HomeMy WebLinkAboutPermit Electrical 2009-5-1
Electrical Authorization To Begin Work
E-mailedTo:b~thp@ehomecomfort.com
Check on status of permit
By Phone: (54J)726-3753 or Email: permilcenler@cLspringfield.or.us
Receipt # RC550982 S40
5/1/20099:48:35 AM fA /
, (/'
/
City of Springfield
o New construction
[XJ Addition/alteration/replacement
[K] ] or 2 family dwelling
DMulti-family
o Commercial I Industrial
IJOb no.: RR396394 IJob address: 3872 VITUS LN
City/Stale/ZIP: SPRINGfiELD, OR 97477-1806
Suite/bhJg.lltpt. no,:
Ilroject n:lmc:AI Hamlin
Cross slrect/direclions to job site: Turn RIGHT onto MARCOlA RD.Turn LEFT onto
VITUS LN (Portions unpaved),End at 3872 Vi~us Lo Springfield, OR 97477-1806
I Subdh'ision:
ITax map/parcel no.:
ILot no,:
1702300000601
I,
We are installinga heat pump and two air handlers
IName: Beth Pettijohn
I Phone: (541) 345-2838 Exl: 316
IEmail:
I.'ax: (541) 302-3069
I [I. lie. no.: C357 I CCB lie. no,; 84]64
I Business Nl1me: HOME COMFORT HEAT]NG & AIR CONDITIONING ]NC
I Conll1et: Beth Peuijohn
IAddress: PO BOX 24205
I City/Slate/ZIP: EUGENE OR 97402
I Phone: (541 )3452838eX1.316
i Emllil: bethp@ehomecomfort.com
IMetrolic, no,;
I Supervising electrician's fie. no,: 51395
I Supervising electrician's mime: JAMES M CARTER
1 Fax' (541 )3023070
I City lic, no,;
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
days if a permit is not obtained,
The local buiiding department may determine that an
Authorization To Begin Work is null and void if it does nC?t
meet applicable land use laws and local ordinances.
~~ ~&'
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~~
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Description [,: Qty. I Ea, I Tolal
l{esidcnHiII.SiNGtE~6Rm\ilii~fa'niilY:'d~'cifiniu!lit.-jnclude's
~a~!~~Ji~(iig~~~~gc b 1 ,,:jh~~~;~;;fYi~~~::~,'A~;,:~:'~7 ';~;.~-",<':; <
I 1,000 sq. ft. or less [4]
lEa, addl 500 sq. ft. or pOI1ion
I
'I
- Limited energy, residential
(with above SQ. n,)
- Limited energy, multifamily
residential (with above SQ, ft.)
I ~ Limitedeliergy, commercia"1
(wIth above Sq, fl.)
I - Stand-alone lirnfted energy,
residential
I - Stand-alone limited energy,
multl-familv
I - Stand-alone limited energy.
commercial
1;,~ml~~It>~;f~~~:rsii]lii@iH~]~1i~i~~~t~on; .AI'iDjQ~!~,lo'C!l1!o~i ~:
1200 amps or less [2]
[ 201 amps to 400 amps [2]
1401 amps to 599 amps [2]
1~',rE..:,,!p.9,.,R>,:;,',','Jtt~~D'i~~~.2rf.fCe{l,~~~~~s:~~Jfa~,t~~;'a.l,i~f~,)~onf~~:;",.t ?;"
:i\J,"iD/O~:r~I2!:~1~n<2'i'c?~,~~1':1;">:1J~~~:<>~ "'''~i; _~:;;tl":'>' -t ;" "'
I 200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2] I
1:..~t~il~,~E~uii~?,t{E~Y;~'II'l~~r~h~pi,'o~^~i~~Si(nl:'~er;pall~I:;
I A. Fee for branch circuits with I"
service or feeder fee,each
branch circuit
I B. Fee for bmnch circuits
without service or feeder fee,
first branch circuit r21
each add I branch circuit
not'ofTered online at this jurisdiction
$55,00
$55.00
f Service reconnect only [2]
I Each manufactured or modular
dwelling; servIce and/or feeder
121
I Pump or irrigation l~irck [2J
1 Sign or outline lighting [2]
I Signal circuit(s) or limited-
energy panel, alteratlOn,or
extensionr21
1~12~~:~~~'W~(E~f~,I~A~15.E~~)T,:~~E~.P:(;:' ;,
I Subtotal
I Minimum fee llsed instead of Subtotal
StateSurcharge (12% of permit fee)
I City Of Springfield fees '"
L TOTAL PERMIT FEE
.. City Of Springfield fees: 5% Technology Fee
[Default n/lll/ber a/inspections allO)~ed}
$55,00 I
$58,00 I
$6.96 I
$2,90 I
$67,86 I
W/:Y7ZO() 9-; ()0590
/7 rY) 6'-:/ C/ - 09
~
t'--~~ Wb'
'0-l~ rp
This Authorization ~ Begin Work must be posted at the job site until replaged by a Permit.
