HomeMy WebLinkAboutPermit Electrical 2009-6-15
Cijy of Springfield
Electrical Authorization To Begin Work
E-mailedTo:.burrellbros@integraonline.com
Receipt # EC553713
6/15/20093:58:00 PM
~/~~
V
Check on status of permit ",
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
N<?TE: This Authorization To Begin Work expires within 18~.() ..-
days if a permit is not obtained. ~. ()'J/
The local building departm~nt may determine that an Lt," .-0\
Authorization To Begin Work is null and void if it does not ~ \.C\ ~ '\
meet applicable land use laws and local ordinances. ., \
~~ti\ ~~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
.. 0 New constmction
o Addition/alteration/replacement
d;...'
10 I or 2 family dwelling. 0 Multi-family 0 Commercial/Industrial
j ;"l;;"~JOii'SITE;lIili'6RMA.fi6N7AIII()1110CATT6N'?-:L - .c,. i""""."X
A'-". ',~,.~"~"w'- -"",-.=",,,-.=,,,"^,,, "._,~._""-_4...~.... _r' ~~"~"_" - -..,.
no.: IJob address: 1120 S 39TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-9551
I Suite/bldg.lapt.no.:
I Project name:
Cross stred/direetionsto job sit~:
Subdh'ision:
ITux map/parcel no.:
I Lot no.:
1802064200]0]
heat pump and furnace reconnect
"
I Name: Sharon Cutsforth
I Phone: (54]) 746-4929
IEmail:
I'
I EI. lie. no.: 20-442C I q:B lie. no.: 136446
I Business NImH': BURRELL BRGS ENTERPR]SES INC
IContaet: Joshua Burrell
'....-'-E
IAdd"''' PO B0~<hIl,i;;
I City/S"",IZIP: IWN~dRvhjfiffldR~<Ji:)U-'IKt Ir I Ht VVUK/\
IPhnne: (541)74~~9124HUtiILtU UI~Uttilmj~54H~lrtiIt6H 1<:> I~UI
I Cn,"i1, burr'l1bl.!@j\ilt\\~IaJ~u;,l;:tWK I:) AI:lANUC.mtU rUK
IMetmU,.no., AI~Y 11JU UAY t-'tKIUl/Cilylk.nn.,
ISupen'ising electrician's lie. no.! 4721S
I Supervising electrician's name: I JOSHUA J BURRELL
IF""
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.
[ Description
11,0005q. ft. or less 14J
rEa. addl' 500 sq. ft. or portion
I
I
'-'..,1
I
I
not offered online at this jurisdiction I
I
I
I
I-Limited energy, residential
(with above SQ. n.)
I-Limited energy, multifamily
residential (with above sa. ft,)
I-Limited energy, commercial
(with above SQ. ft,)
I - Stand-alone limited energy,
resIdential
I - Stand-alone limited en~rgy,
multi-family )I
I - Stand-alone limite(j energy,
commercial
I~Sr,~tc~!9~~~~~~It~Eall,lil(~~~~!~~!i!!~n;:A~Di9~~re~~~~&2:~~".~,:1
I 200 "mp' or Ie," 12] I
I 20 I "mp"o 400 "mp' [2] I
1401 amps to 599 amps [2] I
;1
I
I
I
I
I
1'200 amps or less [2]
120] amps to 400 amp's [2]
1401 amps to 599 amps [2]
1,~,~~nFh~cL~~t_~~~~,!"~ltera:ti^~l~:qc~:e~!~n'sioiJ:'-P~Dpan~~
I^- Fee 1'0. r branch tircuits with I I
service or feeder fee,each
branch circuit
I B..F'All>ijlirnntnlej,rutt'UregCllaw reI1IU"~'$5:S'db .'.u $55.001
~"hfl~.\i\57J:rl'lll'i'dITcl'opte( by the ( 'regon U llity
tlrsf.'P.rdncti mClIlt [21.. -' - -- 1 '- --- ..'-11-:..... ....,;..... ........+ ,......th
I eac~~MUm(Ji\~WC\h:~utl~ ]~~'-1 /"' ~';:....~ . "'hq;;:P- ~6;oo r101 $6,001
11~lil~'I~:;:ei;~~,~~{~"_,~_-o .>..,.~.\:c~2~~;~;. ;-~"'~T7:~~':~..~' -~~-, 'jl
-- ,-~\f".H,~UJr'\ll 'ivH:i\1 :riflt~inAt:.mf)f~s~oHheJu!{ :Lbv',pt>.,o
I S";iCNf.,?m,'!:<!\'!yci2hter. I:Note: th~ telephc rie I
I EUCht.lMOUlucturcd. 'Qf[TIodulllrre11IOn Uti lit' Notitlca Ion
. 1111.,)<;;;. IV\ ]'..... V . .
