HomeMy WebLinkAboutPermit Electrical 2010-3-15
City Of Springfield
225 Fifth SI
Springfield, OR 97477 '
Phone: 541*726-3753
Email: permilcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00112
Approval Code: 015374 3/15/2010 438 pm
E-mailedTo:tena@orelectricservice.com
PLAN REVIEW'" 4 . i
i-.t;,,,,-
o New Construction
~ Addition/alteration/replacement
Plea$e check ali that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps allS0 Volts or
less to ground exceeds
14,000 Amps for all other
r ;. ;,J~:"',<~* ~'1~.,~;::t~~~3;AT~.GORy__OFqQNSTR~~:fioN~
[R] 1 or 2 family dwelling 0 Multi-family 0 Commercia!
o Accessory
JOB SITI:,INEORMATION AND'LOCATION'
Job Address: 559 5 715T 5T
CitylStatelZlP: SPRINGFIELD, OR 97478
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
Suitelbldg./apt.no,:
Project Name: Faraz Zobairi 541-228-4240/AH
Cross Street/directions to job site:
Tax map/parcel no.:
1802022106000
. EEE SCHEDULE
'\'f'i'ENT\ON: Oregon law requires you~'~~ty
.. do ted by the Oregon II
Co\IOW nde~nt:r. Those rules are set forth
~OA~=.oo1-0010 through OAR 9521-00~
W' "" obtain copies of the ru es uv
1lO9O. YOU may (Note: the telepho~e
oaII1n9r:::crr~gon Utility Notification
~ Center Is 1-800-332-2344).
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~ 0-;\'0 ~.\""\"~
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. :, ;:"'::~ '::", ,:,;" bESCRIPTlON-"Of;:lI'tOR~;~:-:'_;,
Description
Br'arlch'circufts~t" i.",. _ ~,
, ." -' .
" '.SITE'CONT ACt';'
'';;'--
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
E@;;trlcar~ermi(Fees
Fax: 541-343-1683
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
,-.'i:.~_, :~-.CONTRACTOR' 'r'
Elec lie. no.: C408
CCB lic. no.:
181997
TOTAL PERMIT FEE
Business Nama: OREGON ELECTRIC SERVICE LLC
c10-303
Contact:
Address: PO BO
Emall:
o.
Metro lie. no.:
City lic. no,:
Supervising Electrician's lic. no.:
13925
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 Jurisdiction, your permit will be e.malled 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 Authot1zation To Begin Work 1$ null and
void If it does not llleetappllcable land use laws and localori:linances.
6/0-3Z3
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
o Installation of a 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
$55.00
$6.00
$6.00
$61,00
$7.32
$3.05
$71.37
~ 31lLolID
Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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'^'.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00323
ISSUED: 03/15/2010
APPLIED: 03/15/2010
EXPIRES: 09/15/2010
VALUE:
Status
Issued
SITE ADDRESS: 559 S 71ST ST
ASSESSOR'S PARCEL NO.: 1802022106000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence.
Owner: ZOBAIRI FARAZ M
Address: 559 S 71ST ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
Expiration Date. Phone
08/31/2010 541-683-2590
# of Units:
Primary Occupnncy Group:
Secondary Occupancy Group:
Primary Construction Type
Sccondnry Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water type:
Range Type:
Energy Pnth:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupnnt Lond:
n/a
REQUIRED PARKING
Frontyard Setbnck: Overlny Dist: Totnl:
Side I Setback:' . # ~et Trees Rqd: ATTENTION: Oregon law ~8JyoVto
Side 2 Setback: . \f 1\\E ~ Drive Rqd: fDliow rules adopted by thti:~tl!lgn UtIlity
Renryard1\~If{&r,f;. "" $\\~\..\.. f;<.I'IR'C 'CRtJ\\1 \SO-" Lot Coverage: ;c,tifjcation Center. Those rules are set forth
Solnr Setb't~~S I'E\'.~JII\ DER 1"15 I' D fOR. . . C:,An.~52-001-001?thro~gh OAR 952-001.
1\ "E;CED OR \ " I PUBLICIMPROVEMEN11S'I:ng the c~nter. (Note: the telephone
CONI,,, C\. DI\'I' I'E\\IOu. ",uooiber for the Oregon Utility Notification
Street Impr?~~e,ri)" C~i~&''r~Y<1TS'!I/F332-2344).
Storm Sewer Avnilnble: Downspouts/Drains:
Special Instruction:
I DEVELOPMENT INFORMATION I
Notes:
I V a'u~iion :b~scriPtion ~
;,."
Description
Type of Construction
$ Per Sq Ft
or multiplier
Squnre Footnge
or Bid Amount
Value
Dnte Cnlculated
Paee I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
L:Fees 'Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
';:'j<
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
3/15/10
3/15/10
3/15/10
3/16/10
3/16/10
3/16/10
3/16/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00323
ISSUED: 03/15/2010
APPLIED: 03/15/2010
EXPIRES: 09/15/2010
VALUE:
Receipt Number
1201000000000000232
1201000000000000232
1201000000000000232
2201000000000000245
2201000000000000245
2201'000000000000245
2201000000000000245
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.
. .':l..;i' . Ii"4".;.;
Re<ldiredlri~riections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 Spriugfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure\vithout permission of the Community Services Division, Building Safety.
I further certify that only contractors and employee~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 p.'oper 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 wm remain OJ) the site at alJ
times during construction.
Owner or Contractors Signature
.j:,
,
!"
,:/ .......y t,:~
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":.',P3ge 201'2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
iir~'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000245
Date: 03/16/2010
10:S9:3IAM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Job/Journal Number
COM20 I 0-00323
COM20 I 0-00323
COM201O-00323
COM20 10-00323
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE OREGON Online
ELECTRIC
SERVICE
Payment Total:
$71.3 7
$71.37
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