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Home My WebLink AboutPermit Electrical 2010-6-21 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us (JIO,7Cf7 Residential Electrical Authorization To Begin Work 69600-BEL-10-00275 Approval Code: 021846 6/21/2010 11 :43 am E-mailedTo:tena@orelectricservice.com "PLANREVIEV\I' ~ ','1,.::r::. ',. :', ,',:;, ,.;,,'; :.,;, , '; ,.1 , o New Construction ,:;;1 [R] Addition{alier~~i~~/replace~ent ,.. I,~ .'. " . c-, ':{i,::;::':CAl'EG6R'{:QF::cONSTRUCTI6N'[f::7~.: ::. . .t: .'~~ [Z] 1 or 2 family dwelling D Multi-family 0 Commercial D Accessory I.',', ?'"'",'0:JOB'SITE INF,ORMATION"AND t:.OCA'nON:'.'j, '." c:: Job Address: 1101 DARLENE AVE City/State/ZIP: SPRINGFIELD, OR 97477 Suitefbldg.lapt.no.: ~~~!:':~;',,';':1 ',i,':~. :;.':;' ..'~~,:~0.- '. .,)!.~ I:: ~ ',.' Project Name: Ted Lyles 541-687-6695/AH Cross Street/directions to job site: ;:1r.. 'Tax maplparcel no.: .,.' 1703272204400 ..:, , c' '1' ::r " Wire air conditioner & outdoor receptacle 1:1. ": ~' .~:,:::::' '''~' 'SITE COr'1l:A9T.::;r.:;:::" "',',':' ,-, ' r:,:: ,:~ Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-168:{ "; ,-j: Email: ,_ ' f: '><%':C6NTRAC,TO~";' .:.,.,! "" ':.;'!,' ,', i' ".. " , , , ,,;, ~ " Elee lie. no.: C408 CCB lie. no.: 181997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: .'iir-l!~~.] ,", ; ~ " ',:,.":,,1.,,1::,. ],-',- Address: PO BOX 2237 City/State/ZIP: EUGENE, OR 97402 :tw:,- Phone: 5413431681 Fax: 5413431683 Email: Metro lic. no.; City IIc. 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 : ~- ';:::1 :'. ',' 'i ,J Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault currenl exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other D Fire pumps o Emergency systems ~ D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys O "A" "E" or "1-2" or "1~3" - , o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Description ;< . Branch circuits without service or feeder Branch circuits each additional circuit without service ElectFicaliRe'rmit Fees- ',' Subtotal State surcharge (12%,of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE (~ ~ ~~~~,<V Upon review and approval by your local jurisdiction, your pennit will be e-mailed or fa:xed j1 r"\. ...... A. r;'+"'1 0 within one business day, with instructions on how to schedule your inspection, UJ r It.,/-J - N9TE: This Authorization To Begin Work el[pires within 180 days if a permit Is not obtained. <I ~ vl...-t 0 The local building department may determine that an Authorization To Begin Work' Is nuil and void if it does not meet applicable land use laws and local ordinances, ' $55 00 $55.00 $6.00 $6,00 "~co. , $61,00 $7,32 $3.05 $71.37 ~w r,;~ \9 ,r,; :'iP ~t;j(. ..s- OO-rQ7 (lr/\ . InspeC!1oHsPboDec54J,726,3769 This Authorization To Begin wo~~'.~"~~t tlr ,~stedat the job site until replaced by a Permit -:;w' .,1 'I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00797 ISSUED: 06121/2010 APPLIED: 06/21/2010 EXPIRES: 12121/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1101 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272204400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install A/C - Wire air conditioner & ontdoor receptacle. Residential Owner: LYLES ROBIN ELAINE & TED ALAN Address: 1101 DARLENE AVE SPRINGFIELD OR 97477 .. 'u , I CONTRA€T0R INFORM A TION ~ Contractor Type Electrical Mechanical Contractor License OREGON ELECTRIC SERVICE ' 181997 ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION. Expiration Date 05/09/2012 08/31/20 I 0 Phone 541-343-1681 541-683-2590 # of Units: Primary Occnpancy Group: Secoudary Occupaucy Group: Primary Coustructiou Type Secoudary Construction Type: # of Bedrooms: ' # of Stories: Height of Structure Type of Heat: Water,Type: Range Type:-', ' , ." [,'1 Energy,IPath: .' Sprinkl,ed Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nfa I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved I?rive Rqd: %"of L~t Coverage: :~~t!:~ \:~1{~;' , <~.