HomeMy WebLinkAboutPermit Electrical 2010-4-30
City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfieJd.or.us
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0 New Construction IRl Additionlalterati on/replacement
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IZJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
, 'JQBSrrE INFORMATION AND !iOCATION ;~ ' '~.,~~,
Job Address: 2150 LAU RA ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/btdg./apt.no.: 206 . <._~,.,:...- .t.,," ..
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Project Name: David Walker 541-747-0825/AH .. ~..... ~- ,
Cross Street/directions to job site:
Tax map/parcel no.: 1703271004700
',"J! j" :':';'~ ,,;,,'.;:r[I;~CRIPTION:6FW()RK"~' ;':;:~;:',:'t ...";::'j~ i
Wire change out of electric furnace w/heat pump.
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Name: Jeff Brooks ."
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Phone: 541-343-1681 Fax: 541-343-1683
Email:
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Elec lie. no.: C40B eCB 'ie. no.: 181997
Business Name: OREGON ELECTRIC SERVICE LLC
Contact: ." ..~ ..,. "
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Address: PO BOX 2237 -.~....- .... .
CityfState/ZIP: EUGENE, OR 97402 ..,....
Phone: 5413431681 Fax: 5413431683
Email:
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 Service: 4 i ;,
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 ellpires within 180 days if a permit is not obtained,
The local building department may determine that an Authorization To Begin Work is null and
void if It does 110t meet applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00189
Approval Code: 030128 4/30/2010 9:10 am
E-mailedTo:tena@orelectricservice.com
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Please check all that apply: 0 Hazardous locations
D A service_or feeder beginning 0 A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds 0 Buildings more than three star
10,000 Amps at 150 Valls or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
0 Fire pumps 0 Commercial-use agricultural
buildings
0 Emergency systems 0 Installation of a 150 KVA or
D Addition ofa new motor load larger seperately derived sys
of 100 HP or more 0 "A", HE", or "1-2" or "J-3"
0 Six or more residential units in 0 Recreational Vehicle Parks
one structure
0 Health care facilities 0 Supply voltage for more than
600 supply volts nominal
r .",,:./' , ~:'~~:4',~. FEE,SCHEDuLE'" "f; .,:7';,.'-:',,'.
Description Qty. I Ea. Total
.~-ildc;,b c;ir<:~its::"~'.:" <.~;+: : ;_, :,,;-- ., "e""',' ,.;,":', _W'" -...:
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 1 $6.00 $600
circuit without service
~Jectrical'.PQrmlt;f9Q~ .i"\' '~I' , '.:3" -,."" :, "1:' . . '.~:"
Subtotal $61.00
State surcharge (12% of permit $7.32
total)
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71.37
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Inspecli~~sPhonel' 54j -726-3 769
This Authorization To Begin Work'must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00538
ISSUED: 04/30/2010
APPLIED: 04/29/2010
EXPIRES: 10/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 206
ASSESSOR'S PARCEL NO.: 1703271004700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump system in residence
Owner: WUORINEN GERALDINE TE
Address: 2154 LAW LN.
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC SERVICE 181997
ASSOCIATED HEATING & AIR CONDITIO 106275
. I BUILDING INFORMATION I
Expiration Date
05/09/2010
08/31/20 I 0
Phone
541-343-1681
541-683-2590
# 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 INFORMATIO~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
. ''Yo 'of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENT~ITENTION:
fol/ow r~w,e1ra9kflRQ{l.!aw requires y
Notificaticw r.o )(e'oby Ihe Ore o~ ~o
in OAR 95~own~\lirutsiQl!ltlWle gon Ullllly
0090. You ~01-0010 Ihrough JA~e9selforth
calling Ih ay obtam Copies of Ih 52-001_
e center (N e rUles by
nUmber for the 0 . ole: Ihe lelepho
regon un ne
Cenler is 1-800 "3 Illy NOlifieatioll
'" 2-2344).
Storm Sewer Available:
Special Instructio,!':
NOTlCt: E WORK
Notes: THIS PERMIT SHALL EXPIRE IF TH . OI'''' ::.
AUTHORIZED UNDER THIS PERMIT IS N,. j ,:-
COMMENCED OR IS ABANDONED FOR,,;,i .
ANY 180 DAY PERIOD.
Paee 1 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00538
ISSUED: 04/30/2010
APPLIED: 04/29/2010
EXPIRES: 10/30/2010
VALUE:
';",'
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valu'~ti'o~D;~cription ~
Description
Tvpe of Constrnction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Nnmber
$7.32 4/30/10 2201000000000000447
$3:05' 4/30/10 2201000000000000447
$55.00' ; 4/30/10 2201000000000000447
$6.00 4/30/10 2201000000000000447
Total Amount Paid
$71.37
I Plan Reviews ~
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To Request an inspection call the 24 hour n~cording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, in~'pections requested after 7:00 a.m. will be made the following
work day.
~e(]lIirerUnsnections ~
Rough Mechanical: Prior to Cover
Final Mecbanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00538
ISSUED: 04/30/2010
APPLIED: 04/2912010
EXPIRES: 10/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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 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 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 ofJl)e'propetty, and the approved set of plans will remain on the site at all
times during construction. . 'c ~I~ '.'...1 .
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Owner or Contractors Signature
Date
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Page 3 of 3
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000447
Date: 04/30/2010
12:13:47PM
Job/Journal Number
COM2010-00538
COM2010-00538
COM20 I 0-00538
COM20 I 0-00538
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
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
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
njm
ONLINE oregon elect Online
Payment Total:
$71.3 7
$71.37
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4/30/20 I 0