HomeMy WebLinkAboutPermit Electrical 2009-5-27
Reeeipt # RC552456 '}- q,
5/27/2009 1 :38:37 PM 1'\
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City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricservice.com
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I
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~.if;,4, :
~;,!"PE of,,~6ifK:
10 New construction [KJ Addition/alteration/replacement
,1 ,~YE$~{:CAT~q9~(<:fF _CON.S!~U_CTI9~::L' _:'_.
10 1 or 2 family dwelling 0 Multi-family 0 Commercial/Industrial
1\ . ,';:J'!'JO,~~iTEII'!FORM",TIQN '~NP,LOS"'!1c>N'A'
IJobno.: IJobllddrcss: 906 56THST
I City/StafcfZlP: SPRINGFIELD, OR 97478-6818
I Suitc/bldg.lnpl.no.:
Illrojcc( name:
Cross street/directions fo job sile:
jSubdivision:
I Lot no.:
1702331]04000
~j7~-_~ DE~CRI~TION:q& y.'ORK,
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Wire ductless heat pump
I.,
,C SITE,CONTA,Cj,'
I Name: Mark Roche (3345-9261) or jeff Brooks
IPhone: (541) 343-1681
!Email:
IF""
,. ~;ic-9~TRAqIbR ,Y. ~~~,~"~:~ ,~~':/1-~ -':,
lEI. lie. no.: C408 ICCHlic.no.: 18]997
I Business Name: OREGON ELECTRIC SERVICE LLC
I Contact: Tenu Brooks
IAddress: PO BOX 2237
1 Cit)'/Stater.lIP: EUGENE OR 97402
1 Phone: (541 )343168]
1 Emllil: tena@orelectricservice.com
I Metro lie. no.:
I Supervising electrician's lie. no.: 1392S
ISupcn'jsing l'Il'ctrician\ nallw: HERMAN OLLAR
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IFa" (54])343]683
1 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.
NOTE: This Authorization To Begin Work expires within 180 _Va
days if a permit is not obtained. \Y" ~ "
The local building department may determine that an rff -"\ J
Authorization To Begin Work is null and void if it does not to~,v
meet applicable land US~~&;PI ordinances. ~
. ~~- . tt:J~.\.\) ~
I"~';~ 'FEE"SCHEDULE " ~
I Description l QI)'. Ea. Totnl
I f~cs~dc~ ti~~I-~ ~~l(; l E~! ~ ~,i,i'~\ti:~~ '~1 i'y" ~l\:cll!~~, unit;' In, C Illd~s~~
~~tae~~~_garag~~' '.". ...,_ :'_<i<" '",",'" ,,--::'1.;- . "
I ],000 sq, ft, odess [4)
lEa, addl 500 sq. ft. or ponion
;1 I?E~~cited,.~n~m~"~' _ ,'~
I-Limited energy. residential
(with above Sq. ft.)
I-Limited energy, mullifamily
residential (with above sq. ft.)
I' - Litniteu energy, .commercial
(with above sq. ft.)
- Stand-alone limited energy,
residential
. Stand-alone limited energy, I
multi-familv
I - Stand-lllone limited energy, I
commerCial
l-~ervic_es 6~'fe~~",rS:insia~I_~~'tl~~illte!atio~~'~~"ip/QR; ~elocaiio_no .'. ,I
1200 amps or less [2] I
201 amps to 400 amps [2] I
1401 nmpsto 599 amps 12] I
1:-!E,~l P.ORARY"~en~ices"O, ~:t~e,rs, i.n~s(~I,latio~; -~Jteru~i~n;~;:. ','I
?Ai'lg'OR rel~~.a!ion :.<i: ~'",,' -~"~~,,,-' ,. -', "'-~E-;i:'
1200umps or]ess [2[ I
120] ampsto 400 amps [2] I
1401 amps to 599 amps [2] I
I: Brlmchcir:Cui!s,:_N~W, al~c&~ionj, OR,"e~i{nJi~n'.,pe.r' paJ!!~- 1
1 A. pee for branch circuits with I
service or feeder fee, each
branch circuit
I B. Fee for branch circuits
without service or feeder fee,
first branch drcuit [2]
I each addl branch circuit
1:1\IiSiella'nl'Ou'S= "'.. -:,'" '/~'i".;:e,'
'-.. --~'" .-,-"-.~,.",
1 Service reconnect only [2]
lEach manufactured or modular
dwdling, service and/or feeder
121
I Pump or irrigation circle [2]
I Sign or outline lighting [2]
Signlll cin':lIit(s) or limited-
energy panel, alteration, or
.Extension [21
:T,~}\i':~;ELECTRicAL PERMITd:EES
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3'-';-:","4i'"
not otTered online utthis jurisdiction
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$5500
$6,001
Subtotal I
Stnte Surcharge (12% of permit fee)
City Of Springfield fees ..
