HomeMy WebLinkAboutPermit Electrical 2010-3-11
SPRINGFIELD
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Ernail: permitcenler@ci.springfield.or,us
C-IO-"301
Residential Electrical Authorization To Begin Work
69600-BEL-1 0-001 08
Approval Code: 011301 3/11/2010 1:50 pm
E.mailed To: tena@orelectricservice.com
PLANREVIEW"
~.;,d _' ',~c:~"':'.".J ~i"<i,'L:, TYPEOfTViTORK;;" ',;".;" ':.,'/: "i0 Ei'..E~.
D New Construction 00 Add ition/alleralion/replacemenl
I', ...... ),,,,':,,E, .CATEGORVdj:"G'ONSTRUCTION: -~","..., '., -.: ..'I
00 1 or 2 family dwelling D Multi-family D Commercial D Accessory
. ,'''' ,- "JOB,SITE i~jj:ORMATioN;ANDL()CATI()N :,;.~ , .", '-",
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Job Address: 7249 B ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: Joe Cardoza 541-744-7143fAH
Cross Street/directions to Job site:
1
Tax map/parcel no.: 1702353112200 ,,~
F';'~;ic;:;.". ).'). , t'~~~[)ES(;~IP:TlbN:OFdV\ioRK;'~' ~.~ ~ ,;~';~~;~~':, ..':,,;'C,t;~,
Wire electric furnace w/heal pump
.", ;1", . ,I,. .. 'SITE CQNTACJ0." 'C', '::,:; ;'10" ';,,-,.1, ",
Name: Jeff Brooks
Phone: 541-343-1681 Fax: 541-343-1683
Email:
'.'>' 'c.' ',' : ....:. , CONTRACTOR :;'" "-.: .' '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
Email: . .
Metro lie. no.: City lie. 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-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work ell:plres within 180 days if a permit is nol obtained.
The local building department may determine that an Authorization TO,..Begin .Work is null and
void if It does not meet applicable land use laws and local ordinances.
Please check all that apply:
o A service or feeder beginning
at 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
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
o Buildings more than three star
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", orE", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Description
. ,-';;'.'.':YC~FEE~CHEDULE .
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
EI.ectricafiPermJFFees.
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
.~~
~~ <0
(o-yt L..cO \ 0 -
n'r'"
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Total
'T
$55.00 $55.00
$6.00 $6.00
$61.00
$7,32
$305
$71.37
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3-1,-10
Inspections Phone: 541,726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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: COM2010-00307
ISSUED: 03/11/2010
APPLIED: 03/11/2010
EXPIRES: "09/11/2010
VALUE:
SITE ADDRESS: 7249 B ST
ASSESSOR'S PARCEL NO.: 1702353112200
Springfield TYPE OF WORK: Mechanical Only'
PROJECT DESCRIPTION: Replace HIP system
Owner:
Address:
CARDOZA-LA WRY TRUST
7249 B ST
SPRINGFIELD OR 97478
,
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2010
08/31/20 I 0
Phone
541-343-1681
54 I -683-2590
BUILDING 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:
n/a
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
. ,.. \}O'\ to.
n la"l rO'JI'irC.' '.
f"~n('1I'''' V", 'Lh
I PUBLIC IMPROVEMENTS fo\l~w'r~\;~'~ciopted by tt1e I~~ t:r~',,;t forth
o .' . ,Qp[)ter. Those IU " p "9'-2.00;-
Not\IICSlU\l~:u811'~P.~il through ot,,, , 0 \ s by
in OAR 95~- ',' copies 01 the ru e
0090 OWw~)\grot~ns:te' the telephone
caliin9 the center. I~~ Utility Notification
number lor the. ori~~gO_332-2344).
Center IS
Front yard Setback:
Side 1 Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
O~erlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE: ElF lHE WORK
lHIS PERMll SHfI~~ ~~~ PERM\1 IS NOl
I\U1HORIZED UNO\S flBflNDONED FOR
COMMENCED OR
'\NYi 30 DAY PERIOD.
Pa2e 1 01'3
u:,,~ .'.,;, '); ',.
REQUIRED PARKING
Total:
Handicapped:
Compact:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
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
Heat Pump
Total Amount Paid
(,\..;(
":,:,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00307
ISSUED: 03/11/2010
APPLIED: 03/11/2010
EXPIRES: 09/11/2010
VALUE:
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I Valuation Description ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
t.p;:,"
$7.32 .';~
$11.52"
. $3.05'.
$4.80
$79.00
$55.00
$6.00
$17.00
Date Paid
Receipt Number
;ii.
3111/10
3/11/10
3/11/10
3/11/10
3/11/10
3/11/10
3/11/10
3/11/10
2201000000000000233
2201000000000000230
2201000000000000233
2201000000000000230
2201000000000000230
2201000000000000233
. 2201000000000000233
2201000000000000230
$183.69
Plan Reviews I'
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..ReolliredJ"nsnections _
'"..'..' :r ".,
Rough Mechanical: Prior to Cover .j > l
",..'
Final Mechanical: When all mechanical work is complete.
, ',"
Paee 2 01'3
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
':..
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00307
ISSUED: 03/1112010
APPLIED: 03/11/2010
EXPIRES: 09111/2010
VALUE:
Status
Issued
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe 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 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensure that all required inspections are reqnested 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 Signature.
Date
("/,
Page 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000233
Date: 03/11/2010
2:26:02PM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number Bow Received
Amount Due
55,00
6,00
7,32
3.05
$71.37
Job/Journal Number
COM20 I 0-00307
COM2010-00307
COM20 I 0-00307
COM20 I 0-00307
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
nJm
ONLINE oregon elect Online
Payment Total:
$71.37
$71.37
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cReceintl
Page I of I
3/1112010