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Home My WebLink AboutPermit Electrical 2010-1-6 SPRINGfiELD ~~Fi, . .t&,~:?,,", OREGON" City Of Springfield 225 Fifth 51 Springfield, OR 97477 .Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00004 Approval Code: 505890 1/5/2010 9:10 pm E-mailedTo:electricman1@centurytel.net ie, ::~~~t:j:0'jPLAN;REViEw~3;;',4f ,~~~ ,,,-' li~New Coow"tioo IKI Addltloo/altecation/'ep'"ement k ,:"'c;;~' ;;::CA"TEGQ~Y.9f'c6NSiRlJcIfiQf.i:c':~''?jji~j,,:k;''~~~ [R] 1 or 2 family dwelling If' iSi',TOEl;Si"TEINFORMA"TfON ANO'iYOCATION ,!~::;';::,;;~..'~i0i I Job Address: 5788 E 5T I CityfState/Z1P: SPRINGFIELD, OR 97478 I Suite/bldg./aptno.: I Project Name: 2152 I Cco", St'eeUdlcectlons to job site, I Tax map/parcel no,: 1702331401801 o Multi-family o Commercial D Accessory I, REHOOK FURNACE AND HEAT PUMP I Name: matthew Qrover I Phone: 541-.125-7827 I Email: Ii Fax: 541-895-3922 '. i~ , I Elec lic. no.: C441" eeB Iic. no,: 184274 I Business Name: COMPLETE ElECTRICAL INSTALLATIONS INC I Contact: I Address: 33024 CAMAS SWALE RD I City/State/ZIP: CRESWELL, OR 97426 Phone: 5418953922 Fa~;,~':;~t{:: ~.~:;~tfiW~(if~," ~'.'. ' Emall NOTICE: -T EXr'~C'~TI-lEWORI< Me,mlic..;bHIS ~~H!I~I~ ;)~~E~ TI-l'l~PeRMIT IS NOT I /<1' [11\,11\\,-,-'" Uti" .. .ED fUK .. S"pe"'s'n\l:~~\"~"!~W"'T::'l'i'nR IS5~B>ANDON . I vv."t,L..- S"pe"'Sln~l~(~''f'i'ii'1' !'J'M'(' PER!@O~EW E GROVER Number of inspections included in paid services: Residential Service: 4 Reconnect Only; 1 AIIOlherServices: 2 Upon review and approval by your local Jurisdiction, your permit will be e-mailed or faxed within one business day, with instructlons on howto schedule your inspection. NOTE: ThIs Authorization To Begin Work expires within 180 days if a permit Is not obtaIned, The tocal building department may detennlne that an Authorization To Begin Work Is null and void If it docs not meet applicable land ~se laws and local ordinances, 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 I Description I Branch circuits without service or . feeder I Branch circuits each additional circuit without service I Subtotal I State surcharge (12o/~ of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE c q, 114l. 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-use agrjcuJlural buildings o Installation of a 150' KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational ~ehicle Parks o Supply voltage for more than 600 supply volts nominal Total $55.00 $55.00 $6.00 $6.00 $61,00 $7.32 $3.05 $71,37 e-q- J1L{,;Y 1<iL Ii Lo I 10 ., 7~ ~M:OtegOn1llW~" fD\IOW~..~=J8SIJ9I8l:l. NotIII-............ th--OAR852-001>- In OAR 952.Q01.Q010 '-' at..... ndeS .... __ You mav obtain coplell u.. _ ..., -- the _. (Note: 1M tllIePhOllt eaI\1nI tor the Oregon UtIlity NuIIIIoaIIOR liliiii* Center .. HOO alr-lISH). . \j)~ .. \:Y~ v-: 'J<<. ~ Inspections Phone: 541-726-3769 i This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~';nD ,\) ('\~()\J\\V />..' i VJ ,''>. {J'Y:. I _&~AINO~I!i!L,~li liB ~I, I i I CITY OF SPRINGFIELD Buildin~/Combination Permit , Status Issued PERMIT NO: COM2009-01742 ISSUED: 12/07/2009 APPLIED: 12/07/2009 EXPIRES: 07/06/2010 VALUE: 225 Fifth Street. Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5788 E ST ASSESSOR'S PARCEL NO,: 1702331401801 , Springtield TYPE OF WORK: Heating System . TYPE OF USE: New PROJECT DESCRIPTION: Installation of heat pump and air handler in residence, Residential Owner: SKINNER HAL W JR & CAROL J Address: 5788 E ST SPRINGFIELD OR 97478 Phone Number: 541-746-3387 I I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanieal Contractor License COMPLETE ELECTRICAL INST ALLA TlON 184274 INNOVATIVE AIR INC 161742 BUILDING INFORMATION' Expiration Date , 10/14/2010 i 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: WaleI' 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: peen pant Load: n/a I DEVELOPMENT INFORMATION' ~;7;~'::~~'~~1\C~: S"~CC :~~~ ~,;, .-~:;:-c Side 2 Setback: ~E\'I,,^\i E~ "'i\,\\S irl!'l'l"llC$ive Rqd: follow rules adOPted ~~r:;'~elforth Rearyard Setbackl\-1lS \-IO~IIEI) \.\t-\I) \S jI..~r>-~I)O ~of Lot Coverage: Notlficatlon Center, Those "e~= ~-OO1. Solar Setbacks: 1\\.\\ \\I\ct-\CEI) O~ 01) InOAR952-OO1.Q010throu,9 of the ruleB by '2r:~I\.f ..;.; ~CQ\ . JeSg. Y""~"YnbtAlnCOe~ - " '\ \',\l u" oaIllng the center, \NOle. mlil ,,,.,,.."_'w I\~ \ I PUBLIC IMPROVEMENTS I mbIIr for the oregon Utility NotltlcatlOn Street Improvements: ftUSi<lelRlhtiv'IlJ:1-800432-2344), Storm Sewer Available: Speciallnstrllction: Downspouts/Drains: I Notes: ,- ",,,,, . I, ,,,.; ,Page 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5%Technology Fee Add, Aller, Extend Circ Add, Aller, Extend Circ Ea Add . Amount Paid $11.52 $4,80 .$79,00 $17.00 $7.32 $3.05 $55.00 $6.00 Total Amount Paid $183.69 I Plan Reviews I Date Paid 1217109 1217109 1217109 1217109 1/6/10 1/6/10 1/6/10 1/6/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01742 ISSUED: 12/0712009 APPLIED: 12/0712009 EXPIRES: 07/0612010 VALUE: Value Date Calculated Receipt Number 1200900000000001314 1200900000000001314 1200900000000001314 1200900000000001314 1201000000000000011 1201000000000000011 1201000000000000011 1201000000000000011 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, R.elluired Tnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mecbanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Paee 2 of 3 ,. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01742 ISSUED: 12/07/2009 APPLIED: 12/0712009 EXPIRES: 07/0612010 VALUE: Status Issued .. ...,:,. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information here~n is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordiuances of the City of Spriugfield 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 Divi.sion, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project. I further agree to ensure that all reqnired inspections are requested at the propel' 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 Date Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1742 COM2009-0 1742 COM2009-0 1742 COM2009-0 1742 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1201000000000000011 Description. Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add. + 12% State Surcharge +.5% Technology Fee Paid By ONLINE PERMIT CHGS , City of Springfield Official Receipt Development SerVices Department Public Works Department Date: 01/0612010 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page 1 of 1 ONLlNECOMPLETE Online ELECTRIC AL Payment Total: 9:16:28AM Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid $71.3 7 $71.37 1/612010