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HomeMy WebLinkAboutPermit Electrical 2010-7-28 sp~~. .~t~ ~ ~OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726~3753 Email: permitcenter@d.springfield.or.us ~ - . -. l TYPE OF WORK o New Construction [R] Addition/alteration/replacement CATEGORY OF CONSTRUCTION IRI 1 or 2 family dwelling 0 Multi-family o Commercial o Accessory JOB SITE INFORMATION AND LOCATION , Job Address: 205 S 54TH ST City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldgJapt.no.: 18 Project Name: Carole Sells 541-746-6608/AH Cross Street/directions to job site: Tax map/parcel no.: 1702330001200 DESCRIPTION OF WORK , I \l\tire change out of electric furnace w/heat pump. SITE CONTACT I - Name: Jeff Brooks Phone: 541-343-1681 Fax: 541-343-1683 Email: CONTRACTOR I Elec lie. no.: C40B ceB 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 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 insp~ction. NOTE: This Authorization To Begin Work expires within 180 day::! if a permit is not obtained. The local building department may detennine that an Authorization To Begin Wor1l: is null and void if it does not meet applicable land use laws and local ordinances. c/o- /00/ Residential Electrical Authorization To Begin Work 69600-BEL-10-00349 Approval Code: 028172 7/28/2010 2:44 pm E-mailedTo:tena@orelectricselVice.com PLAN REVIEW Please check all that apply: o Hazardous locations o A service or feeder beginning D A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings mare 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 Commerdal~use agricultural buildings 0 Emergency systems o Installation of a 150 ~A 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 o Health care facilities o Supply voltage for more than 600 supply volts nominal FEE SCHEDULE Description Qty. I Ea. I Total Branch circuits Branch circuits without service or 1 $55.00 $55.00 feeder . Branch circuits each additional 1 $600 $6.00 circuit without service Electrical Permit Fees Subtotal $61.00 State surcharge (12% of permit $7.32 10tall Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 ~ ~I\~~ ~ ~ G.,:~ <;,- ~ f\'~~ ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CDm 20/0 ~ 0/ ()d/ '/ /~//O /7~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 205 S 54TH ST SPACE 18 ASSESSOR'S PARCEL NO.: 1702330001200 PROJECT DESCRIPTION: Replace hip system Owner: Address: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01001 ISSUED: 07/28/2010 APPLIED: 07/28/2010 EXPIRES: 01129/2011 VALUE: Springfield TYPE OF WORK: Heating System ':"J " '':' .,;.. CHALET VILLAGE MHC LLC 450 NEWPORT CENTER DR STE 595 . . NEWPORT BEACH CA 92660 "".. TYPE OF USE: New Residential I CONTRACTOR INFORMA TlON I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE ASSOCIA TED HEATING & AIR CONDITIO License 181997 106275 Expiration Date 05/09/2012 08/31/2010 Phone 541-343-1681 541-683-2590 BUILDING INFORMATION , # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # o[Stories:, . I:Ieight of Structure . Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ,.... :, n.,). :Overlay mst: :.~;Street T~ees Rqd: 'Paved Drive Rqd: '0/. of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Impro>femenTs:JN: Or8C;0~1 I"W requires you to .s}dewalk Type: t: \NOR\( follow !u!.~s arJor..u. i)' t~e Oregol1 Utility 'N01"\Ct'.. b evP\RE IF 1H.. 01 Storm SewesAvatlable:. , : J 'n61\OTs"lt\ll!L Mins: "\1 IS N . "",,\.''':~"1 ,-,elller. 1 hO'''li'ules are set forth -. THIS PE'lilVlI" to . THIS PERI,' Specl3llnllre,'i~I~'.!;",2-001_001O through OAR 952-001- 'i . "IIUTHOR\7.ED UNDER NDONED FOR 0090, You may obtain caples of the rules by " . OMMENCED OR IS fi,Bfi, Notes: calling the center. (Note: the teleph?~f?~ " . ", ' C, 0 Dfi,Y PERIOD, number for the Oregon UliIity Notification' I\NY \ & Center is 1-800-332-2344), ... .-.1.:';' ...... Pa2d of 3 ?t;:~ 'a ~~', :j{~;l.: . - . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction Fee Description + 12% State Surcharge + 5% Technology Fee Ist Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid , .. .".\ "' 'l '," :.:,;t,. . . ,'r .. '. ~ . i',. :;.".,', I Valu'ati~n Desc'ription , $ Per Sq Ft or multiplier . Square Footage or Bid Amount Total Value of Project ~, .:}(;;: 1~~;,:X ,~:.' Amount Paidj,Su ;~ i $11.52 ',., . $4.80 $79.00 $17,00 $7,32 $3.05 $55.00 $6.00 $183.69 , I,U~!an Reviews ~ Date Paid 7/28/10 7/28/10 7/28110 7/28/10 7/29/10 7/29/10 7/29/10 7/29/10 '~"" .-,",' 'r'~ .. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01001 ISSUED: 07/28/2010 APPLIED: 07/28/2010 EXPIRES: 01129/2011 VALUE: Value Date Calculated Receipt Number 3201000000000000476 3201000000000000476 3201000000000000476 3201000000000000476 3201000000000000482 3201000000000000482 3201000000000000482 3201000000000000482 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. ,., ' . . :~4X;};1 ~:'4.~Jt!;;:..;~;;:", .' .. ~. ,-'~ l..Re(jIHredJn"~nec.tion(,; 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. '.' ",. ,,>.' 't..~i:.>;:;.:,: .,' ';!i Pa!!e 2 of 3 . ";, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line r,' .. j'"" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01001 ISSUED: 07/28/2010 APPLIED: 07/28/2010 EXPIRES: 01129/2011 VALUE: By sig~ature, 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 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 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. ' j' Owner or Contractors Signature Date . .:-.], ~'r' ')1" , . q~ . I,',',,' ""~,'","':if""~'" ,,'. :.... .....,...,......," . ;:. 1 ':t.:',;','.\ Paee 3 01'3 225 Fifth Str~et Springfield, Oregon 97477 541-726-3759 Phone _j~QR:O ~. Wil'.......-....- .... .' .., . .. . . ...~.. " . . , . ..' ,I _ .~. .. z'" ~ j ,', _.,."......,,'~,- ",.., -:, ~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: , 3201000000000000482 Date: 07/29/2010 8:22:39AM Job/Journal Number COM2010-01001 COM2010.01001 COM2010-01001 COM2010.01001 Payments: Type of Payment ONLINE CHGS cRcceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS . ,~~, . ~~ ". " '.r.. " Check Number R.ecci~ed By.' ~. Batch Number njm Item Total: Authorization Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid ONLINE oregon elect Online Payment Total: $71.3 7 $71.37 ..' , ,. . '"'' ,', ~ ~':iL , I I ~ r. ,~ . ...-...-...., ;1 .,~ \ ".. " ~.......- ~. ',' . '., 'I, ~ ." . , ~ ~l((~ i \', lIj:" ,f ~ ;' ,~J ~ , . '0" ,!. : ,",.' _ "::t'(.'l~l":1 'Y ~ri J Page 1 of 1 7/29/2010