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Home My WebLink AboutPermit Electrical 2009-6-3 City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com Receipt # EC552911 ,,'\ ~ 6/3/2009 ]0:03:54 AM 0 ~/ ~-M _..~ .. Check on status of permit By Phone: (54])726-3753 or Email: permitcenter@cLspringfield.or.us I .,.. :TvPE Of WO~I5'~' ~ '~i"T.. . <"'''.~... I 0 New construction [X] Addition/alteration/replacement I' CATEGORY. ,Qf'CON!TRUCTIONY ,5 [lliJ ] or 2 family dwelling D Multi-family D Commercial/Industrial I ,JOB SITE INFORMATION e-Nb LQ<::ATIO~' ._ I Job no.: 'I Job nddress: 1617 MARKET ST . ICity/StatefLIP: SPRINGFIELD, OR 97477.334] I SuiteJbldg.lapt.no.: ]I'roject name: Cross street/directions to job site: ILot no.: I Subdivision: ITllX map/,p...a~~~,I,~O...:._ ] 703253214300 '.'''' 'OESCRIPTloJii Of WORK. Service Change & I Circuit ! ' ""jiSITECONTAC,r,t ",'. j Name: JefT Brooks IPhone: (54])343-1681 IEmail: IF..: I., ~}.":.r >f:;:.!~~~6Nt~~!Q~~:~~;,;j ".~. !EI. lic, no,: C408 ICCBlic.no.: 181997 Inusiness Nllme: OREGON ELECTRIC SERVICE LLC Conl.lct: T~na Brooks IAddress: PO BOX 2237 I Cit)'/StlltefI.IP: EUGENE OR 97402 I Phone: (54])343168\ I Em:lil: kim@ore]ectricservice.com lJ\letro Hc. no.: I Super\'ising electrician's lie. ilO.: 1392S 'Super\'isin~ electrician's nllll1f: HERMAN OLLAR IFa" (541)3431683 I 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 days if a permit is not obtained. 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. ~~\O -~",-~::c.,,; _~i-j t " \... -"."; I n .:" 1 I 1 ,I I I I I I I I I I I It~:::~~;~~;" ,,'fEt1H~t~LE'1 Ea. I''';o,al I'ReSidCnihil SINGI.:;Ei91t' iiuJlti:fumilyd~~clling,~nii,'-'lnclUlll'S' ,:. . -'~ --I ~~ita~~f(iga.ragc'j:~'t,:," ":~_<_'~it:-~~+,:-, -;' ~\':~,,:;: < .' ',~ '$',,,, 11,000 sq. ft. or less [4] I I Ea, add] 500 sq. n, or portion I,' UilB!~d E n ~\rg~~ ~.;r . _" . ':,~ ';_'.~l~'1:~ 4~ ~, I-Limited energy, residential (with above sa. cn I-Limited energy. mullifamily residential (with above SQ. n.) I. - Limited energy, commercia! (with abow SUo ft,) I - Stand-alone limited energy, residential I - Stand-alone limited energy. multi-Camily I - Stand-alone limited energy, commercial I:S:~rvi~~,..~..o_R rce_l!itti~~sta)~~ii~n;!!ltf!:~!io.'Il. l~tD?qR~ reloc;!t!.~I~\_ -~~; J 1200 amps or less [2J $81.00 $81.001 1201 amp"O 400 amps [2] I 1401 amps 10 599 amps [2J I tE)'.l.POI~ARrS~I/;!,ces ORf!C4ers.-. in~!u."ation, ~ier1l1ion. I 'A-i\I2.{ORreloSllt!o.n"'\'~ 1'" T:-~ T' '_ I I I ", .'1 $6001 I I ~ ',I I I I I I '.1 $87.00 I $10,44 I $4.35 [ $101.79 I \1 I I I I I I not olTered online U11his jurisdiction ,t~ I I '1 200 amps or less [21 120l amps to 400 amps [2] 140] amps to 599 amps (2) ;'BrJ!I('_h cin;:uits.~ NE\~', alt~ratio~, O~ extension; pe~,pa.ncl A. Fee Cor branch circuits with service or feeder Cee. each branch circuit B. Fee for branch circuits without service orCeedcr fee, first branch circuit f21 each addl branch circuit $6.00 Service reconnect only [2] Each manufactured or modular dwel]ing; service and/or Ceeder [21 I Pump or irrigation circle i2] I Sign or outline lighting [2J I Signal Clrcun(s) or limited. I energy panel, alteration, or extension r21 . , ~~,1tELECTRIC~1'PERMIT~~EES I Subtotal I State Surcharge (]2% ofpcnnil fee) ~rf- I ClwOCSpnngfieldfees' . I roTALI'ERMIT FE!: . "- . . Cny OC Spnngfield lees 5% Technology Fee .