HomeMy WebLinkAboutPermit Building 2010-2-22
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00229
ISSUED: 02/22/2010
APPLIED: 02/22/2010
EXPIRES: 08/23/2010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4531 FRANKLIN BLVD SPACE 97 Eugene
ASSESSOR'S PARCEL NO.: 170334440030]
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace HIP system
Owner: HOTALING JUDITH L
Address: 4531 FRANKLIN BLVD SPACE 097
EUGENE OR 97403
Phone Number: 541-726-4267
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor License
OREGON ELECTRIC SERVICE ]8]997
ASSOCIATED HEATING & A]R CONDITIO 106275
BUILDING INFORMATION ~
Expiration Date
05/09/20]0
08/31/20]0
Phone
541-343-] 68]
541-683-2590
# 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback: Overlay Dist:
S~de I Setb'~'th . . # Street T.rees Rqd:
S,de 2 SetbacK< TICE. ....Paved Dnve Rqd:
Rearyard SetiJwal{?ERMIT SHAll EXPIRE IF THE WotMt Coverage:
Solar Setbac_,?;"~O_RIZED UNDER THIS PERMIT IS NOT
I DEVELOPMENT INFORMATION ~
ATTENTION' Ore~<?MJ~fi~
follow rules ~doPt~tlrll the orea~~~~~~~h
Notification center.~Mll~8AR 952-001-
In OAR 952-o01-00t:Q,tl'l~\lI~~ of the rules by
0090. You may obtain Nofe, the telephone
calling the cente~~ (on Utility Notification
Center Is 1
IMPROVEMENTS
VViV. V t:/
ANY 180 DAY PERIOD.
Street ~mprovements:
Storm Sewer Available:
Speciallnstrnction:
,,'<....,.
Sidewalk Type:
DownspoutslDrains:
. '."
~I.:'.\
Notes:
Pa2e.l of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
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
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$183.69 ':::
I 'Plan ReViews ~
Date Paid
2/22/10
2/22/10
2/22/10
2/22/10
2/23/10
2/23/10
2/23/10
2/23/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00229
ISSUED: 02/22/2010
APPLIED: 02/22/2010
EXPIRES: 08/23/2010
VALUE:
Value
Date Calculated
Receipt Number
3201000000000000058
3201000000000000058
3201000000000000058
3201000000000000058
1201000000000000162
1201000000000000162
1201000000000000162
1201000000000000162
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.
~ IlReouireq Insnect~
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.
,'..,", ,~l -p.
"1.1
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00229
ISSUED: 02/22/2010
APPLIED: 02/22/2010
EXPIRES: 08/23/2010
VALUE: ~
By signalure, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify lhat all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 inspection,s .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
. 'h:( ".:'." .$'.
.'
Pa2e 3 of 3
Date
SPRINGflELD
~"~
~f0>^', !J,,~,
i..f.y~,' ~ y~:I
~n..t,'0' ~'OREGON
City Of Springfield
225 Fiftn 5t
Springfield, OR 97477
Phone: 541~726-3753
Email: permilcenter@ci.springfleld.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00081
Approval Code: 023063 2/23/2010 8:36 am
E~mailed To: tena@orelectricservice.com
PtANREVIEW " ':0}: j' ",
". ':;~::~fYPE"6t:~WORI('TtT7~~,;':,;:~
~.4.,
D New Construction
IKJ Addition/alteration/replacement
I
" CATEGORY OF.CONSTRUCTION,
J"
00 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
i.: ;,' ': ,'JOB SITE'INFORMATIONANO'COCATforlr;"'
Job Address: 4531 FRANKLIN BLVD
City/State/ZIP: EUGENE, OR 97403
Suite/bldg./apt.no.: 97
Project Name: JimHotaling 541-726-4267/AH
Cross Street/directions to job site:
Tax map/parcel no.:
1703344400301
.. ?:DESCRIPcTION'Of;.WC>~~,";'i:~';~
Wire change out electric furnace w/heat pump
<,,!"',.
, ::~si'rEc6NTI\CV
Name: Jeff Brooks
Phone: 541-343-1681
Fax:.541-343-1683
Email:
. \ ,"- ~. "";,;;:;:,,P;,CONTRACTOR ':,
Elec lic. no.: C408
CCB lic. no.:
181997
Business Name: OREGON ELECTRIC SERVICE LLC
Contact:
Address:
, ,.-;...;:;
.
Email:
C;tyIStatoltflHlScfleRMl"f7~All EXPIRE
Phooo' 541;W;I;ll\ORIZ
Metro Iic. no.:
City lic. no.:
SuperVising Electrician's Iic. 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 appn;lval by your local jurisdiction, your permit will be e-malled or faxed
withIn one business day, with instructions on howto sc;hedule your Inspec;tion.
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 applic;able land use laws and localordinan ces,
...""
T
.."
o Hazardous locations
o A service or f~ederrated at
600 amps or more
o Buildings more than three stor
0' Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation ofa 150 KVAor
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
. .
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
.... ,., ',,' .., 'FEE,'SCHEDULE:: ",:.., .... .' ,"
Description Qty. I Ea. I Total
Branch'circuits ',":,'1:',:;;'2'.:::,':"" ", ':::, :,,"',' .
Branch circuits without service or
feeder
Branch circuits each addiUonal 1 $6.00 $6.00
circuit without service
E:lectrical:~ermit Fees - +.;.~ -'~~"" ' ~. '" ;/,;~' ,;~, f >,' ,
$55.00
$55.00
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volls or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o HealthcarefaciJities
Subtotal
State surcharge (12% of permit
total)
Technology fee (5% of permit total)
TOTAL PERMIT FEE
010 -6~~
$61,00
$7.32
$3,05
$71.37
k-L t!23).IO
ATTEN11ON: Oregon laW ~~t:)
~lIow MeQ adopted by too Olegon UiIIIl!l
Notification Center. Those ruJeo QfGl ~ ~
!n OAR 952.oo1-CI0101hroUeh OAR eti2.oo1-
ClO9O. You mgy obtlilln copIeo o!I"" rubo ~
calling too center. (Note: iM idGphClllO
Gl!IIMor for the Oregon UII1Ity ~
Center Ie HIOO-3a2-234'J).
Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000162
Date: 02/23/2010
9:37:29AM
Job/Journal Number
COM20 I 0~00229
COM20 I 0-00229
COM20 I 0-00229
COM20 I 0-00229
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By.. Batch Number Number How Received
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
KR
',;,;\ ii,
',.,L, ,-"
Page 1 of 1
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
ONLINE OREGON Online
ELECTRIC
SERVICE
Payment Total:
$71.37
$71.37
2/23/2010