HomeMy WebLinkAboutPermit Electrical 2009-9-29
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Check on status of permit
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liy Phone: 541~726~3753 or Email: permitcenter@ci.springfield.or.us
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Electrical Authorization To Begin Work
[-mailed To: tena@oreleclricservice.com
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'1'0 New co~sn:~c~on:.:: .~".~:.\~~':. :''':~;;(,,0':'~~~di~;Onl~tcratiOnlrep'acement I
1~~!j?<~~-m~CATEGOR'{'OF-;CONSTRUciION,: -' -~?",~~j~c~.. :'e;'::.::~5 :~'I
:;.10 I or'~.f~~IY_~7~i~~~~~\~j\~rUI~.~.;ami~:~,:. ..fOc?mm~rCial 0 Accessory
~~2[.,l~gZi~JOBfsiTEITNfoRMAfiowA~Nb'-~OCATICrN~.tf:~;'~~d~~;.'Jr~1
Job Address: I] 25 S"STH 5T :... I
CitylStateJZIP: SPRINGFIELD, OR 97478
Suitelblde.lapt.no.: 89'
Project Name:Assoc/R~~rW74]~.?7.09'
Cross Strtetldi~etions to job site:
, ,~;:,.
. "....
I Tn.p/p.",' DO.' ''1 CY1,. ~1..'?.. rtI \cx..f
Ir'~~~~.Mfr;afiESCRip:rloi'i'OF.;W.ORi5:\Mt,~"!i,,~~..~.:':."'i.,.;."':~~
Wirc c1cetrie fumacc with heat pump
69600-BEL-09-00159
9n9/2009 4:26 pm
Approval Code: 029318
"': -~ {;.:<'~i;:.,'';'- t~~ '~i' _~',c, PL.A",.fREVIEW~~~'. I \t:*~~~?.}~f~
Pleaseche.k all lhalapply DHilZardouslocalions
o A service or feeder beginning III 400 DA service or feed~r. rat~d al 600
Amps wh~r~ the availabl~ faull amps or more
current exceeds 10.000 Ampsal
150 Volts or less 10 ground el(c~eds
14,000 Amps for aJl other
installations
o Fire pumps
o EmergencysySlcms
o Additionofanewmolorloado'f
100 HPor more
o Six or morc residcnlial units in one
structure
DBuildingsmorethanthreestories
DMarinas and bolll yards
DFloatingbuildings
DCommercial-useugricultural
buildings
Dllealthcarefacililies
D,nstaJlalionofaJ50KVAorlarger
sepenllcly derived sys
O"A" "E" or "1.2"0,"1-3'
. .
DRecreationalVehideparks
DSupplyvohage for more than 600
supplyvollSnominal
;:;~!t'T:~~~~"i~ ,'~:f~_: "FEE~SCHEbuL_E~:J:..:"
Description I QI}', I Ea.
Branch circuits without service or
feeder
Branch eircui\scach additional circuit
without service
1~~~~~~iu~sT'rE;YCO~TAC'\f~~2[~.:.~~~~'j,t:~:~~:~~ .:-:.~~:,~ Elt<.:.t~jc~I~r.e'~.nij'jliesllt1Ti; -;';'~+'<"'~~:~,:"'ni0:~:_ "- ;t;.t.:..:;.'~"7';:.:',_
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notifica1ion Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may ob1ain copies of the rules by
calling the center. (No1e: the 1elephone
number for the Oregon U1ility Notification
. Center is 1-800-332-2344).
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\a;:S <:<...<:y"
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Name: lefTBrooks
Phone: 541-343-1681
Fax: 541-343.1683
[mail: tena@ordectricserVice.com
[lee lie. no,: C408
CCBlie.no.:
181997
Business Nam~: OREGON ELECTRIC SERVICE LLC
Conlaet:
.1 Address: PO Bqn Pll- I ('I r".
I City/StatrJZIP::~PHI}.,NE;9-R:~.7~~~ i.. I . _. ._ . _ _ _ _ _
I Pbone:541.343.~11~J;-;,'....~.I~v~:,: .':~~~~~a}.i4f-~4J1l68f I-n~ VVUIit\
Ema;l: I'\J IIIUIIILL.U UI\lUCn I nl\) ,...~tilVlll l~ I\lU I
f"nl'''llI/tr''A''...,........ .,.... .." . _.
~etrolie.Do.: :-:-:::",~~....~'l~~.u :'~l_ 1"'~hYrjf~c\'PUI\,lCU rUti
Supervbing EI&'Mclan:s 'lieYn&:~ f11 lJ:l9iS I U U.
Sup~n'ising Eledrieiaa's Name:
Herman Ollar
Number of inspections included in paid services:
Residential Service: 4
ReconneclOnly: ; 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 laws and local
ordinance$ . .
