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Home My WebLink AboutPermit Electrical 2009-12-14 SPRINGFIELD i:;'t'l- ~':~"',; .~~. ;~"".iA.,..':"""_'J . "-"-;"" "'- OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.us , ('1.11* Residential Electrical Authorization To Begin Work 69600-BEL-09-00281 Approval Code: 005615 12/1.3/2009 9:40 pm E-mailedTo:elecfricman1@centurytel.net o New Construction IR] Addition/alterationlreplacemenl I [KJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory 1~,:;~,;r:(~'~~:r~;:,'joBlsirE~INFJtRM_A:trOt~i.?A~ D))~QG'A':TJONkI;:J';t~~~;~i4~~~ I Job Address: 845 25TH PL CityfState/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no. : Project Name: 2135 I Cross StreeVdirections to job site: Tax map/parcel no.: 1703361108101 circuit for mini split sys I;'; I';' Name: matthew qrover Phone: 541-225-7827 Fax: 54 l-895-3922 Email: Elee lic. no.: C441 184274 CCB lie. no.: Business Name: COMPLETE ELECTRICAL INSTALLATIONS INC Contact: Address: 33024 CAMAS SWALE RD City/State/ZIP: CRESWELL, .OR 97426 Phone: 5418953922 Fax: Email: Metro lie. no.: City lie. no.: Supervising Electrician's lic. no.: 53675 Supervising Electrician's Name: MATTHEW E GROVER 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 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. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Please check atlthat 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 Ampsfor all other o Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Healt~care facilities o Hazardous locations o A service or feeder rated at 600 amps or more , 0 Buildings more than three,stor o Marinas and boat yardS o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Description Branch circuits without service, or feeder I Baiance of permit fees I Subtotal I State surcharge (12% of permit tolal) I Technology fee (5% of permit total) I TOTAL PERMIT FEE , It ~~~ $58,00 I $6.961 $2,90 I $67.86 'J)~ .cf' \fQ--.\\9 (, ~q<, (]o1)1 ZtJD1 ~ 0/7 L;'y- /J /YI /d.-/F?" /6 '1 Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01746 ISSUED: 12/08/2009 APPLIED: 12/08/2009 EXPIRES: 06/14/2010 VALUE: 225 Fifth Street, Springfield;OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 845 25TH PL ASSESSOR'S PARCEL NO.: 1703361108101 Springfield TYPE OF WORK: Heating System TYPE OF USE: . New PROJECT DESCRIPTION: Installation of ductless'beat pump system in residence. 'Residential Owner: PHILLIPS JASON Address: 845 25TH PL SPRINGFIELD OR 97477 Phone Nnmber: 54]-746-5026 I CONTRACTOR ]NFORMA T1?N I Contractor Type Electrical Mechanical Contractor License COMPLETE ELECTRICAL INSTALLATION 184274 INNOVATIVE AIR INC ]61742 ~UILDING INFORMATION I Expiration Date 10/] 4/20] 0 10/11/2010 Phone 541-225-7827 541-746-1040 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water TYlie: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft ] st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFO~MATlON I Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: , '0;;) of Lot Covera'ge: ". REQUIRED PARKING Total: Handicapped: ~,.,:-",.._.. .,:,t\~ Compact: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK !!THORIZED UNDER THIS PERMIT IS NOT '~'~~MENCED OR IS ABANDONED FOR I PUBLIC IMPROVEMENTS I to . law requires you ATTENTION: Ore%98'B~T(l)mgon Utility lollow rules adopte \, 'Ml.re set lorth Notification centerD1i~~~~~~~I~~2-001. In OAR 952-001-0g~~h:~~i~S of the rules by, 0090. You may 0 Note: the telephone calling the center. ( Utility Notification number for the, o~e8g0o~_332'2344). center IS '" Street Improvements: Storm Sewer, Available: Special Instruction: . '''-, '""' \\;' ;'i=f\len. 'Page 1 01'3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0] 746 ISSUED: ]2/08/2009 APPLIED: 12/08/2009 EXPIRES: 06/14/2010 VALUE: 225 Fifth Street, Springfield, OR 54 ]-726-3753 Phone 541-726-3676 Fax 54 ]-726-3769 Inspection Line I V~I~~ti~n Descrintion I Description Tvue of ConstnJ.ction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valne Date Calculated Total Value of Project " L.Frlt~J)'lilL.I Fee Description + 12% Stafe Surcharge + 5% Technology Fee ]st Appliance + 120;', State Snrcharge + 5% Technology Fec Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt'Number $9.48 12/8/09 1200900000000001315 $3.95 1218/09 120090000000000]3]5 $79.00 12/8/09 1200900000000001315 $6.96 12/] 4/09 3200900000000000806 $2.90 12114/09 3200900000000000806 $55.00 ]2/14109 3200900000000000806 $3.00 ] 2114/09 3200900000000000806 Total Amount Paid $]60.29 I Plan Reviews I 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. . .' Rr(ll~ Rough Mechanical: Prior to Covcr Final Me'chanical: When. all mechanical work is complete: Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pace 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 SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01746 ISSUED: 12/0812009 APPLIED: 12/08/2009 EXPIRES: 06/14/2010 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 furthel: certify that any and all work performed shall t;>e 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 contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure thaf all required inspections are requested at fhe proper time, that each address is readable from fhe street, thaf the perm if card is lucated af 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 01'3 Date 225 Fifth Strect Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1746 COM2009-01746 COM2009-0 1746 COM2009-0 1746 Payments: Type of Payment ONLINE CHGS cRccciml RECEIPT #: City of Springfield Official Rcceipt Dcvelopment Scrviccs Department Public Works Department 3200900000000000806 Date: 12/14/2009 Description Add, Alter, Extend Circ M inimuml Adjustment Electrical + 5% Technology Fee + 12% State Snrcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm complete Online eled Payment Total: ONLINE , Pa!!e I of I 8:27:58AM Amount Due 55,00 3.00 2,90 6,96 $67,86 Amount Paid $67,86 $67.86 12!l412009