HomeMy WebLinkAboutPermit Electrical 2010-4-9
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfleld.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00156
Approval Code: 009197 4/9/2010 8:29 am
E-mailedTo:bethp@ehomecomfort.com
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Description
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Branch circuits without service or
feeder
c~ '. :_! Branch circuits each additional
circuil without service
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Subtotal
State surcharge (12% of permit
lolal
Technology fee (5% of permit total)
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. ~""iTYPE"OIi,.w5RKq";j;..
(K] Addition/alteration/replacement
CA'lIEGORYtOF' c'oN~TRU~TION
D Multi.family 0 Commercial
New Construction
o Accessory
1 or 2 family dwelling
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. "~;JOBSITE.iN-FORMATI6N'AND LOCATION
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Job Address: 1335 CENTENNIAL BLVD
City/StateIZIP: SPRINGFIELD, OR 97477
Suitelbldg.lapt.no. :
Project Name: Diana Lee
Cross Streetfdirections to job site: Turn RIGHT onto MOHAWK Bl VD.Turn
RIGHT onto CENTENNIAL BLVD.
Tax map/parcel no.:
1703253310500
r~i..!'''!i:< ~DESi::RIP..TION"61;~1IVOR~ "
We are installing a air handler and a heat pump
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SITE'C6JiiTACT~ 'T.
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Name: Diana Lee
Phone: 541-543-6469
Fax:
Email:
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i;', CONTRACTOR
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Elec lie. no.: C357
84164
CCB lie. no.:
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 24205
City/State/ZIP: EUGENE, OR 97402
Phone: 5413452838
Fax: 5413023070
Email: JEFFE@EHOMECOMFORT.COM
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
51395
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 on how to schedule your Inspection.
NOTE: This Authorization To BegIn Work expires within 150 days if a permit is not obtained.
The local building department may determine that an Authorll.ation To Begin Work is null and
void if it dOllS not meet applicable land use laws and local ordinances.
Please check all that apply..
D 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
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
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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 agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", HE", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$600
$6.00
TOTAL PERMIT FEE
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$61.00
$7,32
$3.05
$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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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00443
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 10/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1335 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703253310500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install Air Handler & Heat Pump
Owner: LEE DIANA K
Address: 1335 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Number: 541-543-6469
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
HOME COMFORT HEATING & AIR INC
HOME COMFORT HEATING & AIR INC
License
84164
84164
Expiration Date
06/25/2011
06/25/2011
Phone
(541) 345-2838
541-345-2838
BUILDING INFORMATION ,
# 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 Type:
Range Type:
Energy Path: . .
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
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I DEVELOPMENT INFORMATION I
Front yard 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:
')
..'.....:.
Storm Sewer Available:
Speciallnstruc'ii\i~CE:
:~) PERMIT S
Notes: j HORIZED U HALL EXPIRE IF THE
"IMENCED O~DER THIS PERMIT ISWORK
, 180 DAY PER:g~BANDONED FOR NOT
I PUBLIC IMPROVEMENTS" . Ore on law requires youto .
,1'1:,0. :\. n' ,d ION~Iktr;y\llt! Oregon Utility
y. follow.rules. Those rules are set forth
Notificatio~_g~~~~lJqlllti~lIitilf.\R 952-001-
In OAR 95 btain copies of the rules by
0090,. You may 0 Note: the telephone
calling tfhe tChentoe:~g(on Utility Notification
number or e 344)
Center is 1-800-332-2 '
Street Improvements:
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Page I of 3
Status
Iss u ed
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
TotalValue of Project
~
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 Pnmp
Amount Paid
$7.32
$11.52
$3.05
$4.80
$79.00::;:'
$55.00,",<
$6.00:' '
$17.00'
!J'i {.
Total Amonnt Paid
$183.69
I Plan Reviews ~
Date Paid
4/9/10
4/9/1 0
4/9/10
4/9/10
4/9/10
4/9/10
4/9/10
4/9/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00443
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 10109/2010
VALUE:
Value
Date Calculated
Receipt Numher
3201000000000000134
3201000000000000135
3201000000000000134
3201000000000000135
3201000000000000135
3201000000000000134
3201000000000000134
3201000000000000135
To Request an inspection call the 24 hour recording ~t [f6-3769. 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. ..
l..Jle{]uirecUnsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rongh Mechanical: Prior to Cover
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Final Mechanical: When all mechanical wo'~k\is'co;";'pfete.
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Pa2e 2 Of 3
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00443
ISSUED: 04/09120]0
APPLIED: 04/0912010
EXPIRES: ]0/09120]0
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 Springfield and the L~,;.~ of ih(State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any struct~~e'without permission of the Community Services Division, Building Safety,
I further certify that only contractors and employe'.s who 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 the site at all
times during construction.
Owner or Contractors Signature Date
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''''.Paee 3 of3
225 Fifth Street
Springfield', Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000134
Date: 04/09/2010
9:01:28AM
Job/Journal Number
COM20 I 0-00443
COM20 I 0-00443
COM20 I 0-00443
COM20 I 0-00443
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
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
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
NJM
ONLINE HOME Online
COMFORT
Payment Total:
$71.37
$71.37
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