HomeMy WebLinkAboutPermit Electrical 2010-7-14
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726.3753
Email: permilcenler@ci.springfield.or.us
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0 New Construction [RJ Addition/alteratiOr:'ireplacement
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00 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
, ~ JOB SITE INFORMATION AND LOCATION i
Job Address: 1029 OLYMPIC 5T
City/State/ZIP: SPRINGFIELD, OR 97477 ..
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Project Name: Makola Kuwabara 541-988-0743 :,/ " ., "
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Cross Street/directions to job site:
Tax mapfparcel no.: 1703264110000
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Change out 200 Amp service and add circuit.
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Name: Jeff Brooks ".. .,.\"\'
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Phone: 541-343-1681 Fax: 541-343-1683 ..
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Elec lic. no.: C408 CCB Iic. no.: 181997
Business Name: OREGON ELECTRIC SERVICE LLC
Contact: -o.er.. .'..
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Address: PO BOX 2237 '-"~"- .....-~_...-. .
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City/State/ZIP: EUGENE, OR 97402 ~'-~-'
Phone: 541-343-1681 Fax: 541-343-1683
Email:
Metro lic. no.: City IIc. no.:
Supervising Electrician's lic. no,: 13925
Supervising Electrician's Name: HERMAN OLLAR
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Number of inspections Included in paid services:
Residential Service; 4 " " -- .:l.i
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Reconnect Only: 1 ,'.'--'"
All Other Services: 2 "
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Upon review and approval by your local Jurisdiction, your permit will be e-meiled or fexed
within one busine55 day, with Instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days If a permit is not oblalned.
The local building department may determine that an Authorization To Begin Wor1l; is null and
void if it does not meet applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00328
Approval Code: 014261 7/14/2010 10:31 am
E.mailed To: tena@orelectriseervice.com
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Please check all that apply: o Hazardous locations
o 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 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 o Installation of a 150 KVA 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"
o Six or more residential units in ' ,
o Recreational Vehicle Parks
one structure
D Health care facilities o Supply voltage for more than
600 supply volts nominal
.. ,,';, -d FEE SCHEDULE ...., '. "'i~:_ ,
Description I Qty. I Ea, I Total
Services or feed,ers - f'.~ ,',. , '" ;,' -; " ,. .. , - "
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Services 200 amps or less 1 I $8100 I $81.00
Bra_nch circuits . .;. " .' .- , .-
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Branch circuits with service or 1 $6.00 $6.00
feeder each circuit
Electrical Poimit Fees, - '. ,
Subtotal $67.00
State surcharge (12% of permit $10.44
tolal\ .
Technology fee (5% of permit total) $4.35
TOTAL PERMIT FEE $101.79
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Inspections,P.ho'ne:. 541-726-3769
This Authorization To Begin Wori';rn~sfb~.p:Osted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00940
ISSUED: 07/14/2010
APPLIED: 07/14/2010
EXPIRES: 01114/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1029 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703264110000
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,,springfield TYPE OF WORK: Heating System
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Ductless heat pump '(;""1' '
Owner: KUWABARA MAKOTO
Address: 1029 OLYMPIC ST
SPRINGFIELD OR 97477
Phone Number: 541-255-3623
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC SERVICE 181997'
ASSOCIATED HEA TINC;"& AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
05/09/2012
, 08/3112010
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 Structure
Type of Heat:
Water Type:
R'a"ge Type:
Energy, P:it!J\
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 DEVELClPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage.'
REQUIRED PARKING
Total:
Handicapped:
Compact,:
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I PUBLIC IMPROVEMENTS I'
Street Improvements:
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Sidewalk Type:
ATJ~I~~\'i;,QI,l;O~,n law requires you to
fo'11ow"rares aaop'feo by the Oregon Utility
Notification Center, Those rules are set forth
In OAR 952-001-0010through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available: '.. .,-,~."
Specia~ lnot1ltletion:
I~UII"'I:.
JHIS PERMIT SHALL EXPIRE IF THE WORK
NotesAUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Descriotion ~
Description
$ Per Sq Ft
or multiplier
Square Foot.ge
or Bid Amount
Tvpe of Construction
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tc Total Vii,"ue of Project
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Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1 st Appliance
Add, Alter, Extend Circ E. Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$9.48
$10.44
$3.95
$4.35
$79.00
$6.00
$81.00
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7/14/10
7/14/10
7/14/10
7/14/10
:7/14/10
7/14/10
. 7/14/10
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Total Amount Paid
$194.2}.; ...:
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00940
ISSUED: 07/]4/20]0
APPLIED: 07/14/20]0
EXPIRES: 01/14/20]]
VALUE:
Value
Date Calculated
Receipt Number
3201000000000000435
3201000000000000438
3201000000000000435
3201000000000000438
3201000000000000435
3201000000000000438
3201000000000000438
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, ins'~cti!>n.SLr,eq:Uested after 7:00 a.m. will be made the following
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~eiilirre'Unsnections ,
Rougb Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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CITY OF SPRINGFIELD
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Building/Combination Permit
Status
Issued
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PERMIT NO: COM2010-00940
ISSUED: 07/14/2010
APPLIED: 07/14/2010
EXPIRES: 01114/2011
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,conipleted application and do herehy 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 Stat'e 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.
1 further certify that only contractors and employees ,~ho 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
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Date
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Paid of 3
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225 Fifth Street
Springfield, Oregon 97477
541-7t6~3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000438
Date: 07/14/2010
12:48:58PM
Job/Journal Number
COM20 I 0-00940
COM2010-00940
COM20 I 0-00940
COM20 I 0-00940
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
6.00
10.44
4.35
$101.79
Amount Paid
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ONLINE OREGON Online
Payment Total:
$101.79
$101.79
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7114/2010