HomeMy WebLinkAboutPermit Electrical 2010-1-15
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00027
Approval Code: 015312 1/15/2010 2:40 pm
E-mailedTo:bethp@ehomecomfort.com
. ):111
I D New Construc~ion
[g] Addition/alteration/replacement
lR]1 or 2 family dwelling
o Accessory
D Multi-family 0 Commercial
Ir~ ','7"c~,*,~~'JOBrSltEfIN~6RMATI0N;ANDli:6cA TION::~2:~~~:rz:;&'1
I Job Address: 2187 11TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I SuitelbldgJapt.no.:
I Project Name: James Curtis
I Cross Street/directions to job site: Turn RIGHT onto T ST. Turn lEFT onto 11TH
ST '
I Tax rnaplparcel,no.: 1703261106200
We are installing a air handler anda heal pump
I Name: James Curtis
I Phone: 541+485.2740
I Email:
Fax:
Elec lie, no,: C357
ceB lie, no,:
84164
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
I Contact:
I Address: PO BOX 24205
I CitylStatelZIPNI'III:tf~ 97402
I Phone 54134ml6 PERMIT SHAll OORE>U;7FHE~O~~
I Em,;', JEFFE~bhThlQRIZiDr\lNDER THIS P~KIVIIT I" I~U I
I Metml;c,no,vUIVIIVltl~vtU Ut1I".~~r~E& :-:m
MW--133 3A'iP[RICD. .
I Supervising Electrician's fic,no,: 51395
I Supervising Electrician's Name: 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 jurisdiction, your permit will be e.mailed or faxed
within one business day, With Instructions 011 how to schedule your inspection.
NOTE: This Authorization To Begin Work expires Within 180 days If a permit Is not obtained,
The IClcal building department may determine that an Authorization To Begin Work Is null and
void if it dCles not meel applicable land use laws and local ordinances.
CIO.v+
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available faull current exceeds
10,000 Amps at 1~0 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
o Emergency systems
D 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 (12% of permit
total)
1 Technology fee (5% of permit total)
I TOTAL PERMIT FEE
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial~use agricultural
buildings
D Installation ala 150 KVAor
larger seperately derived sys
D "A" "E" or "1-2" or "1.3"
, ,
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$55,00
$55:00
$6.00
$6.00
$61.001
$7.321
$3,05 I
$71,37 I
CIO-lo4 k'JL
\IIS/ICJ)
ATTENOON: Oregon law requires you to ,
toIIow tuI.. adopted by tile Oregan UIII., j
NotIlIcatIon Center. Those rules are S8l forth
In OAR 852-<<11-0010 through OAR 852-<<11-
0090. You may obtain copIeI of the ruIeI bf
CllIIIIng the center. (Note: the teIeptlClr>>
IlUmbIr for IIIe Oregon UIIlity NotIlIc8IIOft
Center II 1-800 1:I?-2344).
.~
.(\Ifi~ :-~
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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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00064
COM20 I 0-00064
COM20 I 0-00064
COM20 I 0.00064
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
1201000000000000052
Description.
Add, Alter, Extend Circ
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
Item Total:
Date: 01/15/2010
Check Numb~r Authorization
Received By Batch Number Number How Received
KR ONLINE HOME Online
COMFORT
HEATING
Payment Total:
Page J of J
2:50:07PM
, Amount Due
55,00
6,00
7,32
3:05
$71.37
Amount Paid
$71.37
$71.37
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1/15/2010
SPRINGFIELO.-
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m'~.~~A" OReGON
City Of Springfield
225,Fifth 51
Springfield, OR 97477
Phone: 541.726-3753
Email: permilcenter@ci.springfield._or.u5
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00013
,
Approval Code: 015368 111512010 2:33 pm
E,mailed To: bethp@ehomecomfort,com
1.0 New Construction IRl Addition/alteration/replacement
'~1l~~7 '1!f~~~~1;J~GAt~.G.QRYJQi~fc~Q~$JRO:G:TrQN~~'~,~,~~~;::~1~~
I [K] 1 or 2 family dwelling D Multi.family 0 Commercial 0 Accessory :
Ilf '.1!:'j$";\l'''':'~;'J()B:sTTf!INF.ORriiATioNiANo;il()CATION-:,F!t~~~i~'lI::;j
I Job Address: 2187 11TH 5T
I Description I Qty. I Ea. Total
18~#~g/CooliQg~App)J[r[~~~~~:~~j~~jtfl:t:~~.\~~,~'_:,~:>p~1
I Heat Pump $17.00 $17,00-
$79.00
I First Appliance Fee
Suite/bldg.lapt.no,:
I Subtotal
I Slate surcharge (12% of permil
lolall
I Technology fee (5% of permit 101al)
I TOTAL PERMIT FEE
City/State/ZIP: SPRINGFIELD, OR 97477
$96.00
$11,52
Project Name: James Curtis
$4.80
$112,32
Cross Street/directions to job site: Turn RIGHT onlo T ST. Turn LEFT onto 11TH
ST,
I Tax map/parcel no,:
1703261106200
C:)I D- ~4 k-Q-
1{15/ID
J
We are instatring a air handler and a heal pump
Name: James Curtis
I Phone: 541-485-2740
Fax:
cce lic, no.: 84164
I Business Nambfi~~MFORT HEATING & AIR CONDITIONING 'INC ,
I Cootact ~UIC: ;1'~M1T SHAll EXPIRE IF TH~ ~~liJ\
I Add.." P~:f~IZED UNDER TH1S!~liIVIII1~QI.8T
Clty/Stat./ZI60.1clMEM(i;mllolJK I::) I\Ormuvtf.:3 [')"
fi.,V HlU Ui'l1 i=iJ;luC:. ,
Phone: 54134'32!l38 Fax:
I Emall:
I Metro lic.no,:
ATTENTION: Oregon law requires you,to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set lorth
In OAR 952-001-001 0 through OAR 952-001-
0090. You may obtain copies 01 the rules by
calling the center. (Note: .~he tel~~ho~e
number for the Oregon Utility Notllicatlon
Center is 1-800-332-2344).
