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Home My WebLink AboutPermit Electrical 2010-7-2 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541.726-3753 Ernail: permilcenter@ci.springfield.or.us rJ/j .gg / Residential Electrical Authorization To Begin Work 69600-BEL-10-00302 Approval Code: 002107 7/2/2010 12:21 pm E-mailedTo:tena@orelectricservice.com o New Construction [K] Addition/alte;~ii~.~ir.ePlacemenl' TCA TEG'oRY~QF~C6NSTRUCl1IQN~i.';!\"" .i::"'~t".~" 1ZJ1 or 2 family dwelling D Multi-family 0 Commercial D Accessory I:' ;'""Jl:..'-:::, ::~ 'JOB' SITE'It-iliokMA TION AND;lOCA tlot-ij':-;,' Job Address: 658 S 57TH ST City/State/ZIP: SPRINGFIELD, OR 97478 ",' Suite/bldg.lapt.no.: 67 Project Name: ASSOC/Hal!ock Cross Street/directions to job site: Hwy 126 turns into Bob Straub Prkwa~:,S'~nto S 57th St, Tax mapfparcel no.: 1702330001201 Please check all that apply: D 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 D Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure D Health care facilities D Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor D Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Electric Furnace w/Heat Pump Exchange. Name: Jeff Brooks Phone: 541-343-1681 ,'i. ~'" Fax: 541-343-1683 Email: Elec lie. no.: C40B 181997 CCB lie. no.: Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 ''''.' City/State/ZIP; EUGENE, OR 97402 Phone: 541-343-1681 Fax: 541.343*1683 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 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 expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work ili null and void if it does not meet applicable land use laws and local ordinances. Branch circuits without service or feeder Branch circuits each additional circuit without service Ele~,t'ri.~~Hfl'~rrnitF,e.e~ ,,_. Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE .~ ~~,~ o ~.>:. ~la - ,-).-10 '. Total $55.00 $55 00 $600 $600 i'-::"" '';''. $6100 $7.32 $3.05 $71.37 \5>Y '\ .(j.\ D ~SQ..~ ~ (p'6'61 NrV\. ."~- 'r: Inspes~\qps.P.!J<i~n~:. 54.1,- 7f6-3 769 This Authorization To Begin Work"lwstb~:p,,~sted at the job site until replaced by a Permit , i Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00881 ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01/02/2011 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 658 S 57TH ST SPACE 67 ASSESSOR'S PARCEL NO.: 1802040000200 Springfield TYPE OF WORK: Heating System ({,,(~' I (" j' PROJECT DESCRIPTION: Replace heat pump an((airhimdler TYPE OF USE: New Residential Owner: JOE AND LEE LIMITED Address: PO BOX 717 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor License OREGON ELECTRIC SERVICE 181997 ASSOCIATED HEATING 8i AIR CONDITIO 106275 BUILDING INFORMATION ~ Expiration Date 05/0912012 08/31/2010 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 Str~cture 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 Garage/Carport Sq ft Other: Occupant Load: n/a \J.~\' . I DEVEL6r.MENTINFORMATlON ~ front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage:, REQUIRED PARKING Total: Handicapped: Compact: Notes: NOTICE: THiS PERMIT SHALL EXPIRE IF THE WORK J~UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 BO DAY PERIOD. I PUBLIC IMPROVEMENTS" "-rENT!ON:~ follow r~l~swa o/'.y\l\':law requires y ,,"J: 'Notific' a optetJ by the 0 . au to ". "., In OAR ~'OO~ontstP'/j~iN: I regon Utility " 0090 Yi 52-001-0010 throug~ ~A~e settorth cali;ngO~ may obtain Copies ofth 952-001_ n e center (N t e rules by umber for the Or~ 0 0 e:. the telephone Center is lioon.,~II"ty Notification ",,2-2344). fl',I~T": ; ":" "::"~",.,ii',: ; Street Improvements: Storm Sewer Available: Special Instruction: .~lP " ."' "," . ,..,,".~,. ~..,.,-,,, .,,-,., :;-r;:~;p:"";. , ',1' ~ii~Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .J. , I Valuation Descriotion I Description $ Per Sq Ft or multiplier Tvpe of Construction Square Footage or Bid Amount ,;Total Value of Project ~ ' . , "."n...,_,. . _ .". I""....' 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 Amount Paid $7.32 $11.52 $3.05 $4.80 $79.00 $55.00 $6.00 $17.00 Total Amount Paid Date Paid 7/2/10 7/2/10 7/2/10 7/2/10 7/2/10 :7/2/10 7/2/10 7/2/10 ','",-; , $183.69 I Plan Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00881 ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01/02/2011 VALUE: Value Date Calculated Receipt Number 3201000000000000375 3201000000000000371 3201000000000000375 3201000000000000371 3201000000000000371 3201000000000000375 3201000000000000375 .3201000000000000371 To Request an inspection call the 24 hour recJlrding at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, ill,~~~ct!!!ii~,reque~ted after 7:00 a.m. will be made the following work day. ~en:l'lirerUnsnections I 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 complete. ~ :.. ',":1 ~" ., .;r,..... ';1,1)" Page 2 01'3 ....f;} CITY OF SPRINGFIELD Building/Combination Permit -::,~~i.\~~. " , :' Status Issued PERMIT NO: COM2010-00881 ISSUED: 07/02/2010 APPLIED: 07/0212010 EXPIRES: 0110212011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 have carefully ,examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the L~ws of the Stat~.of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre,withont permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employ~es who are in compliance with ORS 701.005 will be nsed on this project. I further agree to en_sure 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 'I' ;~" . 1,,. ':..:1: ,; .\i', r'.t ~ . i..,' r ,." ",~ : ~, . . " ..1':':" .i " , ". poee 3 of 3 225 Fifth Street Springfield, .Oregon 97477 541-726-3759 Phone .if iik City of Springfield Official Receipt Development Services Department . Public Works Department RECEIPT #: Date: 07/02/2010 1 :48:55PM 3201000000000000375 Job/Journal Number COM20 I 0-00881 COM2010-00881 COM20 1 0-00881 COM2010-00881 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 55.00 6.00 7.32 3.05 $71.37 Pa id By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid $71.37 NJM ONLINE OREGON Online ELECT Payment Total: $71.37 :',\' "'j:,' ,,' ., . ,J, ,.,....., 'i. .,..-' .," , Page 1 6n ' 7/2/2010 \ ",."