I TOTAL PERi\11T FEE I
. City Of Springfield fees: 5% Techno]ogy Fee
(Default number a/inspections allowed)
Lom u:sD=\ - W7dQ
6 /;;If / OC1
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
,,:':/.,
$55,001
$6,001
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I
I
1
1
$6100
$7,32
$3.05
$71.37
IJrn
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
lA-V \ o~
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CITY OF SPRINGFIELD
Building/Combination Permit
,PERMIT NO: COM2009-00729
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/27/2009
VALUE:
SITE ADDRESS: 906 56TH ST
ASSESSOR'S PARCEL NO,: 1702331104000
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install ductless heat pump
Owner: ROCHE MARK J
Address: 906 56TH ST
SPRINGFIELD OR 97478
Contractor Type
Electrical
Mechanical
TYPE OF USE: New
Residential
Phone Number: 541-335-9261
I CONTRACTOR INFORMATION I
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
, Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
181997
106275
Expiration Date
05/09/2010
08/3112010
Phone
541-343-1681
541-683-2590
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Typ~:
Range Type:
Energy Path:
Sprinkled Bnilding:
n/a
Lot Size:
Sq Ft Isi Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft'Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Page I of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Status
Issued '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Une
I Valuat~on Descrilltion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
F PPf' P.lW\J
Fee Description
+ 12% State Surcharge
+ 5% Technology,Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$11.52
$4,80
$79,00
$17,00
$7,32
$3.05
$55,00
$6,00
5/26/09
5/26109
5/26/09
5/26/09
5/27/09
5/27109
5/27109
5/2 7/09
Total Amount Paid
$183,69
I Plan Reviews ,I
CITY/OF SPRINGFIELD
Building/Combination Permit
,
PERMIT NO: COM2009-00729
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/27/2009
VALUE: '
"
"
Value,
Date Calculated
Ii .
Receipt Number
"
3200900000000000390
3200900000000000390
3200900000000000390
3200900000000000390
,
2200900000000000570
2200900000000000570
2200900000000000570
2200900000000000570
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. willl,be made the following
work day.
l_I~II.!6ILirp!1 J"'TPcr;n,,~, I
Rough Mechanical: Prior to Cover
Fiual Mechanical:, When all mechanical work is complete,
Rough Mechanical: Prior to Cover
Fi!lal Mecbanical: Wheu all mechanical work is complete,
, Page 2 of 3
_ S:Ii!IRIINll!F!I~L.D_
I
i'
CITy.- OF SPRIl"'t,iJ:<u,LD
I ,
Building/Combination Permit
L
Status
Issued
"
PERMIT NO: COM2009-00729
ISSUED: OS/26/2009
APPLIED: I OS/26/2009
EXPIRES: 11/27/2009
VALUE: '
225 Fiflh Street, Springt1eld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, 1 state and agree, that I have carefully examined the completed application and do hAeby certify thai all
information hereon is true and correct, and I further certify that any and all work,performed shalli'be done in accordance with,
the Ordinances of the City of Springt1eld and the Laws of the State of Oregon pertaining 'to the wo'rk described herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Commnnity Services Division, Building Safety:
1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 wiWbe used on this project.
1 further agree to ensure that all reqnired inspections are reqnested at tbe 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 wili remain on the site at all
times during construction. '::
Owner or Contractors Signature'
Date
/
Paee 30f 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Spriiigfield Official Receipt
<,
Development Services Department
Public Works Department
" . ,
Job/Journal Number
COM2009-00729
COM2009-00729
COM2009-00729
COM2009-00729
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000570
Date: 0512'7/2009
Description
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
+ 5% TeehnologyFee '
+ 12% State Surcharge
'I
I
Paid By
ONLINE PERMIT CHGS
Received By
Item Total:
Check Number Authorization l'
Batch Number Number How Received
,
nJm
ONLINE oregon elect Onl!"e
serv
Payment Total:
,
Page] of 1
2:23:22PM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
5/27/2009