_~I;1:R!!>IjQPlfU.J;I:
r,
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: COM2009-00595
ISSUED: 05/0112009
APPLIED: 05/0112009
EXPIRES: 11114/2009
VALUE:
SITE ADDRESS: 3872 VITUS LN
ASSESSOR'S PARCEL NO.: 1702300000601
Springfield TYPE OF WORK: Mechanical Only
I CONTRACTOR INFORMATION I
Contractor License
HOME COMFORT HEATING & AIR CONOI 84164
HOME COMFORT HEATING & AIR 84164
I BUIL~ING INFORMATION I
PROJECT DESCRIPTION: Heat Pump & two air handlers
Owner: HAMLIN ALFRED
Address: 3872 VITUS LN
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
TYPE OF USE: New
Residential
Expiration Date
06125120 II
0612512011
Phone
(541) 345-2838
541-345-2838
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
I PUBLIC IMPROVEMENTS I
~ Sidewalk,Type:i I,aw requires youto
AT! E,'l!lVI<.~, ,.' ri \ tho' Oregon Utility
l.~_ ...,,--1.1".,'")-"--:-. ,)V II.... t th
lollowDownspoutslDralOs: rules are set or
Notifiwtion Genter. 111,U~;uoh OAR 952.001-
in OAR 952.001-0~: r;~ncoPi~S of the rules by
0090. You may 0 a Note: the telephone
calling the cen~r, (on Utility Notification
number lor the r1e8g 00.332.2344).
Center IS .
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
fl.UTHORIZED UNDER THIS PERMIT IS NOT
"m !MENCED OR IS ABANPONED FOR
"v' ~ 80 DAY PERiOD,
Page I of3
REQUIRED PARKING
Total:
,Handicapped:
Compact:
_SeIlINQ,"IEtl.Oj
I
,'I
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 12'% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ ]2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amouut Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00595
ISSUED: 05/01/2009
APPLIED: 05/01/2009
EXPIRES: 11/14/2009
. VALUE:
I v aluation pescriD~ion ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Value
Total Value of Project
~Pft~
Amount Paid
Date Paid
Receipt Number
$]5.60
$6.50
$79.00
. $34.00
$]7.00
$6.96
$2.90
$55.00
$3.00
5/1/09
5/1/09
5/1/09
5/1/09
5/]/09
5/14/09
5/14/09
5/14/09
5/14/09
1200900000000000328
1200900000000000328
1200900000000000328
]200900000000000328
1200900000000000328
1200900000000000450
1200900000000000450
1200900000000000450
1200900000000000450
$219.96
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.
~\7"ifr~ w~,w\irl,.\I
Rough Mechauical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: Wh~n all electrical work is complete.
Pa2e 2 01'3
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: COM2009-00595
ISSUED: 05/01/2009
APPLIED: 05/01/2009
EXPIRES: 11/14/2009
VALUE:
By signature, I state and agree, that 1 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 strncture 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 this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, tbat 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 Sig~ature
Page 3 01'3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~j:G~:"
iii: .
