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Home My WebLink AboutPermit Electrical 2009-6-10 City of Springficld Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com rryl.p Receipt # EC553440 ~ 6/10/20092:4] :42 PM V ~ I ~ Check on stutus of permit By Phone: (541)726-3753 or Email: permitcenler@ci.springfield.or.us , "~!yp,EOFWORK,'2 [K] ~ddition/a]lerationlreplacement 1703271306000 ,_, DES_C'RJPTi(jN'O(~O,RK Changeoul furnace with heat pump and add EAC '~t': 1:( .=':::t,~~"~:F~E':Sq,HEb1J~"~;k"'_ ' :\}~'. 'I i i~;~~;:;:~:~?_L~E' OR ~~~~~mi~:;~~Ii~g:':::'~~~Ud~~,~O~"1 ,i 1!I,OOOSQ.ft.orleSS[4J I" 1 I I j Ea. add] 500 sq. fl. or pollion ' I 111'L~~7~t~~n:~:~;:-rCSidential - :" ~ ., "1 I (with above SQ. ft.) I-Limited energy, multifamily I I residential (with above Sq. fl,) I I-Limited energy, commercia-' not otTered onlin,e at this jurisdiction I (with above Sq, ft.) I . Stand.alone limited energy, I residential I - Stand-alone limited energy, I multI-family . Sland-alone limited energy, I commercial ~~Jrvi~s:OR fc~~fiins,~i!I.~!jO~~~I!~~at!o!i,:~N~igR'rel~E~tioll~ -I 1200 '.mps or less 12] I I 201 amps to 400 amps [2) I 1401 amps to 599 nmps [2] II IlEl\ttO~\R\'~serVices.O.R'ft.-eders}i1stall~~!On. ulterat~o,n: . ~t~~D/OR reloclltjo~" '.._:' .' ~'v,~ ,."". o' .+ 1200 amps or less [2] 1201 amps to 400 amps (2] 140] amps to 599 amps (2] I Brultch circ!lit~-~NEW,'-aiterai~o~~ ORex~.t~~ion, per pan..el- 1 A. Fee for brunch circuilS with service or feeder fee, each branch circuit I I S, Fee for branch circuits I without service or feeder fee, first branch cirCUit [21 .1 j each addl branch circuit 1 1:~I\ic!!!a.~eou~)::~,- 1 I Service reconnect only [2] I I Euch manufllcturcd or modular dwelling, service and/or fceder ,I 121 I 1 Pump or irrigation circle (2] 1 I Sign or outline lighting [2] I'signal eircuit(s) or ]imited- I. energy panel. <llteration. or extension 121 I;"': ,,'i.,., ;.;,,~_2EL.!'CI~ICAhPERMIT FEES; I :1 Subtotal [ I Stale Surcharge (12% of permit fee) I City Of Springfield fees" I TOTAL I)EHMIT FEE I .. City Of Springfield fees: 5% Technology Fee I DeJaul! number of in spec lions allo'll'C!dj I I .I I D New construction 'j"):}lTEGORYoKCON~.!~UCTJON,~;;".~ ", I [Xl ] or 2 family dwelling D Multi-family D Commercial/Industrial I.;" " , .;,JOBSITE]NFORMATIONANO LOC",,:!ION ~ jJob no.: IJob llddrcss; ]996 MCTAVISH CT !City/StatcfI.IP: SPRINGFIELD. OR 97477-1903 I Suitc/bldg.lllpt.no.: jProjectnllmc: Cross street/directions to job site: I Subdivision: ITax ml'p/pllrccl no.: I Lot no.: slt(cONi~pT~:2~;' N'. 1 Name: Jell' Brooks 1 Phone: (541) 520-6034 I":mail: I:'" " ... "~,-~~' ~ ~,Q~TRAGT.9B:,,";,;; I n lie. no,: C408 1 CCD lie. no.: I Business Name: OREGON ELECTRIC SERVICE LLC I Contact: Tenn Brooks IAddress: PO BOX 2237 1 City/Slate/ZIP: EUGENE OR 97402 I Phone: (541)343168] I F.:mail: tcna@orelcctrieservice.com I Metro lie. no.: I Supcnising electrician's lie. no.: 13925 ISupervising electrician's name: I'JERMAN OLLAR IF,,: ~',--_:' .,~ , .......... ---;:'~1-;.~ 18]997 $55.001 $6.001 $12.001 I I I I 1 $55.00 2 I F:n: (541 )3431683 ICily 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. $67.00 $8,04 $3.35 $78.39. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. ..1""01. ,V The local building department may determine that an ~ .C ~ Authorization To Begin Work is null and void if i~ does not \ {\ .'0 meet applicable land u:e laws and local ordinances. W',.: '!.tx.Y ~~~~.~.\o ~\~ (!o/y? 2(;n) 9 (d-jO-CJCf - <:JcJ8.3.fC /Jff1. