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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: permitcenter@ci.springfield,or.us" 11"":.' 'e' ".t" ~" , s' TV~ . ,,'.' "t.; ;:'l:'\,~';! 0 New Construction !Xl Addilion/alteralion/replaceme nl I ,'" , ,. ;'" "'CJ\.TEGORYCfF'CONSTRI]"CTlON'''''' ',', ;}" ' ., ..... u<. _'_ > ..' .... "0 _. _._' .. __. .. .... ..,. .... ' ",' .,~ ,,. .' \7 : !Xl 0 0 0 , 1 or 2 family dwelling Multi-family Commercial Accessory (, ~~-~:-. .:: .. JOBSI'1'ElINF'O~MA TION ANrKI4OCATION,',;;FJL ',j Job Address: 1620 YOLANDA AVE ,:;~;~-:': "l;':,tV~,;\:.:' , CityfState/ZIP: SPRINGFIELD, OR 97477 .. .,.'. " _. .. Suite/bldg./apt.no.: '-' " Project Name: Walt VVhidson 541-746-6616/AH Cross StreetJdirections to job site: Tax map/parcel no.: 1703243400120 ;q : ;;'''DESCRIPTION OF'WORK'iD?':'"",' '0'!':c ,',," ...""'^. ,.,4 '.. _ ...:p...,'. 'm" '. . ..''':rLFj!~.".. Wire gas furnace w/AC and outdoor receptacle ,,' ,.,". , -,' .,...t':.: Si:tECONTACJr':JJLL":~"k';hFj1j, f;'.. .. 'k ,. ""':,.:. ",:, ;,.;;;;:;, Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 , Email: I,; '",.,' , :' ;".,;,:.:':'cONTAA,Cfc5B:"" '",' ,:;;h' it; ':; I : "".' .....'} Elec Ilc. no,: C408 CCBlic. no,: 181997 ~_"l,;~, .~;{ 1.'.'. Business Name: OREGON ELECTRIC SERVICE llC -.J...ru:~;:. ~*.P!:t;;: .....~ '" Contact: ...--.-- - -, , Address: PO BOX 2237 CityfState/ZIP: EUGENE, OR 97402 Phone: 5413431681 Fax: 5413431683 Email: Metro lic. no.: City Iic. no,: Supervising Electrician's Iic. no.: 1392S Supervising Electrician's Name: HERMAN OLLAR " .'1. " ..., , , Number of inspections included In paid services: " Resi,dential Service: 4 " Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local Jurisdiction, your permit will be a.mailed or fal\ed within one business day, with instructions on how to schedula your inspactlon. NOTE: This Authorization To Begin Wor\( el\pires within 180 days if a permit is not obtained. Tho local building department may determine that an Authorization To void if it does not meet applicable land use laws and local ordinances. ~!~~~~~~~iS::.'l.U!!,~~,n~ ! .!u.m:J. ~..;i~;. m:,.;' ".;" (]/() 713 Residential Electrical Authorization To Begin Work 69600-BEL-10-00276 Approval Code: 021212 6/21/2010 12:09 pm E-mailedTo:tena@orelectricservice.com I:::,t;;'. 'z,,,.:;;' , :c~;~~'RL.A.N'REVIEW' "';",,,,,,,,' ',', !.,' " "':.", - ~ . Please check all that apply: 0 Hazardous locations 0 A service or feeder beginning o 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 Volts or less to ground exceeds 0 Marinas and boat yards 14.000 Amps for aU other o Floating buildings 0 Fire pumps 0 Commercial-use agricultural buildings 0 Emergen~y systems 0 Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more 0 "A", "E", or "1.2" or"I.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 Yells nominal "Ji'f c,,:;;:; ';o;'-i": 'I'EEs:,,8~J:juLE .. if ,.,,, 'k:::;:" , , Description I Qty, I Ea, I Total '" " Branch circuits without service or 1 $55 00 $55.00 feeder Branch circuits each additional 1 $6.00 $6.00 circuit without service EJectrjca(~,.rn,itF..s' 'i.,....,;;;; , ,'." " . , ",. ", Subtotal $61.00 State surcharge (12% of permit $7,32 total) . TechnOlogy fee (5% of permit total) $3,05 TOTAL PERMIT FEE $71.37 ~ ~ fo~.\.fV ~.~ ~. t./;Q,<1? ~~ ~W10 ;leol--/o ,- ro7C1..3 nrY' Inspections Phone: 541-726-3769 This Authorization To Begin Work must b'~ posted at the job site until replaced by a Permit ,'. