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Home My WebLink AboutPermit Electrical 2009-9-14 City of Springfield I Electrical Authorization To Begin Work E-mailedTo:electricmanl@centurytel.net Check on status of per.mit By ~hone: 541'-726-3753 or Email: permitcenter@ci.springfield.oLus o NewConstruction o Addition/alteration/replacement 01 or 2 family dwelling o Multi-ramily DcomrnerciaJ o ACI;es5ory !!'~~~~J()BjS'TE'INE()RMATION1AN6'1lO'CA'fiON'''''iL;,i~''~w~1 Job Address: 5915 G ST 'r City/State/ZIP: SPRINGFIELD, OR 97478 Suitelbldg.lapt.no.: Project Name: 2091 CrossStreetldirections to job site: '1,:::::./::,::<<' :~\:l~4~'2-r "CfJ6'lJ2'.<2. . 4' rY.Fr. S!$"!2/i"".;:1}?&~,:;. _~~~'f~"pESCRleJION;OF:~W.OR~":/,~~;::E:f.-:3:0~+J<"""..J1i\J~ Install circuit faT mini split heat ae and two circuit exteflsions to add outlets. Name:matthewgrover Phone: 541-225-7827' Fax: 541-895.3922 Email:electricmanl@CeIllUryte!:net I Eleclic. no.: C441 CCBlic.no.: 184274 I Business Name: COMPLETE ELECTRICAL INSTALLATIONS INC ,I Contact: 1 Address: 33024 CAMAS SWALE RD 1 City/State/ZIP: CRESWELL. OR 97426 I Phone: 541-895-3922 I--ax: 1 Email: LMetrolic.no.: r Supervising Electrician's lie. no-,: Supervising Electrician's Nllm~: Number of inspections included in paid services: Residentia1Service: 4' ReconnectOn]y: i All Other Services: 2 City lie. 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. 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 69600-BEL-09-00132 9/14/2009 7;52 am Approval Code: 011865 'J...,'v'f; G ~/\J f'i:.;i0':1\,t;;'f'k~~\~f€.:i'-;2,piiA;N:'FrEVIEW,: =;& <;#.~~q,~..;;;;A'b,; I'leasecheck all that apply: QHazurdouslocatiol1s o A service or feeder bejlirminjl at 400 DA service or feeder rated at 600 Amps ""nere the a~ailable fault amps or morc current exceeds 10,000 Amps at 150 Vol1s or less to grolJl1d exceeds 14.000AmpsforallOlher installations o Firepurnps o Emergency systems o Addition of anew motor load of 100 H?or more o Six or more residenlial units inone ,tructure o Heahh care facilities DBuilding> more than three stories []Marinas and boal yards DFloatingbuilding> DCommercial-useagricultural buildings Dtnstallationofa150KVAorlarger seperately derived sys D;'A'.',;'E",or"t-2"or"I-3" DRecreationaJVehicleParks DSUpply vohage for more than 600 supply volts nominal Tot:d Description Branch circuits without service or feeder Branch circuitseachadditiona1 circuit without service Subtotal State surcharge (12% ofpenllit tota]) Technology fee (5% of permit tala]) TOTAL PERMIT FEE ~ ~tfjJ ~.'-v ,-0 $55.00 $6.00 ~~ (\. (\' D~ ~c&.i?- l>>-- Com Zd?/l 911 '7'/07' ,-. This Authorization To Begin Work must be posted at the-job site until replaced by a Permit OljJ..yS 1//'1 $55,00 $12,00 $67.00 $8.04 $3.35 578.39 --i~.~~,~SRit~a,:~~;4"t!l~:;Ji~J; . .JfZ- /, """""'01. "u, OjAI..\'~ (l'f CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01345 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 02/1412010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5915 G ST ASSESSOR'S PARCEL NO.: '1702342200420 Springtield TVPE OF WORK: Heating System TVPE OF USE: New PROJECT DESCRIPTION: Install fujitsu ductless heat/cool system in residence. Residential Owner: SHOSHlN AMBER M & ETHAN Address: 5915 G ST SPRINGFIELD OR 97478. Pbone Number: 541-913-2228 I CONT~CTOR INFORMATI~N . Contractor Type Electrical Mechanical Contractor License COMPLETE ELECTRICAL INSTALLATION 184274 INNOVATIVE AIR INC 161742 BUlLDI~G INFORMATION I Expiration Date 10/14/2010 10/1112010 Phone 541-225-7827 541-746-1040 # of Units: Primary Occupancy qroup: Secondary Occupancy Group: Primary ConstructioniType 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 DEVELOP~ENTINFORMATlO~ I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLlCIMPROVEMENTS . Street Improvements: . to ... . ,". on law requires yo~. . Storm Seweri*-v~lla'6lfN, ore~ed by the Oregon Ullllty Special InstI'Rction:rules adop Those rules are set forth Notitica1ion Center. 0 through OAR 952-001- Notes: in Ojl.R 952-001-0~~in copies 01 the rules by 0090. You may 0 (Note: the teleptlone calling the center~ on Utility Notiticatlon number tor the or1.~00_332-2344). Center IS Sidewalk Type: Downspouts/Drains: . NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I 01'3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I345 ISSUED: 09/11/2009 APPLIED: 09/11/2009 , EXPIRES: 02/14/2010 VALUE: 225.Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp/< Pqirl I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee, Add, Alter, Extend Cire Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 $8.04 $3,35 $55.00 $12.00 9/11109 9/11109 9/11/09 9/14/09 9/14/09 9/14/09 9/14/09 1200900000000001052 1200900000000001052 1200900000000001052 3200900000000000646 3200900000000000646 3200900000000000646 3200900000000000646 Total Amount Paid $1'70.82 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 Rp?Linl~nsoections I Rough Mechanical: Prior to Cover Final M~chanical: Wben all mechauical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I345 ISSUED: 09/1112009 APPLIED: 09/11/2009 EXPIRES: 02/1412010 ' VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Sprin'gfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of the Community Servkes 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 furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable rrom the street, that the permit 'card is located at the front or the property, and the approved set of plans will remain on the site at all times during constructjon. Owner or Contractor~iSignature Date Pa2e 3 or 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1345 COM2009-0 1345 COM2009-01345 COM2009-0 1345 Payments: Type of Payment ONLINE CHGS . , cRecejntl RECEIPT #: 3200900000000000646 Description, Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/14/2009 Paid By ONLINE PERMIT CHGS Item, Total: l.:heck Number Authorization Received By Batch Number Number How Received NJM Page ,I of I ONLINE COMPLETE Online ELECT Payment Total: 8:IS:0SAM Amount Due 55.00 12.00 3.35 8.04 $7H.39 Amount Paid $78.39 $78.39 9114/2009