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF SPRINGFIELD Building/Co'mbination Permit PERMIT NO: COM2009-00836 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I nspection Line SITE ADDRESS: 1996 MCTAVISH CT ASSESSOR'S PARCEL NO,: 1703271306000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace heat pump system Owuer: STATZER RODNEY T & MARY M Address: 1996 MCTAVISH CT SPRINGFIELD OR 97478 Phone Number: (541) 726-5472 I CONTRACTOR 1NFOR~A TlON I Contractor Type Electrical Mechanical Contractor . OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/20 I 0 08/3112010 Phone 541-343-168 ] 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 Structure Type of Heat: Water Type: Range T)'pe: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft ~nd Floor: Sq Ft Ilasement: Sq Ft GaragelCarport Sq Ft Other: " Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: . Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Downspouts/Drains: ! Stor~ Se':~,r M:ililalJ\e.:. Oregon law requires you to Specl3llnst~nctlOn:es adopted by tile Oregon Utility Notifiertion Center, Those rules are set forth Notes: in OAR 952,001-0010 through OAR 952,001- 0090, You may obtain copies of the rules by calling th.e center, (NOLO: the telephone . number 10r,1;18 O..ee" 1;';lil\' ~:otification CGn.er is 1-biJ':-3~~-2344). NOTICE: ; . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. : Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I' Descriotion $ Per Sq Ft or multiplier Tvoe of Construction Square Footage or Bid Amount Total Value of Project F'pp<, P,i&J Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 120/~ State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $13.56 $5.65 $79.00 $]7.00 $17.00 $8.04 $3.35 $55.00 $12.00 ' Total Amount Paid $210.60 I Plan Reviews I Date Paid 6/10/09 6/10/09 6/10/09 6/]0/09 6/10/09 6/11/09 6/11/09 6/11/09 6/11/09 CITY OJ< ~rKINGFIELD , B.uilding/Combination Permit PERMIT NO: COM2009-00836 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: Value Date Calculated Recei'pt N u,mber 2200900000000000649 2200900000000000649 2200900000000000649 2200900000000000649 2200900000000000649 320090000000000044\ 3200900000000000441 3200900000000000441 3200900000000000441 " 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. L-Rpl1l1irprl ~nsnections 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. Paee 2 of3 Status . Issued 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF ~rKlJ~GFIELD . Building/Combination Permit PERMIT NO: COM2009-00836 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12110/2009 VALUE: 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 1 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 herein, and that NO OCCUPANCY will be made ofany 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 wil! 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 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 Signatu.re Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ".p.. ...NQnBLD..."..~.. ;_b ~.. . ~., . Job/Journal Number COM2009-00836 COM2009-00836 COM2009-00836 COM2009-00836 Payments: TYI)l' of Payment ONLINE CHGS cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 3200900000000000441 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS njm Page I of 1 City of Springfield Official Receipt Development Services Department Publie Works Department Date: 06/N/2009 6:56:40AM Amount Due 55.00 12.00 3.35 8,04 $78,39 Amount Paid ONLINE oregon elect Online srv Payme,nt Total: $78.39 $78,39 6/11/2009