HomeMy WebLinkAboutPermit Electrical 2009-3-3
City of Springfield
Electrical Authorization To Begin Work
E"mailed To: bethp@ehomecomfort.com
Receipt # EC547593
3/3/20098:55:02 AM
0[\
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Check on status of permit
, By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction
[K] Addition/alteration/replacement
[K] 1 or 2 family dwelling
DMulti-family
o C,ommercial/lndustrial
_~!!l~l~~~NiI~!~f:2.RM~rj9~~~g:ltq9~tlsft'l~~~~~~~
IJob no,: MH266198 IJob address: 2698 GARSON LN
l,City/StateIZIP: SPRINGFIELD, OR 97477-4302
I Suite/bldg.Japt.no.:
I Project name: chuck mason
Cross street/directions tojob site: Tum RIGHT onto MOHAWK BLVD,Turn LEFT
)oto OLYMPIC ST.Turn RIGHT onto 28T,H ST.TumRIGHT onto GARSON LN:
/Subdi\'isioR:
ITax map/parcel no.: ]70336110990\
J Latoo.:
are installirig a heat pump
I Name: Beth Pettijohn
IPhone: (541) 345-2838Ext 316
bethp@ehomecomfort.com
!Fax: (54J)302-3069
lEI. lie. no.: C357 !CCBlic;no.: 84164
I Business !\,ame: HOME COMFORT HEATING & AIR CONDITIONING INC
I Contact: B<1tu~iJil<i1VF'
'IAdd"'" PO'BOl\2/I''l01lMIT 'C:I-IAII I=\(Dllll= II: TI-II= WnRK
lC;ty/S'.toJZI~:I~V"~f'<mI\J9H\\!nm TI-II<:: D~IlMIT l~ NnT
IPhon" (541)3~5,2,8),\l;;<qrom nil 1<:: fiR~~[l()~IPf'l''ll'n>I1
r E.mail: bethp@~~0I11~~9IJ1to.ry.\C,0npI=Q In n
I Metro lie.,no.: 1 City lie. no.:
'I Supervising electrician's lie. no.: 5139S
!Supervising electrician's name:' JAMES M CARTER
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 '" 11.'\
days if a permit is not obtained. \ \'\V \J
The local building department may determine that an \JY\~ "
Authorization To Begin Work is null and void if it does not /1,.;'
meet applicable land use laws and local ordmances. . U
~~
1~i:j"*,,,~f'~~~9l1fFEETscfrEDU1!E~~~"''''Al;~l.il1
=~:'~-"'~~"R~\f0~=~:"I,u'~'Q~:='=T~)~:.~1~~::~l
',R'eside'iitiaf,'S,1NG," .I:;~E!t:O R:multiJra"'iiiii,.....dwel,'ui....-iinifrIDc IU,''''diSil,.,('i~, ,'''h',;
."~,..~,~",,'I%_" '~"_'T!lI>~_,J "1!!'1i,,~g!m~"'" "~~~ ",
tattactied' ara ey,'; , ,H;'7iB~V .,,> . ,../f' , , " . ~ . ,...
".__.,._.g,,_g,. , ",;+m":r, .,;~ll=",~ ..,' "<!1ij,, "
Il,OOOsq: f1. orless [4]
J Ea.. addl 500 sq, ft. or portion
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, 'multifamily
reSIdential (with abOve SQ. ft.)
I-Limited e~ergy, commercia-l
(with above SQ:ft.)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
mu1ti~family
- Stand-alone limi~ed energy,
commercial
~~:~:;:yJf,~~~Ji~lf~~!r,,~':IfH~i!~~i-~t~ti~r:~fJ2!S~@?2~~.~i!1~~~?;
1200 amps or less [2J
1201 amps to 400 amps [2]
1 ~Olamps to 599 amps [2] J
IttEMPORARY,serviceS]ORrfeeder7rnst'allaHoD1'ulteritioD:1fiY.)>~~
t6BmgJ!\'~;I~~I~HJWl!~~!~1~1~~~mt~~~~~&~
1200 amps or less [2]
1201 amps to 400 amps [2]
140i amps to 599 amps [2]
IFBnmcli"CWc'1lit~N.EW$aiterationrjjiffexte~sion;~per;pa~~~
.-.."=....,_f-1*~,"'....",-~..:.'~"',iZ,"',~==",~""'."''',~,_'''-~.,,.,_'''',' ,~"""-~~~,
I' A. Fee fO, r branch circuits with J
service or feeder fee, each
branch circuit.
1 B, Fe~~~ij'!iuJjbjWUreg( n law r'U1re$sY~ 10 $55,00
with~PJllrrw:Telil[<o.kd'a/j:6pte<tl by the, regon U ility ,
firs ~ranch mcUl l~~ .~, , ~ _-l.t.-..
~9~d''''I'bll'c1t;lJif\.)c:;rlll;;l' 11'IV~v ,,,,-,\t~......;~ ,....,tr. ~
eac~~ C"" ~a,n~-r/HcHl,t'-i ""-i.rl_+!:,~,=,'.'ryh hll g .OC;;f) /101-
s"";',u,..,....~""-~"-':..i;;~';,'\"d;,:. "'''1i'S\lzlWr ':' lit"'i(;.i1i:$;,.gfBitfifffr..;:':;t>' '4; ~. .,,~
:.M~~1~~~~~:'k~T'1;\~~h~~+f~tf~~H"'f;fM-P:fTII~~b:,:
SecvicF.!;~nn'!'tpnIY({,ht"r iNote: th'l teleohc ne' I,
Each~anufllCWfepJ! ~o~u15re Jon Uti lit I Notifica don I
dwellln~. W~lCec,nd/Qr teeder1 '00 332 ' 344)
121 ' el1ler IS .1, . ., .
