HomeMy WebLinkAboutPermit Electrical 2009-12-7
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City Of Springfield
225 Fifth $1
Springfield, OR 97477
Phone: 541-726-3753
Ernail: permltcenler@cLsprlngfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00269
Approval Code: 007674 12/7/2009 7:53 am
E-mailedTo:bethp@ehomecomfort.com
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I~~.:~~ .'r~ ~"~ '7~~:~"-;;." -:: "'.-" n'PE~ OF,.8JORK~;:~:': : ,'i.:~~~r~' ~;:~~~;.~~nr:
I D New Construction ~ Addilion/alterationlreplacement
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I [R] 1 or 2 family dwelling 0 Multi.family D Commercial D. Accessory
I, ...' " "JOB SITE tNFCfRM)lTIorfANO'LQ'CATIOth" "
I Job Address: 16.5 44TH 5T
I City/State/ZIP: SPRINGFIELD, OR 97478
I Suitelbldg./apt.no.:
I Project Name: Jinks Cunningham
'I Cross Street/directions to Job site: Turn LEFT onlo MAIN ST/OR-126 BR,Turn
LEFT onlo 44TH ST.
I Tax map/parcel no.: 1702323101300
I; .; ~ _,. ,,,,r:,-)\,,~:,DESCRIPTION6FWORK'::";"5~.;;.;.;
We are installing a aifhandler and a heal pump. We are altering the duct work as
well.
SIIEC;ONTAC:C";
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I Name: Jinks Cunninaham
I Phone: 541-746-4932
I Email:
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Fax:
:CONTRA'CTOR~:-"'~ "
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Elec lie. no.: C3'S7
CCB lie. no.:
84164
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 2420S ......~h::;.~-;~ t'\'&
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Clty/St'leIZIP, EUGENE, OR 97402 r:r. \Y \~; \.; ~() \
Phone 541345Z838~" .\ \.ti-Y~~~\b;~()~
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Me'," ,;" ~\\\';) (\o\l't.\l ^O \'0 _ City II" no,'
_\) ,p ....t") \.In -1""
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Supervising ~~~~~~;tJte:A~N ?\..'5139S
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Supervising EleR.tf~an\s'ffiime: JAMES M CARTER
Number of inspections included in paid services:
Residential Service 4 '
Reconnect Only: 1
All Other Services: 2
Upon review and approval by' your local Jurlsdictlon, your permit will be e.mallcd or fued
wlthln one buslne5s day, wlth Instructions on howto schedule your i nspectlon.
NOTE: This Authorization To Begin Work expires wlthln 180 days il a permit 15 not obtained.
The local building department may determine that IIn Authorizatlon To Begin Work is null and
yold If II does not meet apptlcable land USll laws and localordlnance5.
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds .
14.000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one.structure
o Health care facilities
Cq. /11r
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
o Floating buildings
D Commercial~use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
. ,
D RecreationalVehicle Parks
o Supply voltage for more than
600 supply volts nominal
,
U
~EESCHEOULE~
Total
1 Description
IBITu'Ch~cil'cuits :fr-~:'~;;~~:,.~" .-",
I Branch circuits without service or
feeder
I Branch circuits each additional
circuil without sarvice
1~I~ctricaI'PermjtFeestG; ,
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (S% of permit total)
I TOTAL PERMIT FEE
LL1- \ \5Lf
;t~.
$55.00
$55.00
$6.00
$6.00
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}:~ ,'. ,~I
$61,00 I
$7.321
$3,05 I
$71,37 I
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\L\I\OCj
ATTENTION: Oregon law requires you.to
follow rules adopted by the Oregon Utility
Notification Center. ThoseruhleosAa~e :~!g:
In OAR 952-001-0010 throug .
0090. You may obtain copies of the rules bJ
calling the center. ;(Note: the tel~phone
number for the Oregon Utility Nottftcatlon
Center 18 1-800-332-2344).
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Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01734
ISSUED: 12/07/2009
APPLI ED: 12/04/2009
EXPIRES: 06/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE AnDRESS: 165 44TH ST
ASSESSOR'S PARCEL NO.: 1702323]01300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing an air handler and heat pump in residence.