~ {D,Jau/llwmb" aJlmp'Clton' allo...,d} \9~~ ~9 / ~~c, 'IV" NM. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. ;"J Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00773 ISSUED: 06/0312009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 .v ALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1617 MARKET ST ASSESSOR'S PARCEL NO.: 1703253214300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pump Owner: Addre~s: VAIT RITA A 1617 MARKET ST SPRINGFIELD OR 97477 Phone Number: 541-747-6419 I CONTRACTOR INFORMA TION I Contractor Type Electrical Mechanical Contractor , OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/20 I 0 08/31/2010 Phone 54 I -343- I 681 541-683-2590 BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay. Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street imP!'pxements: IVli IIr..;E' Storm1~~I~e p tJ'~hl:!.ble: Special1Jnstm~tioY:1 SHALL EXPIRE IF TH ,., II1UKIZED UNDER E WORK NotePOMMENCED OR IS A~~IS PERMIT IS NOT ANY 180 DAY PERIOD. NDONED FOR I PUBLIC IMPROVEMENTS I t N' a'~!1On 'law requires you 0 ATTENTIO . SidewalK 'ftYrPSregon Utility follow rules adoptea ::.Y_~ .- '00. fA set forth Notification cenVow1ispouts~r~*R:952'001_ in OAR 952-001-0~t~~~~~~i~S of the rules by 0090. You may 0 Note' the telephone calling the cen~r. (on Uiility Notification , number for the. r1e6g00_332-2344). Center IS - Pa~e I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Ea Add Heat Pnmp Perm Serv/Fdr 200 amps or less Total Amount Paid I Valuation Desc~Ip,tion I $ Per Sq Ft or multiplier Square Footage or Bid Amount I CITY OF SPRJNGFIELD Building/Combination Permit PERMIT NO: COM2009-00773 ISSUED: 06/03/2009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 VALUE: Value Date Calculated Total Value of Project F",,<. p~ Amouut Paid Date Paid Receipt Number 2200900000000000601 3200900000000000413 2200900000000000601 3200900000000000413 3200900000000000413 2200900000000000601 3200900000000000413 2200900000000000601 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. $10.44 $11.52 $4.35 $4.80 $79.00 $6.00 $17.00 $81.00 6/3/09 6/3/09 6/3/09 6/3/09 6/3/09 6/3/09 6/3/09 6/3/09 Rough Mechanical: Prior to Coyer Final Mechanical: When all mechanical wnrk is complete. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Coyer Final Electric: When all electrical work is complete. $214.11 I Plan Reviews I I RpoU In~nprt~ Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building(Combination Permit PERMIT NO: COM2009-00773 ISSUED: 06/03/2009 APPLIED: 06/03/2009 EXPIRES: 12/03/2009 VALUE: 225 Fifth Street, Springfield, 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 pertaining 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 tn ensure that all required 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 Paee 3 of 3 ~_\ City of Springfield Official Reeeipt Developmen~ Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00773 COM2009-00773 COM2009-00773 . COM2009-00773 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: 2200900000000000601 Date: 06/03/2009 II :40:51 AM Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + .12% State Surcharge Amount Due 81.00 6.00 4.35 10.44 $]01.79 Paid By ONLINE PERMIT CHGS Item Total: <":heck Number Authorization Received By ,Batch Number. Number "low Received Amount Paid njm $101.79 $101.79 .- Page 1 of 1 613/2009