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Home My WebLink AboutPermit Electrical 2010-2-12 Sr~;"l~~ FIEL~D .'f;illIM- ~ '\'~ ~j "'~, ".,:r ". OREGON City Of Springfield 225 Fifth 81 Springfield, OR 97477 Phone: 541-726.3753 Email: permitcenter@ci.springfield.or.us Glo-m Residential Electrical Authorization To Begin Work 69600-BEL-10-00068 Approval Code: 012291 2/12/2010 11:42 am -,'\' E-mailed;To:tena@orelectricservice.com I 0 New Construction IRJ Addition/alteration/replacement Please check all that apply: D A service or feeder beginning al'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 I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory II". ;.' '.t''''1'..t/l~OEhjl:TE1INF6RMAfk)N:f.t.:iiiD;LOCATj6N~,"~j.~~'4i',1] I Job Address: 1209 E 5T I CitylStatefZlP: SPRINGFIELD, OR 97477 I Suite/bldg.lapt.no.: I Project Name: ASSOC/Keff~r I Cross Street/directions to job site: Main St, N on 12th Close to corner of 12th & ESt. I Tax map/parcel no.: 1703351405700 o Fire pumps D 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 Gas Furnace w/AC. Outdoor receptacle at Equipment and Attic light, switch &' plug. " I Description I Branch circuits without service or feeder I Branch circuits each additional circuit without service Name: Jeff Brooks Phone: 541.343-1681 I Email; Fax; 541c343-1683 I Subtotal I State surcharge (12% of permit tolall I Technology fee (5% of permit lotal) I TOTAL PERMIT FEE Elec lie. no.: C408 CCB lie, no.: 181997 I Business Name: OR~GON ELECTRIC SERVICE LLC I Contact: I Address: PO BOX 2237 I City/StateIZIP: EUGENE, OR 97402 I Phone, 54134i157IOE: I Em,;! TI \Ig PEP,MIT ~IJ~.I.L EXPIR~ I~ 1l:I~ \VORl< I MoUn I;c. nn'AIITHORIZED UNDER mSPERMIT IS NOT I S'p.",;,ing ~{ltIv1MEINGED OR IS:ABANDONED fUK{;;~r: I S,pe",i,;ng .AU~;J,aQaIJAY Plili!jijJ.l.OLLAR :~D Hazardous locations :0 A service or feeder rated at ., 600 amps or more o Buildings more Ihan three stor o Marinas and boat yards :0 Floating buildings o Commercial-use agricultural .buildings '0 Installation of a 150 'r0JA or larger seperately derived sys '0 "A',', "E", or "1-2" or"I-3" 'D Recreational Vehicle Parks .0 Supply voltage for more than 600 supply volls nominal I Qty. "I "I Total $55.00 $55.00 I $18.00 I ., 'jl $73.00 $8,76 3 $6.00 $3.65 $85.41 CJO~ ODD \Le-:- 2-1 'LllO ,,""ENnON: Oregon law requires YOU.:O follow rules adopted by the Oregon ::~ . cation Center Those rules are s Notlfi -001-0010 through OAR 952-001- In OAR 952 I ies of the rules by OO:ii:;':t::~~~ '(tfofe:.~e tel?~~t~ mbar for the Oregon Utility NOulI__' nu Center Is 1-800-332-2344). ~;\Q .~:P 'f\~ ~i ' 0..: (J- ,IJ~ ~ ~ '0'\ Inspections Phone: 541-726-3769 . ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~' Fax:, ~1 ~.~,i;;~~n~~; ~;:~~'~~;.I.:',; :--:> . '::;i..~,~"'.ii :~'; .;. , Number of inspections included in paid services: Residential Service: 4 Reconnect Only' 1 All Other Servic~s: 2 ,. Upon review and approval by your local jurisdiction; your permit will be e,mailed or faxed within one business day, with Instructions onhowto schedule your inspection. NOTE: This Authorization To Begin Work expires wfthln 180 days It a permit Is not obtained. The local building department may determine that an Authorization To Begin Work Is null and void If II c10es nol meet applicable land use laws and locat ordinances. 