HomeMy WebLinkAboutPermit Electrical 2009-10-2
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Electrical Authorization To Begin Work
E.mailed To: turnbo64@juno.com
69600-BE L-09-00 165
10/212009 5:34 pm
Approval Code: 07668Z
Check on status of permit
~y Phone: 541-726.3753 or Email: permitceriter@ci.springfiefd.or.us
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I D New construc~~n'
DHazardous'ucalion~
DA service or fcedcr raled al 600
amps or more
Please check all that apply:
o Additionlalterationlreplacemelll
o Aservieeorfeederbeginningat400
Amps where lheavailable fault
currente~ceeds 10,000 Amps at
ISOYohsOf Jess logroundc~ceeds
14,000 Amps for all other
installatiiins
10 [ ,,2f=ily dW'IJi"~
DBuildin!tsmorethanlhreestories
DMarinas and b03l yards
DFloatingbuildi~gS
DCommercial-useagricuJlural
buildings
Dlnstal'ationofa'SOKYAorlarger
sepera1elydenvedsys
D"A","E",or"I-2"or"I-J"
DRecreationalYehicleParks'
DSUpply voltage for more than 600
supply vult<; nOJllinaJ
DMulti-fami1;.; ;DCommerciitl
DAccessOl)'
o Fire pumps
o EmergencysySlems
o Addilionof a new mOlor load of
100 HP or more
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Job AlIdress; 4608 HOLLY 5T
City/State/ZIP; 5PRlNGFIELD, O~ 97478
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Suitelbldg.!l.1pt.no.: .. l: .
o Six or more residemial unils in one
structure
Project Name:
Cross Street/directiolls'to job' site: franklin blvd, to main sf. turn right on s. 42nd,
loft.
to jasper,
o Health care facilities
II,T'::,::~:,"'DOJ.~~\f)~,~.Q2~~ " > '~ #:4 ""I
fF~w4S$f~" a4!~~: ~DI:~CRIP,JIONI9f~WQRJ5'mm&1'F'~~~gcb:m0!12:~~
Totul
Description
installgasfumact:&ac
I Bmnch circuits witJiout service or
feeder
I Branch circuilseach additional circuit
without service
$55,00
$55.00
continued directions: go left on jasper, to s. 47th turn left to holly sturn left to address
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$6.00
$6.00
I Subtotal
15talesurcharge(12%ofpermittotal)
ITechnologyfec(5%ofpermillotill)
I TOTAL PERMIT PEE
$61.001
$7.32
$3.05 I
$71.371
Name: Sherry Lassard
Phone: 541-747-245]
Fax;,
Email:
Ele~ lie, no,: 20-SaSe
CCBlic,lIo.: 156308
'Business Name: TURNBO CARTER ELECTRIC INC
Contact:
Address: 378 LODEN9UAIl:N
City/State/ZIP; EUGENE, OR .97404
Phone; 541-554-4223
Fax:
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Email:
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Metro li(. nn.:
City Iic, no.:
Supervising Elecfriciall's lie, no.:
Supervising Electrician's Name:
47705
James Tumbo
Number ofinspectiolls included ill paid services:
ResidentiaIService: 4
Reconnect Only': f. I ""
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.
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is
not obtained. - . :
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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
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CITY OF SPRINUC.HELD
Building/Combination Permit
PERMIT NO: COM2009-01172
ISSUED: 08/13/2009
APPLIED: 08/13/2009
EXPIRES: 03/04/2010
VALUE:
Status
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Issued, ' ,',,'
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225 Fifth Street; Springfield, OR
': 541-726-3753 Plume
"541-726-3676 Fax" ''':, ."
541-726-3769 Inspection Line ""
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SITE ADDRESS: 4608 HOLLY ST Springfield TYPE OF WORK: Heating System
ASSESSOR'S Pt,;R, ",C,'-,l+,NO:: , ,~,~,~.z,i 051207700
'" '....' _, " _, TYPE OF USE: New Residential
PROJECT DESCRIPTION: Install gas furnace and heat pump.
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Owner:
Address:
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LESSARD SHERRY MAY & L W
4608 ~O~LY ST' '
SPRINGFIELD OR 97478
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Contractor'Type! !" ContraCtor
E!~ctrical, ,\\', ;,' .;, TURNBO CARTER ELECTRIC INC
Mechanical,l ~ '" ." CHITTIM ENTERPRISES I INC
I CONTRACTOR INFORMA TI~)N'
License
156308
47396
Expiration Date
07/1412011
03/24/2011
Phone
541-729-8409
541-461-2101
BUILDING INFORMATION I
n
# 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 Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
" Secondary Construction Type:
, I~','
# of Bedrooms: ~; j-' { "
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I, DEVELOPMENT INFORMATION ,
Frontyard Setback: x","
Side 1 Setback:':' :0' "',
Side 2 Setback: :',
- Rearyard Setback:' .'