City 'ic. no.;
Upon review and approval by your local jurisdiction, your pennlt will be e-mailed or fued
within one business day, with Instructions on ~ow to sChedule your Inspection.
.
..~
~'0~
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~~\7-
~
NOTE: This Authoriution To Begin Work expires within 180 days If a permit Is not obtained,
The local building department may detennlne that an Authorization To Begin Work is null anti
void if it tloes not meet applicable land use laws and local ordlnan ces,
Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00064
COM20 I 0-00064
COM20 1 0-00064
COM20 I 0-00064
Payments:
Type of Payment
, RECEIPT #:
Description
I sl Appliance
Heat Pump ,
+ 12% State Surcharge
+ 5% Technology Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cRccciotl
1201000000000000053
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01115/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
KR
Page I of I
ONLINE HOME Online
COMFORT
HEATING
Payment Total:
2:50:5IPM
Amount Due
79,00
17,00
11.52
4,80
$112,32
Amount Paid
$112,32
$112.32
1115/2010
_~RI,I,\I,~!"Im"D>
I
t
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00064
ISSUED: 01/15/2010
APPLIED: 01/15/2010
EXPIRES: 07/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2187 11TH ST
ASSESSOR'S PARCEL NO.: 1703261106200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: ,New
PROJECT DESCRIPTION:' Installing a heat pump and air handler in residence.
Residential
Owner:, CURTIS JAMES E
Address: 2187 11TH ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORM~TlON I
Contractor License
HOME COMFORT HEATING & AIR CONDI 84164
HOME COMFORT HEATING & AIR 84164
BUILDING INFORMATION I
Expiration Date
06/25/20 II
06/25/2011
Phone
(541) 345-2838
541-345;2838
# of Units:
Primary Occupancy Group:
Secondary, Occupancy Group:
Primary Coustruction Type
Secondary Constructiou Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Wi,ter Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: ' ON' 0 gon laW?llljtll~8 you to
Rearyard Seiback:' % of Lot Coverage: ATTENTl . d~~ted by the Oregon Utility
Solar Setbacks: foll,ow ru esCanter Those rules are set forth
wnl"'''. " "., f'Joliflcatlon e. , ~. n "0" nl\1_
.e._~ ' :JAR tJb~-UU I-UU IV UIl.......J" - -
THIS PERMIT SHAll EXPIRE IF T~twIMPROVEMENTUO y, u may obtain copies of the rules by
,HI ilIJ '. 0 ;as INote' the telephone
Street l"'l'IcHQDlIaUO UNDER THIS PERMIT IS NOT calhn@ilMvlilW b'r~e' Ut'lity Notification
Storm s;,QM1l1..~il\~MitPR IS ABANDONED FOR numbi\J~~)S:~,{Sa~-2344).
Special~YraMj;}AY PERIOD.
Notes:
,..,-.....
,,' ~. :
Pa2e I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V ~Iuation Descrin,tion I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Amonnt Paid
$7.32
$11.52
$3.05
$4.80
$79.00
$55.00
$6.00
$17.00
Total Amount Paid
$183.69
Square Footage
or Bid Amount
Total Value of Project
Fees Paid'
Date Paid
1/15/10
1/1511 0
1/15110
1/] 5/10
1/15/10
1/15/10
1/15/10
1/15/10
I. Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00064
ISSUED: 01/15/2010
APPLIED: 01/15/2010
EXPIRES: 07/15/2010
VALUE:
Value
Date Calculated
Receipt Number
1201000000000000052
1201000000000000053
1201000000000000052
]201000000000000053
1201000000000000053
1201000000000000052
]201000000000000052
]201000000000000053
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 Relluired Insnections'
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Covel'
Final Electric: When all electrical work iscoinplete.
,',
Paee 2 01'3
Status
Issued
CITY OJ:< ~rRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00064
ISSUED: 01/15/2010
APPLIED: 01/15/2010
EXPIRES: 07/15/2010
VALUE:
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 1 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 Springlield 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 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 lhe sile at all
times during construction,
Owner or Contractors Signature
Date
Pa2e 3 of 3