HomeMy WebLinkAboutPermit Electrical 2009-5-7
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Receipt # .RC551312 'J-'\
5/7120099:34:16AM !\(V
V
Check on status of permit
By Phone: (541)726-3753. or Email: permitcenter@ci.springfield.or.us
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I
I
I I Pump orirrigation circle [2] I
I I Sign oroutline lighting [2] I
~SignalC.irCUjt(s)orlimited- . I
energy panel, alteration, or .
.. extensionJ21 . "
, ~::"""':"".~~ "'f!"l'E'iIECTRTCA11i!ERMll:F:EES~- ~~";1'-:~~~~,1, .
. ~, r~~~1i\L-"_._"I~',",~:;i,::('.W"..~
i'\ ~ ~ ",:>. I Minimum fee used instead of Subtotal $58.00
~ !\::; I State Surcharge {12% of penn it fee) $6.961
\!}' City OfSprin?;field fees. $2.90 I
I TOTAL PERMIT FEE I $6786 I
The local building department may'determine that an * City Of Springfield fees: 5% Technology Fee .
Authoriza~iofl To Begin Work is null and voi~ if it does not ~...o.- (D.e/auflnumber afinspections allowed)
1meet applicable land use laws and local ordmances. . U. / (;) . f'.,{~ ""\ I
,\\ \: ~ ~ lGIJ -\ ~ Ovuo-
\J'L~\; t..R NrA. S-7~01
VJ~~ .
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
! 0 New construction
[i] Addition/alteration/replacement
I [K] 1 or 2 family dwelling D Multi-family 0 Commercial) Industrial
1~~>""/!~!!tZ!if~.liii';jOBiSlfEtINF.ORMATioN1""AN61IToCATf6Nr~~!\,"":Vi~"F'%
~",t~~~,~~l..."_,J.'-"'-"'v..........<..>,,,,,,,,,,,.~~~,,,~...,,,,,..,,,,,~,,,,"-;;:=,;"""",,'_"",,~';.,~~~~~1liJiiY~".
[Job no.: RR396694 [Job address: 544 S 51ST PL
I City/StatelZIP: SPRINGFIELD, OR 97478-6737
I Suite/bldg.lapt.no.:
I Project name: Reb~cca Hazen
Cross street/directions to job site: Turn RIGHT onto MAIN ST/OR-I26 BR.Tum
'~EFT onto S 5]ST PL.Tum LEFT onto S 5]ST PL.Tum RIGHT to stay on S 51ST PL.End
it 544 S 51st PI Springfield, OR 97478~6737
I Subdivision:
] Tax map/parcel no.:
ILot no.'
1702333302015
We are installing two air handlers and a heal pump
I Name: Beth Pettijohn
I Phone: (541) 345-2838 Ex!: 316
j EmaiJ: bethp@ehqmecomfoil.com
I Fax: (541 )302.3069
lEI. lie. no.: C357 !CCBlic.no.: 84164
I Business Name: HOME COMFORT HEATING & AIR CONDITIONiNG INC
I Contact: Beth Pettijohn
IAddress: PO BOX 24205
I City/State/ZIP: EUGENE OR 97402
I Phone: (541)3452S38ext.316
I Email: bethp@ehomecomfort.com
I Metro lie. no.:
I Supervising electrician's lie. no.: Sl39S
I Supervising electrician's'name: JAMES'M CARTER
I Fax: (54 J )3023070
I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e.mailedorfaxed within'one business'day,
with instructions on how to sChedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained. .
I 1,000sq,ft. or less [4J J
1 Ea, addl' 500 sq, ft. or ponion 1
IfLiIDifediEn..;:gyW.i!'lZ~#"~""~"'ilO...~;'4t%!'!\.l\"''''i1
!.,.""";~",~,=".,,,::Yi,~~~~1h~i~~:i~f.;~~~rA~i<
I-Limited energy, residential I
(with above sq. ft.)
I-Limited energy, multifamily I
residential (with above sq"ft,)
I-Limited energy, commercial not offered online at this juriSdiction I
(with above sa. ft.)
