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Home My WebLink AboutPermit Electrical 2009-6-10 ....;.. ~ity of Springfield Electrical Authorization To Begin Work E-mailedTo:tena@orelectricservice.com Receipt # EC553382 6/10/20099:02:08 AM ~~ ~I Check on status of permit By Phone: (541)726-3753 or Email: permitcenler@ci.springfield.or.us I j D New construction I:ri'PE_OFV\'.Q!fK~ ,,;-';:, [K] Addition/alteration/replacement "",^. CATEGORY,OF, CQN.!!TRUCTION' " ,,;, I D ] or 2 family dwelling I' '. DMulti-filmily W Commercial/ Industrial -,JOB sitE INFOJiMATI()N'A~JlLoSA,TIOff~: "-:,, IJob no.: IJob address: 3700 FRANKLIN BLVD ICit)'/StaterLIP: EUGENE, OR 97403-2343 1 Suite/bldg.lapt.no.: I Project name: Cross street/directions to job site: 1 Subdi-"-ision: ITal map/parcel no.: ILot no.: 1703344202802 ' .,'c'DESC~P:nON'gFWORk:; ,-,,-- ,- I- Changeout Propane tank SITE CONTACT I Name: Willamctte Greystone (726-7666) or JeO.13rooks I Phone: (54]) 520:6034 l Fax: . _ IEmail: ATTl:N I ~UN: ~re~o~,I~~_I_t:~~~~~!~~};~, I ,,;.lO\lUW.I'Yltn) ,,"""" "1;'''':''''' .. '.:::t _';:'.'-:;1::-' "7-". .;'<-c ,". ~' , ~. ,- ,CONTRAc;TOR WI" t f t'" - _"'.: ,..... _.~,.>-,.___ '.....--.-r...' ",,<"0. '.1'1 Ole. ~rA'C::p nr 1-1'''<' lEI. lie, no.: C408 ::'-'~~~l.<~;;~'.~~~~nr;.I~G~'\'7I!l~:l !]J~P7952-001- I Bnsinm Nam" O~,~, E~I!.<VWfa~EB~I~~I,I(<upies of the rules by ICon'a", TenaBronks calling the center. (Note: tnelelepno~e , IAddrtss: PO BOX 22:.number tor me uregon UlIllty I\lUllll....allvll ICily/sluleJZIP: EUGENE OR 9~02ll~' j" ;-CCC ~~:: :~f1";:). I Phone: (54] )343168] [Fax: (541 )343] 683 1 Emllil: tena@orelectricservice.com 1 Metro lie, no,: I Supt'rvi.~illg elcctridan'~ Ik, no.: ] 392S I Supen'ising electrician's name: IIERMAN OLLAR ICily lie, no.: 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. 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. ~ ~I><~ ~l \~d\ ~~ ~ ~0\ " J,4 I' FEES1,:HEDULE~' ,.. - .~~ II Description r' QtJ'. .:u. totul I ~~,ide.'i_i!al S~-~f'.LE~ o,~mu~ti~faillil). d\\'_ep!ng.< un~.t jn.,cJu~eS (I atta~~~d gaJ'~lfc>" . . .!-';i, , ' 111,OOOsqft,OCless[4] I I I I Ea. add] 500 sq. ft, or portion 1.:L1i]lt~~,Eil~~Y'" I . Limited energy, residential (with above sa, ft.) I . Limited energy, multifamily residential (with above sa. ft.) I-limited energy, commercia"' not otTered online at this jurisdiction (with above SQ, ft.) I . Stand.alone limited energy, resIdential I - Stand.alone limited energy, multi.familv I - Stand-alone limited energy, commercial I~$~i~es ~~;:fe,eEiJ.S;i~~f~liatiO~!~~_ITerutJ~~.~ANDtb.Rrel~elltion 1200 amps or less [2j I: I 201 'mpsto 400 amps [2J I 40] amps to 599 amps [2] I TEMPORARYscn'icesOR fcCders installation, alteration. AND/oR reloc~iion _ <, '_ _~-.~, - q' -- -- - ." - -- .'...c. ~. "c-O::'.. 1200 amps or less [2] -;- 'I 1201 amps to 400 amps [2] 11401 mops to 599 i1mp~ [2J , I I'Branch circuJts~-NE~y,alterntioi~-;9_R ext(.n~ion. per panel .' I A. Fcc for branch circuits with service or feeder t~e, each branch circuit , B. Fee for branch circuits without service or feeder fee, first branch circuit 121 each addl branch circuit ."../" $55.00 1~~'\liscelluneous':C<. ~"""'V.'. ""'~",,,,";_" ":: ".'""__,,"' 1 Service reconnect only [2] I Each manufactured or modular dwelling, service and/or feeder 121 1 Pump or irrigation circle 12] I Sign or Olltline lighting [2J I , NlJ lSJ&,9t!:~ircuit(s) or ]imited- 1 IMI ~:h~il;lmJa!jA~Lt"EXPII!