HomeMy WebLinkAboutPermit Electrical 2009-8-21
f~. ,,(''i :lS:"..~-v~:' ,,,"~~,:qpL2ANREVIEW \/--"1-; i"!Jy+,.:,.,
Please check all that apply: DHazardousJocations
D ^ service or feeder beginning at 400 D^ service or f"der raled Bt600
Amps where the available fault amps or more
curr~nlexceeds 10.000 Amps at
150 Vol1s or less to ground e><ceeds
14,000 Amps for BlI other
inslallalions
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ATTENTION: Oregon law requires you to
foUow rules adopted by the Oregon Utility
!'Jotlflcatlon Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
,~~ber for the Oregon Utility Notification
9f'<'- . ~ Center is 1-800,332-2344).
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NOTE: This Authorization To Begin Work expires within 180 days if a pennit Is It,..:
not obtained. ~ .
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. City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Check on status of permit
By Phone: 541-726-3753 or Email: permilcenter@ci.springfield.oLuS
I~~.; ~'~., _~~~~:~<i~;':rYPE{OF.WORK'~,"; >~~'";'7".'!Jj[:~",;~.:'~:~,+: . ":"\.
I 0 New Construction 0 Addition/alteration/replacement
:;;~';+4P:~~:> ;"C'ATEGORy,:'OFiCONSTRUCTI()N";~}t ~~~.~',:. .~;'-.
10' 0< 2 f=ily dwd';o,
Dcommercilll
o Acccssory
DMUhi-f~iIY
~""', - ,';-i;c '"JOB SITE INfORMATION ANihoCATION::-;;:;
I Job Address: 1215 GST
CitylStaleJZIP: SPRINGFIELD, OR 97477
o Fire pumps
DEmergencys;ystems
DAdditionofanewmolorloadof
100 HPor mOle
DSixormoreresidentiaJunilsinone
structule
Suite1bldg.fapt.no.:
Project Name: Calvin Johnson
I Cross Street/directions to job site: Turn RIGHT onto MOHAWK BL VD.Tum RIGHT onto
GST. .
DHealthCllIefaciJities
I T"m'P/Pmdoo'1'1~~5J \ O'b\Lf)
I,: _. - ': 1:~,~::',~;: 't+::J;';~pESCRipTION'OE,;W.ORK~~F- ~ty~:(~~, ,,":
We arc installing two air handlers and a heat pump. This is a ductless heal pump. THe
mechanical perrnit is # COM2009.00995
Description
B~nch
Branch circuits without service or
feeder
I
I Name: Calvin Johnson
1 Phone: 541-747-5229
I Email:
I'~;'
I Elec lic. no.: C357
I Business Name:Nt~ief~RT HEATING.& AIR CONDITIONING INC
I COO,"'' THIe:: PI'RMIT e::HAI t I'l!PIRI' II' THI' WnRK
I Add",,,"OB'l'iI'J'mnRI71=n 11~ln1'R THIe:: PI'RMIT Ie:: ~lnT
I C;ly/SI""ZIP'~ff~~fl':'tfl nR Ie:: ARA~lnnMl'n I'QR
1 Phone: 541-345i1~~N 1 An nh.V DCQI(I\'rr 541-302-3070
I Email: JEFFE@EHOMECOMFORT.COM
I Melrolie.no.:
i\f(scilluneous:
Balance of permit fees
Ii:!~~trliul" Pcrrri((F e~s
Subtotal
State surcharge (12% of permit total)
Technologyfee(5%ofpennillotal)
:SITE"G9r{fA'ct,::~1~: -
""',:;'0
:''''''...
Fax:
TOTAl. PERMIT FEE
"r..
CO-NTRAcTOR<"C-~;' ':.
----I
CCO lie. nn.: 84164
ic,l1-la3a,
Cil)'lie. no.:
Supervising Electrician's lie, no.:
5139S
Supervising Electrician's Name:
James Carter
Number of inspections included in paid ser~'ices:
Residential Service: 4
Reconnect Only: I
AIIOtherSen'ices: 2
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed wlthlfl one business day, with Instructions on how to
schedule your inspection.
'Yf.o,^,
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vF
The local building department may detennine that an Authorization To Begin
Work is null and void If ft does not meet applicable land use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
69600-BEL-09-00087
8/2112009 10,32 am
Approval Code: 021695
DSuildings more than three Slories
DMarinasand boal)'ards
DFloalingbuildingS
DCommercial-useagricuhulal
buildings
DlnSlalJationofal50KVAorlarger
seperately derived s;ys
D"A","E",ol "J-2' or"J-3.
DRecreationalVehicleParks
DSupplY\lOltageformorethan600
,supply voJIS nominaJ
-'''.-
-;"0:;:
Total I
I
$55.001
I
$lOO 1
." I
'58,001
".96 I
$2.90 I
$67,861
$55.001
,
".K\,~
31
$1,00
KQ
8ld/ltA
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01232
ISSUED: 08/21/2009
APPLIED: 08/21/2009
EXPIRES: 02/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1215 G ST
ASSESSOR'S PARCEL NO.: 1703351105100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
PROJECT DESCRIPTION: 1 cirucit for heat pump and air handler installation in residence. Mechanical portion
covered under permit #COM2009-00995 and was already finaled.
Owner: JOHNSON CALVIN RAY & M J
Address: 1215 G ST
SPRINGFIELD OR 97477
Phone Number: 541-747-5229
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
BUILDING INFORMATION I
Expiration Date
06/25/2011
Phone
(541) 345-2838
# 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, DEVELOPMENT INFORMATION I
REQUIRED PARKING
~lfJTI~F" . ATTENTION: OregonT'o~t"a'lrequires you to
F~onty~tI,~etli~l1<: ALL EX' PIRE IF THE woftt<erlay DlSt: .
SIde I SetlJack':_RMIT SH IT IS N~.litreet Trees Rqd: follow rules adopted H~.lQil:.rJlP'.rlpn Utility
RIZED UNDER THIS PERM T Notification Center. Thc~sp. rUIf'to are set forth
Side 2 ~~tJ!i~1f: aved Drive Rqd: omp,ac .
Rearyardv'S,e.,t,b.'.lfc.~CED OR IS ABANDONED FOR % of Lot Coverage: in OAR 952-001 ,001 0 tnrougn GAR 952-001-
v - 0090. You may obtain copies of the rules by
Solar S'A~N"r'dO DAY PERIOD. calling the center. (Note: the telephone
IIUIIIUt:1 IUI lilt:: VJt::YUl1 UlllllY l'lUllllL;dllUII
I PUBLIC IMPROVEMENTS I Center is 1-800-332-2344).
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Type 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/Combination Permit
PERMIT NO: COM2009-01232
ISSUED: 08/21/2009
APPLIED: 08/21/2009
EXPIRES: 02/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
Total Valne of Project
F~e~ P~id 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
8/21/09
8/21/09
8/21/09
1200900000000000964
1200900000000000964
1200900000000000964
Total Amount Paid
$67.86
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.
I Rellllire~ Insne,ct"jll,n,~ I
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 perform'ed 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
tbat NO OCCUPANCY will he made of any structure without permission of the Community Services Division, 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 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
Paee 2 of 2
226 Fifth Street
Sp'ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1232
COM2009-0 1232
COM2009-01232
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
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
1200900000000000964
Date: 08/21/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE HOME Online
COMFORT
HEATING
&
COOLING
Paym~,nt Total:
Page I of I
"
II :02:06AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
812112009