HomeMy WebLinkAboutPermit Electrical 2009-9-10
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 ,uies by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
. # Cente, is 1-80\l-332-2344).
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City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:turnbo64@juno.com
Check on status of permit
By Phone: 541-726-3753 or Email: pcrmitcenter@ci.springfield.or.us
I D NewConstruction
o Addilionlaherationlreplncement
Pl~as~ ch~ck an that apply:
O;\serviceorfeederbeginninIl31400
,\mps where the available fauh
curreme.xceedsIO,OOOAmpsal
150 Volts or less 10 ground exceed~
]4,OOOAmpsforaJlOlher
i~slaJlalions
.'-"
10 I 0< "omily dw,m,g
DCommercial
DACCeSSOry
DMulti-familY
o Fire pumps
o EmergeneysySlems
o AdditionoJancwmol<.:lflol!ldof
IOOHPormore
Job Address: 5335 DAISY ST
City/State/ZIP; SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.: 122
Project Name:
I Cross Street/directions to job site:
I T;,m,plp",,"o., ~1)t/1P.1?-''''i''? .r)\~ I
1~~1~~~~li~":cV,~~DES"CRiRJION.IqF=4W6RR:~~~1~~~:S~~YI
heal pump add
Ds;~ormoreresidentialunilsinone
SlfuClure
DHoa]lhCar~racilities
Description
Balance of penn it fees
/'<;ame: lack Lawrence
SlIbtOlal
Stale surcharge (12% of permit totaJ)
Technolob'Yfee(5%ofpt:rmitlOlal)
TOTAL PERMIT FEE
Phone: 541"988-5984
Fax:
Email:
I Elce lie. nO.: 20-505e
I Business Name: TURNBO CARTER ELECTRIC INC
I Contact:
I Address: 378 LODENQUAl LN
I City/Slate1ZIP: EUGENE, OR 97404
I Phone: 541-SS4-422~. _____
I Email:
I Metro lie. no.: I Ml0 t"'CnIVIII 5ii~t\..k.~irinc iF TilL: 'v'JJf,j{
I SupervisingElectrici~~!~iittMHILl:J-hdSl\lUtti I MI0 icniviii i5 i~ul
I Sopm;,;.gE''''ridj>!:lr~,;''",l:N(ju;JJ,Hl;'m~.:i AtJANUUNtU rUK
CCB lic. no.:
]56308
CCl-133Q
"'
Fax:
I~U 111.t~.
Number of inspeetio~ri~\iu~e!!;@ J€l1"fVr1€=R i 00,
Residential Service: 4
ReconneclOnly: 1
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be
1H1\ailed or fax9d within one business day, with instructions on how to
schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a penn it 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
69600- BE L-09-00 128
911012009 2:41 pm _
Approval Code: 568199
OHlll.ardouslocRtions
D^serviceorfeederraledal6oo
amps 01 more
DSuildingsmoremanthreeslories
DMarinas and boat yards
DFloalingbuildings
DCommercia'-useagricu'turaJ
bUlldlllgs
OInslal]alionofalSOKYAOrlarger
seperale]yderivedsys
D"A""'" "12" "130'
,",or - or-
ORecrealionaiVehideParks
DSuppJy voltage for more man 600
suppJyvohsnominal
$58.00
$6.96
$2.90
$67.86
~ q ;/o(Dl
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01339
ISSUED: 09/10/2009
APPLIED: 09/10/2009
EXPIRES: 03/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 Daisy St 101
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: InstaU heat pump in residence
Owner: LAWRENCE JACK & LYDIA
Address: 5335 DAISY ST SPACE 122
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
TURNBO CARTER ELECTRIC INC
License
156308
Expiration Date
07/14/2011
Phone
54 I -729-8409
BUILDING INFORMA TIO~ 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 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: ATTENTION: O'egon tlJ"mp'1i'Cl':'res you to
Rearyard Setback: % of Lot Coverage: follow rules adopted by the Oregon Utility
Solar Setback~:' on CE: Notification Center. Those rules are set forth
~'. .._ ___,"'T """ I CVO'O>= IF THF WORK in OAR 952-001-0010 throuah OAR 952-001-
,,"V , ~'I'Z"E"O" U-N"O'ER THIS l'RUBI1IO;JMPROVEMENTS 1~090.. You may obtain copies otthe ,Ules by
AUTHOR '., calling the center. (Note: the telephone
Street Improv@i!enfs:ENCED OR IS ABANDul~cu run numSidewallil'FfIle:,gon Utility Notification
S S ^~I)! j RO OAY PERIOD. D Center is/ 1-6PO-332-2:344).
torm ewer KVaitabte. . ownspouts Drams:
Special Instruction: .
I DEVELOPMENT INFORMATION I
Notes:
I V a~uation Desc~iDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2 .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01339
ISSUED: .09/10/2009
APPLIED: 09/10/2009
EXPIRES: 03/10/2010
VALUE:
225 Fifth Street;Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
fee~ Pai~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
Receipt Number
$6,96
$2,90
$58,00
9/10/09
9/10/09
9/10/09
2200900000000001031
2200900000000001031
2200900000000001031
Total Amount Paid
$67.86
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 Insnectinns I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true aud correct, and I I"urther certil"y that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws oIthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission 01" 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 property, and the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
Pa2e 2 of2
2ZS Fifth Street
Springfield, Oregon 97477
~,I1-726-37S9 Phone
Job/Journal Number
COM2009-01339
COM2009-01339
COM2009-01339
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description .
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
2200900000000001031
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/10/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE TURNBO Online
CARTER
Payment Total:
3:21:0IPM
Amount Due
58.00
2.90
6.96
$67,86
Amount Paid
$67.86
$67.86
9/10/2009