\E IF TH~ WORK AUt8nRlZED~UN~~~f~~LJRERMJtFil8sNU I corln~,n:~'C':D no IS ARANnnN~I<lt(l)r AN1' 'C- .-r~;'l"JU1)!If<"i"'d;"'leadofsubIOWI 1 I.OU unl Sfakb\lMMge(]2%ofpermit fee) I Cit't, OfSpringfie]d fees' I I TO"~\L PERMIT FEE I '" City Of Springl1cld fees: 5% Technology Fee [Default number of ins pecti OilS allo'lI'edJ C 9 -"D3d-. ...,.-.;."",,- :':\5500 I $58,00 I $6.96 $2.90 $67,86 yO 101Iol'D~ This Authorization T() Begin Work must be posted at the job site until replaced by a Permit. (,'!J'd- r/'( 0 I I I I I I I I I I I $55,001 I I I 1 I I I Status Issued , CITY OF 1'lrtuNGFIELD ' Building/Combination Permit PERMIT NO: COM2009-00832 ISSUED: 06/10/2009 APPLIED: 06/10/2009 EXPIRES: 12/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3700 FRANKLIN BLVD ASSESSOR'S PARCEL NO,: 1703344202802 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Changeout propane tank Owner: WILLAMETTE GRA YSTONE INC Address: PO BOX 7816 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor OREGON ELECTRIC SERVICE License 181997 Expiration Date 05/0912010 Phone 541-343-1681 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Overlay Dist: .Side 1 Setback: , # ~treet Trees Rqd: Side 2 SetbackTfENTION: Oregon law reqUires YOpared Drive Rqd: Rearyard Se'ibilck:rules adopted by the Oregon L'';;~~' Lot Coverage: Solar SetbackS:fication Center. Those rules are set tv, ,1 ._ "^D oo:?_M1_nn1 0 throuah OAR 952-001- , 0090, You may obtain copies orj:~Il'ii~JMPROVEMENTS} callin(1 the center. (Note:-the' I !,( ., JT'CfF" Street ImproYI't.'Rf8Y.:for the Oregon Utility Notification I~ 11Ie":t'I);,TyP[: XPIRE IF THE WORK ,",Qnter is 1-800-332-2344). THIS P RMII ~HAL E Stor~ Sewer A~ailal1le: " AUTHOR?lE'DIt/I\~~a;I'I\'3 PERMIT IS NOT SpecmllnstructlOn: COMMENCED OR IS ABANDONED FOR Notes: ANY 180 DAY PERIOD. Total: Handicapped: Compact: I Valuation DescriDti~n I Description Type of Constructio'n ' $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 " ,I , CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00832 ISSUED: 06/1012009 APPLIED: 06/1012009 EXPIRES: 12/10/2009 VALUE: 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676'Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid $6.96 $2.90 $58.00 6/10/09 6/10/09 6/10/09 Receipt Number 1200900000000000650 1200900000000000650 1200900000000000650 Total Amount Paid $67.86 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. I Renuired Insnections I Rough Electric: Prior to Cover 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 fnrther certify that any and all work performed shall be done in accordance with the Oi'dinances 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 ofany 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. Owner or Contractors Signature Date Paee 2 of 2 - I 225, Fifth Sti-cct Springficld!!Orcgon 97477 541:726-3759 Phonc H II :1 " Job/Journal Nu~ber COM2009.00832 COM2009-00832 " COM2009-00832 II ' Payments: i: Type of Payment , ~j~~~;t4.; ..' City of Springficld Official Rcccipt Dcvelopmcnt Scrvices Dcpartment Public Works Department RECEIPT #: 1200900000000000650 Description Add, Alter, Extend Clrc + 5% Technology Fee + 12% State Surcharge ONLINE CHGS ONLINE PERMIT CHGS Paid By II .I I i " i' " " I , :! , 'I , I " 'I 'I :i " I: il " II :1 , I II " ~ cRcceintl :1 , Date: 06/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE OR Online ELECTRIC SERVICE PaymentTDtal: 9: II :30AM Amount Due 58,00 2,90 6,96 $67,86 Amount Paid $67,86 $67.86 6/1 0/2009