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Home My WebLink AboutPermit Electrical 2009-12-22 SPRINGFIEL?ij :~::1.~~~<""" , ~#~~if!j; ~m'" OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-09-00303 Approval Code:'022692 1212212009 4:38 pm D New Construction IRJ Addition/alteration/replacement I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory 11J,11li::'~~V;Q.JoBTSITE;fNF<iRMA:rION;ANr5liIOCATf6N~~~J",'1",,",~;41 I Job Address: 4795 FRANKLIN BLVD I City/State/ZIP: EUGENE. OR 97403 I Suite/bldg.fapt.no.: 50 I Project Name: Donna Sedoskif741-7481/AH I C,oos St'ee"dl,eetlon, to job ,;te; I Tax map/parcel no.: 1803022002900 Change out electric furnace I Name: Jeff Brooks I Phone: 541~343-1681 I Email: Fax: 541-343~1683 I Elec Jie. no.: C408 ece lie. no.: 181997 I Business Name: OREGON ELECTRIC SERVICE LLC I Contact: I Address: PO BOX 2237 I City/State/ZIP: EUGENE, OR 97402 It Phone 541343!.!!)., . _,.p'p~\":l'\'\\i 'l'N,';..,. Em.II' NUl rv-t. .,. Stlp.\..\. c^' \ . t:p.1'J\\l Iv \.-- _ '.'!" pCl'l!J\\ \ __ lUll:; Pc _"-,,\ I \ "." - Zt:D U\\\Ut.,. ' ",nM\;.U I'" Metm he. n~^I}T\4.~~~.'~ e.:\ Ie: C\P,'i\fjt\'llI>.>b~ I supen,;,ing.61.clriCi_.I.i\;.IJ, p~n\n"'s \ ,UIO"'. - hi ...K ,\J'P. I Supervising ,~Jt'ic~~~;'me:l - HERMAN OLLAR Number of inspections included in paid services: Residential Service: 4 Reconnect Only' 1 All Other Services: 2 Upon rl:vil:w and approval by your local jurisdiction, your permit will be e.malled or faxed within one business day, wilh Instructlons on howto schedule yourl nspectlon. NOTE: This AuthOrization To.Begln Work eKplres within 180 days if a permit 15 nofob~talned.,.. The local building department may determine that an Authorlzatlon To Begl~, Work Is null and void If It does not meet applicable land use laws ancl local orcllnanc es. (;q'I~?1 E-mailedTo:tena@orelectricservice.com ,~I Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volls or less tei ground exceeds 14,000 Amps for all other D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities _ Description lBfanqh~jI~]lfs:;!,,__ I Branch circuits without se~ice or feeder I Balance of permit fees I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE t q- t~6l D Hazardous.locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards o Floating buildings o Commercial.use agricultural buildings D Installation of a 150 KV A or larger seperately derived sys O "A" "E" or"I-2"or"lc3" , . o Recreational Vehicle Parks o Supply voltage for more than 600 supply volls nominal $58.00 $6.96 $2:90 $67.86 lLQ; '0133 I Ct( 1"!_' ATTENTlON: Oregon law requires you tit follow rules adopted bY the Oregon UUIItJ Notification Center. 11108e rullltl8f8 set forfIt In OAR 952.oo1.Q01 0 through OAR 952-001- 0090.' You may obtain copilltl of the ruin br calling the center. (Note: the telephone number for the Oregon Utility NotIftoaIIon Center 181-800-332-2344). ~ ~~ ~.(J".\\) \t:r ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ( I CITY OF SPRINGFIELD J Status Issued Building/Combination Permit PERMIT NO: COM2009-01821 ISSUED: 12/22/2009 APPLIED: 12/21/2009 EXPIRES: 06/23/2010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 50 Eugene ASSESSo.R'S PARCEL NO,: 1803022002900 TYPE o.F WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace electric furnace o.wner: SEDOSK1 DONNA Address: 4795 FRANKLIN BLVD SPACE 044 EUGENE o.R 97403 Phone Number: 541-741-7481 I Co.NTRACTOR INFORMATION , Contractor Type Electrical Mechanical Contractor o.REGo.N ELECTRIC SERVICE ASSOCIATED HEATING & AIR CONDITIO. License 181997 106275 Expiration Date 05109/2010 08/31/2010 Phone 541-343-1681 541-683-2590 BUILDING INFORMA nON,' # of Units: Primary Occupancy Group: Secondary Occupancy Gruup: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: E~~rgy 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: o/a .. I DEVELo.PMENT INFo.RMA nON I .....0,;:.._ . '}' REQUIRED PARKING Front yard Setback: o.verlay Dist: Total: Side] Setback: #, ~treet Trees Rqd: ATIEN110N' Orego/i'nwJ~ you to Side 2 Setback: . "'.. i':'pa.v.~~~ve Rq'd: fonow rules adoptedisy'llWOregon UtIlity Rearyard Setback: :t \~ 111, \\~overage: Notification Centef. Those rules are let forth Solar Setbacks: _ .. n?\'i\~:?'\lI~ ~~Q In.~AR952'()o1~10thfo~ghOAR952.oo1_: \\O"\"~~\lI\\ S'"';;i'i\ \i\\~~-Cll~PROVEMENTS I ""~il~'~th8 ~n.8:: (Nci[e:'~-:':i:Ptf;el;. Street Improveme'i\.\?:~IJ'i\\1.'t.\) ~ IJ'i\ \S 1>-'0[>.' nu~!lr.,mtttl.e~o.rl' :=~~~). on t\\.\\" "c,'t:v o\Cl\)' 'tI8illerlll Storm Sewer Available:W.'t:" ",~" ?'t:P DownspoutslDrains: \ \J'" " v'" Speciallnstruction:~~'i '\ 'Qv Notes: ."ll, Paee 1 on Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01821 ISSUED: 12/22/2009 APPLIED: 12/21/2009 EXPIRES: 06/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project lFees Paid I , I Fee Description + 12% State Surcharge + 5% Technology Fee . 1st Appliance + 12% State Surcharge + 5% Technology Fee Add, Aller, Extend Circ Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 $6,96 $2.90 $58.00 12/22/09 12/22/09 , 12/22/09 12/23/09 12/23/09 12/23/09 3200900000000000822 3200900000000000822 3200900000000000822 2200900000000001423 2200900000000001423 2200900000000001423 Total Amount Paid $160.29 I Phin Reviews I To Request an inspection call the 24 hour recQrding at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. - Reouired Insnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanica! work is complete. Rough Electric: ,Prior to Cover Final Electric: When all electrical work is complete. , Page 2 of 3 ';':l\ ~1;,. "'~'; Status , Issued 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01821 ISSUED: 12/22/2009 APPLIED: 12/21/2009 EXPIRES: 06123/2010 VALUE: By signature, I state and agree, that I have carefully. examined tIie completed application and do hereby certify that all information hereon is true and correct, and I further cCl'tify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of t'he State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to enSure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construcrion. ' . Owner or Contractors Signature Pa2e 3 of 3 Date 22$ Fifth Street Sllringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1821 COM2009-0 1821 COM2009-0 1821 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Des~ripti~'n Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 2200900000000001423 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/23/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ..- Page I of I ONLINE OREGON Online ELECTRIC SERVICE Payment Total: 8:12:SSAM Amount Due 58,00 2.90 6.96 $67.86 Amount Paid $67,86 $67,86 12/23/2009