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HomeMy WebLinkAboutPermit Electrical 2009-12-11 s:.~~~ G:,.l~D ' I '" ." . ~~ "'.... '{."; ,( (}:.>;J . ''''' :;,' " ......~ 1(,""-",: ,\ OREGON .{/q'11~7 Residential Electrical Authorization To Begin Work 69600-BEL-09-00278 Approval Code: 011029 12/11/2009 12:30 pm E.mailed To: tena@orelectricservice.com 1"'.l;,~..V".1b'-'" .&'~""~"p.' ;JAN' 'R'E"V' I'E' W,o '.';.i' ..{;,_";,,,,",:";r~' _"""":,;",,,-^~<. ',L!I:\ ~, ' ~.t,- <""..". r ,,0 AJ\ ~. 'vQ~\91J' \U\~~~ ~~ Wm207J9 ---(J/7;)3 I. "II ,od /7 rY/ / d/; //09 City Of Springfield 225 Fifth 5t Springfield. OR 97477 Phone: 541.726-3753 Email: permitcenter@ci.springfield.or.us 1:- '_,c, ~,(-._i. ~>~~J "., : ~~~'''::.~~': T:,YF?E~6FWC'-RK;~:;;:i1f:~::~1'*:*1::'(;:~il:7-;'~D I D New Construction fR] Addition/alteration/replacement Ii .';''''!f.;'; ",'"1; ':CAtEGORY;OFfCQNS;tRUC:rIOI'l 4;" I [X] 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory If ,,'2: "c""~J6B!SjtE:r~FdRMATio-N' AN15'LO:CATldN":';;;/;:~: : :j I Job Address: 2145 31ST ST City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: 18 Project Name: Melanie Stru?e/556-9072/HACSA I Cross Str..Ud;rec!;ons to job sit.: I Tax map/parcel no.: 1702302104200 I ,,,--~.,-~,,,"'ctA~,", :",~-"'-" -'-'.,,' '._". +~. - -?',_c'-OR-K-":i~....-..!;;,..I'~:'8'-,J:-"'-"'-'-""!'~d!'::'{Ii ~i, . "Alyp~,-:~.~~::r:?D~~;7~~p~~.G~le:r:IQ.~.;P~.'lY '.."".jfi!;.....Ff.$J-'f:,d~ti":::l',_~,;,_,-i..,!(l>>ts Change out electric fumace ;;;;:;&f:9 .- :'~'i~~.ft~co~fAct~r,,?s)~t:~:f~;;:~f~.', ';".:".i.,,' ~'.. . '..~ Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: : i' (!0:':l_~:~~r':2::.';'~:\:-':1/:"';~1\0 Cb'NTRACTbi3~;~f~t~~ ~;:~;ft~ Elee lic. no.: C408 CCB lie. no.: 181997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 City/State/ZIP: EUGENE, OR 97402 Phone: 5413431681 Fax: 5413431683 Email: I Metro IIc. no.: I Supervising Electrician's lic. no.: I Supervising Electrician's Name: City lie. no.: 13925 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 be e-mailed or foxed within one business day, with instructions on how to schedule your inspection. NOTE: This A.uthorization To Begin Wol1l expires within 180 days if a permit is not obtained. The local building department may determine that an Authorilation To Begin Work void if it does nol meet applicable land use laws and local ordinances. o Hazardous locations o A service or feeder rated at 600 amps or more D 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 separately derived sys D "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal 1[~:3:~i,~ :':~:~Ii:d:;l:,':::;,~;~~~I;f~EI~98fDU l:J;j:~~~"~~j;:l};~:~}< :~::f;,~'.;':~~~ I Description .Qty. Ea. Total If;fr~~~h'fcir:cuit~~r I Branch circuits without service or I l $55.00 feeder IM~~~~elj~~~ous:t?+~">;~;;.;,~,r~ifj :iff(' -,,~t';~~.; >~:.~,. ;A'~ I Balance of permit fees I IEI~~.trical'.p.e.rffijt-F:~e~l~?-4_. .:~?:' "':; .~<..,~'tt;;'ti:.,.,,~~:" f I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE 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 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 ,,_;J Inspections Phone: 541.726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 'I , $55.00 '11 $3.00 I -11 $58.00 I $6,961 $2.90 I $67.86 \ ", ~', . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01723 ISSUED: 12/11/2009 APPLIED: 12/03/2009 EXPIRES: 06/11/2010 VALUE: SITE ADDRESS: 2145 31ST ST SPACE 18 ASSESSOR'S PARCEL NO.: 1702302104200 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Replace electric furnace in residence, Owner: Address: STRUBE THOMAS J & BETTY J 2145N31STST#18 SPRINGFIELD OR 97477 TYPE OF USE: New Residential I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO 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: License 181997 106275 Expiration Date 05/09/2010 08/31/2010 Phone 541-343-1681 541,683-2590 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport S'I Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Sidc I Sctback: Side 2 Sctback: Rearyard Sctback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKlNG Total:., Handicapped: Compact: I ~:rTENTION' uregon "IVV I ~LlU" co ,~~ .- I PUBLIC IMPROVEMENTS, I' d ted by the Oregon Utility '. 1I0w ru es a op NotifictSidl\\&tIllliJ)'pl!1ose rules are set forth . OAR,>J52-001-0010 through OAR 952-001- ~090, r8InIiWfB~{!?I'i'i.I!.s';ies of the rules by calling the center, (Note: the tele~hone number for the Oregon Utility NotificatIOn Center is 1_800'332-2344). Street Improvements: Storm Scwer Available: Special Instructid; TI CE: .' . " , 'ns PERMIT SHAL Notes: J fHIJRIZED UIVDE L EXPIRE IF THE WORK . . ";.\':ENCED OR ~ R 1 HIS PERMIT IS NOT . , '; 10 DAY PER;otBANDONED FOR Paee 1 of3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-01723 ISSUED: 12/11/2009 APPLIED: 12/03/2009 EXPIRES: 06/11/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V~luation Deser-jlltion , Description Tyue of Construction 5 Pc.. Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp< P\il,U Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number 59.48 $3,95 $79,00 $6.96 52,90 $55.00 $3,00 1213/09 1213/09 12/3/09 12111/09 12111/09 12/11/09 12/11109 1200900000000001297 1200900000000001297 1200900000000001297 3200900000000000802 3200900000000000802 3200900000000000802 3200900000000000802 Total Amount Paid 5160,29 Plan Reviews , To Request an insllection 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 WOl'k day. ~f'OIlir-f'runsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mecHanical work is complete. Rough Electdc: Prior to Cover Final Elcctric: When all electrical work is complete, Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01723 ISSUED: 12/11/2009 APPLIED: 12/03/2009 EXPIRES: 06/11/2010 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 1 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 fnrther 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 arc requested at the proper time, that each address is rcltdable from the street, that the permit card is located at the front of the property, aud the approved set of plans will remain on the site at all times during constructioll. Owner or Contractors Signature Date " '!' Pa~e 3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .....'~..~,~I.. 0 F.,.BI.D ,,<,.,' '" ......."..11. .': . ',"'---'''.. '.. . .. ' . . -" . - .~ -- ,.. '-- ~'>.-- -,' .,..---~..."'.'*,' - ,- City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 \723 COM2009-0 1723 COM2009-0 \723 COM2009-0 1723 Payments: Type of Pa}'ment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000802 Date: 12/11/2009 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fcc + 12% State Surcltarge 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 \ of I 1:32:12PM Amount Due 55.00 3.00 2.90 6.96 $67,86 . Amount Paid $67,86 $67.86 12/\112009