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Home My WebLink AboutPermit Electrical 2010-4-13 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Emsil: permitcenler@ci.springfield,or,us Residential Electrical Authorization To Begin Work 69600-BEL-10-00168 Approval Code: 013874 4/13/2010 2:56 pm .\ ;..',,:~,' D New Construction IRJ Additionfaltera.li~n/r~placement i , " ,,; +!i ';,'CA TEGORY;OF,CONSTRUCTioN;;;"'+',_, '\, IZ] 1 or 2 family dwelling o Accessory D Multi.family D Commercial i~~: "'2~';JOB SITEdNIOORMATfoNAND,LOCATIOt.V.,., Job Address: 3173 U 8T CitylState/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Ivan newman 541-746-5420/AH Cross Street/directions to Job site: 31 stSt Tax map/parcel no.: 1702302102700 Wire change oul of electric furnace w/heal pump "'-,.JiiTE'C:ONTAC:r Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: :' - -;;~,';:;~;;,,"~ '"(<i=~:';;-'.CONTRAc:TQ~:'~;;:~"~:--~-'~ ~""' Elec lie. no.: C408 181997 CCB lie. no.: Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 City/State/ZIP: EUGENE, OR 97402 PhOne:54L.. 1\f3lHt WOR ~;; 7 UNDER THIS PERM' Me"ohcnoi'.IMMENCED OR IS ABA "IV -l Of! n^V Supervising Electrician's lie. no.: Email: 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 jIJrisdlctlon, your permit wll!"b~;,"e-m.iile~ or faxed within one business day, with instructions on how 10 schedule your Inspection.. .-:'__"~ ,~,,_ , . ,"..", 'f. NOTE: This Authorization To Begin Work expires within 180 days If a permit is not ~l?lalned. The local building department may determine that an Authorlzallon To Begin Work 15 null and voId If It does not meet applicable land use taws and localordlnance's. 0.10- 4~1 I~r-?,..e-. E-mailedTo:tena@orelectricservice.com 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 Description ~[anch'2ircuits:.'1: Branch circuits each additional circuit without service Electhcal:PelmltFe~~ ' Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ClD-4Sl 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 suppiy volts nominal $55.00 $6.00 $61.00 $7.32 $3,05 $71.37 ~ Lt-/3-lD ATTENTION: Oregon 'law'reqtilres.youg foll.ow rules adopted by the Oregon!l:Jtllllr Notification Center. Those rules aresetifotltl In OAR 952-001,0010 through OAR:952,llOJ\.. 0090. You may obtain copies'ofthe ruleSIb,y calling the center. (Note: the telephone number for the Oregon Utility Notificatilim Center is '1-800'3~2'234!1). .~ '. ~t0 \~.\O ~. ~ @.~ \k\}~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted atthe job site until replaced by a Permit ...; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00457 ISSUED: 04/13/2010 APPLIED: 04/13/2010 EXPIRES: 10/13/2010 VALUE: " " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3173 U ST ASSESSOR'S PARCEL NO.: 1702302102700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace HIP system Owner: NEWMAN IV AN C & DONNA L Address: 3173 U ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TlON ~ Contractor Type Electrical Mechanical Contractor . ,., . _'. .._- OREGON ELECTRIC SERVICE ASSOCIATED HEATlNG"W'AIRCONDITlO License 181997 106275 Expiration Date 05/09/20 I 0 08/3112010 Phone 541-343-1681 541-683-2590 BUILDING INFORMATION ~ # 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ ..... REQUIRED PARKING ce. ATTENTION: Oregon law reqUIres you 10 Frontyard settWiT:\. EXPIRE If THi"lffitJ.~ist: follow rules adopted llyttl\e Oregon Utility Side I Setback THIS PERMIT SHAll THIS PERMI1~M{lTrees Rqd: Notification Center. Ttidae<tidtlsIavesetforth Side 2 SetbackAUTHORIZEO UNOER oIJl\)'w Drive Rqd: In OAR 952-001-001 0 tti'JougkOAR 952-001- Rearyard SetbemJlMENCED OR IS ABANOONE % of Lot Coverage: 0090., You may obtain copies ofthe rulea by Solar SetbacksANy 180 DAY PERIOD. calling the center. (Note:.~he tel~~ho~e Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS ~ "Iin,! ! Center is 1-800-332-2344). '1 r'-:, Sidewalk Type: DownspoutslDrains: .~, "". Notes: I:." . :.i:' Paee I of 3 ." '.'1 i~ '1(: ~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type 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 " ,; !"') ': ~-" ,;, t..' , r,''l:I<" 'h:~'~li' -".' " I V aluatiQn D~scriptiQn ~ $ Per Sq Fl or multiplier Square Footage or Bid Amount Total Value of Project Fees Paid--4 Amount Paid $7.32 $11.52 $3.0,5 $4.80, $79.0,0, $55.0,0,[, ,', ., , $6.00'i'.~f".i. '~~lfi,.~:11\' , '""v $17.0,?~ ;" ,:':;",. $183.69 ' Date Paid 4/13/10, 4/13/10, 4/13/10, 4/13/10, 4/13/10, 4/13/10, , 4/13/10, 4/13/10, I Plan Reyiews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00457 ISSUED: 04/13/2010 APPLIED: 04/13/2010 EXPIRES: 10/13/2010 VALUE: Value Date Calculated Receipt Numher 120,10,0,0,0,0,0,0,0,0,0,0,0,340, 320,10,0,0,0,0,0,0,0,0,0,0,0,147 120,10,0,0,0,0,0,0,0,0,0,0,0,340, 320,10,0,0,0,0,0,0,0,0,0,0,0,147 320,10,0,0,0,0,0,0,0,0,0,0,0,147 120,10,0,0,0,0,0,0,0,0,0,0,0,340, 120,10,0,0,0,0,0,0,0,0,0,0,0,340, 320,10,0,0,0,0,0,0,0,0,0,0,0,147 To, Request an inspectiQn call the 24 hQur recording at 726-3769. All inspectiQns requested befQre 7:00 a.m. will be made the same wQrking day, inspectiQns requested after 7:00 a.m. will be made the fQIIQwing wQrk day. ., LReouired InspectiQns ~ 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 cOffi,plete. .",::7"*' .,:,. 'R. t..' Pa~e 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: COM201O-00457 ISSUED: 04/13/2010 APPLIED: 04/13/2010 EXPIRES: 10/13/2010 VALUE: " By signature, I state and agree, that I have carefully'~xami,n~d;the completed application and do hereby certify that all information hereon is true and correct, and I further:2ertli'y tliat 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 Commnnity 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 furtber 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. Owner or Contractors Signature ., '~,'''' ~': ~i \" :,;." .un ~p" o ,~ :' .'1'; 1\ , , " Pa2e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000340 Date: 04/13/2010 2:59:39PM Job/Journal Number COM20 I 0-00457 COM2010-00457 COM20 1 0-00457 COM2010-00457 Payments: Type of Payment ONLINE CHGS cRcccintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% Stale Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS, ...., Amount Due 55,00 6,00 7,32 3.05 $71.37 Item Total: Check Number Authorization Received By Batch Number Number How Received KR :.,.....;, . ,.:: i,li . '\' '1 ~ ....,:'.' >~~. \ ~.;':~ .." " ,'" ' Page 1 of I Amount Paid ONLINE OR Online ELECTRIC SERVICE Payment Total: $71.3 7 $71.37 4113/20 I 0