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Home My WebLink AboutPermit Electrical 2009-11-18 .~~~~ING..FIE.L~.~; . ,:;.l,._ .. ~. '~'.:;.'-,,-r ,'11 ,I',..t;<- ~~ , ~j" l(~"~ OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541.726-3753 EmaiJ: permilcenler@ci,springfield.or.us ,. ;:;T.YPE'OF.'VVaRK{~'t~~'~if!%}~f;~%~1~~};':~~ o New Construction [KJ Addition/alteration/replacement : '{''':''''J+'',!~-;;\ie:C''A''T'E'G'O'R''Y'' "'0'. FiC" 0" NS'TR" -U'C'..T..'..IO' "N"i1::ilS~..;";2!!'~''''i, ',j ,.--:-.,,'}i....."".-.n-c. '~~.' n,' __ . __n_'"' __ _ "_" ...J.'^'"-,~..''l''l~_'1".-::'' l:"/'~-'1 001 or 2 family dwelling D Multi~famjty 0 Commercial 0 Accessory [ 'J0i3;SfTE';JN~6RMATIi5NANbLoCATio"Nf~\'::~':';':"'" 'i,~ Job Address: 3290 RALEIGHWOOD AVE City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Ron Dobrowskin47-2505/AH Cross Street/directlons to job site: Tax map/parcel no,: 1703221320600 1;'"~~~1t~'~~;.~ti~'(ift~{~,D:~s7CFH~tlofi;_6F~~W9R'K;:;tf.l::~~;'~D?::;21~;~~,,~:_~:'~~ Wire 1 Head Ductless Heat Pump & Outdoor Receptacle r :'b'\;t~ f:Hta~;'~~:~j':;~i.ii~~<,:.;J1'~,sfI~rGONTAC;F,:,~":' Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: - r-:~~t:t~, ":C9N!~CT6R;:;'t.;. Elec lic; no.: C408 CCB lie. no.: 181997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 CityfStatefZIP: EUGENE, OR 97402 Phone: 5413431681 Fax: 5413431683 Email: Metro lie. no.: City lic. no.: Supervising Electrician's lie. no.: 1392S Supervising Electrician's Name: HERMAN OLLAR Number ~f inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your pormit will be o-mailed or faxed within ono business day, with instructions on how to schodule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is n01 obtained. The local building department may determine that an Authorization To Bogin Work is null and void if It does not meot applicable land use laws and local ordinances. Cq, /{;10 Residential Electrical Authorization To Begin Work 69600-BEL-09-00257 Approval Code: 018357 11/18/2009 3:49 pm E-mailedTo:tena@orelectricservice.com l~iP-''''''"''''W''M:''- ~;-J,I_:1.\-'.,;_~. -~.::< ;01,; H~~I ~;;;'F :te~. "0' --r - . , . .... '.:-- '<..;"'i, Pl.:AN:REVIEW . ,,",..A.....c o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards o Floating buildings o Commercial.use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal ;>!;.(iJ':i.:1,"i:' '.-:)."F E-E'j;-S' C~ =H' E'DU~~[ E=: ..."f!i-4>': L""- .t...:J" .~''i :;~'"'}~)j:,~ ;', ~I .,.'-:"-' ~,.~ ::;;. __,_~ __._ m -'~ih"" .7'}~~'?.-...- ~?:'_1 Qty. I Ea. Total Please check all that apply: o 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 o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities or' I Description lf3ffr1~ii\crr.cuj~!i,;,".,;tk\-:~'i;' I Branch circuits without service or feeder I Branch circuits each additional circuit without service IEh:J'ct!t~al:~o'rrTfif Fees I Subtotal I State surcharge (12% of permit total) I Technology fee {5% of permit total} I TOTAL PERMIT FEE" $55.00 $55.00 I $6.00 I _ ~ .':,;::'H , $6,00 $6100 I 17,321 $3,05 I $71.37 I '/ 'Q~'\O ~~ ~. \j>\V cf\ \ \ .ft, \)(\\2-" ~~~ ~ W/J12ffrJ1- O/6/'O //-/9'- (} '1 /J~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01670 ISSUED: 11I18/2009 APPLIED: l1II8/2009 EXPIRES: 05/19/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3290 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221320600 Springlield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: InstlllI ductless heat pump in residence. Owner: DOBROWSKI RONALD J Address: 3290 RALEIGHWOOD AVE SPRINGFIELD OR 97477 Phone Number: 541-747-2501 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/20 I 0 08/31/2010 Phone 541-343-1681 541-683-2590 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft. Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: ,# Street Trees Rqd: Paved Drive Rqd: % of Lot Cover~ge,,",... Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I " Sidewalk Type: ATTENTION: Ol-.~8on law retjuifes you to follow rules ad6llt\re'W~~Il;\i~~J\}Un 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 Notific8llOn Genter III 11100-332-2344). Street Improvements:. Storm Sewer Available: Special Instruction: N~tl;nCE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR. ANY 180 DAY PERIOD. .[ Page I of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01670 ISSUED: 11/18/2009 APPLIED: 11/18/2009 EXPIRES: 05/19/2010 VALUE: 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line I Valuation Descrintion · I. r I I I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project FPf<i. p~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea. Add Amount Paid Date Paid $9.48 $3.95 $79.00 $7.32 $3.05 $55.00 $6.00 1II18/09 1II18!09 1II18/09 11/19/09 1II19/09 11/19/09 11/19/09 Receipt Number 1200900000000001268 1200900000000001268 1200900000000001268 3200900000000000763 3200900000000000763 3200900000000000763 3200900000000000763 Total Amount Paid $163.80 Plan Reviews I '.j/t' .n,:, 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 \?POI\irNllv<,ripption'l Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. . Rough Electric: Prior to Cover Final Electric: When,all electrical work is complete. Page 2 of3 _~AII\I<<O~I~: 1": . , I' Status Issued 225 Fifth Street, Springfield'-OR 541,-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lin'e CITY OF SPRINU:J<lELD ' Building/Combination Permit PERMIT NO: COM2009-01670 ISSUED: 11/18/2009 , APPLIED: 11/18/2009 EXPIRES: 05/1912010 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is tru'e and correct, and I further certify that any and all work performed shall be done in accordance with , the'Ordinances of the City .-if Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANCYwill "e made of any structure without permission of the Community Servi~es Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 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 str~et, that the permit. card is located at the front. of the propel.ty, and tbe approved set of plans will remain on the site at all times during construction. , Owner or Contractors Signature ; , OJ._ Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01670 COM2009-0 1670 COM2009-0 1670 COM2009-0 1670 Payme~ts: Type of. Payment ONLINE CHGS , ' '- cReceil?tl RECEIPT #: 3200900000000000763 .: Date: 11/19/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% state Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE OREGON Online ELECT SERV Payment Total: _"I Page 1 of 1 7:16:2IAM Amount Due 55.00 6.00 3.05 7.32 $71.37 Amount Paid $71.3 7 $71.37 11119/2009.