I
nO,t offered online at this jurisdiction
I
Pump or irrigation Circle [2]
I Sign or outline lighting [2]
Signal circuil(s) or limited~
energy panel, alteration, or
extension r2J .
ill!jlWl"li"~'il\H~E1rECj'RTcAVeERMITiF.E'E~wJif;;'f<\'Ijj('*l''l''!i
.""",.,~fI!':1@,t;J"~""_,'.~,,,,.:.<,,,,,,.,,,,,..;._,~,,,,j,,,,,,,,,,,,~,,..~",,,,,,,,,,~,;;;;~~a:wffjl(~~~L
I Subtotal $55.00-
I Minimum fee used instead of Sub IOta I $58,00 I
I State'Surcharge (12% of permit fee) $6.96 I
I City OfSpririgfield fees'" $2.90 I
I TOTAL PERMIT FEE $67,86 I
.. City Of Springfield fees: 5% Technology Fee
[Qq~bi~syonso!/o~ 3 \3\01
This' Authorization To Begin Work must be posted at the job site until replaced by a Permit
W~~d1
~Or5~
CITY OF SPRINGFIELD
Building/Combination' Permit
Status
Issued
PERMIT NO: COM2009-00294
ISSUED: 03/03/2009
APPLIED: 03/03/2009
EXPIRES: 09/03/2009
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2698 GARSON LN
ASSESSOR'S PARCEL NO.: 1703361109901
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installing Heat Pnmp
Owner:
Address:
Owner:
Address:
MILLER TERRY L
2698 GARSON LN
SPRINGFIELD OR 97477
CONRAD WILMA K
2698 GARSON LN
SPRINGFIELD OR 97477
I CONTRACTOR IN~.?RMATION I
Contractor Type
Electrical
Mechanical
Expiration Date
06/25/2011
0612 5/2 0 II
Phone
(541) 345-2838
541-345-2838
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
ATTlf,{llTION:ChhYilpantlJul1l1'tiqulres you 10
followrplp~ ~rl("\....t^rJ ";/ ~'- - 'i . . .
NOTICE: HALL EXPIRE I~ ViW~ENT INFORMA fi6J:N::a1tion Center. Those r~I;~ ~~;~etf~;{h
THIS PERMIT S I IS Nul, r. . ,l952-001-001OtWEQ.!1J1Rl9D:@W!l{Jt/.G
,., ITQORIZED UNDER THIS PERMIT 0090. You may obtalO copies of the rule b
Frontyard ,~~!~a'c~NCED OR IS ABANDONED FOfbverlay Dist: calling the center. (m>l~'the telppho s y
Side I Setback:fVi,IL ERIOD # Street Trees Rqd: number for the Oreg-"andicaljped:. tne
.." 1 00 DAY P G" ;:;""'y ,UllIlCa Ion
Side 2 Setback: D' . Paved Drive Rqd: Center is 1-80~Jl'tCj44).
Rearyard Setback: % of Lot Coverage: .
Sola r Setbacks:
# 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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
, DownspoutslDrains:
Notes:
Paee 1 of 3
_$;~~'.NGF,llill;q ,
~ '.
r
Status ' Issued'
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I, Valuation Descrintion ,
$ Per Sq' Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Description
Type of Construction
Fee Description
+ 12% State Surcharge
+ 12% State Snrcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Heat Pump
Total Amount Paid
Total Value of Project
Fees P~.id J
Amount Paid
Date Paid
CITY OF SPRINlJl'lJ!-LD
Building/Combination Permit
I!ERMIT NO: COM2009-00294
ISSUED: 03/03/2009
APPLIED: 03/03/2009
EXPIRES: 09/03/2009
VALUE:
Valne '.
Date Calculated
$6.96
. $11.52
$2.90
$4.80
$79.00
$58.00
$17.00
3/3/09
3/3/09
3/3/09
3/3/09
3/3/09
3/3/09
3/3/09
Rcceipt Number
1200900000000000150
3200900000000000137
1200900000000000150
3200900000000000137
3200900000000000137
1200900000000000150
3200900000000000137
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.
$180.18
I Plan Reviews I
R~,\llir~d Insllections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all, mechanical work is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00294
ISSUED: 03/03/2009
APPLIED: 03/03/2009
EXPIRES: '09/03/2009
VALUE:
225 Fifth Street, Springfield, OR
541-.726-3753 Phone
541-726-3676 Fax
541-726c3769 Inspection Line
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 tbat any and all work performed sball 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.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, tbat tbe permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all
times duringcons.truction.
Owner or Contractors Signature
,Date'
Paee 3 on
225 Fifth Street
Spr'ingfield, Oregon 97477
541-726-3759 Phone :
Job/Journal Number
COM2009-00294
COM2009-00294
COM2009-00294
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:,
.
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% Stafe Surcharge
Paid By .
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000150
Date: 03/03/2009
Item Total:
,Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE
Home Online
Comfort
Heating
Payment Total:
Page 1 of 1
9:27:53AM
. Amount Due
58,00
2,90
6.96
$67.86
Amount Paid
$67,86
$67.H6
3/3/2009