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Home My WebLink AboutPermit Electrical 2009-8-26 , City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com Check on status of permit By Phone: 541-726-3753 or Email: pcrmitcenter@ci.springfield;or.us o New COllstruction o Addition/alteration/replacement I [~} m 2f=;]y dwelli"g OM,";-",m;]y OComm"o;,] 0 'oem,,, r::::d~:,~=~S;:~'INrORMATiON'ANb1I!'OCAifON1Y4' =J,:~...:~..i'~ I City/State/ZIP: SP~JNGFIELD, OR 97477 I Suile/bldg.fapt.no.: . Project Name: ASSOC/Myers Cross Street/directions to job site: From Harlow Rd, S,lO Beverly, W 10 Darlcllc Ave 'Tnm,p/p","'O \'It)~J.\'L~ '. (')I.~ 4,t~~:;;~~~1:~~:[)"E;S~RIf?;nQ~to~~W::ORt<~~~~$;~~}li~~,~~1 Gas furnace exchg with Heat Pwnp. Name: Jeff Brooks Pbone;54J-343-1681 Fax: 541-343-1683 Email:lena@orelectricservice.com 1'" <" :.' Eleclic. no.: C408 . CCBlic.no.: 18]997 I Business Name: OREGON ELECTRIC SERVICE LlC I Coo"'" ~lnTI:;r:: Address: PO BCJ/- i23~ CI'Y/S"tdZlP, /,Wtll&i;h'6i 311ALL ~;;~I~E IF Ti-lE Vv\ji\i\ Pho." 541_343).;J~IIJ;;I;::[: Uf~Dq;'JJ~l~3F,!;i!1MIT IS NOT . ') 3-::;f,;:v;EfJ;;H~ JF; 13 MDMi~iJui~cu run mal: ^ "\' . 3J [JAY --f.':iF: Metrolic.no.:'\'w,' rL.1J"<:ttYlic,no.: Supen'ising Electrician's lie. no.: Supen'ising Electrician's Name: l392S Hennan Ollar Number of inspections included in paid services: Residential Service: 4 Reconnect Only: I All Other Services' 2 Upon review and approval by your local jurisdiction, your permit will be e-malled 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 taws and local ordinances Please ch~ck all that apply: DAserviceOlfeed~rbeginningat400 Amps where the available fault curremexcceds 10,000 Amps at ISOVoltsorlessto ground excceds i4,1)()() Amp.> fQral! Q1he! installations o Fire pumps o EmergencySY.>tcms o Addition ofa new motor load of 100HPormorc o Six or more residentiaJ units in one structure Dllcahhcarcfacili'ies I Description Branch drcl.lits wiiholll service or feeder Branch drcuitscach additional circuit witholllservice I Subtotal IStatesurcharge(12%ofpcnnittotaJ) I TechnoJogy fee (5% ofpemlit INIl)) TOTAL PERJ\.lIT FEE: Cq-I~3' ~~ 69600-BEL-09-00099 8/26/2009 4:24 pm Approval Code: 026093 Dllazardouslocalions DA service or feeder rared al 600 !' amps or more DBl.lildingsmore,thanlhreeslories. DMarinll$1I!1dboa,yards DFloalingbl.lilding.s DCommerc;~'-use agricultural bl.llld;ngs Dlnstallationof~ ISO KVA or larger seperatelyderivedsys . D"A"."E".or"l-z"or"I"J" DRecrealionalVchicJeParks DSUpply vollage for more Ihan 600 supply volts nominal &t $6,00 $61.00 $7.321 $3.051 57"37 I \3\ 01\01 ATTENTION: Oregon law requires you to follow rules adopted by the' Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center; (Note: the telephone number for the Oregon Utility Notification Center is 1-800'332-2344). ~ C\& (\;.V '0 ~ ,V\. ," \$)0/ .6^' (()19 ~Q-- ~0-\ This Authorization To Begin Work must be posted at the job site until replaced'by a Permit \:~ CITY OF SPRINGFIELD I' Building/Combination Permit I ' Status Issued , PERMIT NO: COM2009-01252 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1148 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272207604 Springlield TYPE OF WORK: Mec~anical Only TYPE OF USE: New Residential PROJECT DESCRiPTION: Replace gas furnace & AlC. Owner: MYERS THOMAS 0 & SHARON L Address: 1148 DARLENE AVE SPRINGFIELD OR 97477 Phone Number: 541-741-2930 I CONTRA~TOR INFORMATION 1 Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/20 I 0 08/3 l/20 I 0 Phone 541-343-1681 541-683-2590 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport " Sq Ft 9ther: Occupant Load: , nla I DEVELOPMENT INFORMATION 1 . NOTICE' ' , ' '" 1 "''' 1 ION: Oregon laREQUfRI!iD'1>A/{J(JNG " ' E WORI(' follow rules adopted by the Oregon Utility Frontyar'1JI$~1b/i~MIT SHALL EXPIRE IF TH l:JVl!tlay Dist: Notification Center. Thos!qt~ts are set forth Side 1 Sel"?3q~lORIZED UNDER THIS PERMIT IS 1Il~fi.eet Trees Rqd: in OAR 952-001-001 0 ttlrcl!tQ!li!'!'PPlJ!!2-001- Side 2 SeB',~~~ivl~NCED OR IS ABANDONED FORPaved Drive Rqd: 0090. You may obtain CC~RJYRti<\(le rules by Rearyardll~%l'a'ffii 'DAY PERIOD. % of Lot Coverage: calling the center. (f\!ote:,the telephone Solar Setbli~ksl number for the Orego,n Utlhty Notification '=':...~:... :" -lor'" t:>'::ll") 1")" A A} I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: , Downspouts/Drains: Notes: Pa2e I of3 Status Iss u ed CITY OF SPRIN(JI'lJ!;LD . Building/Combination Permit PERMIT NO: COM2009-01252 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descri?tion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 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 Ea Add Amount Paid, Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 $55.00 $6.00 8/2 5/09 8/25/09 8/25/09 8/25/09 8/27/09 8/27/09 8/27/09 8/27/09 2200900000000000963 2200900000000000963 2200900000000000963 2200900000000000963 1200900000000000992 1200900000000000992 1200900000000000992 1200900000000000992 Total Amount Paid $183.69 Plan Reviews 1 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 1 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 of 3 Status Issued 0 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01252 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/27/2010 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 I further certify that any and all work performed shall'be done ill 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 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 proper!)', and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pa2e 3 of 3 Date '225 Fifth Street Springfield, Oregon 97477 54.1-726-3759 Phone Job/Journal Number COM2009-01252 COM2009-0 1252 COM2009-0 1252 COM2009-01252 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department, Public Works Department 1200900000000000992 Date: 08/27/2009 8:21 :25AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55,00' 6,00 3,05 7,32 $71.37 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Paid KR ONLINE ,OREGON Online ELECTRIC SERVICE Payment Total: $71.37 $71.37 Page 1 of 1 8/27/2009