HomeMy WebLinkAboutPermit Electrical 2009-10-12
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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 .
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'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),
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:~~: I; Job Addres;:5335 :",MAI.~,~t~?~r:;;~~~.'[SW~~i~;;};t~;:;~~":':::i1;k':;~t\., ,~:t,.,.;:. ;' . I
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Change QUf electric furnace
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Name: J~fIBrooks }..
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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
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" 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:
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,...("\n~lInr-I\I,...cn ("\D Ie ^'Q'8l\Innl\ll:n FOR
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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
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NOTE: This AUtho~~on:!~ ,~gln ~~rk e~Pi~,~ ~ithin 180 days if a permit Is
notobla'ned' -' \l ",.' 'I"'~ w. ;..,
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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" ',:;
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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
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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
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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
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Payments:
Type of Payment
',','..-';'
Paid ,By, '
ONLINE CHGS ONLINEPEiU.1IT SliGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001135
,
Date: 10/13/2009
9:18:38AM
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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
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