Loading...
HomeMy WebLinkAboutPermit Electrical 2009-10-12 .....;;;;.alil;r";\..~~~:~..;; ... ic:,!~pit~'.;or"sP!\~~~}~f:ifiift;i;,,:,,:,,':.':'},:,{. " ,>Elect~ical Authorization To Begin Work 'aiT~~~1 '", " ..', "''fFl:tr!:!~;~Hi;~J,;Z{;f:l'E~~::'e~ To: lena@orelecldcservice,com . ~;1;d;~~~Jl~i,~~f~::ji4'J',';j6~3:rr :~::::;e:~~::e:::r@ci'Springfield'Or,us 'ti,~~~~?ft~mPtAN;REVIEW.a ATTENTION: Oregon law requires you to follow rules adopted by the Oregori 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), &~~ ~~~0" v..J \\) '\ ~ ~~ ~ .0' .~dditi?II/a1terationJrep]ncement , ~~I}'1~'~cATE?6~~t6Flc~NsYRU:cTRj~wi~:~~~~~~~1 , 0 I 0; 2 fwniJy d,~i~'~r1~T:}U'l2f1'q~j~NJl~jf~;g?M~n2d~_~~cial .'.. D. Accessory '..,-:i/::';,~;",';;f:',;... '. ,.~,. ':'--:';~~:. .~;..:.. " ,'. . ,,', '~"~11:!rJI!l~j'i'!lt~J081'SITEilNEORMAT1ON'7AND'iloCMION!iJfiil'lt?f!!l,~ :~~: I; Job Addres;:5335 :",MAI.~,~t~?~r:;;~~~.'[SW~~i~;;};t~;:;~~":':::i1;k':;~t\., ,~:t,.,.;:. ;' . I .:::i ':r:.City/S,tate/ZIP:)>.,~~,~WI~,fgL~!\~7~?,~,(:t~~~f~~'f?i~ :;\,. I I;SUit~ldg.lapt.~o.:,~'~~:~~~;i~;lnN:~"'~' ~ ,., ~'~~'. 1 i.P,r~j~~:t N.~~~:.F?~~F.~U!~l~t~~,~.4'~ .;;: ;. "6on Streetld'frec6oDS:'.lo'joiisitei::' ,;., ~; . " j., 'l:j4,(; .:.:"; 'I'" ~':i '.:- I Tn.p/p"'.ln., n01?l3CCO\~C:O I 1"-~"'_..:JJJ;<f'-' '''~~-~-~-r'-----''''_''''''''~~-''''''-ll;1 frt~~,~~QE:S,CJ~IPJI9N\9Fj!..W,O,~~:~~#:~~~01E~':aJSF'=w?j~.;t~, Change QUf electric furnace 'i~, :' '. " ~~:l.itJ<~.~':-iJ~~ ,.."".' ~''''. .~, .,~' "'ij' ~..~:>. : , J;",'1:", .' 'I,;~:;'.l"\ /. .' ' ..-: :w:t~;h. '~;'~:~:m\':I~J'~: .,~;~~._.~t.~~~,: ~ Name: J~fIBrooks }.. : ',.,,,tl~' ';" Phone: 541.34J-168J 'rFaxr.541;343_161B Email: tena@orelectricservice.com Elec lie, no.: C408 r:::i~i.;if:,~,;:fi;-. '.,-:::..:..;. ;:'cc"o'lic:'D'o,; 181997 Business Name: OREGoN ELEcTRIC SERVICE LtC ~, ,~ J. '_ _ .. " I ,Contact: ~~i::~ j' , . ,} lAddren.: POBO~~2~H!hiti.:~f,:' .~, I City/State/ZIP: ~~9:Fr~El~i\~7,iPtr 8thJ;'I~Y"itVDiQI= 11= Tl-il= \^'~8~ Phone: 54 I -343. ~ 6~1::: I:.... ;"I'~'~'~ I~ ~; ~ ~~:~r'Ui~3-~~.3;~ M IT I ~ t\\ n T Emllil: f,UI1IV1"""""'"'" ....,.--. ,...("\n~lInr-I\I,...cn ("\D Ie ^'Q'8l\Innl\ll:n FOR v....,y".,.........~- -.. .- - Metro lie. no,: A"'" --' nn .....1\\/ Mr-nlR~llie,no,: Supervising Elec'hi~ia'n's'u'c:'ii'o.~~-'l 1'3925 ',11 frf, Supervising Electrician's Na'me:~~. Herman Ollar"'. Number ofinspeCtiODS.included in paid services: !!. ; Residential Sel!ice:.,;~'~:~... Jt.4 :,-, I, ' !Reconnecl Only:'.rt(,rr:;r:llli~:Zl,J' -., I . It. ,) All Other Services: ' ':_!" '" J. 2 '~j;' . ::~~;- '~* 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. I> "~:',, '1 U _ "'8~~~l"':.- -:-... NOTE: This AUtho~~on:!~ ,~gln ~~rk e~Pi~,~ ~ithin 180 days if a permit Is notobla'ned' -' \l ",.' 'I"'~ w. ;.., , ~_, ~ "I .. ,~',. .' " '''. . "f'~~ l ~.. . The local building department may determine that an Authorization To Begin :q.Work Is null and~oid if,it doe~~not me,~t, a~~licable land use laws and local ! "ordinances ~. . ~;.~fJ.a~3i"'1:;~?-' -,,~,.,. ,~.. ,J- , , " :, . "If, . ", '. ~",:q" ',:; .; l'"J'r Pleas~ check all that apply: DA'servic~orf~ederbegjnningat400 Amps where the available fault cun-entexceed,5JO,OOOAmpsat 150 Volts orles5 togroUlld exceeds 14,000 Amps for aif other inSl~I~rions . o Fire pumps DEme~gencysystems o Add!lion of anew motor load of IOOHPormore " o Six or more residelllial unilS in one structure o HeallhcaJefacilities circuits wilhout service or feeder I Balance ofpellnit fees I Subtotal State sllfcharge (12%ofpellnit total) Technology fel: (.5% of penn it lotal) TOTAL I'ERMIT FEE CC1-\50d 69600- BE L-09-00 180 " 10112/2009 4,23 pm ApPJ:o\'al Code: 0] 2406 DHazardou51ocalions DA service or feeder rated at 600 ampsormQre DBuildings 1nore than three slOries DMarinas and