HomeMy WebLinkAboutPermit Electrical 2010-6-17
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00269
Approval Code: 017031 6/17/2010 12:27 pm
E-mailedTo:bethp@ehomecomfort.com
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City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permifcenter@cLspringfield.or.us
[R] Addition/alteration/replacement
.".\' ~"'#i.2:~ ~C)\TEG0RY10F CONSfRU,CTlON
00 1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
"..,Jo'S'srTE'INFORMA:nON ANDe:OCA TION,~:#";:~r:..j
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Job Address: 430 S 69TH PL
CitytSfatelZIP: SPRINGFIELD, OR 97478
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Suitefbld 9 ./apt.n 0.:
Project Name: Lori Coleman
Cross Street/directions to job site: Turn LEFT onto MAIN ST/MCKENZIE
H\^JYIOR-126.Turn RIGHT onto S 69TH PL.
Tax map/parcel no.:
1702353301700
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 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
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 'r0JA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
We are installing two air handlers and a heat pump
Name: Lori Coleman
Phone: 541.741-0806
Fax:
Email:
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Elec lie. no..' CJ57
CCB lie. no.:
84164
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Business Name: HOME COMFORT HEATING & AIR CONDITIONING !~,~1"::;;:
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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.:
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
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Elec~r!.cal.Peimit'F..e~f.i ..:;y-*
Sublotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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$55.00
$55.00
$6.00
$6.00
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$61.00
$7.32
$305
$71.37
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Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxedI' ~ __ :-JJ("'3"'''''''--
within one business day, with instructions on how to schedule your inspection.. un \ 201 0 --oa to
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obfained..., ',~ ... . ,
The local building department may determine that an Authorization To ~B~11~~:~~?:'\::';~;!:'~n~ ~~Il -' J l)
void if it does not meet applicable land use laws and local ordinances.
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Inspect;'ons Phone: 541.726.3769
This Authorization To Segin 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: COM2010-00783
ISSUED: 06/17/2010
APPLIED: 06/17/2010
EXPIRES: 12/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 430 S 69TH PL
ASSESSOR'S PARCEL NO.: 1702353301700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing two air handlers and a heat pump
Residential
Owner: COLEMAN LORI L
Address: 430 S 69TH PL
SPRINGFIELD OR 97478
Phone Number: 541-741-0806
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Contractor Type
Electrical
I CONTRACTOR INFORMATION I
Contractor License
HOME COMFORT HEATING & AIR INC 84164
IBUILDlNG 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:
. 'Ritngi>'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 I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay nist:
# Street Trees Rqd:
Paved Drive Rqd:
"," j' ,--, -'"
..~{~!3f ~p~F~~erage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPR~regbn law requires you to .
follow rules adoptESJd'e\'v\l1i< ~pll:on Utility
Notification Center. Those rule~ are set forth
In OAR 952-001-001 VI1I'<<\loU!JII' tS6IRl\lii2>00 1-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
nun
THIS PERMIT SHALL EXPIRE IF THE W ~Iuatiori Destri
AUTHORIZED UNDER THIS PERMIT IS Nu I" .. .
D"n,.'HCf'JCED = IS:: ,'''^,''''tn''t,n FOR $'Pe~ Sq'Ft Square Footage
eScflPtlOn LI1vpe'o '\..!..ons rue IOn .' .
".1\/ i ~~n f) o.V peD!f' "\ or multlpher or Bid Amount
Value
Date Calculated
Paee I of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00783
ISSUED: 06/1712010
APPLIED: 06/1712010
EXPIRES: 12/1712010
VALUE:
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Status
Issued
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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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Total Value' of Project
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Fee Descriotion
+ 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 Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt Numher
$7.32
$13.56
$3.05
$5.65 ..
$79.00" ;',':'
$55.00:i,\",
$6.00"-":
$17.0Qid"; :
$17.00"i' .
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6117/]0
6/17/10
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. i: 6/17/10,
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3201000000000000309
320]000000000000312
3201000000000000309
3201000000000000312
32010000000000003]2
320]000000000000309
3201000000000000309
3201000000000000312
320]000000000000312
Total Amount Paid
$203.58
I Plan Reviews I
To Request an inspection call' the 24 hour rec,~.rdin,g~f.7.26:3769. All inspections requested before 7:00
a.m. will be made the same working day, in'speCtions 'requested after 7:00 a.m. will be made the following
work day. " ", c,' ,I,; " .
UeolliredJnsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover . T:::l:' .' 1..'1 ~';"'"
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Final Mechanical: When all mechanical work is complete. '
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Status
Iss u ed
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00783
ISSUED: 06/17/2010
APPLIED: 06/17/2010
EXPIRES: 12/17/2010
VALUE:
By signature, ] 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 auy 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.
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Owner or Contractors Signature Date
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
3201001)000000000309
Date: 06/17/2010
I :03:58PM
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
Job/Journal Number
COM20 I 0-00783
COM20 I 0-00783
COM2010-00783
COM2010-00783
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
NJM
ONLINE HOME Online
COMFORT
Payment Total:
$71.37
$71.37
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6/17/2010