The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-7-14 S!....R."I...N. ~~ ~,o.,' ~b........ -'..; ,~ " <<O'REGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.us .'/ ''',- - .;y,' iyFiE~OFWORK-"'7"":,c-'..;" --~. :' ,. .1 " . 0 [K] Addition/allerS!ionlrePlacemerit - New Construction I",.. ~:: .' CA T~GQRY' OF.CONSTRUCTlON' " ;, '. I IRI 1 or 2 family dwelling 0 Multi-family 0 Commercial o Accessory I JOB SITE iNFORMA TION AND. LOCATION I Job Address: 5941 GST City/State/ZIP: SPRINGFIELD, OR 97478 Sultefbldg.lapt.no.: ...".," ...... '. "-~:.!f":f '."1 'la',:' Project Name: Barbara Davis 541.146.7045/AH 1.::'"'::':- ;..?:-;"':;....:. :.1,1 -" .. Cross Street/directions to job site: ---.- -:--": Tax maplparcel no.: 1702342200422 %4 .,--::;-:-' . ,,:, 'OESCRIPTION:qFWOgK '_ ~ ;;:-. . ',". , ; , INire change out of electric furnace w/heat pump, add outdoor receptacle I. . ,. ; SITE'<:;ONT ACT:. " . . Name: Jeff Brooks ., .. ,..r , Phone: 541-343-1681 Fax: 541-343-1683 .. n n ., Email: ... ::.' . ~ ,.... ....,) '. '>'. CONTRACTOR',. ,', ..... , ,.. .-'- <;:, Elec IIc. no.: C408 CCB lic. no.: 181997 Business Name: OREGON ELECTRIC SERVICE LLC Contact: Address: PO BOX 2237 "';"" :~,-~{ir~: .~ .;.t.tr~" City/State/ZIP: EUGENE, OR 97402 ~i~'r;;~ ~ '.:.1' _..::....: .-. . I ....~, Phone: 541-343-1681 Fax: 541.343-1683 EmalJ: Metro Iic. no.: City IIc. no.: Supervising Electrician's lic. no.: 1392S Supervising Electrician's Name: HERMAN OLLAR Number of inspections included in paid services: Residential Service: 4 , Reconnect Only: 1 '. AU 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. w. 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 is null and void if it does not meet applicable land use laws and local ordinances. (JIO,qZO Residential Electrical Authorization To Begin Work 69600-BEL-10-00327 Approval Code: 014819 7/14/2010 10:22 am E.mailed To: tena@orelectriseervice.com f::"k'~'C)" (.. ..., :c.... F'I.:AN:REVIEW~ .' . :...: .: " .. ;1 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 star 10,000 Amps at 150 Volts or Jess 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 D "A", "E", or "1-2" or "J-3" o Six or more residential units in o Recreational Vehicle Parks one structure 0 Health care facilities o Supply voltage for more than 600 supply volts nominal . c. ~ F'EE S.CHEOULE" '. . ~ . , ,. , - Description Qty. I Ea. I Total Branch circuits:' ,. ..' .; , '. .., , ' " , < .Branch circuits without service or 1 $55.00 $55.00 feeder Branch circuits each additional 2 $6.00 $12.00 circuit without service Electrical Permit Fees , S'u15to181 $67.00 State surcharge (12% of permit $8.04 total' Technology fee (5% of permit total) $3.35 TOTAL PERMIT FEE $78.39 '. ~~ $ 'i>f\.\lV ~.\Q ~~ \5\ " ~o ~O()9dU Inspections Phone: 541.726.3769 This Authorization To Begin Wor.~;,,!,~st};.e)f!st.ed at'the job site until replaced by a Permit "''',''-Y:;';/~JO /Jr- -Wi! ... , CITY OF SPRINGFIELD [ r ....JIlI , ....... r,~ t Building/Combination Permit .."., "...",......,...-..'u .' Status Issued PERMIT NO: COM201O-00920 225 Fifth Street, Springfield, OR ISSUED: 07/12/2010 541.726-3753 Phone APPLIED: 07/12/2010 541-726-3676 Fax EXPIRES: 0111212011 541-726-3769 Inspection Line VALUE: SITE ADDRESS: 5941 G ST Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1702342200422 TYPE OF USE: New Residential PROJECT DESCRIPTION: Install HIP system Owner: URE BARBARA H Address: 5941 G ST SPRINGFIELD OR 97478 I CON'FRAeT0R-INF0RMATlON I Contractor Type Contractor License Expiration Date Phone Mechanical ASSOCIATED HEATING & AIR CONDITIO 106275 08/31/20 I 0 541.683-2590 I BUILDING INFORMATION ~ # of Units: # of Stories: Lot Size: Primary Occupancy Group: Height of Structure Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type Water Type: Sq Ft Basement: Secondary Construction Type: Ringe Type: . ... ,. Sq Ft GaragelCarport # of Bedrooms: Energy Path:"" . .. Sq Ft Other: ,., "1"\, nla Occupant Load: Sprinkled Building: I DEVELOPMENT INFORMATION ~ REQUIRED PARKING . Frontyard Setback: Overlay Dist: Total: Side I Setback: # Street. Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: 0/0 of Lot Coverage: Solar Setbacks: -lU_, ,. " " C,- , ~ .... w_.. .... ,.. .,' ,~'. .. . . ~. . .. ~ . ." . . I PUBQ.('lMPROVEMENTS I qUIre, ,- .' Sidewalk Type: Street Improvements: on\a'l'J re 90n U\\II\~ 'pON' Ore9 \\1e Ore \ fort\1 Storm Sewel\~,s.lable: ~dop\ed b~ e rules are s~2_60~- Downspouts/Drains: Speciallnslf<J\C:lilhr!:,\~5Cen\er. \\1~~OU9\1 Op..R 9 uteS b~ ' NO\i\icatl~2_00~-00~0\opies o\\\1~\one ,.. . I_II: \NORK Notes: in Op..f', ~ u ma~ ob\alnlNO\8" \\1e \e\XiCa\iOn ':GTlvE, '\ S\-\J\ll EXPIRE In \1 IS NO'\ 0090.. ,o~~e cen\er.. nn U\iliW ~o'H\S PERMI, . ..,''co THIS PERM ._ Cl:1' ' .~ \ r tne v' ~ 0.33',,- 'JiI1UKILCU v"-'S J\BJ\NDONcU I v' number c~n\er is ~ -60 Valuation Descrintion 11l1J1MENCED OR \ OD $ Per Sq Ft . '. ... . . ~\y \ 80 OM PERI . Description Type of Construction . '. '..~quare Footage Value Date Calculated or multiplier . ,. ~ "o'r'Bid Amount ........ ..., - Paee I of2 _.,-~ jiI ,~ ., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00920 ISSUED: 07/12/2010 APPLIED: 07/12/2010 EXPIRES: 01/12/2011 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,...--. .-- ---. ~.a.;;&:... ,rl';':;'.-W~,.,~, ,"' ;;-'~:;:::t ':~;;id..~.i\; .~~,t'-';J :',..~(t.:g';., Total Valne of Project Fees Paid_ Fee Description + 12% State Surcharge + 5% Technology Fee I st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add :.li,1 Amount Paid ',' ,i' Date Paid Receipt Number 3201000000000000419 3201000000000000419 3201000000000000419 3201000000000000419 3201000000000000439 3201000000000000439 3201000000000000439 3201000000000000439 Total Amount Paid $11.52 $4.80 $79.00 $17.00 $8.04 $3.35 $55.00 ' $12.00'''",,' ,;j.;,-',c:,. . ',~'l?ii:tt:-! '''W':!':V" r.~,~-( ;:!':."; ",.;; ~i~'~"" : $190.7T-I~.,"'-" ,,'I;oiL' . 7/12110 7/12110 7/12110 7/12/10 7/14/10 7/14/10 7/14/10 _. ,,7/14/10 ,'~'w'" , I Plan Reviews ~ 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,req!lested after 7:00 a.m. will be made the following work day. ' ''''.'':I l.,.,.Reouired InsDe~tions 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. By signature, I state and agree, that I have carefuilYf~'i~U;iij';at;'i"i: conlpleted application and do hereby certify that all i"J"" r"'q,"~"' I information hereon is true and correct, and [ furtN!,,c.~rtify !~~t 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 descrihed herein, and that NO OCCUPANCY will he made of any struclUj'. 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 readahle 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. ,p Owner or Contractors Signature Date ''''J.;'~:,:E'; , , '-'Paee'2 of 2 )' 225 Fifth StJ:eet Springfield, Oregon 97477 541-726-3759 Phone ~,~"-P,lnr"ELD, c_'~," '. WiLl " ' -,.'.- ' . ' - , , - , .~. . c' ~ ,-,'~~""r""':..,. d ,.-", ,',.1..1"',' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: . ~ '. . T~'~ . 3201000000000Q00439 Date: 07/14/2010 I :23:0SPM Job/Journal Number COM20 I 0-00920 COM20 I 0-00920 COM20 10-00920 COM20 I 0-00920 Payments: Type of Payment ONLINE CHGS cReceint I Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ONLINE OREGON Online ELECT SERV Payment Total: Received By NJM Check Number Batch Number ;1" '1""i ..,,', ,;..-:;~t.;~~l"':~ H.fW{ IJ~~}n?'\! '" ~'r~'~' ., .~",. -:it'~'~ _. '!\~hL~ . i :I,OOl ."...~.. " , Page I of 1 Item Total: Authorization Number Amount Due 55,00 12.00 8.04 3.35 $78.39 How Received Amount Paid $78,39 $78.39 7/14/2010