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Home My WebLink AboutPermit Electrical 2009-8-28 City of Springfield Electrical Authorization To Begin Work E.mailed To: bethp@ehomecomfort.com !'~~~FI!,~~.~~ 1}, . ,. ~ti".,.. "~._-..... ..,.. Check on status of permit . By Phone: 541-726-3753 or Email: permitccntcr@ci.springfield.or.us "S~L~I1?iit~~:i~~tyPE'OtwbRK!f~~, 69600-B E L-09-00 I 06 8/28/2009 9:14 am Approval Code: 028253 D NcwConstruclion PICllScch<<kall Ihallljlply: dt~:~~: "."'('_;c:1l;:~~',;_ PLAf\fREVIEW~ "!ft;<~. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952.001.0010through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1.800'332'2344~ ~ ~ .. ~~ f'_.\" Q~ (}..." U - . f'\ -<.J r::/J '!(<V ~.o- y... \:Y:- o Addition/alteration/replacement o A service or fe.:de, beginning al 400 Ampswherelheavailablefauh curr""le~cecd$IO>OOOAmpsal 150 Vohs or less 10 ground exceeds 14,OOOAmpsforallolhel installations ".':~~~cAfE-GORy.'6F:cor'isTRUCTION'W'-.. . ;,~;:;:':"' "~I G I or 2 family dwelling o Multi-family DcomrnerciaJ o Actessory ~::,~:;:"':~xz.:"JOEfiSITETNFoRMATfciN',AND'LoCATr6N"d!-~:~f5!t' ,~_". Job Address: 7214 FORSYTHIA ST Cit)'/SlattlZIP: SPRINGFIELD, OR 97478 o Fire pumps o Emerg"ncysyste7TlS o Addilion of anew mOl or load of JOOHPormore o Six or more residentiaJ units in one structure Suitelbldlt.lllpl.no.: Project Name: Bill and Marsha Malak Cross Street/directions 10 job site: Turn RIGHT onto S 72ND SlTum LEFT Ollto FORSYTHIA ST. DHealthcarefacilities Tnm'P/P':~:O~~\~~~l:i~1r~16N~~~\'..:"'" .';;$yq;;;:0V'h.'",~",~_,_ ',. ,..........*,.. .,........"'.,... '.,..~""'"., ",,".~':' ._.-~ -;;l::~ 7~:"lf," Description Weareins!allingllairhandlerandahcalpwnp H!aiicbc!.r'itiiit!'.-- }""["F'.- '''''-<'''''":;-4< BlIlnch circuils withoUl service or feeder Branch circuilseach addilional circuit wilhout,ervicc Electrical Permil Fe~_~ ~ - ~ Subtotal Slllle surcharge (12% ufpcmlil lolal) Technology fee (5% ofpermillollll) 1ir;~~'"'~~:&~~.,~~~:~i?-,~iIsliE;"GONTAC)"cT _ Name: Bill Malak .. ~"1 " .:l Phone: 54]-915-5483 Fal: Email: TOTAL PERMIT FEE . . ~'CONTRAc;tOR I Eleclic.no.:C357 CCBlic.no.: 84164 I Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC I Con"": NU IIt;t: I Add",,, pOBonl~ PERMIT SHALL EXPIRE IF THE WORK I Gty/S""IZIP: iWif~~.@I'1l>l~1J UNDER THIS PERMIT IS NOT I Phood41.34S.00MMENCED DR 1$.ABAi'IDONED FOR I Em.", JEFFE@AW/lE<!<3lJcllMbt"ERI 0 D. I Metrolic.no.: City Lie.uo.: I Supervising Electrician's lie. no.: 51395 I Supen-'ising Electrician's Name: James Carter Number of inspections included in paid seniices: Residential Service: 4 Reconnect Only: I All Other Services: 2 01-IOID Upon review and approval by your local jurisdiction, your pennit 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 penn it 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 Authorization To Begin Work must be posted at the job site until replaced by a Permit O"uardouslocalions OA servk~ or f~der rat~d 31600 u",psormor~ OBuildings mor~ than lhree slorie~ DMari!las and boalyards DFloalingbuildinlls DCommercial-useagriculturaJ buildings Dlnslallationofal50KVAorlarger sep~ralely deliwdsy~ O"A","E",or"I.2"ol"I-3" DRecreationalVthicleParks DSupplyvohagefo,morelhan6oo ~upply volts nominal FEE'SCHEDULE. I Qty. ..:~:. Ell. Total ~-'r~~ ", '.~ ' .' '.,1 S55.00 S55.00 S6.00 $6.00 L' ~ '..... .,,:;._!t';.. . ......-,j $61.00 I $7.32 I Sl05J S11.371 Id- ~\ 1BI Og. _~~~Icf!S~I~!'.~) , ,-" ' -. ,n':"d ." . ,.. ,~";'!t;; '-;" Status Issued CITY OF SPRIN\.JJ:<lJ<;LD Building/Combination Permit PERMIT NO: COM2009-01270 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7214 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1802022101300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installing a heat pump and air handler in residence. Residen tial Owner: MALAK WILLIAM A & MARSHA L Address: 7214 FORSYTHIA DR SPRINGFIELD OR 97478 Phone Number: 541-915-5483 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor License HOME COMFORT HEATING & AIR CONDI 84164 HOME COMFORT HEATING & AIR 84164 BUILDING INFORMATION I Expiration Date 06/25/2011 06/2512011 Phone (541) 345-2838_ 541-345-2838 - # of Units: Primary,Occupancy Group: Secondary Occupancy Group: Primary. Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq. Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport -Sq Ft Other: Occupant Load: n/a .. I DEVELOPMENT INFORMATION' NOTICE: 'ATTENTION: Oregol~9W~P,,~~~G Frontyard S-MbaEfRMIT SHALL EXPIRE IF THE \f'~W&y Dist: follow rules adoptedt<itai:e Oregon Utility Side I Setb"a'cR':HORIZED UNDER THIS PERMIT I~t$~let Trees Rqd: ~otification Center. TI!;landic~'j[pea: set forth Side 2 Setl&tk:1MENCED OR IS ABANDONED FO!ltaved Drive Rqd: In OAR 952-001-0010 €6mPa~pAR 952-001- Rearyard ~~~~a~,&o DAY PERIOD. % of Lot Coverage: 0090.. You may o,btain copies of the rules by Solar Setbacks' calling the cen..er. (Note. the telephone . number for the OreClon Utilitv Notification Center is 1-800-332-2344). I P~BLIC IMPROVEMENTS' . Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Page I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation DescriDtion I Description $ Per Sq Ft or multiplier Type of Construction Square Footage or Bid.Amount Total Value of Project Fees P;"irl I 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 Heat Pump Amount Paid $7.32 $11.52 $3.05 $4.80 $79.00 $55.00 $6.00 $17.00 Total Amount Paid $183.69 . I Plan Reviews , Date Paid 8/28/09 8/28/09 8/28/09 8/28/09 8/28/09 . 8/28/09 8/28/09 8/28/09 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01270 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/2812010 VALUE: Value Date Calculated Receipt Number 1200900000000001003 1200900000000001002 1200900000000001003 1200900000000001002 1200900000000001002 1200900000000001003 1200900000000001003 1200900000000001002 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. . , .Rellllirerl lns.nectinnsl Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01270 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/28/2010 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 I 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 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 Date Paee 3 of 3 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street $pringfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2009-0t270 C0M2009-0 1270 COM2009-0 I 270 COM2009-01270 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: 1200900000000001003 10:23:25AM Date: 08/28/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + t2% State Surcharge Amount Due 55.00 6.00 3.05 7.32 $71.37 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid $71.3 7 KR ONLINE HOME. Online COMFORT HEAT & AIR Payment Total: $71.37 Page 1 of I 8/28/2009 City of Springfield . aF!A'NaFl~l!tLPiI^.L - ,,~- *;.J-:-~ , ,t '-. . .,"""",;......-c;;<,.,_~t........."."..,.'6...-.._'-.,,,.; Mechanical'Authorization To Begin Work E-mailedTo:bethp@ehomecomfort.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us :~",~"';ii::l:FYPE'OF,WORK. ,^ ',,'... ,'~I"':" ,."1':;,,:.. -H 69600-BMC-09-00099 8/2812009 8:42 am Appro\-'al Code: 028583 . FEE.SCHEOULE Qoy. I IVl'5CriPtion li!e~lirigfc()oliniappli_ani:cs_ . IHcalPump J I~i~iiiaum-Fec-'~ '~-:, . ;"\ If'irsl Appliance Fee I lS:tE~UANICAi~~[_I3c~lITFI!:E_S '.'_. I Subtotal Slalesurcharge(12%ofpemlll IOlall Technology fee (5% of penn it total) I TOTAL I'ERMIT FEE D New ConstrUl;:tion 0 Addition/alteration/replacement _".-__',lk~f;:fj.'$CATEGORyc5F~CONSTRlicTION-'~~ ~~ o ] or 2 family dwelling D Multi-family D~cceSSOi)'BUi]ding D Commercial ,<;~Z~~~~ JOB:'siTE1INF-6Fi'MATION 'AN6r-cicA TloN';'4~' .. '-' --~:;'..o L City/State/ZIP: SPRINGFIELD, OR 97478 r Suite/bldiCJapl.no.: I Project Name: Bill and Marsha Malak I Cross Street/directions to job site: Turn RIGHT onto S 72ND ST.Tum LEFT onto FORSYTHIA ST. I Turn.plp","n.., \ y,r5UJ~ 'L. \ O\-;:x:~../ IF'.