HomeMy WebLinkAboutPermit Electrical 2009-6-8
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City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricservice.com
~
Che~k on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
::',;;, I I;,: , "'FEE'SC@DULE ';;,';. ...
III.:.~::;~:::~.~ SIN~L~: p..,f mUlli~;.,m.'i~..t~~'~IILg. :u~..~:"lncl~des~ot.'
.'~,,1!ttachc~g~rag~' :_--. "','-Yf' '., ,~,C"" .
11,OUU~q,ft.orkss[4] I' I
I Ea. addl 500 sq. n. or portion
I!Lilllitetl.:_~nirgx f ""~_~- .
I-Limited energy, residential
(with above Sq, ft.)
I . Limited energy, multifamily
residential (with above sq, ft,)
I . Limited energy, commercia'l
(with llbuvt' SQ. n.)
I . Stand-ulone limited energy,
residential
I . Stand-alone,limited energy,
multi-family.
I - Stand-alone limited energy,
commercial
I'Scn'i~e((j~'f~~-crs:i~l~lIation,.aI;efa~ion, AND/OR relocation',
I 200 amps or less [2]
j 20] amps 10 400 amps (2]
1401 amps to 599 amps [2]
I~.'!E~WO~~Y s.'~r\'iC~~QR'feed~r::s'inst~lIntion, !llt~rntio~"
,AN~/OR relocatmn ,: ~' .'
. 1200 amps or less [2] I
,I ~iG.1I:rnjp~)E 400 amps [2J I
I jr4q!3mjl"'J9<J\W"\ffi~gf.11 ~ :_'::;: I, ,
I )H~J~~~~11[~i~rl'fil~:'fi:~t~itoIlE~R. extl~sioM l1etlP'.wf~ K
I ~AIMf.,J~.' bJ;ir~reM6h"'YitH fH,,, ,..ttil'.,I/ IS NIIT
'1 \:/vICcorf,Jd<r[leORhIS AS ~NDONE ~ FOR
C,,," I-br~nchCI~ur~.^V l"\.....r- __ J
II B. Fee rorbt:iri,'lJe~e",rnluU. 1 $55.00
I without service or feeder fee,
first branch circuit 121 .
II cl.lch uddl brunch circuit
1 ;~tisc~lIrin~l:l~'
1
I
Sign or outline lighting [1J
Signnl circuit(s) or limited.
energy panel. alteration, or
extension l2J
I,.' -,...
, "':~';"'c.:.'~ECECTRICA[ PER~ITFEES
I
I
NOTE: This Authorization To Begin Work expires within 180 I City Of Springfield fees +1
days If a permit is not obtained, I TOTAL PER"IIT .'EE
The local building department may determ.lne that ano ~~~ ~t< ;~5e~q;/J7,_~~ro~~]:~~5~~~~:~:fi~~:'~~~~11~,~~gy l(y;ce i q I 09
Authorization To Begin Work is null and void if it does not )~
meet applicable land use laws and local ordinances. k.L
~~~~ ~~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
. :~ t.
10 New construction
TY.fl'zOFVYORK.;", ':' '" ,.
[X] Addition/alteration/rep]acement
I .: . C~TEGORY,'OFic:;':>NSTRUciION.':,
I [K] ] or 2 Ibmily dwelling D Multi.family 0 Commercia] / Industrial
I ,., JOB SITE tNFORMA!'ON AND LOCATIOt{, ".~'
IJob no.: IJob address: 637 56TH ST
jCity/SlaterI.IP: SPRINGFIELD, OR 97478-6885
I Suile/bldg./llpt.no.:
II)rojccl nllUle:
Cross sln'l'lfdirections 10 job site:
I Subdivision:
ITax mapfparct'lno.: 1702331402400
J . .'\7'::j~r-DESC-~I~"Tf<?~OF'\IV~RK':~:"'''~';:}'''i..~' ".
Wire ductless HP & outside outlet
jLot no.:
-.
~- ..:,~"
.--:r.
.~' ;.,!:,.
. SITES:ONTACT,;:'
J
I Nllme: JetT Brooks
IPhone:'(541)520-60}L..- J....'...."l. 1'"\..........^I.f~~\ft, ranllirP.~ VOu to
IEmail: ,~:'r::.~f:.'.;;:~'~rl~~tp-rl hv the Oreoon Utility
I. '- ;"'T,'i,:,;::;c'0 c'oN"';.cToRUles are,s.ertorm - >,
- - KIl"\l1fl~Atn_1n l:J8f u...,. ",~~ L. '. .~__ . . ....~ ... '0" . ,-"
I ~t. lie. no.: C408in OAR 952-001-001 01(l(]ll'jl'o1"!:).Wi997'~:~~~-
I. (ju'", ''''_ ._,-'" ='.~m,r.""I'" VI ,,'c ,~,-"'-J
Busmess Name: K..tl:.lON iJ~L'tG1'RIL ~I:RVlt.:g~r.,~. ~l... '" l""....rh,...,no
I /""'alllng ln~ l,;t:lllt::::1 \,..v..... ..,':;' ';;'-r-.'.