City of Springfield OffiCial Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00595
COM2009-00595
COM2009-00595
COM2009-00S95
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000450
Date: 05/14/2009
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 I of 1
2:05:19PM
Amount Due
55.00
3.00
2.90
6.96
$67,86
Amount Paid
$67.86
$67,86
5114/2009
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Receipt # EC550982
5/1120099:48:35 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
~lIl',J'l'l'l~'*-~~llijfE\OE1W(rRK~-~""'3ll!'~N'E!Il"'~
t;S;~'j~~l]IT~i~'_,"",,*,;,'L;_~,,,~,,,,,,,"~~~~~*;m1~~ty~~
I 0 New construction [X] Addition/alteration/replacement
~~i!~elg~:!Ei'~~oE~~Jl&:f1~~l_~~~il\il\11
. \ IX] 1 or 2 family dwe'lling 0 Multi-family 0 Commercialllndustrial
fk'If_,:'~€~'j~Joa:siTEifNF.ORMATioN/A'NDmoCAT!0N~~~~~
~~~-h~~;.....~,-"-~,......"",~,~-""",,I.,,^',f..,'~~,t"'b"""';':~~~~~W~
IJOb no,; RR396394 /Jobaddress: 3872 VITVS LN
I City/StateJZIP: SPRINGFIELD, OR 97477~ 1806
I Suitelbldg./apt.llo.:
I Project name: AI Hamlin
~ross stree.t/dire, ctioos to job site: Turn RIGHT onto MARCOlA RD.Tum LEFT onto
IITUS LN (Ponionsunpaved).End at 3872 Vitus Ln Springfield. OR 97477: 1806
I Subdivision: I Lot no.:
Tax map/parcel no,; 170230000060]
~~--~~;i<!1ii""lDE5CRip..TI6'WO.It'WORK"~_~l~
t~,~jjI!$2~l~~~.__"""%,,~~,,,!a~__._,~;;0~~~~,:}
We are instaiiing a heat pump and two air handlers -
"'l-!~!l"""Y:xl~"4~~~{~<<4'si:fE'ci:rNJACT,jl:i"__~<lI1!l!lll\!?~1!&'fTh,"i
;;lPk:->~0'hcm.i:~~t .>t,~~'it.fat-1~""'"",lior__",-,,,,;ji~:,~~~~~~,'f)[~~~,~J!;
r Name: Beth pettijOh-n .
I Phone: (541) 345-2838 Ext: 316 I Fax: (?"41) 302-3069
jEmail: 1
W,,~iJl"!>l1.\l1i;""''''''.Ii"II''''C0NTRA'CTOR~~-'ili'''''-~1
~~iir~~.2!~~~~~~,~~""~..,.~,,~;~~~~1'Ji~.,,f!M
EI, lie. no.: C3S7 IceD lie. no.: 84164 I
I Business Name: HOME COMFORT HEATING & AIR CONDITIONING TNe I
I Contact: Beth Pettijohn I
IAddress: PO BOX 24295
I CityfStatelZIP: EUGENE OR 97402 I
I Phone: (541)3452838ext.316 JFax: (541)3023070 1
I Email: bethp@ehomecomfort.com I
! Metro lie, no,: I City Iic. no.: 1
I Supervising electrician's lie, no,: 5139S [
I Supervising electrician's name: JAMES M CARTER I
Upon review and ~pproval by your local jurisdiction, your
permit will be a-mailed or faxed within ona business day,
with instructions on how to schedule your inspection;
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local buiiding department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances,
~~''''''~~~''-'''FE'iSCfiEOU~EW~''''''~~E''~r-
1\l7l"';;l!.\",.:B"'~rJ"'1i:l,'\!..,,,!3~.,,=..~~...~\_~)l'},,,,"~?'~'f!B,~\1
Eescription ,. , '" , .J ,Qty. I.. Ea. J Total
fResid'eDffaliS.tN~OIFmiiiti:!famW';'dweilln'WtnIt;IiI'cfu(fe~~II::-<
r:ft~(~h~rrit'~~;;lt}~~~~~~~~~t.l~~1~~, ~:.~ -
.,~~..__,ga".JL",,,,,,,,,~..t'i,..;~;1jfSi*,,-,,,'ij,~....$I!,,,,,,,,,t,w;,'m!,,,. ,,^,,
11.000sqftorless(4] 1 l I I'
~~~~E5:':'~~lfJ~~"","_~"",",,~, '
i~Jmhe",d<',r.&ID"~l'~~~~11.~~fi~~~~~
I ., Liniited energy, residential I
(wIth above SQ. ft.)
