HomeMy WebLinkAboutPermit Electrical 2009-12-6
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,":\ OREGON
City Of Springfietd
225 Fifth St
Springfield, OR 97477
Phone: 541~726-3753
Emaif: permitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00268
Approval Code: 404616 12/6/2009 10:23 am
E-mailedTo:sprinter5c@yahoo.com
[R] Addition/alterationireplacement
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I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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I Job Address: 5520 . HIGH BANKS RD
I City/StatefZIP: SPRINGFIELD, OR 97478
I Suite/bldg./apt.no.:
I Project Name:
I Cm.. Stree"d;..c!;on, to job ,;te,
I Tax map/parcel no.: 1702280000301
Branch circuits lor Heat pump, furnace, and feeder for
sub panel.
I' "
;.~..
I Name: Pat Sloan
I Phone: 541-521-9058
I Emai':
Falt:
I Elec lie. no.: C256 CCB Hc. no.: 174458
I Business Name: SPRINTER ELECTRIC INC
I Contact: ,,_,'-''1
I Address: 82924 FLORENCE AVE
I City/State/ZIP: CRESWELL, OR 97426 ":. \'.':-" '~;:lJI'\Q.\(
I Phone~~t'll~,56, ,..."P\R~i\f,1t\~~~01
I ~V ,,<.- ~ SW"I..\.~' S 1''[:.\"\\,[,\1 '
Em _: \\~. o~R\'-J\\, ""t:O 1\-11 _ .,rJ'l ~OR
I \I ~' lOU U..".., MU' f,,\;-
Met,,, \~'fl'IOR\I~ _ ,,0 \~ t>.~P;" Clty I;c, no,'
I suP~";i~'riij\~I~tW;~,,~Pl;;""''''IOO. 5407S
l,v' _ ....(\'1 y(..{"\
I rot.1V It't\) .vl--
Supor'i;lsm9 Eleclnclan's Name: JEREMY J COOPER
Number of inspections included In paid services:
Residential Service' 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your permit wlll be e-malled or faxed
wilhln one business day"wHh instructions on howto schedule you rlnspeclloil.
NOTE: This Authorization To Begin Work expires within 180 days;f a permit is, not obtained.
The local building department may determine thai an AuthorizatIon To Begin Work Is null and
void If il does not meet applicable_land use laws and localordlna nee!.
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
P Emergencysysterns
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care f~cilities
I Description
I Services 200 amp~ or less
I Branch circuits with:service or
feeder each cirCUit
Subtotal
State surcharge (12% of permit
total)
I Technology fee' (5% of permit total)
I TOTAL PERMIT FEE
C. 9 - Bo Y
tq. got'
o Hazardous locations
o A service or feeder rated at
600 amps.or more
o Buildings more than three stor
o Marinas and boat yardS
o Floating buildings
o Commercial-useagriculturaf
buildings
o Installation of a 150 KVA or
largerseperately derived sys
o "A", "E", or"I-2" or "1-3"
o Recreational Vehicle Parks
o Suppiy voltage for more than
600 supply volts nominal
3
$6.00 I
$18:00
$99.00
$11.88
$4.95
$115.83
\L-lL. \2\-110'1
,I
. 0- laW requ\r81 YOU.to
ATTENTION. .=-:" th Oregon Utility
follow rules adopted by e las are set forth
Notification ce":1~~~=h OAR 952.Q01-
In OAR 952.Q01 btaln copies of the rules by
Ol)9D. You may 0 (Note' the telephone '
calling \': ::~~egon uiility Notilicatlon
IlllIllI* Centef 18 ...{lOa 332-2344).
~Qt't:f\
~l,.:V ~
~~
l
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site ~ntil replaced by a Permit
~
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9-' <r'
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&:
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00804
ISSUED: 06/08/2009
APPLIED: 06/08/2009
EXPIRES: 06/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5520 HIGH BANKS RD
ASSESSOR'S PARCEL NO.: 1702280000301
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Install heat pump & branch circnits for heat pump, furuace, and feeder for sub.panel.
