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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 -"'. ':C-;'Ol{SITI~:INFbRMA:f16N,.A$itN!6CA iioN~' ",~~~~ Job Address: 5335 DAISY 5T City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: 132 Project Name; Pamela Kennedyf541.747-S594/AH Cross Street/directions t~ Job site: Tax map/parcel no,: 1702330001300 Wire,package unit I Name: Jeff Brooks I Phone: 541:343.1681 I Email: L ,.,0 Fax: 541-343.1683 Elee lie, no,: C408 ceB lie, no,: 181997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: I Address: PO BOX 2237 I CityfState/ZIP: EUGENE, OR 97402 Phone: 5413431681 Fax: 5413431683 Email: Metro lie. no,: City lie, no;: Supervising Electrician's lic. no.: 1392S Supervising Electrician's Name: HERMAN OLLAR Number of inspections included in paid'services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurisdictj'on, your permit will be e.mailed or faxed within one business day, with instructions on how to schedule your inspection, NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained, The local building department may determine that an Authorization To Begin Work is null and void if it dO{l$ 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 A: ~'{J~~,\) ~.cA c:.om2.01 D. )-IC)-IO VP-\D ~Wt7- Ui 0:J02S nm 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-- . .~.- ;",.. 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, ':;:_1)- .," r~ 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", ';;.' !;. ,v 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 .. ---- ,~-- .... 1/19/2010