I . Limited energy, multifamily I
residential (with above SQ. ft.)
I - Lirriited energy, commercial nOt offered online at this jurisdiction
(with above SQ. ft.)
I - Stand-alone limited energy.
residential
I - S[~nd-a,lone limited energy,
muJtj.famllv .
l'S,Cij.~~;~~~aO~~RI~':':ed:_:'~:':~\':t~'~lgyl'~'t';"""1i"I't' ",;;.-,;, :;::~',' "A'-<ND'-....-'I"..O-...R'..'~z"I'-"'..".""" ~""""",'''',i.~", ..
~~SVJ~~!i:.~,..~~~~I~,~,~c~ ,a 10Di'~ ''7~.l".1l.~mH~,,~..;'-'''<...,,)~,.~~~,2,?ii;;~~:'~: :.
)200 amps or Jess [2J )
: ~~: :::::::~~::::~~~, L
~-..;tl~~~g.ffi:\p.~Sr&i~~O~1feed~s:mJHHla1ion;)afte!8.l(0iif!'3l., ~.o'-_ "M~
ANlJ'/ORffilil<,Uili'it..'iJi:?l9""~~~"'",iill, ,'.. - "'~I
""""'''-',<4".".z"k;_"\<,_",,,~--i4~~~,.i1f~~,,..&~~~~' ,~
/200ampsDrlesspj I') , . I
1 ~~: :::::: :~~ :::: ~~~ 'I I 'I
~1l'1f~~ii!Hi'f.iilS~l1!EW;,,"il~Rm;;;mORr<IT~ii:4illi;,4p.r:p;j;tJ~""~!!,;!j1
""_"",,,,,,,~,!~,,-,,,,,>"--,,,,,,,,,,,,;,-"'-~,,,,,,,"\<."""==-~""',"'~~""'"\"'h"'_"',;"'M"'''''Jtcl~.""""
I A. Fee for branch circuits with I' I
service Of feeder fee, each
branch circuit
lB. Fee for branch circuits $55,00 $55.00 I
without service or feeder fee,
first branch circuit r21
~~~~~~~~~-~~~~~
Each manufactured or modular
dwelling, service and/or feeder
[21
Pump or irrigation c!rcle [2]
Sign or outline lighting (21
Signal circuit(s)or Iiniited- ,I'" 'I,
energy panel, alteration, or
extension [2} _
n~~il!lE~ECTRlcA"~i!ERMrijEEEs~~~.l1i_'
ti"'m.~~~)X~"~~'~M"('-"~;'i_~,:.s,_.,.,-,,",,,-,.;,~......,,,,,,:ffi:'~:!',^:Kfr;':ili!'i~,w~3
I Subtotal $55,00 I
I Minimum fee used instead of Subtotal $58.00 I
I State Surcharge (12% of penn it fee) $6.96 I
'1 City Of Springfield fees. $2.90 I
I TOTALJ.>ERMIT FEE $67.861
'" City Of Springfield fees: 5% Technology Fee
[Default number of inspections allowed]
Co/Y?2cTD9- 0059.s
17 rY) C- /v' 0'7
This Authorization To Begin Work must be posted at the job site until replaced by a Permi!.