HomeMy WebLinkAboutPermit Electrical 2009-9-21
,;
City of Springfi~ld " '
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricscn.ice.com
Check on status of permit
By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us
69600-BEL-09-00140
9/20/2009 5:08 pm
Approval Code: 020079
Please check aJl Ihat apply:
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I D New Construc~~n..
o Additionlalterationlrep]llcem~nt
o A service or feeder beginning at 400
Amps where the available fauh
current exceeds JO,OOOAmpsat
150 Vohs or Jess 10 ground exceeds
14,000 Amps for all other
installations
o I or 2 family dwelling
DMUlti-family
,.
Dcommercia]
DACCeSSOry
DFirepwnps
o Emergeneysyslenis
o Addition OfR new mOlor load of
100HPormore
o Sixc or more residential units in one
structure .
I Job Address: 949 65TH ST
I
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I
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City/State/ZIP: SPR]NG'FIELD':OR 974'78
SuitelbldgJapl.no.: .~
Project Name: AsSOqOberg'
Cross Street/directions to job site: Thurston Rd
o nealthcare facililies
I Tum'p/p"'.' "0' .~f)D1??)Y2.. OQ~O'S
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Description
Electric Furnace & Heat Pump
Electric Air Cleaner
I Outdoor Receptacle
Branch circuits without si:rviee or
feeder
Branch circuits each additional circuit
without service
Fax: 541~343-1683
Subtotal
State surcharge (12% of penn it total)
Technology fec (5% of permit total)
TOTAL PERMIT FEE
CCBlic.no.: 18!?~1;. ~\)~.~
Business Name: OREGON ELECTRIC SERVICE LLC .....f"_ \'t \ \ ~ 'ic. ~,J.
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Add"", PO 'l.(Wti/~V,:"':'~~\\ 'o',':~~~ \ ":~\~()",,,y
City/Stafe/Z'P~~'&ifj1B."0~~4P\) \J~~;: \S \\or"
Phone: S41-343-1'~&l\\ \\ \j '..: ~\\.t \) ~:.: d'tB'~ ~-343-1683
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-~%'{ \V-
Email:
Metro lie. no.:
Citylic.no.:
I Supenising Electrici~n's lie. no.:
I Supervising Electrician's Name:
]392S
HemlltnOllar
Number of inspections included in paid services:
Residential Service: ., 4'
Recol1oectOnly: I
All Other Services: 2
~
~ b~ \\)
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 Work expire.s within 180 days if a permit is
not obtained.
The local building deparbnent may determine that an Authorization To Begin
Work is null and void ifit does not meet applicable land ~se laws and local
ordin~/
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
~,
DHazardous,ocations
DA service or feedefrated at 600
amps or more
DBui'dingsmorethaflthrees,ories
DMarinas and boat yards
Dfloatingbuildings
Dcommercia'-Ilseagricultura'
buildings
DJnstaJla,ionofal50KVAorlarger
seperalelydenvedsys
D"A","E"oor."J-2"or.';1-3"
DRecreationalVehiclePalks
DSUpply voltage for more than 600
supply vohs nominal
TOfal
$55.00
$55.00
$6.00
$12.00
$67.00
$8.04
$3.35
$78,391
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C\t'C ~o/
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Status Issued
225 Fifth Street, Springfi/ld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01301
ISSUED: 09/03/2009
APPLIED: 09/02/2009
EXPIRES: 03121/2010
VALUE:
SITE ADDRESS: 949 65TH ST
ASSESSOR'S PARCEL NO.: 1702341200405
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
, Residential
PROJECT DESCRIPTION: Install heat pump system in residence.
Owner: OBERG RODNEY R & DIANE L '
Address: 949 N 65TH ST
SPRINGFIELD OR 97478
Phone Number: 541-954-7429
I C.ONTRACTOR INFORM A TION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2010
08/31/2010
Phone
541-343-1681
541-683-2590
BUILDING INFORMA TION ~
Street Improvements:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
.l('\o.~
." '1'1'- .~_
o,l ~~VF;LfilIl.MlENT INFORMATION'
C~:. \'\~\.\.' t.'j..~~~~~~~r'l~a~i- REQUIRED PARKING
Frontyard S<\ql}3~: t.~~\\ S ~1Jt.~ \~\~IJCl~t.\) Overlay Dist: Total: \0 '
Side 1 Setback(\\\S? \1t.1J \) \S ~'i)", # Street Trees Rqd: Handicapped:
Side 2 Setback'(>..\)\\'\O\\ ~c.t.\) Cl~ ?-\Cl\). Paved Drive Rqd: \eo:C'i~paH:\~;\\\
Rearyard Setbat,Iu~~t: \)~?t: % of Lot Coverage: e9,00 \\J.'l\\\e 01 i\ese\ .\j\j\-
Solar Setbacks: . ,\'{ '\ ~() 0\,\,,0\ \eO 'O~ e \1l\IJ.SOp--'" gS~\lJ.s 'O~
"I' ,_~\"\\ .A09 .,.nOS .on '" III "
I PUBLIC IMPROVEME~i;s1 tll\~ ce0\~~\ \j \\\\~9\es o~ ~e\IJ.~{\c~;:\00
.., , _\J.\\O (\\j\- ,i\0 C \e' \\\ \,\0\1,1
\,\0\1\1;::", 9"Sidewali2T.yp~~0 0\1\1\~ 1;1;').
, '\(I 0'" '<(QIl0'~~e0W\' "n00 ~.~?>
\j\jg\j. ,I?ownsRoUislDrain~')
C\J.\\10'" '\0\ WV \S \.Qv - ,
{0'Oe\ 0\e\
(\Il ,Ce
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
Storm Sewer Available:
Special Instruction:
Notes:
Page 1 of3
"':'7~~'~~~~~~~)'\~~/
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
, or Bid Amount
Type !If Construction
Total Value of Project
Fees Paid I
Fee Description
+ 12 % State Su~charge
+ 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
$11.52
$4.80
$79.00
$17.00
$8.04
$3.35
$55.00
$12.00
9/3/09
9/3/09
9/3/09
9/3/09
9/21/09
9/21/09
9121/09
9/21/09
TotaJ:Amount Paid
$190.71
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMlTNO: COM2009-01301
ISSUED: 09/03/2009
APPLIED: 09/02/2009
EXPIRES: 03/21/2010
VALUE:
Value
Date Calculated
Receipt Number
2200900000000001001
2200900000000001001
2200900000000001001
2200900000000001001
2200900000000001068
2200900000000001068
2200900000000001068
2200900000000001068
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, R,elluired I nsnections ,
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.
Page 2 of 3
~~~~~..!i!~!,!;~
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009"01301
ISSUED: 09/03/2009
APPLIED: 09/02/2009
EXPIRES: 03/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safeiy.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01301
C0M2009-01301
COM2009-01301
COM2009-0130t
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 99/21/2009
2200900000000001068
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
'+ 5% Technology Fee
'+ 12% State Surcharge
(
Paid By
ONLINE PERMIT CHGS
. Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE OR Online
ELECTRIC
SERVICE
Payment Total:
Page 1 of 1
8:47:59AM
Amount Due
55,00
12,00
3.35
8.04
$78.39
Amount Paid
$78,39
$78.39
9/2112009