HomeMy WebLinkAboutPermit Electrical 2010-5-21
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfleld.or.us
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Residential Electrical Authorization To Begin Work
69600-BE L-1 0-00222
Approval Code: 021538 5/21/2010 3:07 pm
E-mailedTo:tena@orelectricservice.com
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o New Construction
IKl Addilion/alteratiofi/replacemeriC_'~
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00 1 or 2 family dwelling 0 Multi-family 0 Commercial D;'AJcessory
':. .'::r, : 'clOB:SITE INFORMATION AND LOCATION ~'" '. ' ,!
Job Address: 4531 FRANKLIN BLVD
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City/State/ZIP: EUGENE, OR 97403
Suitelbldg.lapt.no.: 114
Project Name: Naomi Holland 541-741-0171/AH
Cross Street/directions to job site:
Tax map/parcel no.:
1703344400301
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VVire change out of electric furnace w/heat pump
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Name: Jeff Brooks
Phone: 541-343-1681
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Fax: 541~343-1683
Email:
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Elec Iic. no.: C408
181997
cce lic. no,:
Business Name: OREGON ELECTRIC SERVICE LLC
Contact:
Address: PO BOX 2237
City/State/ZIP: EUGENE, OR 97402
Phone: 5413431681
Fax: 5413431683
Email:
Metro Iic. no.:
City Iic. no.:
Supervising Electrician's lic. no.:
1392$
Supervising Electrician's Name:
HERMAN OLLAR
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approval by your local jurisdiction, your permit will'c:be'"e-mailed'.,or faxed
within one business day, with instructions on how 10 schedule your inspection, -, ~~,;';, ".
NOTE: This'Authorization To Begin Wor\o; expires within 180 days if a permit is nol 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.
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available faull current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
D 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 Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings mo~e than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
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
E -.
Description
,;?":FEE SCREDULE
Qty.
- .<' . ~~.
$55.00
$55.00
Br~rictliCi.rCuitsi:;~i,~1
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
~tectrical~Perm!~,f;ees '":'y
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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l.orn 2.010
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$6.00
$6.00
1
$61.00
$7,32
$3.05
$71.37
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Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at,the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00660
ISSUED: OS/24/2010
APPLIED: OS/24/2010
EXPIRES: 11/24/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4531 FRANKLIN BLVD SPACE 114 Eugene
ASSESSOR'S PARCEL NO.: 1703344400301, .'
TYPE OF WORK: Heating System
TYPE OF USE: New.
PROJECT DESCRIPTION: Wire change ont of electric furnace with heat pump
Residential
Owner: HOLLAND LOLA P
Address: 4531 FRANKLIN BLVD SPACE 114
EUGENE OR 97403
I CON'fRAGTORINFORMATlON ~
'1 . .
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
ASSOCIATED.HEATlNG & AIR CONDITIO
License
181997
106275
Expiration Date
05/09/2012
08/31/2010
Phone
541'343-1681
541-683-2590
BUILDING INFORMA TlON 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:
Wilter 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 ~
Front yard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
.:'"~.~f ,L,o!..Coverage:
. ~,;':PF " (.'-:-'U?l-'. J .
,d",:.;.l,r";<;;' '.1~j/,..::, 'i ;.~.. ,i
REQUIRED PARKING
Total:
Handic~pped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
PUBLIC IMPRfb'H~ gon w requires you to
., . Ie opted by the Oregon Utility
In OAR~~~;'~~~l~~=~ml!mre set forth
0090. You may obtaRl'~0)5Ii~~~;OOl.
carting the center. (Note: the te': r~::e by
number for the. Oregon Utility NOIlCcatl
Center IS 1-800-332-2344). on
NotesNOTlCE:
THIS PERMIT SH .
\UTHORIZED U All EXPIRE IF THE WORK'
'')MMENCED o~~~R THIS PERMIT IS NOr
, ';c'n DAY ABANDONED FOR
I'I PERIOD. .
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Page I of 3
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Status
Issued
...;."...."
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Description I
Description
$ Per Sq Ft
or mnltiplier
Tvpe of Construction
Sqnare Footage
,or Bid Amount
',Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Aller, Extend Circ Ea Add
Heat Pump
Amount Paid
$7.32
$11.52
$3.05 "f/
$4.80 \lc~;
$79.00';::':,
" ",- ,
$55.00';i~"
$6.00
$17.00
.,;.-
!t{
Total Amount Paid
$183,69
I Plan Reviews ,
Date Paid
5/24/10
5/24/10
5/24/10
., 5i24/10
5/24/10
5/24/10
5/24/10
5/24/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00660
ISSUED: OS/24/2010
APPLIED: OS/24/2010
EXPIRES: 11124/2010
VALUE:
Value
Date Calculated
Receipt Number
3201000000000000221
3201000000000000219
3201000000000000221
3201000000000000219
3201000000000000219
3201000000000000221
3201000000000000221
3201000000000000219
,
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.
l....PeouireCUnsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is cooj"lete, "
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Rougb Mechanical: Prior to Cover ",:'~';::;: ,"':'
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Final Mechanical: When all mechanical wo'r~,i~'complete.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00660
ISSUED: OS/2412010
APPLIED: OS/24/2010
EXPIRES: 11/24/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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By signature, I state and agree, that I have carefully ,,'x'amine(i'ihe completed application and do hereby certify that all
information hereon is true and correct, and I furth~r i~rtify'th'at any' and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and tbe L~,i~'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 Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the
street, that the permit card is localed 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
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Pa2e 3 of 3
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 #:
3201000000000000221
Date: OS/24/2010
7:SI:2IAM
Job/Journal Number
COM20 I 0-00660
COM20 I 0-00660
COM20 1 0-00660
COM20 1 0-00660
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Hem Total:
Check Number Authorizlttion
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
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Page 1 of 1
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
ONLINE oregon elect Online
service
Payment Total:
$71.37
$71.37
5/24/20 I 0