Owner: HIGHFILL JOINT TRUST
Address: 5520 HIGH BANKS RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Elcctrical
Mechanical
Contractor
SPRINTER ELECTRIC INC.
SUNSET HEATING & AIR INC
License
174458
171706
Expiration Date
02/20/2011
08/18/2010
Phone
541-743-1213
541-988-3181
BUILDING I~FORMA TlON'
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Typc of Heat:
Watcr Typc:
R.'nge 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:
R-3
n/a
. I ,DEVEWPMENT INFORMATION I .
. ,.' O?'(.. , REQUIRED PARKING
Front yard Setbaek: X. \r i\\t.i~~ Dist: Total: to '
Side 1 Setback: ~:. )...\.. tf.-I'\?\ t.?~\\ reet Trees Rqd: ATTENTION: Oregon 18 ~Ues~r
Side 2 Sctba\'lD1\C I'-~\i S\-\f': '" "'i\-\\S I' ~t.\) ~ d Drive R11d: follow rulesadopted by"~r~setfo~
Reaf)'ard Setfil.~:l't \1'C.\) \I~\)\ I\\?>I\~\)O % of Lot Coverage: Notification Center. Those ruh OAR 952-001-
Solar Setbacksl\)"'i\-\Ol'- "C\) 01'- \ r\ In OAR 952-001-00101 thr~g of the rules by
/"\ :I\n.'Cl\\ut... ......,-o\()U. ""on Vnll me\l obta n copies _.
v~~"~ CO\) \)f\' ( - I PUBLIC IMPROVEMENTS r:~ t: ::~~eJ~~~tiU; ~tffi;;;tiOn
Street Improvements: . S~flllIIj<llr)1pllp0.332.2344).
Storm Sewer A ,ailable:
Special Instruction:
Downsponts/Dl'ains:
Notes:
Page I of 3
-,.SIUllNQI1II;!!it!, '
. J
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
I Valuation De~criDtjon I
DescriJ}tion
$ Per Sq Ft
or multiplier
Type of Construetion
Fee Description
+ 12% State Surcharge,
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
. Penn Serv/Fdr 200 amps or less
Amollnt Paid
$9.48
$3.95
$79.00
$11.88
$4.95
$18.00
$81.00
Total Amount Paid
$208.26
Square Footage
or Bid Amount
Total Value of Project
Fe.e~ Pajd J
Plan Reviews ,
Bate Paid
6/8/09
6/8/09
6/8/09
12/7/09
12/7/09
12/7/09
12/7/09
CITY OF SPRINGFIELD
Buildillg/Combination Permit
PERMIT NO: COM2009-00804
ISSUED: 06/08/2009
APPLIED: 06/08/2009
EXPIRES: 06/07/2010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000629
1200900000000000629
1200900000000000629
1200900000000001307
1200900000000001307
1200900000000001307
1200900000000001307
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 Re,9,uired rn~llectill~S ,
Rough Mechanical: Prior to Cover
Final Mechanical: Whcll all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all eleetrical work is complete.
~' I
Page 2 of 3
;..
CITY OF SPRINGFIELD'
Building/Combination Permit
"
Status
Issued
PERMIT NO; COM2009-00804
ISSUED: 06/08/2009
APPLIED: 06/08/2009
EXPIRES; 06/07/2010
VALUE;
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signllture, 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 ,vith
the Ordinances of the City of Springfield and the Laws of the Stale of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without pcrmission 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 'lire requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of thc property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
..
'i.
,
Page 3 of 3
,
225. Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00S04
COM2009-00S04
COM2009-00S04
COM2009-00S04
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #;
1200900000000001307
Descriptip"
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Penn Serv/Fdr 200 amps or less
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/07/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of I
ONLINE SPRINTER Online
ELECTRIC
Payment Total:
9:32:32AM
Amount Due
IS,OO
4,95
ll8S
SI.OO
$115.83
Amount Paid
$115,S3
$115.83
12/7/2009