HomeMy WebLinkAboutPermit Electrical 2010-6-11
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenter@ci.springfield.oLuS
o New Construction
IX] Addition/alteration/replacement
';C!;r:!:c.,'6R'(qF:CONSTRUCTI6N~0:', .i0tJii,.
001 or 2 family dwelling D Multi-family 0 Commercial 0 Accessory
~. '\/oB'siTEJINFORMATION AI-lDtOCA T1<iN "" ~,,,,'.
Job Address: 904 56TH PL
City/State/ZIP: SPRINGFIELD. OR 97478
',,'"
Suitelbldg.lapt.no.:
Project Name: Ryan Stone 541-915-4038
Cross Street/directions to job site:
Tax map/parcel no.:
1702331102100
Wire electric furnace w/heat pump. attic light, switch & plug.
. # ',,,.,':?'SifE'CONTACT ~ . .
',. .n"H"", ......~........... ........",0'" . I
Fax: 541-343-1683
"',COf:l:r~CIOR "
Elee lie. no.: C408
ceB lie. no.:
181997
Business Name: OREGON ELECTRIC SERVJCE LLC
Contact:
ht~,
Address: PO BOX 2237
City/State/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
Reconnect Only: 1
All Other Services: 2
,!. i'l
, :11\'
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; Thil; Authorizalion To Begin Work expires 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 not meet applicable land use laws and local ordinances.
C/tJ,757
Residential Electrical Authorization To Begin Work
69600-BEL-10-00260
Approval Code: 011075 6/11/2010 11 :53 am
:..
E-mailedTo:tena@orelectricservice.com
'f ".:' ':" : ''''~~l PLAIIi'REV1EW ':," ,,>,,:0; Y. .:
Please check'all that apply: O. Hazardous locations
o A service or feeder beginning Q A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10;000 Amps at 150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
0 Fire pumps o Commercial-use agricultural
buildings
0 Emergency systems D Installation of a 150 tWA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A", "E", or "1-2" or "1~3"
D Six or more residential units in o Recreational Vehicle Parks
one struclure
D Health care facilities o Supply' voltage for more than
600 supply volls nominal
r 3':" ' ::,,: ,'- ';' ';"FEE:SCHEDl:jL,E: " .';',' 'c ::,. ~";;::,
Description I Qty. Ea. Total
)/:). ,,~,:";),,:.: ."""'(''i:it, .../ ;q :;
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 2 $6.00 $12.00
circuit without service
EjGctrical^Pe:rmi{F~es~')^,'ft ,cy ""';'. c'. 'i- "", ~: "
Sublotal $67,00
Slate surcharge (12% of permit $8.04
total)
Technology fee (5% of permit total) $3.35
TOTAL PERMIT FEE $78.39
',./
't~ 'b9-- .\(l,
~
\.o.\~ .\0
~~~
~
69m zg/O
~- //-/0
00757
/7 rv--.-
,';"~,\' I '
., "~'l~ . .-,~,:,~'~'.,~:~:,
Inspections Phone: 54 n26.3769
This Authorization To Begin Workm,:,st be.posted at the job sileuntil replaced by a Permit
, -'-,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00757
ISSUED: 12/11/2010
APPLIED: 06/11/2010
EXPIRES: 06/11/2011
VALUE:
Status
Issued
..,/_i,
;il~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 904 56TH PL
ASSESSOR'S PARCEL NO.: I70233II02IOO
Springlield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Wire electric furnace wlheat pum~, attic light, switch and plug.
Residential
Owner: STONE RYAN & AMBER
Address: 6505 A ST D2
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
,
OREGON ELECTRIC SERVICE" 181997
BUILDING:I'NFORMATION I
Expiration Date
05/0912012
Phone
541-343- I 68 I
# of Units:
Primary Occupancy Group:
Secondary OccupanC}' 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 I~FORMATION .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
." . 'Overlay Dist:
WStreet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
. . A'rTEr..'7Ir):'I' "'r00,...... l~ .. ~qr:l.\!'";;S,Hjl.! +0
."-' .,. I.., ,. " 'S" ewalk Type: :. .. !..
