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HomeMy WebLinkAboutPermit Electrical 2009-9-29 :,.... '. , ..:- ~"'., "', City uf Springfield Electrical Authurizatiun To. Begin Wurk E-mailedTo:tcna@orelectricservicc.com Check on status of permit . , By Phone~ 541-726-3753 or.Email: permitcenter@ci.springfield.or.us (Jq. \"J~ 69600- BE L-09-00 158 9/29/2009 10:16 am Approval Code: 029023 D Additionl~lerationJreplllcement .,;-, New Consiructi~n Please ~heck all thaI apply: o A service or feeder beginning at 400 Amps where the available fault currenlexceeds 10,000 Amps at 150 VOllS or less logroundex~eeds 14,000 Amps for all olher installations o I 0'm2f"""Ydw,";" DM,lt;.'""IIY Dc'""",''';'1 DA"''''O' 1~~,ll;":L~..,,;boBrsll'EfINF.ORMATIONiANDli!OCATlON~~;'Jj~ I Job Address: 1441 N.ST I City/StatelZIP:.SPRlNGFiELD, OR 97477 I Suitelbldg.lllpt:Dl?': .: ~'. . I Project Name: Assoc~denour/72~-9033 I CrossStreetldireetion,tojobsite: ~'. o FirepumJls o Emergencysyslems o Addition ofa new molor load of 100HPormOle o Six or more residential units in one slructun.' DHealth~arefacililies -. . Description I Tax map/parcel no.: :::J ~.J \""'t DHazardouslo~atiQns [JA service or feeder rated at 600 amps or more DBuildings more than three stories DMarinas and boat yards DFloatingbuildings Dcommercial-u~e agri~uhuraj buildings DJnstallationofalsoKvAorlarger seperatelydenvedsys D"A"."E",or"J-2'or"'"3" DRe~realionalVehicleparks DSupplyvollag~formorethan600 supplyvohsnominal Total QO', Circuits without service or $55.00 $55.00 Wire electric furnace w/heat p1UTlp, attic light, switch & plug '; feeder BTMcl!circllitseaeh:idditionalCircuit without service $6.00 $12.00 Name:le[fBrooks Subtotal Sl:ite surcharge (12% of penn it total) Technology fee (5% cifpennit'total) Phone: 541-343-1681 Fax: 541-343-1683 Email:tena@orelectricscrvicc.com TOTAL PERMIT FEE Elec lie, no,: C408 CCD lie. no.:' 181997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 City/State/ZIP: EUGENE, OR 97402 Phone: 541-343-1681 Fax: 541.343-~683 Email: ,StJ CA: ,V \lfCo, Metro lie. no.: City lie. no.: Supervising Electrician's lic. no.: Supervising Electrician', Name: 13925 Hennan Ollar ,Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services' 2 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. .; Com26'ti1 q\ 30/01 01:.542- (\11\ NOTE: This Authorization To Begin Work expires 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 If it does not meet applicable land use laws and local ordinances i This Authorization To Begin WOfk must be posted at the job site until replaced by a Permit I I . $67,00 I. $8.041, $3.351 S78.39 &~ .cf\. \D" , ~<p ~ ~ Status Iss u ed CITY OF SPRIl'iuJ:<lJ!.LD Building/Combination Permit PERMIT NO: COM2009-01342 ISSUED: 0'9/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/29/2010 VALUE: ,225 Fifth Street,Spr,ingtjeld, OR 541-726-3753 Pllune 541-726-3676 Fax ,541-726-37691uspectiun Line SITE ADDRESS: 1441 N ST - ,_ ASSESSOR'S PARCEL NO.: 1703253301000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install beat pump in residence . I '. . . . . , , Owner: RIDENOUR JOHN E & NANCY ANN Address: 1441 N ST . SPRINGFIELD OR 97477 Phune Number: 541-726-9033 I CONTRACTOR INFORMATION I Contractor T:vpe- Electrical Mechanical " Contractor , OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/0912010 08/3l120io Phone 541-343-1681 541-683-2590 ~ BUILDING INFORMATION' # ufUnits: Primary Occupancy Gruup: Secundary Occupancy Gruup: Primary Cunstructiun Type Secundary Cunstructiun Type: # of Bedruums: # uf Sturies: Height uf Structure Type uf Heat: Water Type: . Range Type: Energy Path: Sprinkled Building: Lut Size: Sq Ft 1st Fluur: Sq Ft 2nd Fluur: Sq Ft Basemeut: Sq Ft 9arage/Carpurt Sq Ft Other: Occupaut Luad: n/a I DEVELOPMENT INFORMATION I Fruntyard Setback: ' Side 1 Setback: . 