HomeMy WebLinkAboutPermit Electrical 2009-3-10
EC54R030 'l-,');\R
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City of Springfield
Electrical Authorization To Begin Work
. E-mailedTo:bethp@ehomecomfort.com
Receipt #
3/10/20094:34:04 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I . Limited energy, residential
(with above sq, n,)
I-Limited energy, multifamily
residential (with above Sq, fl.)
I-Limited energy, commercia-I not offered online at this jurisdiction
(with above sq. ft:)
I - Stand-alone limited energy,
residential
I - SUind-alone limited energy,
multi-family
I . Sland~~lone limited energy, I
commercial .
1~;~~ci:l~~!2~~f~~Irsnf~1U!~~gmr.ii'~e~~u,V~Rr~ltmR~~~!~;~att~:jf~
1200 amps or less [2]
1201 amps to 400 amps [2]
401 amps to 599 amps [2]
~r,.~,[\1,:,.I~Q~~)t,Y, ~crV_,ic'~S:?~\,f~~~,~S :,iii,;W',' I"~~!,' ~,~n,"~c,'~,hY,ai}"~'~;~0 !~,.>r'l;:';:,,1
,;\l'!p/PR~~!!!c~J:io~ ,""" .~ . :t'J,~~lS:"7Y" "'~",0~~~'*j;t';~ ~+:'t/Jifft&'~;':'1V'"
1200 amps or less [2] I I I
120 I a;nps to 400 amps [2] , I 1
I 140 I ampsto 599 amps [2J I 'I I
I Fa" (541) 302-3069 I 1[1!I;llF~!ilti~Zejl~~Pl,llNi'Jlffile;j\fl!1srfWTfO;,:!'::1
. t" " .. ' '" II A, 119K'IlW'1'Elll'!lJ'l!l!ki/l'teq by the - reg on U'ility I
H-€~".l:I~d;^~cg:9Jl*li~!'I,1!'i1'J;!J1 ~~:r:r~~i~~1i\'l'dheC~~ter, Trose rul are setorth
",nl?! !4w,:j]:JJlv:mvw;J' IIB,Jl'~hliII'""""\Jtj-UUIU'l,fII0U9Iil f\nfl~e\JJUI'$55,Ool
, -~tzt~;~H~~~: : I~~f;i~~~~~:;~:i:~~~it~\ f0~~~~~~:Y $6001
.:I;J I.LU N I li~iiSceJl"neOlisr';;-e'l'n-f' Ye~;r"'I's--;tl?{8~O~O;3'3-2'i2.j'3--4-41";;-~;f;-- ,-;;;,:.rltAI
._"" ,_"''''',~'+'':''H,~\.'';' ". ,,>. c'. " . '. ~_1''''',~,.",~ ..r; ,'""
I 1 Service re-connel't only [2] , 1
I I Each manufactured or mOdUlar, I
dwelling, service,and/or feeder
1 121
I I Pump or irrigation circle [2]
I I Sign or outline lighting [2)
I I Signal circuit(s) or limited-
energy panel, alteration, or
extension
IDNewconstructio,n
o AddJlJOnJalteratlOnJreplacement
IlliJ I or 2 family dwelling
DMulti-family
D Commercial/Industrial
I Job no.: RR394394 I Job address: 3 I 7 S F ST
ICity/State/ZIP: SPRINGFIELD, OR 97477-5435
I Suite/bldg./apl.no.:
I Projel'l name: Rick and Pat Henson
Cross street/diredions tojob site: PIONEER PKWY Turn RIGHT onlo S F S1'
'Portions unpavC'd),Wbecomcs S 2ND STTl.l,m LEFt onto S D STTurn RIGHT onto S 4TH
~T.
ISubdivision: -
ITax map/parcel no,:
I Lot no.:
1703353402900
Installing a flirilacc and adding. up 10 a 30 amp circuit to an appliallce
I Name: Heth Peuijohn
I Phom':_(541) 345-2S3S Ext: 316
I Enmil: bClhp@chomecomfort,com
I.-a" (541 )3023070
I City lie, no.:
Upon review and approval by your local jurisdiction, your
permit will be e-m.ailed or faxed within one business day,
with instructions on how, to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 _W
day~ if a permit is not obtai!1ed. _' . ...s 1'\ r!J'.... .
The local building department may determine that an,\.~ 1\ /
Authorization To Begin Work is null and void if it does not t)::\., r(\V'
meet applicable land use laws and local ordinances, :J ~ ~
I Description Qly. I Ea. _ Total
17Re.sjtJt'ntjafSINGEE~"OIfinUliiifai'nily~(jwelling ~ unff.includes 4:
rjFiaI~~~J~~g?~i:,~~~;!:;i~z'~~~1;~t.::;;.~:"":~~~;;:\t~SJ';j~
'111,00osq,ft.orleSS[4l
1 Ea, addl 500 sq, ft, or portion
I Subtotal
I Stale Surcharge (12% of permit fee)
I City Of Springfield fees ..
