HomeMy WebLinkAboutPermit Electrical 2009-8-10
City of Springfield
Electrical Authorization To Begin Work
E~mailed To: davidom@c-c-co.com
Check.on status. of permit
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10 NewConstruction
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By'Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us
o Ad.ditionJalterationlreplacement
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Cit)'/State/ZIP: SPRINGFIELD, OR 97477 I
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I
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I
Suile/bldg.lapt.no.:
Project Name:
Cross Streetfdirections 10 job site:
I Taxmllpfparcelno.:
adJheatpumpundfumace
I Npme:$tacyHarris
I Phone: 54]-653-8519 Fax:
I Emllil:
1';AnENmI0N~'cire'1lollf,M:crQliiiljrffi.~7Vh'
I "'<li,.oo.!@lilW rules adopted r.;tt.'fia .Qref~^ Utility
I Business N~~I~~~~01'ffNr:..m"e!.-, ~ ~,ose r~le.:> ~~e_s_e_t forth
I ... ~...'v........ ,-,VI VVIV~IIIVU81IVf"\llv...JC.-UOI-
Contacl: nnan v h. . . . h
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I Address: 3275~9.t,rM\:o/,(I~~~Fmtp.r. fNntp' thA tAIAt"'lhnn.c
I City/S",oIZIlUliUa;;.l;Y.(QK lnv@psqon Utilitv Notiiication
I Phond".926-4266 venter IS 1-8U(',,~,32-2344).
I Email:
I Metro lie. no.: Cit}'iic.no.:
I Supervising Electrician's lie. no,: 3257S
I Supervising Electrician's Name: William Coburn
Number ofinspections included in paid services:
Residential Service: 4
ReconnectOnJy: J
AlJOtherServices' 2
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 building deparbnent may determine that an Authorization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
69600- BE L-09-0006 7
8/tO/2009 8:16 am
Approval Code: 010567
)'.,..'J~'t~,-~":~~:a:~pitAN:RE'V^iEW~'"
"Please check nlllhal apply: ~-.~DHazardous localions
D A 5elVic~ or feed~r beginning at DA service or feederrated at 6()0 amps
400 Amps where th~ available fauh or mOre
current exceeds 10,000 Amps at
150VoltsOl less to ground
exceeds}4,000 Amps for aJl olher
in51allalions
DFirepumps
D.Emcrgellcysystems
D,Addilionofanewmolorloadof
100 HPor more
D Six or more rcsidenlial units in one
,Slruclure
DHeal\hcarefacilities
DBUildingsmorelhanthreeslories
DMarinas and'boal yards
DFloalingbuildings
DCommercial-useagricultural
buildings
DlnSI~lation of alSO KV A or larger
seperatelyderivedsys
D'A"_"E",or"I-2'or"1-3"
DRecreational Vehicle Parks
DSupply voltage for more than 600
s-~pply volts nominal
I Description
E..
I Branch circuitswithoul service or
fceder
I Branch circuits each additional
circuit without service
I Subtotal
IStllte surcharge (12% of penn it
total)
ITechnologyfcc(S%ofpermittotaJ)
I TOTAL PERMIT FEE
I
I
I
I
I
1
I
I
I
I
I Qty
Tutul
$55,00
$55:00
$6,00
$6.00
,,', ~'
$61.00
$7.32
nos
$71.37
Oq-ID1/ k:Q.. 8j/D{D9
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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This Authorization To Begin Work must'be posted at the job site until replaced by a Permit
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01091
ISSUED: 07/28/2009
APPLIED: 07/28/2009
EXPIRES: 02/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1542 9TH ST
ASSESSOR'S PARCEL NO.: 1703264204000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: STACY LYNN HARRIS TRUST
Address: 1542 9TH ST
SPRINGFIELD OR 97477
Owner: HARRIS ROSEMARY TE
Address: 1542 9TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
ECCOMPANY
ASSOCIATED HEATING & AIR CONDITIO
License
49737
106275
Expiration Date
01/1512010
08/31/2010
Phone.
541-926-4266
541-683-2590
,BUILDING 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
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: . . Paved Drive Rqd:
Rearyard SetbackATTENTION: Oregon law reqUlrIilAllif-EJPCoverage:
Solar Sethacks: follow rules adopted by the Oregon Utility
I\lntH;('ptil'1n r.AnV'r Those rules are set forth
in OAR 952-001-001? throllit&i;iC:,iN.t~abvEMENTS I
0090. You may obtam cop, ,', ... ,
Street Improvemel\:!~Wng the center. (Note: the telephone NOTICESidewalk Type:
, .n"'''oer for the Oregon Utility Notification " , .
Stor~ Sewer A~allalJle. Center is 1-800-332-2344). THIS PERmtl"~l\'l~~l@mE IF THE WORK
Special InstructIOn: AUTHORIZED UNDER THIS,PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Total:
Handicapped:
Compact:
Notes:
Paee I of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
Fees Paid J
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea A~d
Amount Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$183.69
I Plan Reviews ,
Date Paid
7/28/09
7/28/09
7/28/09
7/28/09
8/10/09
8/10/09
8/10/09
8/10/09
CITY OF SPRINt.I'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-01091
ISSUED: 07/28/2009
APPLIED: 07/28/2009
EXPIRES: 02/10/2010
VALUE:'
Value
Date Calculated
Receipt Number
1200900000000000849
1200900000000000849
1200900000000000849
1200900000000000849
1200900000000000892
1200900000000000892
1200900000000000892
1200900000000000892
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.
Reollired Insnections I
Rough Mechanical: Prior to'Cover
Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-0I091
ISSUED: 07128/2009
APPLIED: 07/28/2009
EXPIRES: 02/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that! have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 CommunityBervices Divisiou, Building Safety.
1 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 readahle from the
street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times ~uring construction.
Owner or Contractors Signature
Date
Pa2e3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 091
COM2009-0 I 091
COM2009-0 1 091
COM2009-01091
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
1200900000000000892
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+12% State Surcharge
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/10/2009
9:45:00AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
ONLINE EC Online
COMPANY
Payment Total:
$71.3 7
$71.37
8/1 0/2009