The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-11-5 (;,q,/&t1 ,City Of Springfield 225 Fifth 8t Springfield, OR 97477 Phone: 541-726-3753 Email:.permitcenter@cLspringfield.or.us Residential electrical Authorization To Begin Work 69600-BEL-09-00231 Approval Code: 005731 11/5/2009 2:46 pm I 0 New Construction IKI Addition/alteration/replacement I [R] 1 or 2,family dwelling . D'~ Multi-family 0 Commercial 0 Accessory I~~.. .~I!!1.JoBrSw:EriN~ORMAfioNiANDfu6cATf6N~'r~1"W!~ I Job Address: 4475 ~A1SY ST I CitylStatefZlP: SPRIN'GFIELD, QR' 97478 I Suite/bldg.laptno.: 77 I Pr~ject N~me: Sleven Suter/653.-4986 I Cm.. StreeUd;,eCtiOn,' to job ",:,: I Tax map/parcel no.: 1702324309300 Change out electric furnace I Name: Jeff Brooks I Phone: 54'1-343-1681 I Email: Fax: 541-343-1683 I Elec lie. no;: C40B eea lie. no.: I Business'"Name: OREGON ELECTRIC SERVICE LLC I Contact: I Add,e..: P~I\lt1' tW.J:~ I CltyIStatelZlif""'SEfllERMft4<SHAll EXPIRE IF 11I1WOIlK I Phone: 541343',bIHORIZED UNDER ~:i4~J .1'4\.1 I I Email: '~',)IVlllfltl~L,tU UIi 1<> AOA1IIDOlIt~3 FOr. ''',1 ~~;~ ':,,'\'1' r:::;110G. ' I Metro lie. no.: City lie. no.: I Supervising Electrician's lie. no.: 13928 I Supervising Electrician's.Na~e: HERMAN OLLAR 181997 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-m.alled 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 pennlt 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 ordinances. E-mailed.To:tena@orelectricservice.com Please check all that apply: D A service or feeder beginning at 400 Amps where the available faull current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one structure D Health care facilities D Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 Kl/A or larger seperately derived sys D "A", "E", or"I-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Description Total I Branch circuits without service or feeder Balance of permit fees I Subtotal I Slate surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE tq-\lD9'l $55,00 $3.00 $58.00 $6.96 $2.90 $67.86 ~ 1[15lO9 laW requires you to ATTENTION: Oregon Or on Utility folloW rules adopted by the les ~ set fora Notification Center. Those rUh OAR 952.001- In OAR 952-OO1-0~~~':~~s of the rules bf 0090. You may Ot (Note' the telephone ca\ll~~r t~~ :: ~:egon Utility Notll\Q8Uoll num Cepter il1-800-332-a344). ~ ~ "S>V.r!!- ~ 0~ ~~tfl ~~ Inspections Phone:: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection.Line . .." CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01627 ISSUED: .11/05/2009 APPLIED: ] 1/05/2009 EXPIRES: 05/05/20]0 VALUE: Status Iss u ed SITE ADDRESS: 4475 DAISY ST SPACE 77 ASSESSOR'S PARCEL NO.:' 1702323406500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Change ont electric fnrnace in residence Owner::~ Address: SUTER STEVEN R"" 4475 DAISY ST SPACE 077 SPRINGFIELD OR 97478 I CONTRACTOR INFORMA nON, Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/0912010 Phone 541-343-1681 BUILDING I~FORMATlON I 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 FtlSt Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMA TlON I REQUIRED PARKING Frontyard Setback: Overlay Dist: Side 1 Setback: NOTICE: _ # ~treetTrees Rqd: Side 2 Setback: THIS PERMIT SHAll EXP RE IF Paved Ilti'i~ Rqd: Rearyard Setba~\k: I 1;lfIMlLDtK.verage: Solar Setbacks: ".uTHORIZED UNDER THIS PERMIT IS NOT ATTENTION: Oregon law requires you to "... (:nnAMI'W'J::n QR If! ,~QAtJ9g~J::a ~R foll,l].>" rplllA adoote,g bv the Oreoon IJ~lity_ ANY 180 DAY PERIOD I pUBLIC iMPROVEMENTS I Notification Center; Those rules are set forth " . In OAR 952-001-0010 through OAR 952.001- 009illl<YeUl<n1iyIol:Jtaln copies of the rules by CllJUnli-lmF"r:_{t'lote: the telephone nu'riltrdf' lrOlll!jbn Utility NotlflcatiOft Center is 1-800-332-2344). Total: " Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage " or Bid Amount Vatue. Date Calculated Pa2e I of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726~3676 Fax ' 541-726,3769 Inspection Line " ',.1 '- '.' Total Value of Project Fees Paid I , Fee Description + 12% State Surcharge + 5% Technology Fee Add, Aller, Extend Circ Amount Paid Date Paid $6,96 $2,90 . $58.00 Total Amount Paid $67,86 ii I Plan Reviews , 11/5109 ] 1/5/09 11/5/09 CITY OF SPKll'lit.Jl'mLD Building/Combination Permit PERMIT NO: COM2009-01627 ISSUED: 11/05/2009 APPLIED: 11/05/2009 EXPIRES: 05/05/2010 VALUE: Receipt N umher ]200900000000001238 ]200900000000001238 1200900000000001238 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. wilt be made the following work day.' I, Reo\Jired I nsnections I Rough Electric: Prior to Co~er Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, andJ further certify that any and all work-performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State 01' Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, 1 further certify that only contractors and employees who are in compliance with ORS 70] ,005 will be used on this project, I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front oflhe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature :1 Pa2e 2 00 Date 2~5 Fifth Street; , Springfield, Oreg'!Il 97.4,77 541-726-3759 Phon~ '" Job/Journal Number COM2009-01627 COM2009-01627 COM2009-0l677 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: Description ,'. , Add, Alter, Extend Circ , . : + 5% Technology Fee .,+ 12% State Surcharge Paid By ONLINE PERMIT CHGS .. City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001238 Date: 11/05/2009 Item Total: Check Number Authorization Received By Batch Number Number How. Received KR ONLINE OR ELECT, 'Online SERV, , Payment Total: '. ~ ,.,. Page I of 1 3:01 :36PM Amount Due 58,00 2,90 6,96 $67,H6 Amount Paid $67,86 $67,86 11/5/2009