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HomeMy WebLinkAboutPermit Electrical 2009-9-28 ~~~...tliei!AN;REy!pw~~~.1M! 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 I 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 .n 'I "'.n-- /' (. ,J/)1 ,':-, (; 07.~ 9/dK/O</ ',?1 )~<'S- (/ / 7-' )J/l/L This Authorization To Begin Work must be posted at the job site until replaced by a Permit L-t&,,^ ,...I. 1, \../1 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