~~;. REQUIRED PARKING Total: Handicapped: Compact: , I PUBLIC IMPROVEMENTS ~ Street Improv~~Ffs!'JTlON: Oregon law . "', ,," , ow rules ado te reqUires you to Stor~ Sewer f'I~tilla!!!~n Cent:'. ~ by the Oregon Utilit . SpeCial Instrol'CdMlR 952.001-0010 ose rules are set for~ 0090" You may obtainthrough OAR 952-001_ ,Notes: calling the Center (I~oPles of the rules by , nUmber for the Or' ote:, the telephone ' C egon Utility N t'f' enter is 1-800 3 0 IICation - 32-2344). '" ' , , Sidewalk Type: Downspouts/Drains: , " >~ 'll CEo 1\-\E 'NORK ~~~\pERMIT SHA~~ ;X~~~~~M\1 \S NOT AUTHORIZED UNDIS ABANDONED fOR COMMENCED OR , ANY \ 80 DAY PERIOD, , '" '.1; ':;;, 'I" Pa2e I of3 ".1) ; ~ ';,' '.: l.r'<~ \ , , ..'~,,,;~;. ;.;:.jj!. l.:1.~~, ,[,.,., Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :CH~:-; ....:<;-",... I Valuation Description ~ I Description $ Per S.q Ft or multiplier' I Tvpe of Construction Square Footage .' '. or Bid Amount . f:,' , Total'Yalue of Project ~ 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 Amount Paid $7.32 $9.48 '. $3.05"",'i"\" $3.95;::~" $79.00 il"j $55.00"1' , $6.00 . .~ -...... . , ..-.;:..~.~;; 1..iJ'I. .~ ",~:i~:.'~<.:':' ' ltC, Total Amount Paid $163.80 Plan Reviews i Date Paid 6/21110 6/2 III 0 , ," 6/21110 6/2 III 0 6/21/10 6/2 III 0 6/21/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00797 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: Yalue Date Calculated Receipt Number 3201000000000000320 3201000000000000321 3201000000000000320 3201000000000000321 3201000000000000321 3201000000000000320 3201000000000000320 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. W3eollirecU-nsnection~ I , Rougb Mechanical: Prior to Cover , Final Mechanical: Wben all mechanical workis.coniplete. Rough Electric: Prior to Cover ,.. - ." ,:..:'~t'f!!"" ;l;~';, .;~~"'::S~ . .iF Final Electric: When all electrical,work is Gofll'PIete..;i". '..~,"~l ," , " < \ " ~ i 1i' . i. .:'1" ;'.' ra~r: 2 of 3 r. .. ." CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00797 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: '\ ' .":'" "), ~ " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :~-;O'f.f' .',.'f.- '~'*' ~, ';'."(~' ~;: :'.. By signature, I state and agree, that I have carefully,examin'ed.the completed application and do hereby certify that all information hereon is true and correct, and I fnrth~r,"~ertify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of t!le 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 further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date ~, , .J .. . ,~~~~~ ;:. -,,,,, '''"...., .v.:it <11 J^~\:1;#;1'il _, ',}-"d' j . .:.r,"""i , , . ." .,.,.. "';'.';(;'" 'iJ:+;'-; ;~;..~;:~:-' r:J~i'~:~g . ,ti.~" . .1"', r Paee 3 01"3 225 Fifth Street l'ipringfield, Oregon 97477 541-726-3759 Phone ~1;~~:O~....' ...... ~......,' , --+-." -' ....^.....,.c.,,~.,.,._... __ " City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000320 Date: 06/21/2010 12:57:22PM Job/Journal Number COM20 1 0-00797 COM20 1 0-00797 COM20 I 0-00797 COM20 I 0-00797 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 12% State Surcharge + 5% Technology Fee :',,,,:: " ..to', Item Total: Amount Due 55.00 6.00 7.32 3.05 $71.37 Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS ..~" - Check Number Authorization ~~~.~iyed BJ. ~. Batch Number Number How Received Amount Paid l1Jrn ONLINE oregon elect Online serv Payment Total: $71.3 7 $71.37 ''!:i: ',' "~'j ,- ,. " . .,j>;!_:: J...4: .L~.; "-:;;..., .\~>CL';\" 'j; \' ,.-._.~ ;)j I . ~':, .. 'I"'" ~ " .J.~~J:::: ",,,!il.L..:. . ;.~~'f:,\", in r cReceintl Page I of I 6/2//2010