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Home My WebLink AboutPermit Electrical 2010-12-21 " Electrical Permit Application . . 225 Fifth Street' Springfield, OR 97477' PH(541)726-3753' FAX(541)726-3689 ~t~':.'_~":~:""';~"~"''''~'''9Hg;-J-~n~ <.;!&~:tDEPAR'I'MEN;&IDSEONE&~ 1!""':;;;-:I.'i, >; "'-, --:':.:;.;~.,::":,';;'~'i~:~.r:if~4ir::- -',' "':' Slll..'Ul 10 - u C) 753 Pel1llitno,: Date: I Z - Z , - ( <:::::. This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started withiu 180 days of issuance or if work is suspended for 180 days. , "" UI1p' D0-n'ER,;,v~'''W- ;.,'ED""""'''''''- '0' 'i)1;:""" .''''.'>' . _RJ~<~.~F' '~!?;~~b(,,.h"jt:~~t~?~~~~' , ~~~_i?~#~t:, Name: ~L~~- Address: I Z. b 7 City: <; ifo '- tA e(~ S-.s /-1... "It- State: CI2- ZIP: ., ? ~ 16 Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479540(1) and 479,560(1). Signature: : "~;~"'-a0NmRA'c1lf0Rj~IN's!WA'I!!I!JXm0t!1:. ~" ~."" ",_L.,.L'.,_. _,,0', ,~.~"~.='" Business name: J[ LA-{ e' Address: City: Phone: E-mail: CCB license no.: Signing supervisor's license no,: Print name of signing supervisor: Signature of signing supervisor: ATTENTION' 0 follow rul ' regon law requir s you to Notilicatio es adopted by the Ore n Utility in OAR 95;_g;1~~~'1(j~se rules are set lorth 0090 You ,rough OAR 952-001- caliing th may obtain copies 01 the rules by e center. (Note: the telephone numbe~or the, Oregon Utility Notification enter IS 1-800-332-2344). 440-2584-J (9/08/COM) 1,000 sq, it or less (4) $134,00 $ Each additional 500 sq. ft. or portion $ 25,00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81,00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205,00 $ Over 1,000 amps or volts (2) $469,00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation. alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ b. Fee for branch circuits without purc~8s&of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55,00 $ 6.00 $ S $b Miscellaneous fees: service or feeder not included $ 63.00 $ $ 63.00 $ $ 63.00 $ $ ( $ $ $ 183 ';L . . Mechanical Permit Application "'~t~~~~V'",;' '< ~ -<;iC-'!i;~> ;,~ ,I";~,. _;;'"c~~.l~if'!'-'-'.:-:"i, ,~';-;j::~~ ~,~r~~ :~:'"t~:l';<:W~'" ~J<~Glm:W);)E, SRRING ItIHU9 'IDREG@N'~.>i?1!i ) ", ~,>; ~... ...-, ~,,~ '#::." ~..%-"......,,,,,,,. ,,~= .!'-~,,~ Y"J!"~ '~1f"""~ "",<:- ~'1 j;:"'-:- ...~ 225 Fifth Street. Springfield, OR 97417 . PH(541)12&-3753 . FAX(541)126-3689 Reference: jflii\~~~~1tt~lQi~,.~;nQNl~~WQ~.~~. 'QCl led.... ~ - H Name: Address: c~:5. zw:97(1 Phone: E-mail: This installation is being made on property owned by me or a member of my immediate family, and 1S exempt from licensing requirements under ORS 701.010. Signature: ._~qQ~gQ:~l{jN$JJg~;g_p~~~~5l.i~~ Print name: Signature: 44<\-2545-1 (11108ICOM) IItqrt~l~i!~im11. Permit ~!,<1. zo I U . 