HomeMy WebLinkAboutPermit Electrical 2010-7-28
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~OREGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenter@d.springfield.or.us
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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
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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
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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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
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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:
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: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), ...
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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
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I Valu'ati~n Desc'ription ,
$ Per Sq Ft
or multiplier .
Square Footage
or Bid Amount
Total Value of Project
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Amount Paidj,Su
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$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
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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
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work day. ,., ' .
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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.
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Pa!!e 2 of 3
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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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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
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Paee 3 01'3
225 Fifth Str~et
Springfield, Oregon 97477
541-726-3759 Phone
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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
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'.r.. " Check Number
R.ecci~ed By.' ~. Batch Number
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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
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