ! . . .....,11 " ': , ~, " ., ".,' ......."_............. - I .;!J2.:-- , rJf P U" ..-:::...-,"- sQv /("'Q Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5257 DAISY ST ASSESSOR'S PARCEL NO.: 1702333404625 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Wire electric furnace with heat pump TYPE OF USE: New Residential Owner: MAISH DIXIE LYN Address: 5257 DAISY ST SPRINGFIELD OR 97478 PTT'lTION: Oregon law It:LjU"V".' ~;;""" f '" I 'J'-U"~ adopted by the Oregon I:COlSTRACTOR INFORMATION I 01.0\ , .. Those rules are 0 ' Nolihc2.tion center.. n ,'..". ,-,h OAR 952-001 - . Contr~~t~m1,y,pe)01.C<!;?!~t~~~~.?[ 01 the rules by , License Electric.l'!90. You may orORij:.G9):'r~"'F;m~\~ri'!ERVICE 181997 call1~~r l;~~ Ih~'o~~gon Utility NotifihlUILDING INFORMATION I num , 1 800-332-2344). Center is - # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type:, Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: , Sprinkled Building: nla I DEVELOPMENT INFORMATION I Froutyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Sethacks: Overlay Dist: # Street Trees Rqd: i\CE: . ~:'Xs~r\r-e\Ilq:d!NOR\\ NOS PEDM\I SHI\LL'% 01' ottf~M'ag:e:NOi -[HI" OER iH\ t'cl'\ ..ITI-H1R\2EO UN ,~ 'D^MIIONEO fOR COMMENCtL:1 ~~~I;i~oIMPROVEMENTS I, I\NY 180 OI\Y , Street Improvements: Storm Sewer Available: Special Instruction: Phone Numher: 541-746-7837 Expiration Date 05/09/2010 Phone 541-343-1681 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page f of 2 Value Date Calculated Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fec. Description .+ 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $7.32 $3.05 $55.00 $6.00 Total Amount Paid $71.37 Total Value of Project Fees P~id I Dale Paid 5/1!09 5/1109 5/1109 5/1109 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00593 ISSUED: 05/0112009 APPLIED: 04/30/2009 EXPIRES: 11/01/2009 VALUE: Receipt Numher 3200900000000000290 3200900000000000290 3200900000000000290 3200900000000000290 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 ReOl' i 'ed Jnsl}ectionsl , 1I111f. .11.. IIIII1 r Rough Electric: Prior to Cover final Electric: When all electrical work is. complete. By signature, I state and agree, that I have carefully examined the completed application arid 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 Springlield and the Laws of the State of Oregon pertaining to the work described hereiu, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. I further agree to ensure that all required inspections ~re 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 2 of 2 Dale