0 c ? no. Date: I 2 - z.. ( - ( ~ S~ First A liance untaalbumer including duds and vents Up to lOOk BTUIhr. Over lOOk BTUIhr. Heatenlstuveslvents Unit heater Wood/pellet/gas stove!lJue Repair/alter/add to heating appliance! refrigeration unit or cooling system! absorption system Evaporated cooler . Vent fan with one duct/appliance vent Hood with exhaust and duct Floor furnace including vent Gas piping One to fOUT outlets Additional outlets (each) Air-bandling units, including ducts Up to 10,000 CFM Over 10,000 CFM Com res.'lOrlabso tion s stemlbeat um Up to 3 hpllook 8TU Up to 15 hpl500k BTU Up to 30 hpll,OOO BTU Up 10 50 hpll,750 BTU Over 50 bpll,750 BTU Incinerators S17.00 S S20.00 S S17.00 S $38.00 S $58.00 $ $13.00 S $9.00 . $ $13.00 $ $58.00 $ S $ $11.00 $20.00 $ II $ S17.00 $29.00 S43.00 $57.00 $95.00 S}'I $ $ S $ Domestic ineinendor $ g~miijf!~.jjt~~~t%~"t'afJMl~~W!4i~~~.\~~~m. Enter total valuation of mechanical system and installation costs S Enter fee based on valuation of mechanical system, etc. $ [il:~rft(!g:t!!~I}It'lfI!f! 1\'~1 ~~~%\~I Reinspee1iou S58.00 S Specially requested inspeetiODS (per hr.) S58.OO S Regulated equipmen1 (uDclassed) $13.00 $ Each additional inspection: (I) S58.00 $ ~.~iieiitlJ~NflU$~__~'i.." (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) (B) Iuves1igative fee (equal to [A)) (C) Enter 12"/0 sun:hoJge (.12 x [A+BJ) (D) Seismie fee, 1% (.01 x [Al) (E) T eehDoIogy Fee (5% of [A J) TOTAL fees and mrc:bnrges (A througb E): $ $ $ $ $ S o .. - 10 ,SP~I,N~.FIE~~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00953 IVR Number: 811112447388 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 12/21/2010 EXPIRES: VALUE: 06/19/2011 $0.00 . SITE ADDRESS: 1267 S 58TH ST, Springfield, DR 97478-5473 ASSESOR'S PARCEL NO: 1802032306800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace heat pump and air handler Phone Number: OWNER: ADDRESS: LUZIER EUGENE I & BETTY L 1267 S 58TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor Electrical Contractor Name CHARLES ISAAC OSGOOD JEM ELECTRIC INC # of Units: o Lie Type CCB ELECTRICAL BUILDING INFORMA nON ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 168942 20-527C Lic Exp 03/26/2012 07/01/2011 Phone 541-988-5674 541-746-7174 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: n law requires you to Land Hazard Area: ATTENTION: ~re{e~ by the Oregon Utility Retaining Wall: foliow rules a op Those rules are set forth Soils Report Require\t':Jtifica\lOn C~~t~~1 0 thrOugh OAR 952-001- in OAR 952-0 - btain copies of the rules by 0090. You may 0 (Note' the telephone calling the cen~r. on Uiility Notification number for the 11esgOO_33n-2344). Center IS - "- NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 12f21f201 2:25:04PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00953 IVR Number: 811112447388 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 12/21/2010 EXPIRES: VALUE: 06/19/2011 $0.00 SITE ADDRESS: 1267 S 58TH ST, Springfield, OR 97478-5473 ASSESOR'S PARCEL NO: 1802032306800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace heat pump and air handler DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspouUDrains: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Descriotion Air Handling Unit up to 10,000 cfm First Appliance Fee Branch circuits with service or feeder each circuit Branch circuits without service or feeder - 1 st circuit State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $17.00 $79.00 $6.00 $55.00 $18.84 $7.85 $183.69 Date Paid 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 Receiot # 375205 375205 375205 375205 375205 375205 . Springfield Building Permit 12/21/201 2:25:04PM Page 2 of 3 SP.RING.fl.E~... 