HomeMy WebLinkAboutPermit Electrical 2009-9-9
City of Springfield
"
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricservice.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.oLUS
I D New Consuuction 0 Addition/alteration/replacement
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10'O<2f""i1YdW'"i" . DMOlti-.'''''i'y....,Dcomm''dol D A,,,,,o<1'
lif - ,,,Y:;f;;;a.,"jQEi'iiiTEiNFOR'MATiclNANOioCATION" ,"". ~
I Job Address: 1~25 HENDERSON AVE
I City/State/ZIP: EUGENE; OR 97403
I Suitelbldg.lapt.no.: DI8
I Projett Name: ASSOC/Curran
I Cross Street/directions to job site: Frankin Blvd to Henderson Ave
I T..m.pJp"""o" l'1n~~ } ~301.-
1!F~~~~~~~~~DI:SCRI~TlorhjE";~VbRK:;~~;?:'7~rit:f.:#;. ...,-
Electric furance exchg.
Name: Jeff Brooks
Phone: 54]-343-1681
Fax: 541-343-1683
Email: tcna@orelectricservice.com
E1ec lie. no.: C408
CCBlic. no.:
181997
Business Name: OREGON ELECTRIC SERVICE LLC
Conlact:
MnTII't:.
I Address: PO BOt" ii37' ---.
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I Ci IState/ZIP: El!h' ~ oh.-'97~~d' I VI ,-h...1... L...J"\I "IL... I I IlL V {vi I \.
Oy r.r .n"n'~r'1 U''''l~n ~I"~ "'rn~..~ ,~ f''''-
1 Phone: 541.343.(6k'r' I. 'v' '1.....1-1..,./ r';L...l,Fj:::: 54\-'3.H_Ibi31 IIV1l I tJ ,,\) j
~n"..~..-,,~n '1n 'r. - t""~ ~'I[- ---,
I Email: VVUllYILIWL...U Ur. IV ri.Unl"UUI'" U I un
I ,'i:;Y 1:;3 Dt:r ;'GiI'l'l,
Melro lie. no.: ~ty."hc. no.:
I Supervising ElecfridllD" lie:. no.:
I Supervising Electrician's Name:
1392S
HennanOllar
Number of inspections included in paid services:
ResidentialServiee: 4
ReeonneetOnly: I
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 Inspection.
NOTE: This Authorization To Begin Won expires within 180 days If a pennlt 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
69600-BEL-09-00126
9/912009 4:42 pm
Approval Code: 009494
.,
'i,::;\"~TJ; .::~:t:%~=;"'~'14~::::PL:A".fREVIEW, ' .
PleascclleckaJllhalapply:
o A service or feeder beginning al400
Ampswheretheavwlablcfaull.
CUITenlexceedslO.OOOAmpsal
150 Vohs or less 10 ground cxceeds
14.000 Amps for all other
inSlallations
o Fire pumps
DF.mcrgencYSYSlems
o AdditionofanewmulOrloadllf
100 HPol more
o Six or more residential unilsinone
slruclure
o liealthcare facililies
DHazaroouslocations
DAserviceorfeederratedal600
IllTIpS or more .
DBuildings more than Ihr<< stories
DMarinasan.dboalyards
DFloatingbuildings
DCommercial.useagricuhuraJ
buildin&S
Dlnslallationofal50KVAorlargcr
scperatelyderivedsys
D"A","E".or"J.2"or"I.J"
DRe,realionalVehicleParks
DSupplyvohageformorethan600
supply volts nominal
J':':'i~i ~J'~~c'FEE' SCHEOUCI;,.:
I QOy.
~. .."~.:
Description
Bri1nch~ircuitj'i~<i,;:'" ". ;;.:rr'~
Branch circuits without scrviceor
fceder
~ifsceUrr~('ous "'(t;,~g. .
Balance ofpennil fees
Elifjri~:~rp'ernHt' ~'ees-
I Subtotal.,
IStntesurchllrge(12%ofpennitlGlul)
ITechnolob'Y fee (5% ofpermill0lal)
I TOTAL PERMIT FEE
"",;"'~
(""1".
Ea. J Total
I J "~;Ji:'(~:;:~ I
~ .....::< . - I
-SIOO ;";-;'00
:;~-Z "f ~:; ~I
$58.00 I
$6.961
$2.90 j
S67.86 I
CC1-1306
t~"4-"
.,-:-,~". , .
~ L11101D1
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).
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This Authorization To Begin Work mu~t be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/CombinatioJ Permit
PERMIT NO: COM2009-0I328
ISSUED: 09/09/2009
APPLIED: 09/09/2009
EXPIRES: 03/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1625 HENDERSON AVE SPACE DI Eugene
ASSESSOR'S PARCEL NO.: 1703344313302
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace electric furnace
Owner: ELIZABETH CURRAN
Address: 1625 HENDERSON AVENUE #D18
EUGENE OR
Phone Number: 541-3572434
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED HEATING & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2010
08/31/2010
Phone
541-343-1681
541-683-2590
I BUILDING INFORMATION I
# 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:
n/a'
I DEVELOPMENT INFORMATION' - .
NOTICE' ' - ITION' Oregon low ,PnI"'''S vou to
. ' " . -. . REQUIRED P.ARKING
PIRE IF T~ WORK follow rules adopted uy 1I,e v, ~~u,1 vu",y-
Front yard Setil,t!k~ PERMIT SHALL EX 'leT ist: Notification Center. Th(folal:,les are set forth
Side 1 Setbacl<!lUTHORIZED UNDER THIS PERMI str~pfrees Rqd: in OAR 952-001-0010 t1H.iii1ic,;g~I''d'?52-001-
Side 2 Setbackf,OMMENCED OR IS ABANDONED{~S1 Drive Rqd: 0090. You may obtain (;;on\paCt~ the rules by
Rearyard Selbfl.~!<1180 DAY PERIOD. % of Lot Coverage: calling the center. (Note:the tele~ho~e
Solar Setbacks: number for the Oregon Utility Notification
r.pntpr i" 1-BOO-332-2344\.
I PU~L1C IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of3
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I V ~Iuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
$9,48
$3.95
$79.00
$6,96
$2.90
$58.00
9/9/09
9/9/09
9/9/09
9/10/09
9/10/09
9/10/09
Total Amount Paid
$160,29
I Plan Reviews I
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-01328
ISSUED: 09/09/2009
APPLIED: 09/09/2009
EXPIRES: 03/10/2010
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000637
3200900000000000637
3200900000000000637
1200900000000001045
1200900000000001045
1200900000000001045
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 ReOIJ ',-erd Insoedinns .
_llflf,lill r Il
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,
, Page 2 of 3
Status
Issued
CITY OF SPRIN\..d'lJi,LD'
Building/Combination Permit
PERMIT NO: COM2009-01328
ISSUED: 09/09/2009
APPLIED: 09/09/2009
EXPIRES: 03/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and c~rrect, 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, tbat the permit card is located at the front of tbe property, and the approved set of plans will remain on the site at all
times during construction. r _.
Owner or Contractors Signature
Date
Pa2e 3 of 3
2250Fifth Street
Springfield, Oregon 97477
541'.726-3759 Phone
Job/Journal Number
COM2009-01328
COM2009-01328
COM2009-0 1328
Payments:
Type of Payment
ONLINE CHGS
r
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcha'ge
Paid By
ONLINE PERMIT CHGS
~.."'N_<!~~......".""...
<ijA .31' .. .
~. .
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001045
Date: 09/10/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
KR ONLINE OREGON Online
ELECTRIC
SERVICE
Payment Total:
Page I of I
10:01 :55AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
9/1 0/2009