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Solar Setbacks: .
.~' ';)
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:"
Special Instruction: ;'
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I PU~LIC IMPROVEMEN~S ,
ATTENTIC.~i.l!~'!.I~cT..yI!.~:1 requires you to
follow ruleD- ~rl"nt"rltr/'D' t~" 0regon Utility
N .. .' ownspou s raIDs.
otlflcatlon 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).
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Notes:NOTlCE: ,
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS'PERMIT IS NOT _
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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Status . Issued:;;; '~:'
225 Fifth Str.eet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspec.tionLine
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Description
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Tvpe of Construction
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Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee ..
+ 5% Technology Fee ,~
1st Appliance : ,'; , :
1st Appliance "
Furnace - up to)OO,OOO btu
Gas Outlets 1-4" , " .
"eat Pump -
Reversal - + 12% 'State Surchar
Reversal - + 5% Technology Fee
Reversal - 1st Appliance
Reversal - Heat Pump ..
+ 12% State Surcharge,
+ 5% Technology Fee
Add, Alter, Extend (:ire
Add, Alter, Extend Circ Ea Add
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Total Amount Paid
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I V ~.Iua~io? Descripti.on I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01172
ISSUED: 08/1312009
APPLIED: 08/13/2009
EXPIRES: 03/0412010
VALUE:
Value
Date Calculated
Total Value of Project
I)'p~~ r.i11
Amount Paid
Date Paid
Receipt Number
1200900000000000916
1200900000000000922
1200900000000000916
1200900000000000922
1200900000000000916
1200900000000000922
1200900000000000922
1200900000000000922
1200900000000000916
1200900000000000921
1200900000000000921
1200900000000000921
1200900000000000921
3200900000000000689
3200900000000000689
3200900000000000689
3200900000000000689
To Request a~ iti~peetion eall 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.
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$11.52
,,$12.36
$4.80
$5.15
$79.00
$79.00
$17.00
$7.00
$17,00
$-11.52
., $-4.80
$-79.00
$-17.00
$7.32
$3.05
$55.00
$6.00
8/13/09
8/13/09
8113/09
8113/09
8/13/09
8/13/09
8113/09
8113/09
8/13/09
8/13/09
8113/09
8113/09
8113/09
10/5/09
1015/09
10/5/09
10/5/09
$191.88
I Plan Reviews ,
Rrronirprl In'npdi~
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Rough Mechanical: Prior to Cover
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Final Me,chanical: Wben all mechanical work is complete.
Rougb Electric: Prior to Cover
Pa2e 2 of 3
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CITY VI< ~l"Kll'\iLJNJ'.LD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-01l72
ISSUED: 08/13/2009
APPLlED:08113/2009
EXPIRES: 03/04/2010
VALUE:
225 Fifth Street"Spr"h;gpeld,pR"~,'g,,,"
541-726-3753 PhoneJ~'-:' , ' "",
541-726-3676 F~x -' " , " \,
, 5,41-726-3769 I~,~pect,io~,Line
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Final Electric: When all electrical work is complete.
By signature, I state and agree, tbat} have cilJ'efully examined 'the completed application and do hereby certify that all
information hereon is true and,corr~ct, and I further certify that any and all work performed shall he done in accordance with
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the Ordinances of tb,eCjty of Springfield and the Laws oftbe State of Oregon pertainiug to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
" Ifurther certify, that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
of I'further agree t~ en,~ure that alIrequired 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 tbe approved set of plans will remaiu on the site at all
,times during construction. .
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Owner or Contractors'signature : :
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Date
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Pa~e 3 of 3
225 Fifth Street': :
Springfield, Oregon 97477 '
541-726-3759Pho,ne ../,'
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, , ,RECEIPT #:
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3200900000000000689
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Job/Journal Numbe'r V: ;", pesc"ri"ptiQR . .
COM2009~0 1172 "Add,.Alter; Ext~nd Cire
COM2009-01172 Add, Alter, Extend Ciic Ea Add
COM2009-01172 + 5% Technolo~y Fee ,,'
COM2009-01172 ',+ 12% StateSureharge.',
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Payments: ' c',>" ~ j,-
Type of Payment :P~id,By,
ONLINE CHGS',' ,ONl:!NE,PERMIT CHGS
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City of Springfield Official Reeeipt
Development Services Department
Publie Works Department
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Date: 10/05/2009
8:03:57AM
Amount Due
55,00
6,00
3,05
7.32
$71.37
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
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Page 1 of 1
Amount Paid
ONLINE TURNBO Online
CARTER
Payment Total:
$71.37
$71.37
10/5/2009