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