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Home My WebLink AboutPermit Electrical 2009-9-1 \~q,? (/l\-' City of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orclectricservice.com 69600-BEL-09-00 114 9/1/2009 5:17 pm Approval Code: 001586 Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us D!lazardollsJocatiol1.S DA service or feedcl rated al 600 amps or more I 0 New Construction l'leasecheck all lhalapply' o Addition/alteration/replacement o Aservit:corfeederbeginningaI400 Amps where the available fauh cumntexceedslO,OOOAmpsat 150 Volts or less to ground exceeds 14,OOOAmpsforallolher installations DBuildings more thao three stories DMarinas and boat yards DF'oatingbuildings DCommercia'-useagricu!tural buildings I [~}" 2f=;]y dwdllo. o MolI;-r=lIy Ocomm,,",' 0 A"",ooy 1~~.~~::~}~~~~J6BisiTE'iNFORMATfONrANi51l0CA'OON~~;~,~~~~.;:~:~: Job Address: ]858 1ST o Fire pumps o EmerllencY5ySlems o Aduilion ofa new motor load of 100 HP or more DSi:<ormOleresidemialunilsinone structuni City/State/ZIP: SPRINGFIELD, OR 97477 D'nstal'ationofa15oKvAor'arger seperatdyderivedsys O"A". "E". or "1.'2" or "1.3" DRecreati<.>nalVehideParks DSUpp,yvohagefo,mo,elhan6oo supply vol15 nominal Suite/bldg./apt.no.: Project Name: ASSOClBonita L~lfSen Cross Street/directions to job site: Centennial Blvd, S onto 16th Streel;E onlo I SI. o Health care facililies T"m'plp""]"., i?~?2W~l O'l".~ ~1J'~~~--~DEscfHeTrqijr9'iRVlcfRR57#1~~!~1)'ff~~:;I~-'~I E]ectiic Furance exchg. Branch circuils without service or Bl:Ilanccofpennit fees Name: Jeff Brooks Subtotal ISlate surcharge (12% ofpennil tOlal} I Technology fee (5% of per mil tOlal) 'TOTAL PERMIT FEE $58,00 $6.96 $2.90 Fax: 541-343-1683 Phone: 541-343.]68] [mail: teull@ordeclricservice.com $67.86 L Elec Iic. no.: C408 ' CCB lic. no.: I Business Name: OREGON ELECTRIC SERVICE LLC 181997 Contact: Address: PO BOX 2237 City/State/ZIP: EUGENE; OR 97402 Phone: 54].343-1681 Fax: 541-343-1683 Email: City lic. no.: Meh'o lic. no.: Supervising Electrician's lic: no.: Supervising Electrician's Name: 1392S ~;r _ ~b , (}.:\O W~. HennanOllar Number ofinspections included in paid services: Residential Service: 4 ReconnectOn]y: 1 All OtherScp,'ices: . 2 , ~ (\~6-' ~~ ~~ 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. NOTE: This Authorization To Begin Wor1t expires within 180 days if a pennit 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 until replaced by a Permit W/Yl2.f57J1 - 0/ J--f".J 9/J.-/o1 /J/Yl Status Iss u ed CITY"OF SPRINGFIELD Building/Combination Permit PERMIT NO: C()M2009-0]293 ISSUED: 09/02/2009 APPLIED: 09/02/2009 EXP]RES: 03/02120]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1858 I ST ASSESSOR'S PARCEL NO.: 1703362102800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Public PROJECT DESCRIPTION: Electric furnace exchange Owner: Address: WARREN A & BONNITA S LARSEN TRUST 1858 I ST SPRINGFIELD OR 97477 . I CONTRACTOR I~FORMATION 1 Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 541-343-1681 BUlLD1NGINFORMA nON, I # 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 Type: Energy Path: Sprinkled Building: Lot Size'; Sq Ft 1st Floor: Sq Ft 2~d Fluor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMEN! INFORMATION I' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback:' Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact; I ~UBL1C IMPROV~MENTS 1 Street Improvements: Sidewalk Type: Storm Sewer Available: . t . . ^TTENTION: Oregon law requires' you 0 SpecIal Instructum: d t d b th Oregon Utility follow rules a op eye Notification,Center. Those rules are set forth in,OAR 952-001-0010 through OAR 952-001- S:::. '.':'.' --;. ~h'_;n Mn;QO "f t~" ri,les bv Norrr.r:. c,allihg the center. (Note;l, to '" ,''''~I-'.',u,'.'u " 1[11'> ttHMIT SHALL EXPIRE I,FTHE WO rnumber for the Oregon U,'''''jaluatiom<DescrIotlOn, RIZED U ' RK , " Center. is,t-800-332,2::WI). 'n;;Mro~'(' NDER THIS RERMIT IS NOT , ., $ Per Sq Ft S~uare"l'ootag:.o OR IS ARd~lnONED Ff\D Type of ConstructIon It' I' "8"". 1.<>.'" " 'W PE' 'Vl/lue, Ul!J1lte Calculated , or mu Ip IeI'. Of' 10 NUO.."" RIOD. Downspouts/Drains: Notes: Description Paee 1 01'2 Status Issued CITY. OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]293 ISSUED: 09/02/2009 APPLIED: 09/02/2009 EXPIRES: 03/02120]0 VALUE: 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541 -726-3676 .Fax 541-726-3769 Inspection Line Total Value of Project Fees P~id I l,.-n III Fee Description, + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Daie Paid Receipt Number $6.96 $2.90 $55.00 $3.00 912109 9/2/09 9/2/09 9/2/09 3200900000000000625 3200900000000000625 3200900000000000625 3200900000000000625 Total Amount Paid $67.86 Plan Reviews I To Request an inspection caIl the 24 hour recording at 726-3769.- AIl 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 foIlowing work day. I. R~,9u.i~ecl 1.~S17~~tion~ 1 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 and all work performed shall:be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, aud that NO OCCUPANCY will be made of any structure without permission of the Communi!}. 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 property, and .the approved set of plans will remain on'the site at all times during construction. Owner'or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009'01293 COM2009-0 1293 COM2009-0 1293 COM2009-01293 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000625 Date: 09/02/2009 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE oregon elect Online svc Payment Total: Page I of I 7:12:51AM Amount Due 55,00 3,00 2,90 6,96 $67,86 Amount Paid $67.86 $67.86 9/2/2009