~~ .. '-'~bEscRip;ir6N;oF~wORK;, Total I -I $17.001 ~I $79.001 I. $96.001 $11.521 $4.801 S1I2.321 Ea. -".. .., CQ-\?>10 I&. 8\'L~\D9 J . Weare installing a heat pump and a air handler : .,SrrECONT...CT ~.y'~.' '"'. " ., -.... ..1 I I I I Name: Bill Malak I Phone: 541-915-5483 Email: Fax: I CCB lie. no.: 84164 I Business Name: ~effFfH;~n HEATING & AIR CONDITIONING INC I C.n",", 'THIS PFRMIT SH&LEXPIRF IF THF WORK I Addm"eOBOOAii'PHORI7Fn 11~InFR THIS PFRMIT IS NOT I Ci~.IS"'oJZIP''!'!f'mi~.IP~~O OR IS lIRANOONFO FOR I Ph.n"'41-34"j;\1~V 1 An nllY P~Rll'Ifl ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification 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 number for the Oregon Utility Notification Center is 1-800-332,2344). I Email: I Metro lie. no.: Citylic.no.: 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, . t~~ ~ \9:C 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 ~ fj'b\'cf.. ~~~ ~\ This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPR11...1.J:'IELD Building/Combination Permit Status Issued PERMIT NO: COM2009-0I270 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/2812010 VALUE: 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7214 FORSYTHIA ST ASSESSOR'S PARCEL NO.: t802022101300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installing a heat pump and air handler in residence. Residential Owner: MALAK WILLIAM A & MARSHA L Address: 7214 FORSYTHIA DR SPRINGFIELD OR 97478 Phone Number: 541-9]5-5483 I CONTRAC~OR INFORMATION I Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR License 84]64 Expiration Date 06/2512011 Phone 541-345-2838 I.BUILDlNG ]NFORMA TlON 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 REQUIRED PARKING Frontyard Setback: - Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicapped: Side 2 Setb:(c.k}TICE: Paved Drive Hqd: ATTENTION: Oregon00mpa'Ci:1res you to Rearyard S~tMSkpERMIT SHALL EXPIRE IF THE We~'*'t Coverage: follow rules adopted by the Oregon Utility S I S b k Notification Center. Those rules are set forth oar et aj\J:rHORIZED UNDER THIS PERMIT IS NOT In "MOl Q<;?_nn1_nn1Othrouah OAR 952-001- COMMENCED OR IS ABANDUi'i&J5ic IMPROVEMENTS .0090. You may obtain copies ofthe rUles oy . ANY 180 DAY PERIOD. . ., . I calling the center. (Note: the telephone Street Improvements: nun{'lj\!Nl!!)~r'J;-Yi!\!13gon Utlljty Notification Storm Sewer Available: DoJi,~DtlItjm~-.~g~:332-2344). Special Instruction: I DEVELOPMENT INFORMATION' Notes: I ..valuation Des~riDtionl Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 _~~'l~~g~,~~~ .'.., ;Ii. ,. . ." Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01270 ISSUED: 08/28/2009 APPLIED: 08/28/2009 EXPIRES: 02/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees ~~i~ I $11.52 $4.80 $79.00 $17.00 8/28/09 8/28/09 8/28/09 8/28/09 Receipt Number 1200900000000001002 1200900000000001002 t200900000000001002 1200900000000001002 Fee Description + 12% State Surcharge + 5% Technology Fee I st Appliance Heat Pump Amount Paid Date Paid Total Amount Paid $112.32 I Plan Reviews , 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. wmbe made the following work day. I ,~ellllired hlSnections , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 ill 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 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01270 COM2009-0t270 COM2009-0 1270 COM2009-0 1270 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description tst Appliance Heat Pump + 5% Technology Fee + t2% Siate Surcharge Paid By ONLINE PERMIT CHGS 1200900000000001002 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/28/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page] of J ONLINE HOME Online COMFORT HEATING Payment Total: 8:54:59AM Amount Due 79.00 17.00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 8/28/2009