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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