11-' ~ ,~ >c'-'-'OkEGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00953 IVR Number: 811112447388 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: . ISSUED: APPLIED: 12/21/2010 12/21/2010 Issued 12/21/2010 EXPIRES: VALUE: 06/19/2011 $0.00 SITE ADDRESS: 1267 S 58TH ST, Springfield, OR 97478-5473 ASSESOR'S PARCEL NO: 1802032306800 SCOPE: Heafing System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace heat pump and air handler Plan Review I Department Application Acceptance Received Due Date Completed 12/21/2010 12/21/2010 12/21/2010 Result Over the Counter Reviewer David Bowlsby '.~,,- Public,Work~s;R~~-~~~"> '~~-..: 12/21/2010 ~ :12/21~010~ ~ 12/2112010>-; c. Not Req~!rftd >"{~:'> ':-;"9~ld"~m;,;lsb~-~'-~-">;~-:':-;' ~~.; ~o'm~ents~ "C?ve[.tll.7'di;~p~ermit ~'~~"~i;Z:;S~,_;,~ ":M.:,,3-,;:~. '~",-,~~" ,. ,,5 .,,;'~ ,,.~~~~.'~'- _. .',,~~~__'-?L" .' ""f.' Structural Review 12/21/2010 12/21/2010 12/21/2010 Not Required David Bowls by Comments: Over the counter permit Plan'ning Review'" .;.:..' 12/21/2010 ~ 12/21/2010 '12/21/2010;" ~ Not ReqUIred ," ~Cb~:nEf~~: . o9'v~r:t~;e:66Jbte\f~~~!t, ,,' ~~;.,:.. :~~~~~~~t~t!2~E~;;:;r~~~: Permit Issuance 12/21/2010 12/21/2010 12/21/2010 Issued David Bowlsby --,~ "",':' if)." , j 'I ...., '..J "'" .'. ".,'''' ,. >:C'" ~ ,.,- ' - -." ~. .. "".,-"~, .. .....'1\. David Bowlsby., c ' ,'. -',,<~.J:;'i';'":" - -.^~- ..,.. '70i:i;;;.f;Z,,,*:.. _,,J.. "'~"1:d;~:?~\; -" C;"c.,"''C'.''.' INSPECTIONS REQUIRED I Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover 4500 Rough Electrical 4999 Final Electrical Final Electric: When all electrical work is complete. By signature, I state and agree, that I 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 or 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. [ 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. ~ /L- 2/-/j Owner or Contractor Signat.ure Date Springfield Building Permit 12/21/201 2:25:04PM Page 3 of 3 SP~II-l.G. f.IE~ iIZ-.. m . OREGON www.cLspringfield.or.us TRANSACTION' RECEI PT 811-SPR2010-00953 1267 S 58TH ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726.3753 permitcenler@ci.springfield.or.us .7;i,~~~:':':;;;';":" ':,' ~ACC.QUN;(tQ[)E'L:.,';"', ~;AM6,UI'!:tD,UiO~::.L::~ 224.00000.425604 $17.00 224.00000,425604 $79.00 224,00000-426102 $6.00 224-00000-426102 $55.00 821.00000.215004 $18.84 100.00000-425605 $7.85 TOTAL DUE: $183.69 I ;}'AYMENffVPE-'i- 'i:l:AY.28'" "';CASHIE~bB6Wt:SBY04;;VC:oMMEN:tSC,C1':"; ; "*,';;'hr;j#7:::"'AJi!9U'NT. pAID. ." ... RECEIPT NO: 20100011 15 [PE.5CRII'TION .. :;;;",;t" '-' ." Air Handling Unit up'~..10,000 cfm First Appliance Fee Branch circuits with service or feeder each circuit Branch circuits without service or feeder - 1 st circuit RECORD NO: 81 I.SPR2010.00953 DATE: 12/21/2010 State of Oregon Surcharge (12% of applicable fees) . Technology fee (5% of permit total) I Credit Card 171714 charles osgood $183.69 $183.69