HomeMy WebLinkAboutPermit Electrical 2009-5-21
Electrical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Check on status of pe"rmit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
Receipt # RC552153
5/21/20092:15:43 PM
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City of Springtield
[1J J or 2 faniily dwelling
o Multi-family,
D Commercial/Industrial
I Description l Qty. lEa. Tutal
liRcSidentiililSINGLEfbRl'miiU!~familY:dwellinlfiiiiit.:lncludc.s";. '-_~- ;'iCI
~4~~~ii~~j-gi~g~f~~~'it~~~:~~,~.~~~3X:,\, ~.j~:f~E~~>~tt~1~~
11,000 sq. ft. or l.ess [4]
I Ea. addl 500 sq. ft, or portion
I D New construction
5J Addition/alteration/replacement
I Job no.: RR394294 I Job address: 604 T 51'
I City/State/ZIP: SPRINGFIELD, OR 97477-2323
I Suite/bldg./apt.no.:
Project name: Casey Wheland
Cross street/directions to job site: Turn RIGHT onto Q STTum LErT onto 5TH
;TTurtl RIGHT onlO T ST.~nd at 604 T St Springfield, OR 97477-2323
I Name: Beth Pettijohn
I Phone: (54!) 345-2838 Ex!: 316
I [mail: bethp@ehomecomfort.com
I Fax: (541) 302-3069
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above sq, ft,)
I-Limited energy, commercia'l not offered onlin.e at this jurisdiction
(with above SQ. fl,)
I . Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-famllv
I - Standcalor1e limited energy,
commercial
~~c~~QE!~1:~~r~1~~(~!~',~lo~?;~'IfC!J!tJoJi;;~,~~~[cl?11~'I}~~~'-JI
1 200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
lb.. tE~. fP()RA."R..Ys.'crViCCS :OR~f..L~de'rs;iii.'s.,tallal.' ioni. 'liMe.r.alioni~~:,r;,;,<j.};-~1
L~Hmq~[$i~C}l~(?r~~~~~~:~):r::~~;'~4~~:{~~i~
1200 amps or less [2]
1201 amps to 400 amps [2]
[401 amps to 599 amps [2J
l;Bralrcmcir[urt;}N-~\,-~T:altefaHo~n~OR.I'cxti;-ns-ioii/per~n7ii1'~i~L:'0'I:;t'oT~;":~1
'>'" ","'....~,,:f\d-'^f''"'''I\H'1 _1,i-\l"+\d"i-H,"~I,h" r;U"""l;~""i..;.j''''''Vr,'rv. ,..' ,t:"/'.,".
I A. F,ee fr~qr~r3h",cli[f~i}.S ~~uP'jed by thl' oregonlUtility
servIce o?fe~aer fee, each
bmnchl\!ifCti\ication 'Center Those I' lies are S 3t forth
I B., Feej~~r.I.'~r,a~:C!lEirC]it[lP1.0U.1 U tnrOuf: n U/$55.bli ,c.-U!$jS:OO
\~Jthouh~m~e orlr~.e.dfhlay ob' ain COpiE S of the r lIes by
tJrstbranchclrcUltf2J . H" ,L _ -,-_1._",- ____
I I ddlr::llllh'Il.' II'!;:;'. Lit:.:IHC', \l.,.vn;;, '''''"' ,...........
eac 1a oranc, clrc~lIt. ~'-. ._ _~ ~ I 1+: :+.,
I Subdivision:
ITa); map/parcel no,: 1703262404313
I Lot no.:
Weare installing a electric furnace
I n lie. no.: C357 I CCO lie. no.: 84164
I Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
jContllct: Beth Pettijohn
IAddress: PO E!Q~ ~~o~ ,.
ICitY/St"te/z[P!VE~Ge~ 97402 .... _,__ _ _ TII[ W0011
Iphooo: (541)345Hh'8,lt~II;jIVIII ;:,n/'l:: 'FFl.t:~~~~~Qf~Tf I" ii~T'
I Em,,;}: hethp@lhJ,j,~~,hT"\{c!;;M ul~ut:n~rll:" F ~!J'-~ -O"r. .