I TOT'\.I. PERMIT FEE,
.. City OfSpringlh:ldfees: 5% Technology Fee
ID(!C1'n'b'~~~i-~/O".'d~
$61.00 I
$7,32 I
$3.051
$71.37 I
3)lb[D9
~
-
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
U}~ D~.,
\3~1ff
CITY OF ~r.t<.ll'\i\..J-FIELD
Building/Combination Permit
PERMIT NO: COM2009-00326
ISSUED: 03/10/2009
APPLIED: 03/10/2009
EXPIRES: 09/11/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield. OR
541-726-3753Pbone
541.726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 317 S F ST
ASSESSOR'S PARCEL NO.: 1703353402900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replacing gas furnace (No Heat Situation)
Residential
Owner: HENSON RICK & PAT GRIGGS-HENSON
Address: 317 S F ST
SPRtNGFIELD OR 97477
I CONTRACTOR INFORMATION I
CO!ltractor Type
Electrical
Mechanical
Contractor License
HOME COMFORT'HEATING & AIR CONDI 84164
HOME COMFORT HEATING & AIR 84164
BUILDING INFORMATION I
Expiration Date
06/25/2011
06/25/2011
Phone
(541) 345-2838
541-345-2838
# of Units:
Primary Occupancy Group:
Secondllry Occupancy Group:
Primllry Construction Type
Secondllry 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 Bllsement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ,
Frolltyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street To"ees Rqd:
Paved Drive Rqd:
0./0., of Lot Coverage:
'REQUIRED PARKING
Total:
Handicapped:
Compact:
OTICE' I PUBLIC IMPROVEMENTS I ' .
N " " ATTENTION" Oregon law reqUires you to
Street 1mpl"prn8'~~MIT SHALL EXPIRE If 1m: s' Not', ' follovi'W.~'tl'~lbcb,R~:d by the Oregon Utility
Storm Sewel\tJ..'UiIilJbIZ!=D UNDER THIS PERMIT 1 NotifiCJ500\l~gnt~lDJJJR~:e rules are set forth
SpeciallnstOO!/1ftfENCED OR IS ABANDONED FOR. " in OAR 952-001-001t1tnrough OAR 952.001.
'NY' 1'80 DAY PERIOD 0090. You may obtain caples of the rules by
A' calling the center. (Note: the telephone
number for the Oregon Utility Notlflcalion
Center is 1-800-332-2344).
Notes:
Page I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00326
,ISSUED: 03/10/2009
APPLIED: 03/10/2009
EXPIRES: 09111/2009
VALUE:
225 Fiftb Street, Springfield. OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 tnspection Line
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees' Paid I
Fee,I)escription
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - up to 100,000 btu
+ 12% State Surcharge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$11.52 '
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
3/1 0/09
3/10/09
3/10/09
3/10/09
3/1lI09
3/1lI09
3/11/09
3/11/09
2200900000000000247
2200900000000000247
2200900000000000247
2200900000000000247
1200900000000000173
1200900000000000173
1200900000000000173
1200900000000000173
Total Amonnt raid
$183.69
I Plan Reviews I
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. .
Re,!"ired I~.s."e~tions I
Rough Mechanical: Prior to Cover
Final Mecbanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRING1<lELU
Building/Combination Permit
PERMIT NO: COM2009-00326
ISSUED: 03/10/2009
APPLIED: 03/10/2009
EXPIRES: '09/11/2009
VALUE:
225 Fiftb Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,By signatnre, I state and agree, that I bave carefully examined the completed application and do bereby certify that all
information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb
the Ordinances of tbe City of Springlield and tbe Laws of the State of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY will be made of any structure without permission Of tbe Community Services Division, Building Safety.
I furtber certify that only contractors and employeeswbo are in compliance witb ORS 701.005 will be used on this project.
I furtber agree to ensure tbat all required inspections are requested at tbe proper time, that eacb address is readable from tbe
street, that tbe permit card is located at tbe front of tbe property. and the approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Page 3 of 3
215 Fifth Street
Sp,ringfield, Oregon 97477
541c 726-3759 Phone
Job/Journal Number
COM2009-00326
COM2009-00326
COM2009-00326
COM2009-00326
Payments:
Type of Payment
ONLINE CHGS
cReccintJ
"
RECEIPT#:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000173
Date: 03/11/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Ch~ck Number Authorization
Received By Batch Number. Number How Received
KR
ONLINE
Home Online
Comfort
Heat
Payment Total: '
Page 1 of 1
8:09:05AM
Amount Due
55,00
6,00
3,05
7.32
$71.37
Amount Paid
$7 IJ7
$71.37
3/ II /2009
"