HomeMy WebLinkAboutPermit Electrical 2010-5-12
SPRINGFIElD
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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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0 New Construction lR1 Add ilion/alleration/replacemenl
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lR1 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
,- . " 0 ',; JQEtSIl"EINF0RMA'laON ANDLOCAT(ON?; '.;;. ;"::::
Job Address: 142 HAYDEN BRIDGE WAY
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: Linda Earl
Cross Street/directions to job site: BEL TUNE RD becomes MARTIN LUTHER
KING JR PKWY.Enler next roundabout a
Tax mapJparcel no.: 1703233300221
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We are installing a air handler and a heat pump
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Name: Linda Earl .'
Phone: 541-463-8248 Fax:
Emall: "
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Elec lie. no.: C357 cce lie. no.: 84164
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 24205
CityfStatefZIP: EUGENE, OR 97402
.
Phone: 5413452838 Fax: 5413023070 .
Email: JEFFE@EHOMECOMFORT.COM
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Metro lie. no.: City lie. no.: :h.'I,
Supervising Electrician's Iic. no.: 51395
Supervising Electrician's Name: JAMES M CARTER
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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 a-mailed' or fa~ed
within one business day, with instructions on how to schedule your inspection.
NOTE: Thi5 Authorization To Begin Work oxpires within 180 days if a permit Is not obt~incd.
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The local building department may determine thai an Authorization To Beg~n Work Is null and
void If It does not meet applicable land use laws and local ordinances.
0.\0,91\
Residential Electrical Authorization To Begin Work
69600-BEL-10-00203
Approval Code: 012288 5/12/2010 9:10 am
E.mailed To: bethp@ehomecomfort.com
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Please check all that apply: 0 Hazardous locations
D 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 0 Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
0 Fire pumps 0 Commercial-use agricultural
buildings
0 Emergency systems 0 Installation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more 0 "A". "E", or "1-2" or "1.3"
0 Six or more residential units in 0 Recreational Vehicle Parks
one structure
0 Health care facilities 0 Supply voltage for more than
600 supply volts nominal
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Description Qty, Ea, I Total
~r~.I:1pJ!;.circ~#s . " '.,( ""'if''':!., ,c" ". - 'C'
Branch circuits without service or 1 $55.00 $55,00
feeder
Branch circuits'each additional 1 $6,00 $6.00
circuit without service
Electrical,Per'r'iiifFees,- '; .' f , , .~', ' " " ~
Subtotal $6100
State surcharge (12% of permit $7,32
totai)
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 unlil replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00591
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
SITE ADDRESS: 142 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703233300221
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air handler and heat pump
Owner: COGGINS LINDA
Address: 142 HAYDEN BRIDGE WAY
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor License
HOME COMFORT HEATING & AIR INC 84164
BUILDING INFORMATION ~
Expiration Date
06/25/2011
Phone
(541) 345-2838
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATIO~
REQUIRED PARKlNG
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
"
~ ~~~~rl'~y:ni~t':'." ,/ ~
#:Street Trees Rqd:
i'aved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improve"Jt'l'tt!NTION' 0 I . Side>yalk Type: .
. reg on aw reqUIres you to NOTI~: .
Stor~ Sewer AW'~Mcl'illes adopted by the Oregon Utility THIS P W),;I,1SPR",t~/.Ilr~:;;IRE IF THE WORK
SpeCial Instru~li~calion Center. Those rules are set forth HIVIII bHALL till"
In OAR952-001-001Othrough OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: 0090.. You may obtain copies of the rules liy COMMENCED OR IS ABANDONED FOR
calling the center. (Note: the tele hone' '~NY 180 DAY PFRIWL
II
Center is 1-800:332- ~dluation Descri
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
,,1
Paee'l of 2
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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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"Total Valne of Project
Fees Paid~ .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05 .
$55.00 .;{~
'$6.00"'"''
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Total Amount Paid
n.
$7].37"
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Date Paid
5/1211 0
5/12/10
. 5/12/10
.. 5/12/10
I Plan Reviews ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00591
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
Receipt Number
3201000000000000203
3201000000000000203
3201000000000000203
3201000000000000203
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. . .
Reouired Insoections ~
Rough Electric: Prior to Cover
Final Electric: 'When all electrical work is complete.
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 I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the ~~its,. oUhe"State of Oregon pertaining to the work described hereiu, and
that NO OCCUPANCY will be made ofauy structuni'without-permission ofthe Community Services Division, Building Safety.
1 further certify that only contractors aud employees'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 construc'tion.
Owner or Contractors Signature
, 1.1
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Page 2 of2
Date
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: 142 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703233300221
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00591
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air handler and heat pump
Owner: COGGINS LINDA
Address: 142 HAYDEN BRIDGE WAY
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMA nON i
Contractor License
HOME COMFORT HEATING & AIR INC 84164
BUILDING INFORMATION i
Contractor Type
Electrical
# of Units:
Primary Occ'upancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
# of Stories:
Height of Structure
Type of Heat: '
Water Type:
RangeType: ..
;, ~, Energy Path:
Sprinkled Building:
Expiration Date
06/25/201I
Phone
(541) 345-2838
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I~ DEVELOPMENT INFORMA TIO~
Overlay Dist:
# Street Trees Rqd: '
Paved Urive Rqd: .
'. % of Lot Coverage:
"'; :.N"~;; .t'~ .
I PUBLIC IMPROVEMENTS i
I Valuation Description ~
$ Per SqFt
or multiplier
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspoutsffirains:
Square Footage
or Bid Amount
Date Calculated
Pa2e I of 2
, ,"
Value
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00591
ISSUED: 05/1212010
APPLIED: 05/12/2010
EXPIRES: 11/12/2010
VALUE:
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,/-'}. ',-:"
Status
Issued
..',.-,
.......,.i
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,Total Valne of Project
LFees Paid~'
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amonnt Paid Date Paid Receipt Nnmber
$7.32 5/12/10 3201000000000000203
$3.05 5/12/10 3201000000000000203
$55.00 5/12/10 3201000000000000203
$6.00 5/12/10 3201000000000000203
. Total Amonnt Paid
$71.37,'",.'
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1.,P.J!!n, Re~iews ~
~
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.
L Reouired InsDections .
Rongh Electric: Prior to Cover
'. !},.~, /.
~ i i .'~ .
Final Electric: Wben all electrical work is complete.
By signature, I state and agree, tbat I bave carefully examined the completed application and do hereby certify that all
information hereon is:itrue 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 tbe 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 tbat only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project.
] further agree to ensure that all required inspection\;/ire'T~q4ested 'at the IJroper time, that each address is readable from the
street, that the permit card is located at the front or:ih:~;pfope'fiy', and'the approved set of plans will remain on the site at all
times during construction. _J),~YI' .r)1',.'
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Owner or Contractors Signature
Date
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Page 2 of2
225 Fifth Street
Spri~gfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000203
Date: 05/12/2010
10:42:24AM
Job/Journal Number
COM20 I 0-00591
COM2010-00591
COM20 1 0-00591
COM20 1 0-00591
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
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add' . I
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
.,;'.
ONLINE home Online
comfort htg
Payment Total:
$71.3 7
njrn
$71.37
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cReceintl
Page 1 of I
5112/20 I 0
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