Contact: Tellu Broo\..^s' , . ~,_ _ r..~:"'....("... Iltility I\1f"'ltifiC:Rtion
!Address: PO BOX :H371IUIJI":~~t~'r"'i;~ ~Rnn~i32-2344).
!City/SllltefJ:IP: EUGENE OR 97402
IPhone: (541)3431681
I Emnil: .tcna@oreleclricscrvice.com
Metro he, no.:
I Supervising c1cctricillll's Ik. no.: \392S
I Supervising electrician's name: HERMAN OLLAR
I FllX: (541)3431683
I City lic, 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,
Service reconnecl only [2J
Each manufactured or modular
dwelling, servicc lind/or feeder
121
Pump or irrigation circle [2]
Receipt # EC553256
6/8/20094:42:49 PM
Qb?
~I D
l'J
" >.",.. <-'~4-~~
not otfered online ut this jurisdiction
$55.00
$6.00
$6.00
,.'.-,
I
J
I
I
,,- . .,1
$61.00 I
$7.32 I
$3.05 I
$71.37 I
Subtotal I
Stute Surcharge (12% of permit fee)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0080S
ISSUED: 06/08/2009
APPLIED: 06/08/2009
EXPIRES: 12/09/2009
VALUE:
A.l
\0
I"l r" 0'"
Cp-o.,'QU
ff\{P
Status
Issued
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 637 56TH ST
ASSESSOR'S PARCEL NO.: 1702331402400
Springlield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: lustall ductless heal pump
TYPE OF USE: New
Residential
REQUIRED PARKING
Overlay Dist: Total:
# Street TreesTRqd!TION: Oregon law re . Haudicapped:
"f!::R qUires "RI' 'g
~:vefdLDril,~,,'~~~UleScadoPted by the Orego~tmfttyct:
;0 0 ot (';overa6e:On enter Those rules a f
in OAR 952 001 . re set orth
00"0 Vn" ~^'. ~OL~1 0 through OAR 952-001-
I PUBLIC IMPROVE\vtENl1S lent~~~"iN;le':Cth~\~;:;~~nSebY
-.. .~, ,'le O~(1On l ~i"'" ~I t"f' "
Center ,'s itle.wah<Ty'peSl'lcatlon
-oUU-JJ2-2c.44).
Downspouts/Drains:
Owner: ROCHE LUANNE
Address: 637 N 56TH ST
SPRINGFIELD OR 97478
I CONTR;\CTOR INFORMATION I
Contractor Type
Electrical
Mechanical
License
181997
106275
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
NOTICE: I BUILDING INFORMATION I
# of Units: THIS PERMIT SHALL EXl'Il*"lf'rill'1f WORK
Primary Occupancy Gl'OuP.:THORIZED UNDER THt9'ijl~1WJi~rrlS'~V{jf
Se~ondary Occupancy Gt,ooYHiMENCED OR IS AB/i~.rJ!Jt'JR/~'O"~t;R
Pl'lmary ConstructlO~ T~p'~y 180 DAY PERIOD . Water Type: .
Secondary ConstructIOn Type: . Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building: nla
I DEVELOPMENT INFORMATION 1-
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Speciallnstl'uction:
Notes:
Pa!!:e I of 3
Phone Number: 541-746-1979
Expiration Date
05/09/20 I 0
08/31/2010
Phone
541-343-1681
541-683-2590
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:'
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid 1
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 Ell Add
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
6/8/09
6/8/09
6/8/09
6/8/09
6/9/09
6/9/09
6/9/09
6/9/09
Total Amount Paid
$183.69
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-0080S
ISSUED: 06/08/2009
APPLIED: 06/08/2009
EXPIRES: 12/09/2009
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000632
1200900000000000632
1200900000000000632
1200900000000000632
.2200900000000000629
2200900000000000629
2200900000000000629
2200900000000000629
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 Reollil'ed T!!S1lecti~ns 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.
Pae:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0080S
ISSUED: 06/08/2009
APPLIED: 06/08/2009
EXPIRES: 12/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 I nspection 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 ""ork performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of lhe Stale of Oregon pertaining to lhe 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 all required inspections are requested at the proper time, that each address is readable from tbe
street, that the permit card is located at the front of the property, and lhe approved set of plans will remain on the site at all
times during construction.
On'oer or Contractors Signature
Date
Paee 3 of 3
225 Fifth Street
Sprlngfield, Oregon 97477
541 ~726-3759 Phone
8f!j.:O. ~~B1.D : "'..... ...
!~ .. ....
:lit ... ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00805
COM2009-00805
COM2009-00805
COM2009-00805
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
RECEIPT #:
2200900000000000629
Date: 06/09/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
ONLINE
Oregon Onlinc
Electric
Service
Payment Total:
KR
Page I of 1
8:16:06AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
6/9/2009