HomeMy WebLinkAboutPermit Electrical 2010-6-4
CIO.7((P
Residential Electrical Authorization To Begin Work
69600-BEL-10-00243
Approval Code: 004574 61412010 9:14 am
E-mailedTo:belhp@ehomecomfort.com
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City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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D New Construction IKI Addition/alteration/replacement
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IZI 1 or 2 family dwelling D Multi-family D Commercial D~;~'~9=sso'ry_~:
f..:':;:;::;"." ;;:3:JOB. SltE;INI'CJRMA-TION'AND'LCJCATION""\c' " , , .'
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Job Address: 4982 JASPER RD
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: Darrell & Jaydine Knight
Cross Street/directions to job site: Turn RIGHT onto 42ND ST. Enter next
roundabout and take 3rd exit ont
Tax map/parcel no.: 1802050000201
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We are installing two air handlers and a heat pump
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Name: Darrell Kniqht
Phone: 541-726-9324 Fax:
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Email: ,/J~'>' ;
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Elec lie. no.: C357 GGB lie. no.: 84164 ._.
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 24205
CityfStatefZIP: EUGENE, OR 97402
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Phone: 5413452838 Fax: 5413023070
Email: JEFFE@EHOMECOMFORT.COM
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Metro lie. no.: City lie. no.: '!~
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Supervising Electrician's fie. no.: 5139S
Supervising Electrician's Name: JAMES M CARTER
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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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
D 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
D Health care facilities
Description
B}an~ H~~cJ tC tHiS~':;'~i~~~" '~~
Branch circuits without service or
feeder
Branch drcuits each additional
circuit without' service
EI9~trical',P~rm!t Fees
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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Upon review and approval by your local Jurisdiction, your permit wlll:';~~I~~~~lc:',~;fa'xed,r;'-N\ I ^)O
within one business day, with instructions on how to $chedule your Inspection. ::\:'~'~, ~;. :"'. ~'U \ L/C...-J
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NOTE: This Authorization To Begin Work expires within 180 days if a permit Is nOI.?f!ai~ed. ~"..;.,.. - ({) --L\ -"') 0
The local building department may determine that an Authorization To Begir Work is null and
void if il does nOI meet applicable land use laws and local ordinances.
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1_2" or "!-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
$55.00 $55.00
$6,00 $6.00
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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
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00716
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4982 JASPER RD
ASSESSOR'S PARCEL NO.: 1802050000201
Springfield TYPE OF WORK: Heating System
,;'.<. TYPE OF USE: New
PROJECT DESCRIPTION: Installation of two ai~..liandle':s;and a heat pnmp.
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Residential
Owner: KNIGHT DARRELL & JA YDlNE L
Address: 4982 JASPER RD
SPRINGFIELD OR 97478
Phone Nnmber: 541-726-9324
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION ~
Contractor License
HOME COMFORT HEATING & AIR INC 84164
HOME COMFORT HEATING & AIR .INC 84164
BUILDING INFORMATION ~
Expiration Date
06/25/2011
06/25/2011
Phone
(541) 345-2838
541-345-2838
# 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 Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
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Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rq'd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
AlTENTION:. Oregon law requires you tll
ru es a op eye regon III .
PUBLIC IMPROVEM tion Center. Those rules are s~1 !ofll'l
Street Improvements: ' , In OAR 952~hQIiI1M9j'1e~gh OAR (j~l!!.OOl.
^,()Tlf'l:. .,' '0090. You may obtain copi~s oflh(HUlil@by
Stor~ Sewer "1~n~b\eC;;. . .,.: . .; ,i.;',. calling Ih~l!llIWlR!'''(W'~!i'!~1i1l lelephofiO
SpeCIal InstructIOn: PERMIT SHALL EX ,.,."".:.' .';' number lor the Oregon Utility Nollflcilllll"
AUTHORIZED UNDER THPIRE IF THE WORK Center is 1-800-332-2344).
Notes: COMMENCED IS PERMIT IS NOT
'~NY 180 DAY ~E~16tBANDONED FOR
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"i CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2010-00716
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/04/2010
VALUE:
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Descriotion ~
Description
$ Per Sq Ft
or mnltiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
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Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1 st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling V nit Up to 10,000
Heat Pump
Amount Paid'
$7.32
$13.56
$3.05
$5.65
$79.00
$55.00
$6.00
$17.00
$17.00., , '
Total Amount Paid
$203.58' , .
I Plan Reviews ~
Date Paid
6/4/10
6/4/10
6/4/10
6/4/10
6/4/10
,6/4/10
6/4/10
6/4/10
6/4/10
Value
Date Calculated
Receipt Number
2201000000000000631
2201000000000000629
2201000000000000631
2201000000000000629
2201000000000000629
2201000000000000631
2201000000000000631
2201000000000000629
2201000000000000629
To Request an inspection call the 24 hour r~.S9jd.i_,!g,.~.U+6-3769. All inspections requested before 7:00
a.m. will be made the same working day, ins.p'ecti'oiiS'Ye'qiIested after 7:00 a.m. will be made the following
_r<:r:;:::ir. .1.:. ',,~ r- ' 1 t
work day. :. ,. ",
[..p:eO'lIire'Unsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541- 726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00716
ISSUED: 06/04/2010
APPLIED: 06/0412010
EXPIRES: 12/0412010
VALUE:
By signature, I state and agree, that I 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 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 the site at all
times during construction. .
Owner or Contractors Signature
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'It:
225 Fifth Street
Springfieljl, Oregon 97477
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541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000631
Date: 06/04/2010
10:55:06AM
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Item Total:
Authorization
Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Job/Journal Number
COM2010-00716
COM2010-00716
COM2010-00716
COM20 I 0-00716
Description
Add, Alter, Extend Circ
Add, Alter, Extend CiTc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Paymeot
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
'-",. ,:;'" ':;:\',{; ~>:". Check Number
Received By~"' Batch Number
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Amount Paid
NJM
ONLINE HOME In Person
COMFORT
HTG
Payment Total:
$7137
$71.37
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