HomeMy WebLinkAboutPermit Electrical 2009-9-28
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PlellSe cbeck all that apply o Hazardous locations
DAservicearfeederbeginni~gat400 G service or feeder ralcd al 600
Amps where the available fault amps or more
currenlexceeds 10,000 Arnps at
150 Volts or less to ground exceeds
14,000 Amps for all other
installations
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bethp@ehomecomfort.com
Check on status of permit
By Phone: 541-726-3753 or Em:iil: perrnitcenter@cLspringfield.or.us
D NewConstruction
o Addition/alteration/replacement
101" 2 ~","IY dw,llin,
DMUlti-fami1Y
DConunercial
DACCeSSOry
o fire pumps
DEmergency~yslems
o Addition of aneW motor load of
100 HPor more
o SIX or more residenllal units in one
structure
I Job Address: 1298W QUINALTST
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I
I
I
I
City/State/ZIP: SPRlNGFIELD, OR 9747~,
Suite/bld:Japt.no.:
Project Name: Tracy Mullins
Cross Stn.etldirecriol15 to job site: Turn RIGHT onto TAIv1ARACK ST.Tum LEFT onto W
QUINALTST. I ,
o Health care faciliries
Tal: map/parcel no.:
We are installing :ill handler and a heat pump
circuits without service or
I Branch circuits each additional circuit
without service
69600~BEL-09-00 150
912812009 7:15 am
Approval Code: 028772
q~~
fA /\
C VI
DBuildings more than three slOries
DMarinasandboatyards
DFIQatingbuildings
DCommercial-useagricultural
buildings
Dlnslallationofal50KVAorlarger
seperatelydenvedsys
D"A"."E".or"'-z"or'I-3"
DRecreationalVehicle?arks
DSupplyvohageform~relhan600
suppJyvollsnominaJ
Total
$55,00
$6.00
$6.00
Name: Tracy Mullins
Subtotal
I State surchaige(]2% of permit total)
I Techno]ogy fee (5% of permit total)
I TOTAL PI!:RMIT FU
Pbone: 541-741-6757
Fax:
Email:
CCBlic.no.: 84164
Business N~me: H011E COMFpRT HEATING & AIR CONDITIONING INC
Contact:
Al)dress: PO BOX 24205
City/State/ZIP; EUGENE, OR 97402
Phone: 54]-345-2838
Fax: 541-302-3070
Email: JEFFE@EHOIv1ECOMFORT.CQM
Metro lie. no.:
Cilylic.DO.:
Supervisin'g Electrician's lie. no.:
Supervising Electrician's Name:
51395
James Carter
Ii...:-
e-j
':0
~ ~
Number of inspections included in paid se'rvices:
Residentiat5ervice: 4
Reconnect Only: I
All Other Services: 2
Upon review and approval by your ~al 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.
I
.1
I
$61.00
$7,32
:S3.05
$7LJ7
~
$>,6"
\0 '\) ~
~~
..;j:-
The local building department may detennine that an Authorization To Begin
Work is n!-lll and void if it does not meet applicable land usa laws and local
ordinances
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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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C\\?-
CITY OF SPlUl~l.1'lELD .
Building/Combination Permit
PERMIT NO: COM2009-01435
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
Status' Issued
225 FifthStreet, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1298 W QUlNALT ST
ASSESSOR'S PARCEL NO.: 1703273200102
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION:' Heat pump & air handler
Owner: MULLINS TRACY M
Address: 1298 W QUlNALT ST
SPRINGFIELD "OR 97477
Phone Number: 541-741-6757
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
I
Contractor License
HOME COMFORT HEATING & AIRCONDI 84164
BU~LDlNG INFORMATION I
Expiration Date
06/25/2011
Phone
(541) 345-2838
# of Units: .
Primary, Occupancy Group:
Secondary Occnpancy Group:
Primary'Cons!ruction 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 INFOR~ATION" I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ..
" nl I t:J~IT'nl\I' 0 .~_.
Street Improvements: follow SIdewalk 'fype, law requires you t
.. nlles adopted bv the 0 . .0
Storm Sewer Available"/CE NotlflcaDowjjspouts/Orains: regon Utility
Special InstructionL~ U I : in OAR 952-001 :0.01 "'vo" rules are set forth
I HIS PERMIT SH 0090. You may obtaf through OAR 952-001-
Notes: AUTHORIZED UN~LL EXPIRE IF THE WORK calling the center (~~fel.es of the rules by
COMMFMrr:n nn ,~R. ~~/S PERMIT IS NOT number.for the Or~qon I Jiil~~; .~:/;p~~ne
" ANY 180 DAY p. .'~ n, 'r"""'_':'::::: ; :,;,r; ~~"'''[ IS HOO-332-2344) -..,~"
. ER/OD. I Valuation De~criDtion I .
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page] of 2
Status
Iss u ed
225 Fifth Street, Springfield,' OR
541-726-3753 Phone ,.
541-726'3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge ".
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea 'Add
Total Amount Paid
Amount Paid
$7.32
$3.05
$55.00
$6.00
$71.37
Total Value of Project
Fees Paid I
Plan Reviews I
Date Paid
9/28/09
9/28/09
9/28/09
9/28/09
CITY OF SrKH'IGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01435
ISSUED: 09/28/2009
APPLIED: 09/28/2009
EXPIRES: 03/28/2010
VALUE:
Receipt Number
3200900000000000671
3200900000000000671
3200900000000000671
3200900000000000671
To Request an inspection call the 24 hour- recording at 726-3769. All inspections requested before 7:00
a.m. will be made the s~~e working day, inspections requested after 7:00 a.m. will be made the following
work day.
I ~~'\ uired 1 nspectio~\J
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 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 cOl'tractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure tbat 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
Page 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
REā¬EIPT #:
3200900000000000671
Date: 09/28/2009
7:27:06AM
Job/Journal Number
COM2009-01435
COM2009-01435
COM2009-0,1435
COM2009-01435
Descriptio'n
Add, Alter, Extend Circ
. Add, Alter, Extend Circ Ea Add
.+ 5% Techno]ogy Fee
+ 12% $tateS~rcharge
Item Total:
Amount Due
55.00
6.00
3.05
7.32
$71.37
Payments:
Type of Payment
Paid By
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
ONLINE CHGS . ONLINE PE\l.M1T CHGS
NJM
ONLINE HOME Online
COMFORT
Payment Total:
$71.3 7
$71.37
,
cReceintl
Page I of I
9/28/2009