225 Fifth Street, Springfield, OR 541-726..3753 Phone 541..726..3676 Fax 541..726..37691nspection Line ',:',', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00200 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 08/12/2010 VALUE: Status Issued SITE ADDRESS: 1209 E ST ASSESSOR'S PARCEL NO.: 1703351405700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install gas furnace and AIC & electric.1 for residence. Residenti.l Owner: KEFFER DOUGLAS B & DEBRA M Address: 1209 E ST SPRINGFIELD OR 97477 Phone Number: 541-968..3649 I CONTRACTOR INFORMATION , Contractor Type Electrical Mechanic.1 Contractor OREGON ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/2010 08/31/2010 Phone 541-343..1681 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bedrooms: BUIL,o.IN<:: I~FORMATIO~ I # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2~ld Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: . Occupant Load: nla I DEVELOPMENT INFORMATION , REQUIRED PARKING Front yard Setback: Overlay Dist: Total: ~::r~a~r~m~~~:MIT SHALL EX;;~~~;i::::wtI~..;~::~;:~:t~;~~9N~~~~~~n ~~h~~=X.~~t:v Solar Set;mWu1iIZED UNDER THIS PERMfT IS NOT ): Notification Center. Those rules are set forth r:OMMi=MI"!:,n ?" ~S .\9l\iIB&:Jr- -;U:c;, '" nAR ~"2.oo1.on1(1throuah OAR 952'()()1- ANY 180 DAY PERIOD., ".n~~.~UC:IM~ROVEME~:;~~:~~~(:O:~~~ ~:;;~8OJ Street Improvements: number fll~~:Utility Notification Storm Sewer Available: Cm~t!tJ~;~)' ' Special Instruction: '\,[4 ,\:; ,,".., Notes: , Page I of 3 -*~f~~~~I~j )'- , " if"'-',,";.~ , < '.< < .<< Status Issued 225 Fifth Slreet, Springfield, OR 541..726-3753 Phone 541..726~3676 Fax 541..726-3769 Inspection Line. , , , ~ I Valuation Descriotion ~ Description $ Per Sq Ft or multiplier Type of Construction Square Footage or Bid Amount Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Furnace - up to 100,000 btu Gas Outlets 1..4 Amount Paid $8.76 $12.36' $3.65 $5.15 $79.00 $55.00 $18.00 $17.00 $7,00 Total Amount Paid $205,92"". Plan Reviews I Date Paid 2/12/10 2/12/10 2/12/10 2/12/10 2/12/10 2/12110 2/12/10 2/12110 2/12/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010~00200 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 08/12/2010 VALUE: Value Date Calcnlated Receipt Number 1201000000000000128 1201000000000000125 1201000000000000128 1201000000000000125 1201000000000000125 1201000000000000128 1201000000000000128 1201000000000000125 1201000000000000125 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. ' Reouired Insnections I , " Rough Mechanical: Prior to Coyer Final Mechanical: When all mechanical work is complete, Final Gas: When all gas work is complete, Rough Electric: Prior to Coyer Final Electric: When all electrical work is complete, , ,~~..U ;'1,~ >,;~ . '~:. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541'726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010~00200 ISSUED: 02/12/2010 APPLIED: 02/12/2010 EXPIRES: 08/12/2010 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do h~reby 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 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensnre 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 pro'petty, and the approved set of plans will remain on the site at all times dnring construction, . Owner or Contractors Signature !'il( ~ ..' . . -,,< Pa~e 3 of 3 <"','.,; ;,;.\. ., :', Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number .COM20 I 0-00200 COM20 I 0-00200 COM20 I 0-00200 COM20 I 0-00200 Payments: Type of Payment ONLINE CHGS cRcceintl Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 1201000000000000128 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS KR ., ," Page I of I City of Springfield Official Receipt Developmept Services Department Public Works Department Date: 02/12/2010 12:21 :23PM Amount Due 55.00 18.00 8.76 3.65 $85.41 Amount Paid ONLINE OR ELECT, Online SERVICE Payment Total: $85.41 $85.41 2/12/20 I 0