HomeMy WebLinkAboutPermit Electrical 2009-11-18
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00256
Approval Code: 018932 11/18/2009 12:15 pm
E-malledTo:tena@orelectricservice.com
D New Construction
[R] Addition/alteration/replacement
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[ZJ 1 or 2 family dwelling 0 Multi-family D Commercial D Access~ry .
It ~,,";'~~;;::. ',{:,'JbI3SITE;INFOR'MATI6t.fArilD;tOC:AtI6N~;<:'f:'ft/,:-
I Job Address: 235 24TH 5T
I Clty/StatelZlP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.:
I
Project Name: Sue WatkinsJ747-1132/AH
I Cross StreeUdireclions to job site,
I Tax map/parcel no.: 1703361409800
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Change out gas furnace, wire Ririnai water heater & EAC
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I Name: Jeff Brooks
I Phone:_'541-343-1681 Fax: 541-343.1683
I Email:
I:; .'~'t'..l!~~~t;i:~'~90~.n.~C.T(j8\~~~,:~;!~:;1i1,,~~-7"'?~~;-:;~ "~
I Elee lie. no.: C40B CCB lie. no.: 181997
I Busine~s Name: OREGON ELECTRIC SERVICE LLC
I Contact:
I Address: PO BOX 2237
I City/State/ZIP: EUGENE, OR 97402
I Phone: 5413431681 Fax: 5413431683
I Email:
I Metro lie. no.: c'ity lie. no.:
I Supervi~ing Electrician's lie. no.: 1392S
Supervising Electrician's Name:
HERMAN OLLAR
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review IInd approvlIl by your 10cIII Jurisdiction, your permit will be e-malled or faxed
within one business day, with instructions on how to schedule your in~pection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained.
The local bullding department may determine that an Authorization To Begin Work Is null and
void if It does not moel applicable land use lawl and local ordinances.
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Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground axceeds
, 14,000 Amps for all other
o Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 'r0/A or
larger seperately derived sys
D "A", "E", or "1.2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply valls nominal
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l'sO:, S",~ihP~~n," '15''','' _', ...., ,', "",~'r!"~~~L".,,.~a. ,J,'" ",T~tal" _,"II
.ra_nc'ClrcUI :. "'~::;;'''\'>-~~: .~.:.- -l}....'~i:~";."..,-:- .;.,;,..~..,-;-.. '!.:...<:[f"-r,.' '" ...;>:1
$55,00
$55.00 1
$12.00 I
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
I Branch circuits without service or
feeder
I Branch circuits each additional
circuit without service
lEI~ctri.carperia51tF~~~s .
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
2
$6.00
"l
.~.~ ~:. < "'~.::Jo:'J-1; /\"~ I
$67,00 I
$8.041
$335 I
$78.39 I
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01665
ISSUED: 11/18/2009
APPLIED: 11/18/2009
EXPIRES: 05/18/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541,726-3676 Fax
541,726.3769 Inspection Line
SITE ADDRESS: 235 24TH ST
ASSESSOR'S PARCEL NO.: 1703361'409800
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replace gas furnace, installtankless water heater and gas piping.
Residential
Owner: WATKINS SUE
Address: 235 24TH ST
SPRINGFIELD OR 97477
Phone Number: 541-747-1132
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION'
Contractor License
OREGON ELECTRIC SERVICE 181997
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
Expiration Date
05109120 I 0
08/31120 I 0
Phone
541-343-168 I
541-683-2590
# 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 I
Frontya rd,Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
.
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOrreE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Sidewalk Type:
ATTENTldM~f8g8hs1R..v'iB~ulree you 10
follow rules adopted by the Oregon Ulility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules br
calling the center. (Note: the telephone
number for the Oregon Utility Nolificalloft
Center Ia 1-600-332-2344).
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-,Page I of 3
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I'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01665
ISSUED: 11/18/2009
APPLIED: 11/18/2009
EXPIRES: 05/18/2009
VALUE:
Status . Issued
225 Fifth Street, Springlield, OR
541:726-3753 Phone
541,,726-3676 Fax
541;726-3769 Inspection Line
I Valuation Descriotion 1
, ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp~, ~
Fee,;Description
+ 1'2% State Surcharge
+ 12% State Surcharge
+ 5,~/o Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Exteud Circ Ea Add
Furnace. up to 100,000 btu
Gas Outlets 1-4
Amount Paid
Date Paid
Receipt Number
$8.04
$12.36
$3.35
$5.15
$79.00
$55.00
$12.00
$17.00
$7.00
11118/09
11118/09
11118/09
11118/09
11118/09
11/18/09
11/18109
11118/09
11/18/09
2200900000000001310
2200900000000001306
2200900000000001310
2200900000000001306
2200900000000001306
2200900000000001310
2200900000000001310
2200900000000001306
2200900000000001306
Total Amount Paid
$198.90
I 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 Rp~nlvrprlln~nections I
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 of 3
Status
Issued
CITY OF SPRIl'IGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01665
ISSUED: 11I18/2009
APPLIED: 11/18/2009
EXPIRES: 05/18/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, and I 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 of 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.
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 tbe
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
On'ner or Contractors S,gnature
Date
Page 3 of 3
225 Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Serviccs Dcpartment
Public Works Department
RECEIPT #:
2200900000000001310
Date: 11/18/2009
I :30:06PM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
]2.00
3.35
8.04
$78.39
Job/Journal Number
COM2009-0 1665
COM2009-0 1665
COM2009-0 1665
COM2009-0 1665
Descril}tion
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ J 2% State Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE OREGON Online
ELECT
SERVICE
Payment Total:
$78.39
$78.39
/
cReceintl
Page] of 1
11118/2009