$55,00
$55.00
$6.00
$6.00
Subtotal
Stlllcsurchargc(12%ofpennitlotal)
Technology lee (5% of penn it total)
$61.00
$7.32
$3.05
$71.371
TOTAL PERMIT FEE
tCj-ILIL/3 ~ ql~9lcq
ThiS AuthOrization To Begin WOfk must be posted at the Job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009~OI443
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/30/2010
VALUE:
. .
225 Fifth Street, Springfield, OR . '.:
541-726-3753 Phone
541-726-3676 Fax.
541-726-37691rispectiori Line
SITE ADDRESS: 1125 58TH ST SPACE 89
ASSESSOR'S PARCEL NO.: 1702342200100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump in residence
Owner: ROBERTS RICHARD
Address: 1125 58TH ST SPACE 089
SPRINGFIELD OR 97478
Phone Number: 541-741-9709
I CONTRAC,u" ""ORMATION I
Contractor Type
Electrical
Mechanical
. Contractor
OREGON ELECTRIC SERVICE
- ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2010
08/3112010
Phone
541-343-1681
541-683-2590
BUILDING INFORMATION 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard SethacIllTTENTION: Oregon law requir'()'v~f(dJ.lj)ist:
Side I Setback: follow rules adop1ed by the Ore'il<glr'l!t~I~lieesRqd:
Side 2 Setback: . Notification Center. Those rules aP.~~d ~J~e Rqd:
Rearyard Setbacifl OAR 952-001-0010 through OAI;1. J.rint - verage:
Solar Setbacks' 0090. You may ob1am caples oflt1Il,61t;, tl
. callina the center. (Note: the telephone
number tor me uregon . ..,..... .... ....,._-"'.,, r.:n , 11;1:'
C . '1 800 3.I,JrllBLJC IMPROVEMEl'I'TS'1 '
en1er IS - -, - -- , 'm; PEf1MIT S!;lI\1L EXPIRE IF THE WORK
Street Improvements: AUTHOR~~Erdtfu'f:Yj!letHIS PERMIT IS NOT
Storm Sewer Available: COMMEf'..~~U>Rn;@/~l3\linDONED FOR
Special Instruction: ANY 180 DAY PERIOD.
Total:
Handicapped:
Compact:
Notes:
Paee 1 of 3
..
Status
Issued.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Constr~ciion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
11..'1 ,
1 '
Amount Paid
Date Paid
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
$11.52
$4,80
$79,00
$17.00
$7,32
$3,05
$55.00
$6.00
9/28/09
9/28/09
9/28/09
9/28/09
9/30/09
9/30/09
9/30/09
9/30/09
Total Amount Paid
$183.69
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01443
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/30/2010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000001099
1200900000000001099
1200900000000001099
1200900000000001099
2200900000000001114
2200900000000001114
2200900000000001114
2200900000000001114
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. Re')uired In,~nections I
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.
Pa~e 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01443
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/30/2010
VALUE:
.225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769Inspec~ion Line
By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certify tbat all
information hereon is true a~d correct, and I furtber certify tbat any and all work performed sball be done in accordance with
the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to tbe work described hereiu, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure tbat all required inspections are requested at the proper time, that eacb address is readable from the
street, tbat 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 3 of 3
215 Fifth Street} ..
Springfield, Or~@~9?~77
541:726-3759 Ph" ;'.'''':' .
. one, ..,..
'.
City of Springfield Official Receipt
Development Services Department
Public Works Department
REā¬EIPT #:
2200900000000001114
Date: 09/30/2009
B:39:11AM
Job/Journal Number";'
COM2009-01443 :".
~'"
COM2009-01443.
COM2009-0 1443
COM2009-01443.'.
Description' :', ':~<,,:~'~
. . - .. .:' "~' .. . "<.,,,' ~,.,~ - .
. "'Add; Alter"; Extend Circ .
; ";Add, Aiter, E~t~~d Circ Ea Add
5% Technology Fee
,... 12% Stat~.S,urcharge
,';'-f':' ,"
!-.
.e'
Item Total:
<":heck Number Authorization
Received By Batch Number . Number How Received
Amount Due
55.00
6.00
3.05
7.32
$71.37
Payments:
Type of Pay~ent
ONLINE CHGS
Paid By
Amount Paid
.oNLINE PE!.WIT,qHGS.
'c'",' _'.,'.',:'~: \1/,.. ",,> 't.:,-.-
':'
KR
ONLINE OR Online
ELECTRIC
SERVICE
Payment Total:
$71.37
""'<",
,
$71.37
.. .~~.
1;
cReceintl
Page 1 of I
9/30/2009