HomeMy WebLinkAboutPermit Electrical 2010-1-19
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541.726-3753
Email: permilcenler@ci:springfield.or.us
If'
I D New Construction
W
I [Z] 1 or 2 family dwelling
[K] Addition/alterationlreplacement
o Multi.family
o Commercial
o Accessory
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Job Address: 5335 DAISY 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.: 132
Project Name; Pamela Kennedyf541.747-S594/AH
Cross Street/directions t~ Job site:
Tax map/parcel no,:
1702330001300
Wire,package unit
I Name: Jeff Brooks
I Phone: 541:343.1681
I Email:
L
,.,0
Fax: 541-343.1683
Elee lie, no,: C408
ceB lie, no,:
181997
Business Name: OREGON ELECTRIC SERVICE LLC
Contact:
I Address: PO BOX 2237
I CityfState/ZIP: EUGENE, OR 97402
Phone: 5413431681 Fax: 5413431683
Email:
Metro lie. no,:
City lie, no;:
Supervising Electrician's lic. 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 Jurisdictj'on, your permit will be e.mailed or faxed
within one business day, with instructions 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 dO{l$ n01 meet applicable land use lawl> and local ordinanc,es.
c.+v ' ~0
Residential Electrical Authorization To Begin Work
69600-BEL-10-00029
Approval Code: 018724 1/18/2010 4:56 pm
E,mailed To: tena@orelectricservice,com
-
-'I
Please check all that apply:
o A service or feeder beginning
at 400 Ampswhere the .
available fault current exceeds
10,000 Amps at 150 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
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial.use agricultural
buildings
o Installation ofa 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 Description
I Branch,circuits without service or
feeder
I Branch circuits each additional
circuit without service
Subtotal
State surcharge (12% of permit
total)
I Technology fee (5% of permiltotal)
I TOTAt PERMIT FEE
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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
"
U 1 l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00025
ISSUED: 01119/2010
APPLIED: 01106/2010
EXPIRES: 07/19/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 DAISY ST 132
ASSESSOR'S PARCEL NO.: 1702330001300
SPRINGFIETYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace package heat pump in residence
Owner: KENNEDY RICHARD E & PAMELA S
Address: 5335 DAISY ST SPACE 132
SPRINGFIELD OR 97478
Phone Number: 541-747-5594
I C(mT~CTOR INF?RMATION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING &' AIR CONDITIO
License
181997
106275
Expiration Date
0510912010
08/31/2010
Phone
541-343-1681
541-683-2590
BUILDING INFORMATION I
# of Units:
Primary Occnpancy 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 Bnilding:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor: '
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street TreesRqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I '
Street Improvements:'"-.~\ ' I; ATTENTIQjjII..Q,ra1IlEf1R"e\~:6~~~~X~~i~i~y
Storm Sewer A'f3\1t'1'" . ,follow fUleibadoPte~t ~et1ilIllS are set forth
Special Instrncti~\l,: I.E. '. Notification Iml~~0:hrOughOAR952-001.
IHIS PERMIT SHAll E inOAR952-001-O. iesollherulesby
Notes: AUTHORIZED UNDER /HP'S'RpEE'F THE WORK 0090. You may o~tal(~~fe: the telephone
OOMMENCED OR IS RMIT IS NOT calling the cenoer. on Utility NotificatiOll
ABANDON numbef IOf the reg .w)~)
ANY 180 DAY PERIOD, ED FOR Center Is 1-800-- .
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Paee 1 01'3
Status
Issued
225 Fifth Street, Springfield, 0 R
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
,
I V ~Iuati~n Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
FpP~. ~
Fee Description
+ 12% State Surcharge
+ 5% Techuology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$9.48
$3.95
$79.00
$7.32
$3.05
$55.00
$6.00."..
;;
Total Amount Paid
"
$163.80,
I. Plan Reviews I
Date Paid
116/10
116/10
1I61I0
1119/10
1/19/10
1119/10
1119/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00025
ISSUED: 01/19/2010
APPLIED: 01106/2010
Ji:XPIRES: 07/19/2010
VALUE:
Value
Date Calculated
,
Receipt Number
2201000000000000004
2201000000000000004
2201000000000000004
3201000000000000014
3201000000000000014
3201000000000000014
3201000000000000014
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 b'e made the following
work day.
, Rtnllirprl.ln~'l)ections I
Rough Mechanical: Prior to Cnver
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: \\-'hen all electrical work is complete,
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Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
'PERMIT NO: COM20I0-00025
ISSUED: 01/19/2010
APPLIED: 01/06/2010
EXPIRES: 07/19/2010
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 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 Oregoo pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre~ithout permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees \Vhoare in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre that all required inspection,s are requested 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 Signatnre
Date
t',',\',
--,
'\.1
, Patie 3 on
"",'
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM20 I 0-00025
COM20 I 0.00025
COM20 I 0-00025
CON120 I 0-00025
Payments:
Type of Payment
ONLINE GIGS
. cRcceintl
RECEIPT #:
3201000000000000014
Date: 01/19/2010
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE oregon elect Online
Payment Total:
I",
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Page I of I
7:57:29AM
Amount Due
55,00
6,00
7,32
],05
$71.37
Amount Paid
$71.3 7
$71.37
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1/19/2010