HomeMy WebLinkAboutPermit Electrical 2010-7-16
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541.72&-3753
Email: permitcenter@ci.springfield.or.us
(}j{J . 265
Residential Electrical Authorization To Begin Work
69600-BEL-10-00333
Approval Code: 016824 7/16/2010 3:13 pm
E-mailedTo:tena@orelectncservice.com
Job Address: 5335 DAISY ST
City/StatelZIP: SPRINGFIELD, OR 97478
SUitelbldgJapt.no.: 67
Project Name: Becky Griffin 541-606-0779/AHDB
Cross Street/directions to Job site:
Email:
Elec lie. no.: C40B
cee lie. no.:
181997
Business Name: OREGON ELECTRIC SERVICE LLC
Contact
Address: PO BOX 2237
City/StatelZlP: EUGENE, OR 97402
Phone: 541-343-1681
Fax: 541-343-1683
Email:
Metro lie. noNOTICE:
SupeNi.'ng eie\!t\ie6'ffiMU.: S H A
/lIIIHI
Supervising EleCtrician s me:
.... ...... . ~" ~..." I
lJUIVIIVll...t\lV
Number of inspection'blncluded/i~id.servtces:
Residential S~~i~: I aU 14'I-\Y ,I:.IIIVU.
Reconnect Only: 1
All other SeNices: 2
city lie. no.:
Upon review and approval by your local Jurisdiction, your pennlt will be e..malled or faxed
within one bu:slne$$ day, with Inatructions on how to :schedule your Inspection.
NOTE: Thl:s Authorization To Begin Work expires wtthln 180 days If a pennlt l:s not obtained.
The local building department may detennlne that an Authorization To Begin Work Is null and
void If It does not meet applicable land use laws and local ordinances.
Please check all that apply:
o 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
o Emergency systems
o Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
Branch cir-cuits each additional
circuit without seNice
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
CJO-155 ~
D Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
o Installation ofa 150 KVAor
larger seperately derived sys
O "AR "E" or "1-2" or "1-3"
. .
o Recreational Vehicle Pari<s
o Supply voltage for more than
600 supply volts nominal
$6.00
$61.00
$7.32
$3.05
$71.37
111Q.IIO
-._~ -~
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through 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).
~~
~.
~:-,.o
<\'-UJ ~
~~
~
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Pennit
\
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00855
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 01119/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 Daisy St 67
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace electric furnace & install heat pump
Residential
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
I CONTRACTOR INFORMATION I
Contrador Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC SERVICE 181997
ASSOCIATED HEATING & 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:
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:
n1a
I DEVELOPMENT INFORMATION I
REOUlRED PARKING
~nTII'E'. . ATTENTION: Oregon law r~qulres you to-
FrontyardlSe~liac'll.. . ~m/{'y Dist: follow rules adopted bylloill"'regon Utility
Side I Setha~I8 PERMIT SHALL EXPIRE IF THE t Trees Rqd: Notification Center. TnmMlIllCIl&qJ}l'eOOt forth
Side 2 Settta~\l:HORIZED UNDER THIS PERMIT I rDrive Rqd: in OAR 952-001-0010 thr~pWtR 952-001-
Rearyard SetliacJ{::NCED OR IS ABANDONED FOBr. ofLot Coverage: 0090. You may obtain copies of the rules by
Solar Setbacks: 180 DAY PERIOD. calling the center. (Note:the telephone
c f h " Itt!,
I PUBLIC IMPROVEMENTS I Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
,
Paee I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2010-00855
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 01119/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Descriotion
TVDe of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$9.48 6/3011 0 3201000000000000348
$3.95 6/30/10 3201000000000000348
$79.00 6/30/10 3201000000000000348
$7.32 7/19/10 1201000000000000830
$3.05 7/19/10 1201000000000000830
$55.00 7/19/10 1201000000000000830
$6.00 7/19/10 1201000000000000830
Total Amount Paid
$163.80
I Plan Reviews I
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 requested after 7:00 a.m. will be made the following
work day.
L.P:efllIirerUn~ne('tions i
Rough Mecbanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e20f3
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 Pe,rmit
PERMIT NO: C0M2010-00855
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 01119/2011
VALUE:
By signature, I state and agree, that I have carefully examined the completed 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 tbe City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission oftbe 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 tbat all required inspections are requested at tbe proper time, that each address is readable from tbe
street, that the permit card is located at tbe front of tbe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 3 of3
Date
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
1201000000000000830
8:56: J3AM
Date: 07/19/2010
Job/Journal Number
COM20 1 0-00855
COM20IO-00855
COM20 I 0-00855
COM20IO-00855
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add ','
+ I2%State Surcharge " 'J
+ 5% Technology Fee
Amount Due
55.00
6.00
7.32
3.05
$71.37
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number . Number How Received
Amount Paid
$71.37
KR
ONLINE OR Online
ELECTRIC
SERVICE
Payment Total:
$71.37
...,".
":-
',"
"
.... 4'
,.J..,
. .,
Pa,ge 1 ~f t.
." .,
7/19/2010