::':1-; \' [..J~ " foll:)\,'.! rules adopted by 1118 ur8goil Utility
;''C,'::'!' "'~,;.' : Notification Ccli>,Q);\'uspUJrtslDr.ainStre set forth
<l,~Jr' ;i:;;' in OAR 952.001,0010 through OAR 952-001-
';", 0090. You may obtain copies of the rules by
.:'I'iCiE: calling the center. (Note: the telephone
,HIe; P ,R~.n e; I I F R numberfor the Oregon Utility Notification
AUTHORIZED UNDER THIS PE!iLvlf{ rs,[~OT .. i en e
COMMENCED OR IS ABANDO~lOn DeSCrIptIOn
ANY 180 DAY PERIOD.
Description Type of Construction
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
".value
Date Calculated
I..';,' '" ',"'.;. , ~
Paee I of 2
"r.
~~I~~~l9F;~eg,.1?'
:" 'I"
.-.....,
...........................,'...
:r:J:'"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00757
ISSUED: 12/1112010
APPLIED: 06/1112010
EXPIRES: 06/11/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phnne
541-726-3676 Fax
541-726-3769Inspectinn Line
, "
~'.1;'" "
',d'.,;
Tntal Valne .of Prnject
L Fees Paid....
Fee Description
+ 12% State Surcharge
+ 5% Technnlngy Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amnunt Paid
D~te Paid
Receipt Number
$8.04
$3.35' ."
$55.00
$12.00 '
6/11/1O
,..' 6/11110
,. 6/11/10
6/11/10
3201000000000000297
3201000000000000297
3201000000000000297
3201000000000000297
Tntal Amnunt Paid
$78.39
Plan Reviews ~
To Request an inspection call the 24 hour rec~rding,at 726-3769. All inspections requested before 7:00
1-'-, ,., ,..'
a.m. will be made the same working day, insp'ections requested after 7:00 a.m. will be made the following
,
work day.
L Reouired Insoections I
Rnugh Electric: Prinr tn Cnver
Final Electric: When all electrical wnrk is cnmplete.
",'
By signature, 1 state and agree, that 1 have carefully ex~mined th~,c.om~leted applicati.on and dn hereby certify that all
infnrmati.on herenn is true and c.orrect, and I furth,er certify that any' and all w.ork perfnrmed shall be dnne in accnrdance witb
the Ordinances .of the City .of Springfield and the'taws .of the State .of Oregnn pertaining tn the wnrk described herein, and
that NO OCCUPANCY will be made .of any structure withnut permissinn .of the Cnmmunity Services Divisinn, Building Safety.
I further certify that .only cnntractnrs and emplnyees whn are in cnmpliance with ORS 701.005 will be used .on this prnject.
I further agree tn ensure that all required inspectinns are requested at the prnper time, that each address is readable frnm the
, street, that the permit card is Incated at the frnnt .of the property, and the apprnved set .of plans will remain .on the site at all
times during construction.
Owner or Contractors Signature
; 1"- ;',:,'j~. ~.+,., <1'''',. .
Date
Pa2e 2 .of 2
I: .
225 Fifth Street
Spripgfield, Oregon 97477
541-726-3759 Phone
",'J,il'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000297
Date: 06/1112010
12:42:56PM
Job/Journal Number
COM2010-00757
COM20 I 0-00757
COM20 I 0-00757
COM2010-00757
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
55.00
12.00
8.04
3.35
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE OREGON Online
ELECT
Payment Total:
$78.39
Amount Paid
$78.39
$78.39
,J
;, ,
,
. ~'~:
,~j i f);;': ' ,".
";,:~r~~t'
;}, j
of;,'
,dJ".
. ',.,. '.
Page I of I
6/11/2010