dwel mg. servICc-"na/Q' feed"1_' 00-332-' 344)
121 Liemer I::; ( ~.
1 Pump or irrigation circle [2J .
1 Sign or outline lighting [2]
I Signal circuit(s) orli~lited:
energy panel, alteration, or
extension r2J
1;+E~~7:~l:&7€<1YKE'LEC-tRICAG:P-ERMIT:: F-EES~f--:_:~i(j4 :_r:'r'_!_i::,rf
,,"_-, ,',"",,,,,l':'i',,,,~,__~,~~__,,,__, __. ,. "'=,L""'.,n",'~",,,
I Subtotal $61.00
I State Stircharge (12% of permit fee) $7.321
I City OrSpringtkldfees * $3.05 f
I TOTAL PERMIT FEE, $71.371
* City Of Springfield fees: 5% Technology Fee
[Defaull nll/llber ojinspections allowed}
[OJ - 8CYL{
lJ111Le(09
KJL
Cih. of Springfield
Mechanical Authorization To Begin Work
J;:-mailed To: ed@commair.biz
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfie1d.or.us .
Receipt # EC553712
6115/2009 3:55:24 PM
o New construction
IKJ Addition/alteration/replacement
Ql,.
I fKJ I or 2 family dwelling
o Mulli-family
o Accessory Building
I Fumace- up 10 100,000 BTU
r Furnace - above 100,000 BTU
I Electricrl.lmace
I Duct ':llterations and additions
I GllS heater units/ in-\\'all,'in-
duct susoended, eteJ ' .
I Vent, flue, liner for ~bove
I Air Conditioner
I Heat Pump
'I Air Handkr
I
I
I
I
I
I
I
$1700 I
$17001
I Job no.: I Job address: 1120 S 39TH ST
I City/StllterLIIJ; SPRINGFIEJ,-D, OR 97478-9551
I Suitc/bldgJapt.no.:
I Project name: Cutsforth
Cross street/directions to job site: Jasper rd. to 39th
$1700
$17.00
I Subdivision:
I Tax map/parcel no.: 1802064200101
!Lot no.:
fWaterhcater
I Gas f1replace/inserVstove
I Gas logllog lighter
I Gas clothes dryer
Gas slOv,e/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimncy/linerlflue/vent w/o
Rep]a~e heat pump system
I Name: Sharon Cutforth
I Phone: (541) 746-4929
I Em"ii,
I Fax: 746-4929
I Metro lie. no.:
I City lie. 110.:
: ~::t~~;:e{,e,'r~~I\ ~ _J , _ . J. u _ L
I Single!ducteXlitiUsi'(ba.lhf6oms;-" '!.AVY' ......'1' ,,,.......... J v... ~v
to;Ib\11lrnip"nirllrilS1 umiti'pted by the Oegon Utiity
robinslifir-C1tlrm rcnhc.r T. nc::t:I n dCf !:Irt:l c::ot f '\rth
I I A!l;fIY1\11!P38'!a~;J1-001 0 I,hrouah C AR 952.( 01-
I ILir~@f1iili~F:{)1i!~y.tQEt?iIT~~,DfitiJeYiiJlits~b{'
II UP'Ofoil.IWOi!II!tJ(Cn.ief.QIy"'li.J q~ote. : theltelePhor.le
I m!1Jdiiil16Ii':liJ@f"me ure2E1 _~I:i1l}'_ t~()l1IIGalIIJn I
11.".a;~ *,-,.\JC."-" "_-0"''''_'''__''__''''"''''''.' .. '.~'-I
~ClfJ~i0,-:;l1~sCH~~i(),iU:~g~!I<lrr F.E~!;'i~:Ilt~z4'" >~
I I Subtotal I $34.00 I
.1 I City or Springfield First Appliance fee $79.00 I
I State Surcharge (12% ofp<.::rmil fct;') $]3.56 I
I City OrSpringlleJd fees *1 $5.65 I
I TOTAL PERMIT FEE $.132.21 I
* City Of Springfield (ees: 5% Technology Fee
,
I CCB lie. no.: 1]0075
I Business Name: COMMERCIAL AIR INC
I Con'",', ED dllMIEIl.;!::
IAdd"'" 166,liklH;,cPiIJ,lMII ~HALL tXPIKl: I~ 1 Nt VVUt"l1\
ICi,yIS'"tcIZliAl:ITch!OOliltliJ4~H I HI~ PtKIVIII I;' I~U I
IPhon" (541)4wGJ;MMENCED OH I~ A"MIJ.u~~dlUIi
I Em,.;I, ed@,Jl.flWr~:80 DAY PERIOD.