Residential
Owner: CUNNINGHAM WILLIAM L & S L
Address: 165 44TH ST
SPRINCFIELn OR 97478
Phone Number: 541-746-4932
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
HOME COMFORT HEATING & AIR 84164
BUILDING INFORMATION I
Expiration Date
06/25/2011
06/25/2011
Phone
(541) 345-2838
541-345-2838
# of Units: # of Stories: Lot Size:
I'rimary Occupancy Gronp: Height of Structure Sq Ft 1st Floor:
Secondnry Occupnncy Group: . Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type Water Type: Sq Ft Basement:
Secondnry Constrnction Type: ... . ",,:,..V,;:"Railge Type: Sq Ft Garage/Cnrport
# of Bedrooms: . THE W-- Path: Sq Ft Other:
No.~I~;~'A'T !;\-\Jl.LL E)(?~~~~U\T IS'\lj\1\tled Building: n/a Occnpant Lond:
~~TH~R\7.ED U'NDt~ ~~~ND(1l1IW'E;!,5I'MENT INFORMA ~~ON: Oregan lawrequ1resyDlltD
COMMENCED OR \S "'. .rolrdw ruleaadopted b~~fj~NG
. 0 DJl.Y PERIOD. .' . Notification Center. ThOIIe& areset,fatlII
F~ontY'lI'd s~m~cl\!3 Overlay DlSt: In OAR 952.oo1-o010thr ~. . OAR ~
S~de I Setback: # Street ~rees Rqd: 0090. You may obtain c 'b'Wl6'tUlesibJ
SIde 2 Setback: Paved Dnve Rqd: calling the center. (N 8!llliW1elephone
Rearynrd Setback: % of Lot Coverage: numbar for the Oregon Utility Notificallclll
Solar Setbacks: Center II NI0G-332'2344).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Downspouts/Drains:
...r;i.:-.......~....-'i
Storm Sewer A vailnble:
Special Instruction:
Notes:
, '
" "I'nge I of 3
,. r "~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V aluation De~criDtion I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
Fee~ Paid J
~. i
.'
Fee Description
+ 12% State Surcharge
+ 12o/t) Stat(\ Surcharge
+ 5.0/0 Technology Fee
+ 5'Yo Technology Fec
1 st Applianee
Add, Alter, Extend Circ
Add, Alter, Extend Cii-c Ea Add
Heat Pump
Amount Paid
$7.32
$11.52
$3.05
$4.80
$79.00
$55.00
$6.00
$17.00
Total Amount Paid
$183.69
I Plan Reviews ,.
Date Paid
12/7/09
12/7/09
12/7/09
12/7/09
12/7/09
12/7/09
12/7/09
12/7/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01734
ISSUED: 12/07/2009
APPLIED: 12/04/2009
EXPIRES: 06/07/2010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000001308
1200900000000001306
1200900000000001308
1200900000000001306
1200900000000001306
1200900000000001308
1200900000000001308
1200900000000001306
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.
Re{Jlii~~fI h)~n~c~j?"'J
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.
Pa2e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phonc
, 541-726-3676 Fax
541- 726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01734
ISSUED: 12/07/2009
APPLIED: 12/04/2009
EXPIRES: 06/07/2010
VALUE:
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 ofany structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in complianee 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
Pa2e 3 of3
Date
225 Fifth Street
Spfingfield, Orcgon 97477
54h726-3759 Phone
City of Springficld Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1734
COM2009-0 1734
COM2009-0 1734
COM2009-0 1734
Payments:
Type of Pflyment
ONLINE CHGS
cRl:ccintl
RECEIPT #: ' 1200900000000001308
Date: 12/0712009
;
DescrilJtion
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+. 5% Technology Fee
+. 12% State Surcharge
Item Total:
Check Number Authorization
Received By Batch Number Nl1mber How Received
Paid By
ONLINE PERMIT CHGS
ONLINE HOME Online
COMFORT
HEA T1NG
Payment Total:
KR
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i.,
Page I of I
9:43:45AM
Amount Due
55.00
6.00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
12/7/2009