I - Stand~aJone limited_energy, I
reSidential
I - Stand-alone limited energy, I
multI-family
I - Stand-alone limited energy,
commercial
1~~Zic'~~.:QEi~1!~1M1~~~Ell$riIf~fl@J2~~~fu]flli~
1200 amps or less [2] I
20 I amps to 400 amps [2]
140] amps to 599 amps [2] 1'_
1:,ttNIPO:RARY-Sen;ices:O.R(f&de'rs~iilf'staiiatioii~'alienltion. f:'f:~'J:,'::..a";rL'hl
~.'.~".'''''''''->'.''-'~iIHjtC''E'it,",~,~",.".~"",''''",,~)lS>it1!J
)~fQ~!?~}i2Ik~~1rt4i;M1~]ifbfI~;,~,~l1Ii~~~,~'f~
1200 amps 0: less [2]' I
1201 ampsto 400 amps [2J I
1401 amps to 599 amps [2] I
1~~~r~;~rcl!~~~~llill:?i[il~~q,~l~~jJ~,!~~~g~~rp:~J~j,J*i[!~~~t1;~(I
I A, Fee for branch circuits with I
service or feeder fee, each
branch circuit .
lB. Fee for branch circuits II
without service or feeder fee,
first branch circuit [21
I each addl branch circuit 1
$55.00
$55.00
I Service reconnect only [2]
I Each manufactured or modular
dwelling, service and/or feeder
[21
-.$rAIN~Iii'Ia;,I?;
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~ '. . '.' ..
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00621
ISSUED: 05/0712009
APPLIED: 05/07/2009
EXPIRES: 11107/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRE~S: . 544 S 51ST PL
ASSESSOR'S PARCEL NO.: 1702333302015
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing a heat pump and two air handlers
Residential
Owner:
Address:
HAZEN REBECCA L
3432 5TH AVE S
GREAT FALLS MT 59405
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION I
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:
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 1 stFloor:
Sq Ft 2nd Floor:
Sq Ft Basement: .
Sq Ft Garage/Carport
Sq Ft Other:
Occupaut Load:
nla
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact: .
Notes:
'OOl1:J3d A\.!O DB fAN\.!
I:JO:J 03NOON\.!8\.! SII:JO 03::JN31J\Jl^IOJ
lON SIlIlNI:J3d SIHll:J30Nn 03ZII:JOHll\V
>lI:JOM 3Hl:J1 31:JldX3 11\.!HS lllN83d SiHJ
'3'"': 1f"\.'
. V 1 J.. \,..1'
I PUBLIC IMPROVEMEN"FS'fENTlON: Oregon law requires au
IVlIUW ruJ.nt'l' :::Jrlt:'.'I-l-"'rf h th Y to
Noti'lcat" SiilewalKType:' e Oregon Utility
, Ion venter. I nose rules are set forth
In OAR 95Dow'lspoutsl.P.reJiPJ':, OAR 952-001-
0090.. You may obtain copies of the rules b
calling the center. (Note: the telephone y
number for the Oregon Utility Notification
Center IS 1-800-332"2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
'..
Pace 1 of 3
_~r-RINQll;IIit\..O,
l
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Descriotion
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amount
Tvpe of Construction
Total Valne of Project
P"P., P',i" I
Fee Descriotion
+ 12% State Snrcharge
+ 12% State Snrcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Air Handling Unit Up to 10,000
Heat Pnmp
Minimnm/Adjustment Electrical
Amount Paid
Date Paid
$6.96
$i5.60
$2.90
$6.50
$79.00
$55.00
$17.00
$34.00
$3.00
5/7109
5/7109
5/7109
5/7109
5/7109
5/7109
5/7109
5/7109
5/7109
Total Amount Paid
$219.96
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00621
ISSUED: . 05/07/2009
APPLIED: 05/07/2009
EXPIRES: 1'1/07/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000326
1200900000000000359
3200900000000000326
1200900000000000359
1200900000000000359
3200900000000000326
1200900000000000359
1200900000000000359
3200900000000000326
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.
I Rp?"\..aJnsnections I
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.
Paee 2 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY 01' ~rK1NGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00621
ISSUED: 05/0712009
APPLIED: 05/07/2009
EXPIRES: 11/07/2009
VALUE:
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 further certify that any and all work performed shall 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 Service~ 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 construction.
Owner or Coutractors Signature
Paue 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phonc
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0062I
COM2009-0062I
COM2009-0062I
COM2009-0062I
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000326
Date: 05/07/2009
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE HOME Online
COMFORT
Payment Total:
Page 1 of 1
9:42:45AM
Amount Due
55.00
3.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
5/712009