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.
Cq - &JL[
Q
LdlulOq
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.
This Authorizatio!l To Begin Work must be posted at the job site until replaced by a Permit.
.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00864
ISSUED.: 06/16/2009
APPLIED: 06/16/2009
EXPIRES: 1'2/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1120 S 39TH ST
ASSESSOR'S PARCEL NO.: 180206420010i
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump and furnace reconnect
Owner: CUTSFORTH SHARON K
Address: 1120 S 39TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
BURRELL BROS ENTERPRISES INC
COMMERCIAL AIR INC
License
/36446
110075
Expiration Date
08120/2009
12/18/2009
Phone
541-747-2724
541-461-4821
~UILDlNG INFORMATION I
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
~u t O;-"'\lIVI\I, vleyurI ',Ii:::l.W reqUires you 10
I DEVELOPMENTINFORM:'iT~Ol)ll,les adopted by the OrerlOn Utilitil. .
Notification Center. Thos~~Q!iJ~rEP,,/;,r\8;~NG
Overlay Dist: in OAR 952-001-0010 thr<rot'll,oAR 952-001-
# Street Trees Rqd: 0090,. You may obtain CCJiihnodil:'a'P'ffeli,les by
Paved Drive Rqd: callmg the center, (NocoJ.Ip.~t:.ephone .
% of Lot Coverage: number for the Oregon Utlll\Y Notification
Center IS 1-800-332-2344).
I PUBLIC IMPROVEMENTS ~
Street Imp[Q~em. ents:
l\wTlG~
Storm Sew"~d~r 'uj :
Special Insl~\tC)itrl: I0/T SHAll EXPIRE IF THE WORK
Au I HORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. .
Sidewalk Type:
Downspouts/Dniins: .
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
I Valuation DescriDtion I
DescriDtion
$ Per Sq Ft
or multiplier
. Type of Construction
Sqnare Footage
or Bid Amount
Total Value of Project
Fees Pa icl ~
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$7.32
$13.56
$3.05
$5.65
$79.00
$55.00
$6.00
$17.00
$17.00
Total Amount Paid
$203.58
I Plan Reyiews I
Date Paid
6/16/09
6/16/09
6/16/09
.6/16/09
6/16/09
6/16/09
6116/09
6/16/09
6/16/09
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM2009-00864
ISSUED: 06/16/2009
APPLIED: 06/1612009
EXPIRES: 12/16/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000454
3200900000000000455
3200900000000000454
3200900000000000455
3200900000000000455
3200900000000000454
3200900000000000454
3200900000000000455
3200900000000000455
To Request an inspection call the 24 hour recording at 726-3769. All insp,"ctions r,equested before 7:00
a.m. will be made the same working day, inspections requested after 7:00a.m. will be made the following
work day.
I Reouirecl Insnections, I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Fiual Mechanical: When all mechanical work is complete,
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF :SYK1!'lGFIELD .
Building/Combination Permit
PERMIT NO: COM2009-00864
ISSUED: 06/16/2009
APPLIED: 06/16/2009
EXPIRES: 12/16/2009
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 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.
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 Contractors Signature
Paee 3 of 3
Date
225 Fffth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00864
COM2009-00864
COM2009-00864
COM2009-00864
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000454
Date: 06/16/2009
Description
Add, Alter, Extend Circ
Add, Alter. Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE BURRELL Online
BROS
Paym~nt Total:
Page 1 of I
8:33:19AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
6/16/2009
225 Fifth Street
Sprinifield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00864
COM2009-00864
COM2009-00864
COM2009-00864
COM2009-00864
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
8:34:47AM
3200900000000000455
Date: 06/16/2009
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
79.00
17.00
17.00
5.65
13.56
$]32.21
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How ,Received
KR ONLlNECOMMERC Online
1ALAIR
$132..21
Amount Paid
Paym~nt Total:
$132.21
Page 1 of 1
6116/2009