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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 ~\()-'-N-~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00156 Approval Code: 009197 4/9/2010 8:29 am E-mailedTo:bethp@ehomecomfort.com ..; ~\PtANiREVfEW<~<r<, "<~~~_,'. Description ~farl'~ff9ir4~it5~~ Branch circuits without service or feeder c~ '. :_! Branch circuits each additional circuil without service ,E{ec!l:rc'ahRernjit:F~e~ Subtotal State surcharge (12% of permit lolal Technology fee (5% of permit total) o !s IZl . ~""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 f-" . "~;JOBSITE.iN-FORMATI6N'AND LOCATION ." r~.._. 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 '" .> SITE'C6JiiTACT~ 'T. tJ;.,..., Name: Diana Lee Phone: 541-543-6469 Fax: Email: i' '.; i;', CONTRACTOR ""'."'..,__ ".._....o............,.' 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 "f~ , ~6"";:.~; >";',,: 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 ;; ~. }l:" $61.00 $7,32 $3.05 $71.37 \ ~o/ 0 ~~S 'S~Y/ ~~ cPrYlIlfll 0 ~ 00 LfLt- '3 4...Q- Ie:, tVtv'.. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit -,~ I~ \o~ 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: nla 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: ,....4 , , .' '. . Page I of 3 Status Iss u ed 'f ~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l. , ';{';IT," ',' "- ~ ;'.' . '-. " , 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 l,'" _.._.. . ___.. Final Mechanical: When all mechanical wo'~k\is'co;";'pfete. !; i .. ". Pa2e 2 Of 3 'j q ~ d f f Status Issued - . ;,~ ,C 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 ;',.i,:-.:~ . .:' ., ;.~\s .:. dr :.;\ _,,'.' I' . \" L ,~;: .. I' '(1:';:.:' . , ''''.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 \ \ ..J.. '_..." .. , cReceintl Page I of I 4/9/20 I 0