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Home My WebLink AboutPermit Electrical 2009-11-30 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ttt,'70t Residential Electrical Authorization To Begin Work 69600-BEL-09-00261 Approval Code: 030870 11/30/2009 2:21 pm E-mailedTo:tena@orelectricservice.com I 0 New Construction [g] Addition/alterati(;ln/replacement Ij~~l,'~CAifEG0RY10F.1C0NSTRliJCTI0N~1i'il"~0~m"~ "~4~l,1~1lili}lS;j;3!R\"~h:MI,~,,,,,,-,~~.,,,w...,,"",,;;,,c~..~,",,"~_ _~_,,-,-~~_,...~.,:+;;r~Y:~~ .~~~ I IZl1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory 1i'1idi~1'~tW'~~Jit![QElrsT'f~ijNF,.Q~M!li1'rO",l%NPrili:)]~TQN".~Jl~ I Job Address: 4475 DAISY $T CityfState/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.i1o.: 21 Project Name: David McGriffln/968-2964/AH I Cross StreeVdirections to job site: I Tax map/parcel no.: 1702323406500 Change out electric Furnace Name: Jeff Brooks I Phone: 541-343-1681 Fax: 541-343-1683 I Email: IIIElf~m~w"'_Jlo.~-"~-'~'~-=-~"'''-_'_'''~ !'2""l!il>:!!!!!I'#!lI"'!!I'if~lI'!\!ilC_O!HL@gJ.oB,1l5'_.ii:!i'_*,II!i'1'E,""',K~ I Elec lie. no.: C408 CCB lie. no.: 181997 ,Business Name: OREGON ELECTRIC SERVICE LLC Contact: I Address: PO BOX 2237 'I CitylStatefZ1P: EUGENE, OR 97402 I Phone: 5413431681 I Email: Fax: 5413431683 Metro lie. no.: City lie. no;: Supervising 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 and approval by your local Jurisdiction, your permit will bee-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 160 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void jf It does not meet applicable land use laws and local ordinances. Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Valls 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 I Description o Hazardous locallons 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 Commercia i-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 I Branch circuits without service or feeder I Balance of permit fees ,. J $3.00 I 1[[~CJ![[aliR11Tlli!1f:F!J:SJlr~~~~~~",~~m~r I Subtotal $58.00 I I State surcharge (12% of permit $6.961 total) I Technology fee (5% of permit lotal) $2.90 I I TOTAL PERMIT FEE $67.86 I UJ \L-.. \& \.cA~ tJ'- SP\ , lX~ C0H1Lt,lL/1 -O/70Zj 11/3010c; , f.JfV'- .. oWD ~~ ~COO\.\\) 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: COM2009-01704 ISSUED: 11130/2009 APPLIED: 11130/2009 EXPIRES: 05/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 21 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace furnace Owner: COUNTRY MANORLTD PARTNERSHIP Address: 7007 SW CANRDINAL SUITE 185 PORTLAND OR I CONTRACTOR INFORMA TI~)N I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING "&AIR CONDITIO License 181997 106275 Expiration Date 05/09/2010 08/31/2010 Phone 541-343-1681 541-683-2590 BUILDING INFORMATION' # 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 Buildiug: Lot Size: Sq Ft IstFloor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard 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: ' ;' Sidewalk Type: Downspouts/Drains: ['/OHCE: THIS PERMIT SHALL EXPIRE IF THE WORK .I\UTHORIZED UNDER THIS PERMIT IS NOT, COMMENCED OR IS ABANDONED FOR ""illY 180 DAY PERIOD. Storm Sewer Available: SpeciallnstructionAT'TENTION' Ore . tol~ow rUles ~do t~~n law requires you to Notes: NotIfication Cent:: Th by the Oregon Utility In OAR 952-001-0010 t~se rules are set forth 0090. You may obtain rough OAR 952-001_ calling the center (~op'es of the ru'es by number for the Or~ onate:. the telephone Cenler is l_BgOO_Y3t~'!Y3Notlf'cat.un " -.", 44). Page I of 3 _S!,!!AIN~FI~..I);.c I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01704 ISSUED: 11/30/2009 APPLIED: 11/30/2009 EXPIRES: 05/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuatil!~ .Descrin!ion I Descriotion Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project .fPlf< PlW Fee DescrilJtion + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid ' Date Paid Receipt Numher $6.96 $9.48 $2.90 $3.95 $79.00 $55.00 $3.00 ll/30/09 ll/30/09 11/30/09 ll/30/09 11 /30/09 11/30/09 11/30/09 3200900000000000783 3200900000000000777 3200900000000000783 3200900000000000777 3200900000000000777 3200900000000000783 3200900000000000783 Total Amount Paid $160.29 Plan Reviews 'I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Ueouire,dJ nsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete., Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pace 2 of 3 _$~~I~Q.!2J~ta' j,' i Status Issued 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: COM2009-01704 ISSUED: 11/30/2009 APPLIED: 11/30/2009 EXPIRES; 05/30/2010 VALUE: 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 1 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 herdn, and that NO OCCUP ANCY will be made of any structure without permission of th~ 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 i~spections are requesied at the proper time, that each address is readable from the 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. Owner or Contractors Signature 1":. Paee 3 of3 Date 225 Fifth Street J. '-" _ . Spnngfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1704 COM2009-0] 704 COM2009-,O] 704 COM2009-0 1704 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000783 Date: 11/30/2009 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical '1- 5% Technology Fee + ] 2% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number . Authorization Received By Batch Number Number How Received nJm ONLINE oregon elect Online Payment Total: Page I of I 2:53:37PM Amount Due 55,00 3,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 ] ]/30/2009