HomeMy WebLinkAboutPermit Electrical 2010-1-13
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Ui~~~...;~ OREGON
City Of Springfield
22S'Frrth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us .
I D New Construction [K] Addition/alterationfreplacement
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IlXl1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
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Job Address: 946 G ST
City/State/ZIP; SPRINGFIELD, OR 97477
I Suitefbldg./apt.no.:
I Project Name: Larry Garcia 541-736"1315/AH
I em" Stree"d;rec';o", '0 job ,;t.,
I Tax map/parcel no.: 1703351207700
Change out gas furnace with gas furnace w/AfG
Name: Jeff Brooks
I ,Phone: 541.343"1681
Fax: S41.343~1683
Email:
11:.
Etec lie. no.: C408
eea lie. no.:
181997
I Business 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 Em.n NOTICE:'"
I M.'m ';c no,THIS PERMIT SHAll ~lfl,l;,.It- I Ht: VVUt'lT"
I ,,/.\1 II HIIKII~U UIVU~. .iii3 m;rvin:C m:
Supervlsmg E~~itla'rn,:!lt.~..... 1 ^ gt-IED enD
vWfJ.~fJC~~ ~R I B..ND. ,-'
S'p."';';"9 E\'I~Iri1;"l'~~'O~4.Y pEM~tI' 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-ma.Hed . or fued
within one business day, with Instructions on how to schedule your inspection;
NOTE: This Authorizallon To Begin Wortl. expires within 180 days if a permit Is not o_~tained.
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.
G 10' ~3
Residential Electrical Authorization To Begin Work
69600-BEL-10-00019
Approval Code: 013540 1/13/2010 9:21 am
E-mailed.To:tena@orelectricservice.com
';.'~S~ i:
Please check all that apply:
o 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 Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
D Installatioilofa 150 KVAor
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Park_s
o Supply voltage for more than
600 supply Vl2,lts nominal
o Fire pumps
o Emergency system'~
o Additiol1 of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilitie~
I Description
~
-:~
Total
I Branch circuits without service or
feeder
I Branch circ~its each additional
cIrcuit without service
1~le'ctr{9aF~~(mjt:F;-ifes'~ />'&~ ~'.)::~~
I Subtotal
I Stale surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$55:00
$55.00
$6.00
$6.00
$61.00
$7}2
$3.05
$71.37
CJO~ Lf3. kLl [/;y/lo
ATTENnON: OregonJawrequlreeyeu1D
fonow nlles adopted by the Oregon UtlII\y
Notification Center. Those Nles al8 set forth
In OAR 952.(l()1.oo10 through OAR 952-001-
ooaD. You may obtain copies or the rules IW
ceiling the oenter. (Note: the telephOl'll
number for the Oregon UtIlity NotIfIcatIan
Center 111 800 U2-2344).
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Inspections Phone: 541-726-3769
This Authorization To'Begin Work must be. posted at the job site until r~placed by a Permit
'"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00043
ISSUED: 01/12/2010
APPLIED: 01/12/2010
EXPIRES: 07/13/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 946 G ST
ASSESSOR'S PARCEL NO.: 1703351207700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace gas furnace and install air conditioning in reisdence.
Residential
Owner: GARCIA LAURENCE DANIEL
Address: PO BOX 452
EUGENE OR 97440
Phone Numher: 541-520-3320
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2010
08/3112010
Phone
541-343-1681
541-683-2590 '
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION.
REQiJIRED PARKING
Front yard Sethack:
, Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: AlTENTlON: Oregon la'M~llS YDU to
% of Lot Coverage: follow rules adopted by the Oregon UtIlity ,
, Notification Center. Those rules are set forth
I", t"\.6.Q os;".nn1-'l"1f').h'ftll~h OAR Afi2.ot'l1.
OTICE ' , ' ":""IPuimIC IMPROVEMENTiYr"li. You may obtain copies Glthe rules by
N: ' , " ,,"Calling the center. (Note: the telephone
Street Imrml5mMIT SHALL EXPIRE IF THI:: WUt1II.,' ' nuJTlb'el<lfCr'tl\'e1j)~n UtIlity NotIflcatIon
Storm Se>AlDltlO/illiIiD UNDER THIS PERMIT ISRNO~.t D_&.wsJrmlltf.32-2344).
Specialln60MM~NCED OR IS ABANDONED FO<\i: '
ANY 180 DAY PERIOD."""" .'
Notes:
> ~w ..
.'"'"--";'-.;-m-il:"~~',,-
. ..~.,~
':'if,. ';1-;
Pa2e 1 01'3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
T;otal Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - up to 100,000 btu
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
~mount Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$183.69 '
I Plan Reviews ,
Date Paid
1/12/10
1/12/10
1/12/10
1/12/10
1/13/10
1113/1 0
1/13/1 0
1/13/10
R~ollired Insneetion;, I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Covei'
Final Electric: ,When all electrical work is complete.
Paee 2 01'3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00043
ISSUED: 01/12/2010
APPLIED: 01/12/2010
EXPIRES: 07/13/2010
VALUE:
Valne
Date Calculated
Receipt Number
1201000000000000035
1201000000000000035
1201000000000000035
1201000000000000035
1201000000000000038
1201000000000000038
1201000000000000038
1201000000000000038
, "
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00043
ISSUED: 01/12/2010
APPLIED: 01112/2010
EXPIRES: 07/13/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 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 eacb 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.
.,1"".
Owner or Contractors Signature
Date
'~1 '
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00043
COM20 I 0-00043
COM20 I 0-00043
COM20 I 0-00043
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000038
Date: 01/13/2010
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE OR Elect. Online
Service
Payment Total:
-
...'\';"
Page I of 1
9:47:13AM
Amount Due
55,00
6,00
7,32
3,05
$71.37
Amount Paid
$71.3 7
$71.37
1/.13/2010