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00793 ISSUED: 06/21/2010 APPLIED: 06/2112010 EXPIRES: 12/21/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ,. .' l I ':~ " '. .,. SITE ADDRESS: 1620 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1703243400120 Springfield TYPE OF WORK: Heating System TYPE OF USE: Residential PROJECT DESCRIPTION: Replace gas fnrnace and ad~ AlC Owner: WHITSON WALTER L & JUDY M Address: 1620 YOLANDA AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor License OREGON ELECTRIC SERVICE 181997 ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION I Expiration Date 05/09/2012 08/31/2010 Phone 541-343-1681 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type Seco.ndary Construction Type: # of Bedrooms: #'of Stories: Height '6f-Structure . Type of Heat: 'Wate,' Type: Range Type: Energy' Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: OverJay Dist: # Street Trees Rqd: Paved Drive Rqd: , 'oid of Lot Coverage: ", ;.'~ c' .. . f REQUIRED PARKING Total: Handicapped: Compact: T','jl "\j;,. N01\CE: IRE IPillE WORK THIS PERMIT SHA~~ ~~S PERMIT IS NOT AUTHORIZED UNO c: ABANOONED FOR COMMENCED OR lu ANY 180 O,iW PERIOD ' Paee 1 of 3 I PUBLIC IMEROVEMENTS I . ATTEN-\Ye~'l!Jf~~:.2w requires you:.o . " ,.dnntp,.l h\l. the Oregon Utility follow r1D6wd"p<1UtslDrams; I s are set forth Notification Center. 1 hose I u e in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tele~hone number for the Oregon Utility NotIfication Center is 1-800-332-2344). H" Street Improvements: Storm Sewer Available: Special Instruction: Notes: :tul "';4: :~:;.. l'f:E'ii " bl ,'\ ,~' , ;, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00793 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: 12/21/2010 VALUE: I.,,: \i ,...\..\ Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valu;~tJio~'be's~riDtion I " , ,....;, Square Footage or Bid Amount Value Date Calculated Description Tvpe of Construction $ Per Sq Ft or multiplier Total 'Value 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 Furnace - up to 100,000 btu Amount Paid Date Paid Receipt Number $7.32 $11.52 ,'J $3:05': ,. $4.80 $79.00 $55.00 $6.00 $17.00 -', ":;. 6/21/10 6/21/10 6/21/10 6/21/10 6/21/10 6/21/10, 6/21/10 6/21/10 3201000000000000319 1201000000000000734 3201000000000000319 1201000000000000734 1201000000000000734 3201000000000000319 3201000000000000319 1201000000000000734 Total Amount Paid $183.69 '", fRla'n )~~yie,ws '~ ' ). 'i i,." , ~:;,ii ) To Request an inspection call the 24 hour recordihg at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspecti()ns requested after 7:00 a.m. will be made the following work day. l...Jleollireq.,lnsnec.tio'ns ~ Rough Mechanical: Prior to Cover .,. .l.l Final Mechanical: When all mechanicalworki~ complet~. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ~-'-'- .." ~_. , , .:)V[~;~ .~~K~('fi:;~~~. ': j' '~'~1~ "'f,';lf;l .1 ' Paee 2 of 3 "f;~Mi; ."!'I~f\.~"'; .;t-,',,;,.:J: ~j'''';~n, i< c_ 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: COM2010-00793 ISSUED: 06/21/2010 APPLIED: 06/21/2010 EXPIRES: ]2121/2010 VALUE: By signature, I state and agree, that 1 have carefully exami~ed 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 r~quested 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. ':t';~~.- :.:.;-~ :~:~::.,' . +~,I!.." $lJ{"j'- .'f-- Owner or Contractors Signature " .r,')',. ~r" 1'''' ,.,~.~. . t.l ,,,..:. '., (t.~.,~.. "" "I" .\, ..--_. -':..i..",....::,~. ~;-:[,d ,4; ~,' . ,., .,;._.,. '\'!. ~_.. I Paee 3 of3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000319 Date: 06/21/2010 12:56:34PM Job/Journal Number COM20 I 0-00793 COM20 I 0-00793 COM20 I 0-00793 COM20 I 0-00793 . Payments: Type of Payment ONLINE CHGS cReceiptl Item Total: Check Number Authorization. Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ( Amount Paid njm ONLINE oregon elect Online serv Payment Total: $71.3 7 " . ~: ...'-" c., '":t~, $71.37 ',~> ""'.-" ". ". I,. 'I"';" ) "_ Ti~ ~r ~rr'< . :,':~r.t. . '\.., ".'" ':" -~",....<; '.' " Page (of 1. '. 6/21/2010 " ',~ .