b03ryards DFloatingbuildings DCommercia',use ~ricullW"al buildings Dlnstallatiol1ofa150KVAorJarger seperalelydenvedsys D"A", "E",ol'''I-2'' or "1-3" DRecreati"naJVehicieParks DSupplyvoltagcfornlOrethW1600 5upplyvoltslIOlrunal '58,001 $6,961 $2,90 I '67,861 \-GQ lo113/CPl 1,; ",' ,,'~~:.: . :r::,t1.tj',\'m,~,!ri~:ElJ: ,;.qr}~ ~,~~~J~:~':; :;~'i';~~'r . ,) This Authorization To, Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/€ombination Permit PERMIT NO: . C0M2009-01S02 ISSUED: 10/13/2009 APPLIED: 10/13/2009 EXPIRES: 04/13/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: '5335 MAIN ST 3 ASSESSOR'S PARCEL NO.: 1702330001300 SPRINGFIETYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Change ont electric furnace in residence Owner: Address: CLARK CONSTANCE L 5335 MAIN ST SPACE 003. SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Tvpe Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/0912010 Rhone 5"1-343-1681 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 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I . Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount , Value Date Calculated Pal!e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01502 ISSUED:' 10/13/2009 APPLIED: 10/13/2009 EXPIRES: 04/13/2010 VALUE: - 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone , 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee. P~;.l . " WIliIoI Fee Descriotion + 12% StateSurcbarge + 5% Tecbnology Fee Add, Alter, Extend Cir~ Amount Paid Date Paid Receipt Number $6.96 $2.90 $58.00 10/13/09 10/13/09 10/13/09 1200900000000001135 1200900000000001135 1200900000000001135 . Total Amount Paid $67.86 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 R"rllir;,,,l TI"~nections I Rougb Electric: Prior to Cover Final Electric: Wben all electrical work is complete. By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all information bereon is true and correct, and I furtber certify tbat auy and all work performed sball be done in accordance witb tbe Ordinances of tbe City of Springfield'and tbe Laws of tbe State of Oregon pertaining to tbe ;work dcscribed berein, and tbat NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety. I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at the proper time, tbat eacb address is readable from the street, tbat tbe permit card is located at the front of tbe property, and tbe approved set of plans will remain on the site at all times during ,construction. Owner or Contractors Signature Date Pa!!e 2 of2 ", ., :~~:~:~~t;;~Ff:i\{.'i'" 225.Fifth Street!."::'!' r:, Springfield, Or~~o'J"9747T 54 i~726-3759Pli6~;[':~';~' RECEIPT,#: Job/Journal Nu~beF.?:~ ,:.j;}f?~'~f,ip~i~n"'h~i5~~';~~:~'.:,~:". :~. ~~. COMZ009-0 150Z;,~i/ 'iAd'd;Aftb,.; Ekt~i\d Circ . . ":.:-:""i':',,::,~..:...:,n,. . "._, CO!v[Z009-0150Z' ;::)(,;':>'5% Technology Fee COMZ009-0 150Z,,,:,k;> ,-t:IZ'l;"o State Surcharge ~:'\~":. ." . ., ,; ;'..'.::~~'.~'~;',<:'i,~~~~;,;':'~l:.~:~:!:b{~, '; ":'::>.7~{;'l.,~.~:~i. , . ~ . Payments: Type of Payment ',','..-';' Paid ,By, ' ONLINE CHGS ONLINEPEiU.1IT SliGS ....... .Ei~,~~!~.lt7!~~\.~ ,:.~ ",'. ,~ " " ..~~~ ., ., :i' ',' , " -.;' ': r .-, ..:. :f:Pi .. ,. .f ';, .."~. :":~~:"~-1f" ;t:.; I~ . "d ,: I: ~~_....,.,._"..... ;f':"i~l:!~:: . .',,;, I, Jr\ ~ " :1(" ,: .,' . --"',;' I ,.t' " r ; .i~ ,:';'-:-: ;!f"' - , " .. i' ,. 1.' . ; .~.). .;. . . :~. .j: , ~. ~ { " .J' 'I '.1r' j"! .,~. .< . ;' , n' , !i. .... ~ ~ " .:.1 l. ~. ., '11-" ~ l~ , , , cReceilltl "' 13' . ;: ~ ..;- f : f ; - .;: .U~ ...- 'i , , II City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001135 , Date: 10/13/2009 9:18:38AM ~~ ~ ' Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 58,00 2,90 6,96 $67.86 AmountPaid KR ONLINE $67,86 I~I'" ".. $67.86 " ,> " " Page I of I 101l3/Z009