IMet",lk, oo,:COIVIIVltNGtU Un I;:' D~IiV\\P.:ro~: ,-v, .
I Supervising c1Jt~i~iaINjiJ. hbl:\ y 513981 IU .
I Supervising electrician's name: JAMES M CARTER
1 Service reconnect oniy- (2"].
I Each manufactured or modular
dwelling, service and/or feeder
121 .
I Pump or irriga'tion circle [2]
I Sign or outline lighting [2]
I Sign~l circuit.(S) or limil~d-
energy panel. alteration, or
extension
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 schedul~ your inspection.
t,~..~ C?~
~~' \s):&
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
I
I
I
I
~ I :rOTALPERMITFEE
JA.. . elly OfSpnngfieldfees: 5% Technology Fee
~ ~ iDe/ulIlr nUll/bel of inspections allol.l'edj
t>~ ~\l. CCl-1\ S IC.-Q. 5/ LII O~
V-~
Subtotal
Minimum fee used instead of Subtotal
SUlk Sllrcharge (12% of permit fee)
City OfSpriilgfield fees'"
$55,00 I
$58.00 I
$6,96 I
$290 I
$67.861
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not 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.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00715
ISSUED: 05/2112009
APPLIED: 0512112009
EXPIRES: 1112112009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 604 T ST
ASSESSOR'S PARCEL NO.: 1703262404313
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:, New
Residelltial
PROJECT DESCRIPTION: Installing an electric furnace
Owner: WHELAN PATRICK & DONNA J
Address: 1158 HIGH ST STE 101
EUGENE OR 97401
Contractor Type
Electrical
I CONTRACTOR INFORMATION.
,Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
BUILDING INFORMATION I
Expiration Date
06/25/20 II
Phone
(541) 345-2838
# of Units: # of Stories: Lot Size:
Primary Occupancy Group: Height of Structure Sq Ft 1st Floor:
'Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor:,
Primary Construction Type Water Type: Sq Ft Basement:
Secondary Construction Type: Rallge Type: Sq Ft Garage/Carport
# of BedrgpJN.:.CE ' Energy Path: ATTENTION: Slfimcmlie'r: requIres YOU'lto
NU II : SJlrinkled Building: lollo'n/aules a<1lcotfp111I'tYI.l8fd9regon Uh Ity
TUIC DCNnlT CUAII CYDIDI' II' Tl-li: \MrTRK ' "_""M"A~ ('onto' 'Thnep. rules are set forth
AUTHORIZED UNDER THIS t'tHIIIUEVEID!I1RMENT INFORMA'IlI(1)N<~~952-001-001 0 through OAR ;1b~-UU1-
COMMENCED OR IS ABANDOI'JI:U1:UK' Uu"u, I{ou may obtalnREQUIR~Bep~W~b~G
. "\I < 0 calling the center. (NOH" me ",epI,ul,
Frontyard,Setliacll:DAY PERIOD. Overlay Dist: number lor the OregCFot:iJ:iity Notlllcatlon
Side I Setback: # Street Trees Rqd: Center is 1-8CH.ndidlilp~i1,:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I P~BLlC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescrilJtion ,I
Description
Tvpe of Construction
, $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/ComJ;lination Permit
PERMIT NO: COM2009c00715
ISSUED: OS/21/2009
APPLIED: OS/21/2009
EXPIRES: 11121/2009
VALUE:
225 Fifth Street, Springfield, qR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
Receipt Number
$6.96
$2.90
$58.00
5/21/09
5121/09
5/21/09
1200900000000000518
1200900000000000518
1200900000000000518
Total Amount Paid
$67.86
Plan Reviews I
To Request an inspection call the i4 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 Reouired Insnections.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 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 are requested at the proper time, tha! 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 Contractors Signature
Date
Page 2 of 2
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r.
Job/Journal Number
COM2009-007l5
COM2009-007l5
COM2009-007l5
Payments:
Type of Payment
ONLINE CHGS
cReceint\
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000518
Date: OS/21/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE HOME Online
COMFORT
HEATING
&AIR
Payment Total:
Page I of I
2:54:05PM.
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
5/2 1/2009