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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