HomeMy WebLinkAboutPermit Electrical 2009-9-30
City of Springfield'
Electrical Authorization To Begin Work
E~mailed To: sunsetelectric@comcast.nct
, ,
'"
Check on "status of permit
By Phone: 541-726-37?3 or Email: permitcenter@ci.springfield.oT.us
D New Construction -
o .~ddilionlallerationlrep]acemell1
101" 2 ",mily dw,iling DMOI,..f=ilY DC,mm,,",' D A"",,')'
lir~tt:li'l7j~JOBlSIIEiINF'ORMATIONFAND;roCAjli5N'\!.-';\;"1ll'$'J't~1!~~til
I Job Address: 416 EST I
I City/State/ZIP: SPRINGF1ELD, OR 97477 I
I Suite/bldgJapt.no.: I
I Project ~ame: Sunset H,ealing I
I
Cross Street/directions to job site: 4th and E Street
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Electrical for mini split HV AC system
Nllme: Brad Rogers
...
Phone: 541-741-3885 L ..:,,, Fax: 503-716-3834
Em,il, ru~""I"trio@"m'''''",''' h'
Elee lie. '~u.: 20-518e
.!i
CCBlic.no.: 158859
Business Name: SUNSET ELECTRIC J1~C
Contact:
c_~
Address: 34706 SEAVEY LOOP RD
City/Sta~t1ZIP: EUGENE, OR 97405
Pbone: 541.741-3885
Fax:
Email: BRADROG919@YAHOO.COM.:
Metrolic.no.:
Citylic.no.:
SuperviSing Electrician's lic. no.:
Supervising Electrician's Name:
Number of inspections included in paid services:
ResidentiaiService: 4
RecOllnectOllly: I
All Other Services: 2
. Upon re,view and approval by your I?cal jurisdiction, your permit will be
e-mailed or faxed within one business day, With instructions on how to
schedule your inspection. :1
NOTE: This Authorization To Begin Work expires within 180 days if a permit is
not obtain.ed.
Aq
cq/ ,~
69600-BEL-09-00162
9/30/2009 \2,40 pm
Approval Code: 022409
?leasechecknJlthntapply:
o A service or feeder beginning at 400
Ampswherelheavailablefauh
currcnlexcecds 10,000 Amps lit
150 Volts or less to ground exceeds
14,000 Amps for all other
installation,
o Fire pumps
o Emergency systems
DAdditionofanewmolorJoadof
IOOHPormore
DSix?rmoreresidentiaJunilsin~ne
structure
o Heal1h care facilities
I Description
I Branch circuits without service or
feeder
I Balance of permit fe~s
I State surcharge(12%ofpennit lotal)
ITechnologyfee(5%ofpermitlotal)
I TOTAL PERMIT FEE
.~
'2
,~ tOo:
10 ,,&"<r
DHazardous'ocations
DA servioe or feeder raled a1600
arnpsor mor~
,
DBuildinl;S11l0r~thanlhreestories
DMarinas and boat yards
DFloatinl;bui'dings
DCommercial-useagricolturaJ
buildings
DlnS'allalion of a 1 ~O KV A or larger
seperalely derived sys
O"A". "E". or "1-2" or '1-3"
IDRecniatilinalVehicleParks
DSUpplyvoltagefOr11l01~than600
suppJyvo!1Snominal
$67.86
~~~
\\)' t-{J.~
~.y
CcrnlG"'DLJ - 0 144r CO
1''1 .00 -u 1
rJ jVl. ~I --">
The loc~1 building department may determine that an Authorization To Begin
Work is null and void if it does not ~eet applicable land use laws and local
ordinances
This Authorization To Begin Work must qe posted at the job site until replaced by a Permit
CITY UJ1 ~t'KlJ"'i\.JJ1lJ!;LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01449
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 03/29(2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection'Line
SITE ADDRESS: 416 E ST
ASSESSOR'S PARCEL NO.: 1703352403000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini split heat pump system in residence
Residential '
Owner: MIHULKA CHRIS BEN & SHARON M
Address: 416 E ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA TION I
Contractor Type
Electrical
Mechanical
Contractor
SUNSET ELECTRIC INC
SUNSET HEATING & AIR INC
License
158859
171706
Expiration Date
02/27/2010
08/18/2010
Phone
541-915-4883
541-988-3181
BUILDING I~FORMA TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Ty'pe:
# 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'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
WStreet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
ATTENTION: Ore on 1_ ,
folS' 'iI" Ik T g aW reql/lres you to
I ewa s"ypepted b .
Notification Cer.:", TI. Y the Oregon Utility
in cl?,?)"J'jP~utsmrains:OSe rules are setforth
0090. You~~l~UOlO through OAR 952-001-
calling the c~nt~;aln(~oPJes of the rules by'
number for the O' ote.. the telephone
Ct. regon Utility Notification
en er IS 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction: I~OTlCE:
THIS PERMIT SHA
Notes: AUTHORIZED U LL EXPIRE IF THE WORK
CQMIV1ENCED O~~~R THIS PERMIT IS NOT
ANY 180 DAY PERIOtBANDONED FOR
Paee 1 of3
Status
Issued
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I V alu~tio~ Descrip,t!?n I
Descriotion
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
VPPy~
Fee Description
+ 12%'state Surcharge'
+ 5% Technology Fee
1st Appliance
+ 12%'state Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
$9.48
$3.95
$79.00
$6.96
$2.90
$55.00
$3.00
Total Amount Paid
$160.29
I Plan Revi~ws I
Date Paid
9/29/09
9/29/09
9/29/09
9/30/09
9/30/09
9/30/09
9/30/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01449
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 03/29(2010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000001101
1200900000000001101
120090000000000.1101
2200900000000001120
2200900000000001120
2200900000000001120
2200900000000001120
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.
~Rf':nllirprl Insnections I
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.
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 SPRI1,;lJNJi.LD
Building/Combination Permit
PERMIT NO: COM2009-01449
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 03/29/2010
VALUE:
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is troe 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 oniy crintractors 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 FifthStreet
Springfield, Oregon 97477
541-726-3759 Phone
- City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal.Number
COM2009-0 1449
COM2009-01449
COM2009-0 1449
COM2009-01449
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RE(:EIPT #:
2200900000000001120
Date: 09(30/2009
Descript{on
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By'.
ONLINE PERMIT CHGS
hem Total:
Check N umber Authorization
Received By Batch Number Number How Received
njm ONLINE sunset elect In Person
Payment Total:
Page J of J
1:37:56PM
Amount Due
55,00
3.00
2.90
6,96
$67.86
Amount Paid
$67,86
$67.86
9/30/2009