HomeMy WebLinkAboutPermit Electrical 2010-3-17
SPRINGFIELO ~..~
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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, ,-'.' - d- ,. "dYP~E OF WORK "'!: /':T, ~' . .-'
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0 New Construction IKl Addition/alteration/replacement
" .,\ 'cATEGORY OF CONSTRUCTION ~.
IKI 1 or 2 family dwelling 0 Multi-family D Commercial o Accessory
. JOB SITE INFORMATION AND LOCATION ~
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Job Address: 1125 58TH 5T
City/StatefZIP: SPRINGFIELD, OR 97478
SuiteJbldg.lapt.no.: 67
Project Name: 2199
Cross Street/directions to job site:
Tax map/parcel no.: 1702342200100
, .~\~';' 'DESGRI)'T10N OF;WOR!:<T, , '(;.' ,
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change out furnace and new circuil for heal pump. ',.
, " .. SITE CONTACT , , "
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Name: matthew qrover
Phone: 541-225-7827 Fax: 541-895-3922
Email:
, '" " .: .. c:ONT~CTOR ;.
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Elee lie. no.: C441 CCB lic. no,: 184274
Business Name: COMPLETE ELECTRICAL INSTALLATIONS INC
Contact:
Address: 33024 CAMAS SWALE RD
City/State/ZIP: CRESVVELL, OR 97426
Phone: 5418953922 Fax:
Email:
Metro lic, no.: City lie. no.: "
Supervising Electrician's lie. no.: 53675
Supervising Electrician's Name: MATTHEW E GROVER
Number of inspections included in paid services: ~
Residential Service: 4
Reconnect Only: ,
AU Other Services: 2
Upon review and approval by your local jurisdiction, your permit wUl be e-mailed or
within one bU$ine5$ day, with Instructions on how to schedule your inspectlon.
NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained.
The local building department may determine thet en Authorization To Begin Work is null and
void if it doo$ not meot applicable land uso lows and local ordinancos.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00116
Approval Code: 085498 3/17/2010 7:39 am
E-mailedTo:electricman1@centurytel.net
, '. ~' , ";. PLAN REVIEW" ,
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Please check all that apply: o Hazardous locations
o A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for alt other o Floating buildings
o Fire pumps o Commercial~use agricultural
buildings
o Emergency systems o Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A" "E" or "1-2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
. , ,FEE SCHEDULE ..
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Description aly. Ea, Total
Branch circuits_ p.. ~ ~, ,
m
Branch circuits without service or , $55.00 $55 00
feeder
Branch circuits each additional 1 $6.00 $6.00
circuit without service
Electrical,Permit Fees - . .. ~ ",0,',"" ,. '0 ,
Subtotal $61.00
Stale surcharge (12% of permil $7.32
lotal)
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71.37
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00296
ISSUED: 03/0912010
APPLIED: 03/09/2010
EXPIRES: 09/0912010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1125 58TH ST SPACE 67
ASSESSOR'S PARCEL NO,: 1702342200100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of new heating system in residence.
Residential
Owner: MCGINNIS SHAWN MICHAEL
Address: 1125 58T11 ST SPACE 067
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Mechanical
Contractor License
COMPLETE ELECTRICAL INSTALLATION 184274
INNOVATIVE AIR INC ",".- >'. \;.::.' 161742
BUILDING INFORMATION ~
Expiration Date'
10/14/20 I 0
10/11/2010
Phone
541-225-7827
541-746-1040
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 211d Floor:
Sq Ft Basement:
Sq Ft Gal'llge/Carport
Sq Ft Other:
Occupant Load:
II/a
I DEVELOPMENT INFORMATION .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
~'CTICE:
n"s PERMIT SHALL EXPIRE IF THE WORK
" rHORIZED UNDER THIS PERMIT IS NOT
" MMENCED OR IS ABANDONED FOR
.N 180 DAY PERIOD,
I PUBLIC IMPRO~!'li'!lIDl'l'Oregon l.aw,re6~:e~n Utility
fiiilliWlrumdoptEld by, th~ .e.~e set forth
'...., " '.;li{l.tlllcationcentef.'iWl~ h~,952'()()1.
.,~ . "ItnCDJ\R'952-001-0q}g~~q,a~IJ'&{f\l!lfUle8 by
, i ': Q1lSllll You may obtam cap h
""'~" aaIIing the center. (Note:,t~e~'~~:n
nwn\:lSr for the Oregon Ulllityo
Genter. is.t,sOO,332:2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I 01'3
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Wit:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvne of Construction
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pnmp
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00 ,
$6.00 .:.:;
3/9/10
3/9/10
3/9/10
3/9/10
3/17/10
3/17/10
3/17/10
3/17/10
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Total Amount Paid
$183.69".
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00296
ISSUED: 03/09/2010
APPLIED: 03/09/2010
EXPIRES: 09/09/2010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000213
2201000000000000213
2201000000000000213
2201000000000000213
3201000000000000088
3201000000000000088
3201000000000000088
3201000000000000088
To Request an inspection call the 24 hour recording at 72673769. 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. .
UeouiredJnsnections'
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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Paee 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: COM2010-00296
ISSUED: 03/09/2010
APPLIED: 03/09/2010
EXPIRES: 09/0912010
VALUE:
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Law~,of th~ State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure ,vithoni permission of the Community Services Division, Bnilding Safety.
1 further certify that only contractors and employees ,vho are.,in compliance with ORS 701.005 will be used on this project.
1 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 tile site at all
times during construction.
Owner or Contractors Signature
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'Paee 3 of 3
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
I>ublie Works Department
RECEIPT #:
3201000000000000088
Date: 03/17/2010
7:47:0SAM
Job/Journal Number
COM20 I 0-00296
COM20 I 0-00296
COM20 I 0-00296
COM20 I 0-00296
Description
Add, Alter, Extend Circ
Add, A Iter, Extend Circ Ea Add
+ 12%.State Surcharge
+ 5% Technology Fee
Payments:
Type of Pnyment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
NJM
ONLINE COMPLETE Online
ELECT
Payment Total:
$71.37
$71.37
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3/17/2010