HomeMy WebLinkAboutPermit Electrical 2010-1-7
City Of Springfield
225 Fifth 5t
Spri~gfield, OR 97477
Phone: 541-726.3753
EmaU: permitcenter@ci.springfleld.or.us
ufO' 2--7
Residential Electrical Authorization. To Begin Work
69600-BEL-1 0-0001 0
Approval Code: 007245 1/7/2010 12:08 pm
E-mail~dTo:tena@orelectricservice.com
:i.PRINGFlflD
OReGON
D New Construction
IR] Addition/alteration/replacement
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[g] 1 or 2 family dwelling D Multi-family D Commercial 0 Accessory
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Job Address: 1997 MCTAVISH CT
CitylStatefZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: Jim Nunn/541-988-3311/AH
Cross StreeUdirections to job site:
,
Tax map/parcel no.:
1703271307100-
Change out electric furnace wI heat pump
Name: Jeff Brooks
Phone: 541-343-1681
Fax: 541-343.1683
Email:
Elee lie. no.: C40a
cee lie. no.:
181997
Business Name: OREGON ELECTRIC SERVICE LLC
Contact:
Address: PO BOX 2237
CitylStatelZIP: EUGENE, OR 9740~
Phone: 5413431681
Fax: 5413431683
Email:
Metro Iic. no.:
I Supervising Electrician's Hc. no.:
I Supervising Electrician's Name:
City lic. no.:
1392S
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-mililed or faxed
within one business day, with Instructi'ons on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
Please check all that apply:
D A seryice 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
D Emergencx systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
D Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more th~n three stor
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 "\-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 Branch c(rcuits each additional
circuil without sef\llce
$55,00
$55.00
$600
56.00
I Subtotal
I SI~te surcharge (12% ofperl1'!it
, total)
I Technology fee (5% of permit total)
LTOTAL PERMIT FEE
,~
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nrn
$61,00
$7.32
$3.05
$71.37
c
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00027
ISSUED: 01/0612010
APPLIED: 01/06/2010
EXPIRES: 07/07/2010
VALUE:
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
541-726-3676 Fax
54 ]-726-3769 Inspection Line
SITE ADDRESS: 1997 MCTAVISH CT
ASSESSOR'S PARCEL NO.: 1703271307100
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace heat pnmp and air handler in residence.
Residential
Owner:
Address:
NUNN JIMM]E DEE & M LA VERNE
199,7 MCTAVISH CRT
SPR]NGFlELD OR 97477
Phone Number: 54] -988-3311
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC SERVICE 181997
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
05/09/20 I 0
08/3112010
Phone
541-343-1681
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bed rooms:
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla'
I DEVELOPMENTINFORMATION I
Frontyard Sethack:
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: 'u to Sidewalk Type: K
.l\TTENTI9N: Oreg;;llaw reqUireS yo " NOTICE: c \~IHE WOR
Stormi0)1(~&1-~~llgIll-"0pted by the Oregon Utility PERMll S~,~\ro~'6~!BDr' in~tr. IS NOl
Specia~I~Mfi1,uJ\ILq~CenteL Those rules are set forth lHIS D UNDER lHIS PE" IV I
in OAR 952-001-001 0 through OAR 952-001- I\Ul HORIIE R IS ABANDONED FOR
Notes: 0090. You may obtain copies of the rules by COMMENCED 0 \00
calling the center. (Note: the tele~ho~e fIN'! i SO DAY PER '
number lor the Oregon Utility Notification,; ,. , '
Center is 1-800-332-2344). ' ,:;
Page I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V ~.Iuati?n Oescri\]tion I
Description
$ Per s4' Ft "
or multiplier
Tvne of Construction
Square Footage
or Bid Amount
Total Value of Project
F"", P~irl J
, I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$183.69
Plan Reviews I
.i'
Date Paid
1/6/10
116/10
116110
116/10
117110
117/10
117110
117/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00027
ISSUED: 01/06/2010
APPLIED: 01/06/2010
EXPIRES: 07/07/2010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000005
2201000000000000005
2201000000000000005
2201000000000000005
2201000000000000010
2201000000000000010
2201000000000000010
2201000000000000010
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 RrollirprlJnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Covel'
Final Electric: When all electrical work is complete.
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Pa2e 2 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00027
ISSUED: 01106/2010
APPLIED: 01106/2010
EXPIRES: 07/07/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, , state and agree, that' have carefnlly examined the completed application and do herehy certify that all
information hereon is trne and correct, and' further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield 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 projecl.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that lhe 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
Date
Page 3 of 3
225 Fifth Stnet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00027
COM20 I 0-00027
COM20 I 0-00027
COM20 I 0-00027
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Paid By
ONLINE PERMIT CHGS
\
2201000000000000010
, ~.;
,;'
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01107/2010
Item Tot~ll:
Check Number Authorization
Received By Batch Number Number How'Received
NJM
Page 1 of 1
ONLINE OREGON Online
ELECT
SERV
Payment Total:
I :16:25PM
Amount Due
55,00
6,00
7.32
3,05
$7L37
Amount Paid
$71.3 7
$7L37
11712010