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HomeMy WebLinkAboutPermit Electrical 2009-5-27 Reeeipt # RC552456 '}- q, 5/27/2009 1 :38:37 PM 1'\ (j ,^,I 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 ~-F'';~''<'~'_ ~.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, ""':>.l?:.{t ,'=-',~' , --r:' -.~ '.C', -.~ .~~:.' ;~:~Jf>. 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 __, -.';li.-... - ...."--"'-. ~-- 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 ,.-, ' 3'-';-:","4i'" not otTered online utthis jurisdiction ,,- .;-~ I ""I >,-. I I I I I I I I I $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 '''I ,-=~. 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~ S\~I\~(V {\ 0"X 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