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HomeMy WebLinkAboutPermit Electrical 2010-6-23 Si;I,.N..G~.IEL~... ~ ~t:EGOH City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@cLspringfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00280 Approval Code: 023765 6/23/2010 8:03 am E-mailed To: bethp@ehomecomfortcom o Accessory Job Address: 1215 G ST City/StatelZIP: SPRINGFIELD, OR 97477 SuitelbldgJaplno.: Project Name: Calvin Johnson Cross Street/directions to job site: Turn RIGHT onto MOHAWK BLVD.. Turn RIGHT onto G 5T. Tax map/parcel no.: 1703351105100 Elec lie. no.: C357 84164 CCB lie. no.: Business Name: HOME COMFORT HEATING &AIR CONDITIONING INC Contact: -'.'-'.." ".-:..,.- City/StatelZlP: Euq~rfl' r Phone: 54134S28380MMENCED OR 19:'!iiM~ED FOR "\I; on "-"""ERIOD Email: JEFFE@EHOMECOMJ;;.Owv:oom- . 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 ilnd approval by your local jurisdiction, your pemiit. 'wlll tie e:malled or faxed wfthln one business day, with lnstnJctions on howto schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a pennit b not obbllned. The local building department may detennlne that an Authorization To Begin Work Is null and void If It does not meet applicable land use laws and local ordinances. Please check all that apply: o 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 o Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential unitS in one structure o Health care facilities Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE CJ O-~'l (J/{),2rJ7 o HazardC?us locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 twA or larger seperately derived sys O "A" "E" or "1-2" or "1-3" , , o Recreational Vehide Parks o Supply voltage for more than 600 supply volts nominal $81.00 $9.72 $4.05 $94.77 ~ Vlo3\\O ',~~,'!!I.c".. ATTENllON: Oregon law requires you 10 follow nlles adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 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). ~ "'(\~ ~ \, \Y'"' ^,_.:' \0 at' <<S'~ ~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit CITY OF SPRINGFIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2010-00807 ISSUED: 06/23/2010 APPLIED: 06/23/2010 EXPIRES: 12/23/2010 VALUE: SITE ADDRESS: 1215 G ST ASSESSOR'S PARCEL NO.: 1703351105100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service panel change out. Owner: JOHNSON CALVIN RAY & M J Address: 1215 G ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License HOME COMFORT HEATING & AIR INC 84164 BUILDING INFORMATION I Expiration Date 06/25/2011 Phone (541) 345-2838 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secoudary Constructiou 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 Garage/Carport Sq Ft Other: , ,', ., Occupant Load:"" ."" nla I DEVELOPMENT INFORMATION I REQUIRED PARKING . ATTENTION: Oregon laB; you to F~ontyard Sethack: " Overlay Dlst: . follow rules adopted by . on UtIlity ~;::~ ~::~~a:hCE: . "<, :;r,,":;~;;e~~::e~:;:d'~o~:a:~.g:1n~J'1~ose II 1lM:O~ Rearyard ~~~~~RM1T SHAll EXPIRE IF THE ~ofot Coverage:0090. You may obtain copiee of the rules bf Solar Setb~"~~:HORIZED UNDER THIS PERMIT IS NO:. calling the center. (Note:.~.telephone I..,UIVllVlt ANY 180 DAY PERIOD. PUBLIC IMPROVEMENTS Center is 1-800-332-2344). Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Description I Description Tvpe of Construction $ Per'Sq Ft or multiplier Square.Vootage or "Bid Amount Value Date Calculated Pal!e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00807 ISSUED: 06/23/2010 APPLIED: 06/23/2010 EXPIRES: 12/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Descriotion + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number . $9.72 $4.05 $81.00 6/23/10 6/23/1 0 6/23/1 0 2201000000000000726 2201000000000000726 2201000000000000726 Total Amount Paid $94.77 I Plan Reviews , 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.JleouiredJnsnec~ Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that] have carefully examined the completed application and do herehy certity that all information hereon is true and correct, and I further certify tbat 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 berein, and tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I further certity tbat 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, tbat 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone S'P.'A;lNQf1.~.iiti...'..'. Mr'JIt.- · '.." . "'ei "'."'-"-'_-"''H.'''.' .. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000726 Date: 06/23/2010 8:43:17AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 9.72 4.05 $94.77 Job/Journal Number COM20 I 0-00807 COM20 I 0-00807 COM20 I 0-00807 Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE HOME Online COMFORT HEATING &AIR Payment Total: $94.77 '.) t~ ;.: c.; . . 1 $94.77 . ; ; 'I, ~!:: , I' ~r.t;l .! \.) ",', hh ,;>:::,t' 'j . I ' ~ (' , '{'I,:I.l ;'.1' .l' !:;.R cReceintl Page 1 of 1 6/23/2010