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Home My WebLink AboutPermit Electrical 2010-7-8 City Of Springfield 225 Fifth 8t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us (J/O. 824 Residential Electrical Authorization To Begin Work 69600-BEL-10-00316 Approval Code: 008713 7/8/2010 4:09 pm E-mailedTo:tena@orelectricservice.com ;'f:..{ ''!.,,'...' D New Construction [KI AdditjOn/alterati?~/~~piace~ent ~ ".C,A. {EG+6~'(Q~+cbNSTRUCTION I.it'~;;'~~"~ ~:0'+~ '.' I [X] 1 or 2 family dwelling o Multj~family 0 Commercial o Accessory .;. UOB,SITE'INF:ORMATION,ANO:LOCA ~ION:',:''t;: Job Address: 1063 65TH 5T City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: AI Lucero 541-988-1132/AH ~ ~ , i Cross Street/directions to job site: Tax map/parcel no.: 1702341200422 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 o Fire pumps D Emergency systems 0' Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Wife change out of electric furnace w/heat pump ~ ~',,", ,,,- "..c"_'._~.. ",' "'k:' ....,,: ~. ~SITE~CONTACT~f'".L Name: Jeff Brooks ;"" }."":~ ':".,__,i' /.. Phone: 541-343-1681 .~t:'i' Fax: 541-343-1683 Email: '''::(' Elee lie. no.: C408 CCB lie. no.: 181997 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 /ie. 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 '.r1!:: Upon review and approval by your local jurisdiction, your pennit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Worll expires within 180 days if a. pennit is not obtilined. The local building department may determine that an Authorization To Begin Worll Is 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 EI~~tr!~al'Perln!(Fees' "':;-~-. Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) I o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal $55.00 $55.00 $6.00 $6.00 $61.00 $7.32 $3.05 $71.37 ~ ~.\ru~ -V-ti( ~ Inspecti?;,s Phone: .:;4!' 726.3769 This Authorization To Begin Work must be po~ted~t the job site until replaced by a Permit ~()?1'20/ 0 .... dO %(;" Lf 7....c;--/O ,,'I TOTAL PERMIT FEE w (}..~ t' AiM , ~ >~~ ...."... ';f~.~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00884 ISSUED: 07/0612010 APPLIED: 07/06/2010 EXPIRES: 01/06/2011 VALUE: Status Issued ."0:,..;,, i.."'.. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1063 65TH ST ASSESSOR'S PARCEL NO.: 1702341200422 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace HIP system Owner: LUCERO ALFRED JR & MAXINE C Address: 1063 N 65TH ST SPRINGFIELD OR 97478 Phone Nnmher: 541-988-1132 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor ";k;'\ ' .:. "'." . , 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 Occnpancy 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Sethack: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLiC-IMPROVEMENTS II ION' Oregon law requires youto lel'V ,', mE~9'~"""'" ~.by the Oregon Utility lrf:"'&~ "r"'" ' fono:"" c-\,;r!\Thoserules are setforth - .' NotlfICffig~_Wf..\!ltim'l\lim1;lgh OAR 952-001- In OAR obtain copies of the rules by 0090.. You may (Note: the telephone calhng the center. Utility Notification number for the Oregon Center is 1_800-332-2344). Notes~OTlCE: 'HIS PERMIT SHALL EXPIRE IF THE WORK mHORIZED UNDER THIS PERMIT IS NOT ,~OMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. .', ~ ~ : , ; ~ . \ ; ..,r.' L ."'.,.,,,,....,...-.. ..': ;~l.:.i~:.:;j .....'1"';.'1, ,.' Po!!e I of 3 ". Status Issued J .j?fi ~.'ff;:T{)" ;" "Po~'k:. :'"e'3~~.r;;::,.l.U' ,.., l.'nJ,' -" 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1 l' ,.~;~, .;, ''!'''',.., I Valuation Description I Description $ Per Sq Ft or mult,iplier Tvpe of Construction Square Footage or Bid Amount '~ Total Value of Project , ~. . - " , Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $11.52 $4.80 $79.00 $17.00""" .'''_' . ,1e) ,.tF'I!:)'", $7.32.;,;::;:"w.. .~t.;z;...':~",ojl $3.05";;:\: . . $55.(j'O~~~~~i \ "<,,,t.,. " $6.011:" . Total Amount Paid $183.69 I Plan Reviews ~ Date Paid 7/6/10 7/6/1 0 7/6/10 7/6/10 ,:..7/9/10 7/9/10 7/9/10 7/9/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00884 ISSUED: 07/06/2010 APPLIED: 07/06/2010 EXPIRES: 01/06/2011 VALUE: Value Date Calculated Receipt Number 3201000000000000376 3201000000000000376 3201000000000000376 3201000000000000376 3201000000000000409 3201000000000000409 3201000000000000409 3201000000000000409 To Request an inspection call the 24 hour rec~,rdi.ng,~tJ26i3769. 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. ,'-' ." " l....ReouiredJnsnections ~ Rough Mechauical, Prior to Cover Final Mechanical: When all mechauical work, is complete. Rough Electric: Prior ~o Cover . ~,YE~,;' ,,'~ r ',";-;3',:,:. '~~'~'(:.;1:~' ~;u,; r:';:.i{,.' . I ~~. Final Electric: When all electrical work is complete: :." i~'}~~,i'. ',. ,~~~ "'i t,:1 '}"11.f...'t , Paee 2 of 3 . "~._,I,,. _: h ' .>~ .; I,> 1 . ..~,,;~:,~..sF': . ;~' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726'3769 Inspection Line ",' ,,- '. , ':'~_: . :~,.tu \ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00884 ISSUED: 07/0612010 APPLIED: 07/0612010 EXPIRES: 01/0612011 VALUE: By signature, I state and agree, that I have carefully,~.i~miii'ed:the completed application and do hereby certify that all information hereon is true and correct, and I further ~.;rtify .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 of the property, and the approved set of plans will remain on the site at all times during construction: Owner or Contractors Signature '1.:ljO' t'".~1...-$~''', 'J .".1'<;:'-"'-.,1,,, ,J;-~-,'l':~~'-:::) , J!;:J(~' ,~:i:':i;;:'il ;1" '.. , ;' ;--'i'j.Bf'. . ;, "1'..:,\'1". i~ ~.-t ,', . , ';- '(.1'.. \. ,,_. .. ',i'I+.,'""". '.,t~l.::~' , .', ;t.~,~:j11 -- . .{Il't:,t:1 " -~h'i '.i' ~~ \, ': Pa!!e 3 of 3 ,,'.. Date 225 Fifth Street Springfield"Oregon 97477 541-7'26-3759 Phone "~i:,.ll....,.~,~~", '.'. W;r' ';'. ',' .. I"_~ 1 ,'~' :; _.,.-. '. ~""",'.'~'.~.'''''''- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000409 Date: 07/09/2010 8: II :35AM Job/Journal Number COM20] 0-00884 COM2,o] 0-00884 COM20]0-00884 COM20]0-00884 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + ]2% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Tota': 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 Online ELECT Payment Total: $71.37 $71.37 -. ,;~~!f::i't ,..d.J;.~t'I;;i,~!' i1~: ' .;$t;L: ' '~~'1'fl . ....:: , . ... _._" ..' . ~ "-1, ':j ",' .~,:{J~V, " " :1,~~ii . ~,;r,i~~.i~' .1(>,', t'..~ ")~1,i!-;"A,' ~'~), 1""-' I ir.f':j;' ' .~~...:. .. " c ~.,"i ,* cReceintl Page I of] 7/9/2010