HomeMy WebLinkAboutPermit Electrical 2009-12-11
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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
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City Of Springfield
225 Fifth 5t
Springfield. OR 97477
Phone: 541.726-3753
Email: permitcenter@ci.springfield.or.us
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I D New Construction fR] Addition/alteration/replacement
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I [X] 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory
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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
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Change out electric fumace
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Name: Jeff Brooks
Phone: 541-343-1681
Fax: 541-343-1683
Email:
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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
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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 \
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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
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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
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