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Home My WebLink AboutPermit Electrical 2010-2-3 City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us , C,1{).'tf3 Residential Electrical Authorization To Begin Work 69600-BEL-10-00053 Approval Code: 003300 2/3/2010 10'36 am E-mailedTo:tena@orelectricservice.com [R] Addition/alteration/replacement \SJ~.\~~ b !j~~ ~ Corn WI tJ -- OJ/ L/-.S /7 rY7 ;;},&/ /0 [Zl1 or 2 family dwelling o Accessory Please check all that apply: o A service or feeder beginning al400 Amps where the available faull current exceeds 10,000 Amps al150 Volts or less.to ground exceeds 14,000 Amps for all other o Multi-family 0 Commercial /fl";.if .~f',_ ~;;.. ~j0'BfS,fE;'Nifi:5[M~f"0r;j,"ANDY/!oCA'r'ION',r:t- I Job Address: 1253 30TH ST I City/StatefZIP: SPRINGFIELD, OR 97478 I Suite/bldg.Japt.no.: I Project Name: ASSOC/Baker I Cross StreeUdirections to job site: Mohawk Blvd 10 Olympic Sl, Soulh on 30th St 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 Tax map/parcel no.: 1702303402701 1~Head Ductless Heat Pump wfreceptical at eql!ipment I Branch circuits without selV'ice or feeder 1 Branch circuits each additional circuit without selV'ice Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Email: I Elec lie. 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 Emafl: Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 1392S Supervising Electrician's Name: HERMAN OLLAR Number of inspections included in paid services: Residential SelV'ice: 4 Reconnect OnJy; 1 All Other SelV'ices: 2 Upon review and approval by your local jurisdiction, your pennit will be e-malfed or faKed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work ex~ires within 160 days if a permit is not obtainect The lOcal building department may determine that an Authori:l:ation To Begin Work is null and void if it does not meet applicable land use laws and local ordinances, o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o M?rinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or Jarger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreali'onal Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Qty, lEa, d':.il Total I ~" "I "'".....,.. __,,"1' $55.00 I $6.00 I ~~;';' $5500 $6,00 $61,00 I $7.321 $3,05 I $71.37 I ~~ ,lID csA.\D , Inspections Phone: ,541-726-3769 This Authorization To Begin Work ~ust be posted at the job site until replaced by a Permit _~~!>I~I<<+,~. f Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00143 ISSUED: 02/03/2010 APPLIED: 02/03/2010 EXPIRES: 08/0312010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1253 30TH ST ASSESSOR'S PARCEL NO.: 1702303402701 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Ductless heat pump w/receptical at equipment Residential Owner: POOLING & SERVICING AGREEMENT Address: 701 CORPORATE CENTER DR MC: NC RALEIGH NC 27607 I ,CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/09/2010 Phone 541-343-1681 lWILDING 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA TlON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: , I PUBLIC IMPROVEMENTS I Street Improvements:" Sidewalk Type: ATTENTION: Oregon law requires yliJ'u to:' Stor'." Sewer ~/mvlfoles adopted by the Oregoi-(Olility' ',' NOTICE: DownspoutslDrains: Spec.allnstrufJ/R!lication Center. Those rules arEi set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT Notes: 0090, You may obtain copies of the rules by 1" FOR callina the center. (Note: the telephone vOMIv1ENCED ORIS ABANDONED number for the Oregon Ulilir, r;v.;:;~';':;':'" :',::,' '1 ,.iU UAY t'tKIUU. Center is 1-800-332-g:\411Iuation Descriotion ' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 Status Issued ":l, " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00143 ISSUED: 02/03/2010 APPLIED: 02/0312010 EXPIRES: 08/03/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fecs Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add; Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.32 $3.05 $55.00 $6.00 2/3/10 2/3110 2/3/10 2/3/10 3201000000000000037 3201000000000000037 3201000000000000037 3201000000000000037 Total Amount Paid $71.37 Plan Reviews I l'.f " ..,;:., 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 Reouired Ins\,celions I Rough Electric: Prior to Cover Final Electri[: When all electrical work is complete. By signature, (state and ,agree, that (have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 describcd herein, and thllt NO OCCUPANCY will bc 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 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. ~ '1, Owner or Contractors Signature Date Pa!!e 2 of2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 143 COM2010-00143 COM2010-00143 COM2010-00143 Payments: Type of Payment ONLINE CHGS cRcccint] RECEIPT #: 3201000000000000037 Date: 02/03/2010 12:00:5IPM Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 55,00 6,00 7,32 3,05 $71.37 ' Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid nJm ONLINE oregon elect Online Payment Total: $71)7 $71.37 . /.>7 F; t(~ '. 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