HomeMy WebLinkAboutPermit Electrical 2009-7-2
.
City of Springfield
Electrical Anthorization To Begin Work
E~mailcd To: tcna@orelectricscrvice.com
Check on status of I)crmit
By Phone: 541~726-3753 or"Email: permitcentcr@ci.springfield.or.us
10 NewConstruction
Pl<:asecheck all that apply'
o Addition/alteration/replacement
o A servi<;cof feeder beginning at
400 Amps where the available fauh
current exceeds 10,000 Amps at
150 Volts or Jess to ground
exceeds 14,OOOAmpsforaJlolher
installations
010r2familYdWelling
o Mlllti-ramily
o CommerCial
o Accessory
Job Address: 448 D ST
o Fircllump5
DEmergencysystems
DA<ldilionofanewmolOrloadof
100 Ill' or more
DSixormorcresidentialunilsin'one
structure
o Heahhc!lrcfacilities
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.fapl.no.:
Project Name:
CrossStreetfdirections tojobsite:
I
I
Tn.p/p""loo, \~O~~~ O,7-C:f:)
T.~"~"~" -'-~~~?ii!i0'~,:""",~,- -^'_''''-~'~:':''':'''::'':''''''''''='=: __..~d>";-'-''-I'''q,;ji>-M'',: .J"":.1i'-."~'~" :P!!!f4'-Y;Y'1
!!if;;!liZ,;.~)~iflt1j;~::-507Efg;4:;:~DESCRIE,TI6NYOFAWORK~:;::f?Bz~~--*,r~~J;f5}~~
Description
Wire Heat Pump/AC
Brallch circuits without service or
feeder
Brallch circuits each additional
circuit Wilhoul service
Name: JefTBrooks
I Subtotal
I ISlateslIfcharge{12%OfPennit
I' total)
ITechllologyfel:(5%ofpcrmittotal)
1 TOTAL PERMIT FEE
Phone: 541-343-168]
l<-llX: 541 ~343-] 683
Email:tena@orelectricservice.com
I Elee lie, no.: C408 CCB lie. no.:
Businus Name: OREGON ELECTR]C SERVICE LLC
]81997
Cq- ct<6D ~e.. 1\ (Y\Dq
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
'.. . ..center ~~-2344).
it: (\<\;o~{1/
t\~ O\~ . :\..~
'0~ \~~
I COO"" NOTICE:
I Add"" pWm82fltRMIT SHALL EXPIRE IF THE WORK
I ci'Y/sl"".Mff~IKf~{1j<]\IDER THIS PERMIT IS NOT
I phOOd400MMENCED OR IS A~rWOI'J1I'''p) FOR
I Em.it ANY 180 DAY PERIOD.
1 MetTo lie. no.: Cityli~.no.:
I Supervising Eleclridan's lie. no.: 1392S
I Supervi;;ing Elfi:tridan's Name: HennmlOll31
NUlUber ofinspl'ctions inclulled in Ilaid services:
Residential Servi<:e 4
ReconnectOllly. ]
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be
a-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
This Authorization To Begin Work must be posted at the job site unlil replaced by a Permit
69600- B E L-09-00020
7/2/2009 12:24 pm
;~~t~~~.~ 1..)~:"7':+
locations
DA s~rvice or feeder r"l~d 81 600 amps
or more
DBuildingsmorelhanrhrcestories
DMarinas aod boat yards
DFloaringbuildings
DComme:cial-uscagricultural
buildings.
Dli1slallarionofal50KVAOrlarger
sepcrarelyderivedsys
D'~A","E".or"I-2"o'''1-3''
DRe'realion~1 Vehick Parks
DSUPplyvoltagerormorcLhan&OO
supply volts nominal
TOlal
$55.00
$55,00
$6.00
$12.00
. i;\~~~flk':: ,.'~r;1
$67.00 I
$8.041
$3.351
S78.391
-iF
;l
11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00980
ISSUED: 07/02/2009
APPLIED: 07/02/2009
EXPIRES: 01102/2010
VALVE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 448 D ST
ASSESSOR'S PARCEL NO.: 1703352407200
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: . Wire heat pump and air conditioner in residence
Residential
Owner: BERG BRUCE R & SHERRI M
Address: 448 D ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
OREGON ELECTRIC SERVICE
License
181997
Expiration Date
05/0912010
Phone
541-343-1681
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst 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
Front yard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: ~andIC~l!ed
Side 2 SetbackNOTlCE: Paved Urive Rqd: ATTENTION: Orego aw~e. I;e~ you to
^,,,oV_ follow rules adopted ~'\W~ reg on Utility
Rearyard Sctblii:HS PERMIT SHALL EXPIRE IF T~ ~p IWI'\.:overage: Notification Center. Those rules are set forth
Solar SetbacksAUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001-
~~~l ~v8C~~~~y PERllt D.~;';; ~f;L~tI~TMPROVEMENTS I uU;~iin'~~h'~'~~~t~~~" (N~ir::";h~' t~i~~h~;euy
Street Improvements: nu~llilMli1fktlJy~[egon Utility Notification
Center is 1-800-332-2344).
Storm Sewcr Available: Downspouts/Drains: .
Special Instrnction:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Datc Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00980
ISSUED: .07/02/2009
APPLIED: 0.7/02/2009
EXPIRES: 01102/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees !,.aid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$8.04
$3.35
$55.00
$12.00
7/2/09
7/2109
7/2/09
7/2/09.
1200900000000000771
1200900000000000771.
1200900000000000771
120090000~000000771
Total Amount Paid
$78.39
I Plan Reviews I
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 Reouired Insnections I
. ,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 an~ all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Buildiog Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensure that all reqnired 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
Pa2e2 01'2
225 Fifth Street
I
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00980
COM2009-00980
COM2009-00980
. COM2009-00980
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000771
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE OR ELECT. Online
SERVICE
Paym~nt Total:
3:06:38PM
Amount Due
55.00
12.00
3.35
8.04
$78.39
Amount Paid
$7839
$78.39
7/2/2009