'Side 2 Setback::' Rearyard Setback: Sular Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot -Coverage: REQUIRED PARKING TutaI: Handicapped: Cumpact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instructiun: NonCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS\PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Sidewalk Type: ATTENTIOD'I' n,,"nnrt '/D-'" -"~'Iires you to ownspou s rams: 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). Nutes: Page 1 uf3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01342 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phune ; 541-726-3676 F~x 541-726-3769 InspectiunLine I ': al.~.~!i?n J)escriDtio~ , Descriptiun Tvpe uf Cunstruciiun $ Pet Sq Ft , ur multiplier Square Fuutage ur Bid Amuunt Value Date Calculated .;;, Tutal Value ufPruject Fp~. P"W $11.52 $4.80 $79.00 $17.00 $8.04 $3.35 $55.00 $12.00 DJte Paid I 9/11109 9111/09 9/11109 9/11109 9/29/09 9/29/09 9/29/09 9/29/09 Receipt Number 2200900000000001032 2200900000000001032 2200900000000001032' 22009000000000QI032 3200900000000000680 , 3200900000000000680 3200900000000000680 3200900000000000680 Fee Descriptiun + 12% State Snrcharge + 5% Technulugy Fee .. 1st Appliance ; Heat Pump + 12% State Surcharge + 5% Technulugy Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amuunt Paid Tutal Amuuut Paid $190.71 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 ,Rpllllirprllnti',nprJiow Ruugh Mechanical: Priur to. ,Cuver Final Mechanical: When all mechanical wurk is cumplete. Ruugh Electric: Priur to. Cuver Final Electric: When all electrical wurk is cumplete. " J Paee 2 uf3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phoue. 541-726-3676 Fax '" 541-726-3769 In'spectiuu Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01342 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/29/2010 VALUE: By signature, I state and agree, that 'I have carefully examined the completed applicatiun and do. hereby certify that all infurmatiun hereun is true and currect; and I further certify that any and all wurk perfurmed shall be dune in accurdance with the Ordiuances ufthe City uf Springfield and the Laws uf the State uf Oregun pertaining to. the work described herein, and that NO OCCUPANCY will be made uf any structure withuut permissiun uf the Cummunity Services Divisiun, Buildiug Safety, I further certify thatunly cuntracturs aud empluyees who. are in cumpliance with ORS 701.005 will be used un this pruject. I further agree to ensnre that all required iuspectiuns are requested at the pruper time, that each address is readable frum the street, that the permit card is lucated at the frunt uf the pruperty, and the appruved set uf plans will remain un the site at all times during construction. Owner or. Contractors Signature t. " Paee 3 0.1'3 Date / v ':c . . ,.'~ 225 Fifth Street; , , Springfield, Oregop974n: ' 541-726-3759 Phone ': . ' City of Springfield Official Receipt DevelopmeJ;1t Services Department Public Works Department RECEIPT#: ,3200900000000000680 Date: 09/29/2009 ' Job/JournaJ.Number;~.: . :'~esc~ipti~~::. '~~;t-.'~!;~,: .. COM2009-01342 <:,:;Add;Alier, E~tend Circ COM2009-0 1342 ,'Add, Alter, Extend Circ Ea Add - C0M.2009-01342' " >1- 5% Technulugy Fee COM2009-01342'\{12% Siate.~uicharge Payments: Type of Payment ONLINE CHGS Paid By , ONLINE PERMIT CHGS ' ,;'.',.,' ',:".: ,)~ ,;'.. 'I; -' ,: cReceintl ,'. .,,'.'. ~':. .j. Item Total: Check Number Authorization Received By Batch Number Number How'Received NJM, Page I of I ONLINE OREGON Online ELECT Payment Tutal: 10:34:47AM Amount Due 55,00 12.00 3,35 8,04 $78,39 Amount Paid $78,39 $78.39 9/29/2009