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Home My WebLink AboutPermit Electrical 2010-7-2 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us w " '} -':, ^' h';;. ':'::'j ,,,.;c,, "" ", D New Construction IX] Addition/alteration/replacement _.~~ : ," i, ~ i' ;"', ,'CA TEG'O,RV:OFCONSTRUCTfolli:';:':, :,:,i,;;';' .,,", ",; [X] 1 or 2 family dwelling D Multi-family 0 Commercial . D. Accessory l." ';', ~7< '~:J:Oi3,sITE INFORMATIOi'FA'ND.L:OCA TION}/\" .;j'::l:; ~:' 1 Job Address: 1001 DIXIE DR City/State/ZIP: SPRINGFIELD, OR 97478 Sulte/bldg./apt.no. : Project Name: 2258 Cross Street/directions to job site: l' ...~. Tax maplparcel no.: ,=, 1802052407500 Ti'9N' :;'0',,',~,.~i;~~rt. : rehook furnace and heat pump ./~,,';>;', '" ic" """;:' SI1~C9NTAtT':~':::,,~>.{:. ~ ;:h . '. ",:. Name: matthew qrover Phone: 541-225-7827 Fax: 541.895-3922 :' ! ,,;::' "':,,,c, t:."! ;;t', ~"btc "f;;;,CONTRA'~I,0R:.l'; ,,;X\i~;'~':'; '1'" ,- Email: Elec lie. no.: C441 CCB lie. no.: 184274 Business Name: COMPLETE ELECTRICAlINSTAU.ATIONS INC Contact: Address: 33024 CAMAS SWALE RD City/State/ZIP: CRESWELL, OR 97426 .~ ~ ~ -;'," Phone: 541~B9543922 ::>'.'.."::;~ ,h..... '" ..1.", Fax: 1'1 Email: Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 53675 Supervising Electrician's Name: MATTHEW E GROVER 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' e:~ailed or faxed within one business day, with instructions on how to schedule your inspection;.:. ,_ NOTE: This AuthorIzation To Begin Work expires within 180 days If a permit is nol obtained. The lo&al building department may determine that an Authorization To Begin Work is null and void if it does not meel appll&able land use laws and lo&al ordinances, ;~, " dlo. 7Sg Residential Electrical Authorization To Begin Work 69600-BEL-10-00301 Approval Code: 030785 7/2/2010 6:54 am E,mailed To: electricman1@centurytel.net ':'5, : h",/'j,'Pl'PLAN ~'EVIEW', ,,!c:, .':;'''. Please check all that apply: 0 Hazardous locations tJ 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 ,,';'" ,. "": ' ,.:;?;,~ 4i,,,SF.EE;SCHEtllJCE' .";', '," : 'H.., ,'! t".- 7 _ _._..._.'...,._.".__. '" ". Description Qty, I Ea. I Total "" ',,' " " . """,,,,'" ",.',", Branch circuits without service or 1 $55,00 $55,00 feeder Branch circuits each additional 1 $6.00 $6,00 circuit without service ~le-ctrical~-ermitFee5 "<",,, . , , " , " ! ~ubtotal $61.00 State surcharge (12% of permit $7,32 total) Technology fee (5% of permit total) $3,05 TOTAL PERMIT FEE $71.37 . '# ~\n~'\) f\ UI ~. V ,<J' ~ "1:'l'\U ~~~ IJj- " '~m'2Q) I 0 1-2 - ) \:) 007 (iY 1IrY\ Inspections Phone: 541,726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-36.76 Fax 541-726-3769 Inspection Line ,.._,l, :'-~,.i' SITE ADDRESS: 1001 DIXIE DR ASSESSOR'S PARCEL NO.: 1802052407500 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00788 ISSUED: 06/18/2010 APPLIED: 06/18/2010 EXPIRES: 12/1812010, VALUE: Springtield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pnmp and coil Owner: WARD KENNETH N & CARLA J Address: 1001 DIXIE DR SPRINGFIELD OR 97478 Contractor Type ' Electrical Mechanical TYPE OF USE: New Residential Phone Number: 541-747-6039 I CONTRACTOR INFORMA TION ~ ',' "',- " : # :of Stories: "'Height ,,(Structnre Type of Heat: \Vater Type: Range Type: Energy Path: Sprinkled Building, Contractor License COMPLETE ELECTRICAL INSTALLATION 184274 INNOVATIVE AIR INC 161742 BUILDING INFORMATION I' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Expiration Date 10/14/20 I 0 10111/2010 Phone 54] -225-7827 541-746-]040 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft' Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION ~ Overlay Dist: , # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ liiles 'Iou to " N' oregOl\}"~ req"p, on U\i\\\'{ R-iTEN no ~dO )tor,j'h;:itlg9\-'~ ';-el iOllh " W r'j\;P';; c. i :i.l$l::<':~:'(':-:":'it,ii::;rl\tl,:,e..",-:: "01 \(:\\o ^ ; :' center. '1 nos '.';~ ::OAI'\ 952,0 - No\"li""l'~~ r01,001(jti,~'iro".~~''''1 the rules by in OAf'! S:C~~~aY ot)t~!<i1'pOP\~S:fe telephone 0090\'IY9\J~ne center:'\Notue'i,ii\t." Notilica\\On ca \II Oregon J ) , number lor the 1_BOO-332-2344. center IS Paee I of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: PIRE IF 1HE ORK THIS PERMIT SHAll ~IS PERMIT S NOT AUTHORIZED UNDE; ABANDONED F )R COMMENCED OR I ANY 1 SO DAY PERIOD, Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid " Yi, :; I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00788 ISSUED: 06/18/2010 APPLIED: 06/18/2010 EXPIRES: 12/18/2010 VALUE: Value Date Calculated I V alu;;;ion D;S~ril?tion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Receipt Number 1201000000000000726 1201000000000000726 1201000000000000726 3201000000000000368 3201000000000000368 3201000000000000368 3201000000000000368 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."" Total Value of P~oject -, ~.. Amount Paid' : ' , $948:: ' . , $3.95 $79.00 $7.32 $3.05 $55.00 $6.00 if, Date Paid 6/18/10 6/18/10 6/18/10 7/2/10 7/2/10 7/2/10 7/2/10 ," ", $163.8~~~~: 1::piirtR~~iews ~ , ,. [..peon irp.CU nsriectiorUJ ,; . " Rough Mechanical: Prior to Cover "I, Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: ' When all electrical work is complete. .::,;~ Paee 2 of3 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , ',. ~ ': : CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00788 ISSUED: 06/18/2010 APPLIED: 06/18/2010 EXPIRES: 12/18/2010 VALUE: Status Iss u ed By signature, 1 state and agree, that I have carefully examined the completed application aud do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done iu accordance with the Ordinances ofthe 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 structur,~with~u!vermission ofthe Commnnity Services Division, Building Safety. I further certify that only contractors and employe'es:who are,in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections'.'re requested at the proper time, that each address is readable from the street, that the permit card is located at the front u'i.'the prope~ty, and the approved set of plans will remain on the site at all times during construction. 'd,:, Owner or Contractors Signature Date " " .,1' o. "" ':n, 'L.~.{::' , 'l~!' . , !.' " I' ., ,I 225 Fifth Street . Springfield, ,Oregon 97477 541-726-3759 Phone , \'." City of Springfield Official Receipt Development Services Department Pnblic Works Department RECEIPT #: 3201000000000000368 Date: 07/02/2010 8:17:25AM Job/Journal Number COM20 I 0-00788 COM2010-00788 COM2010-00788 COM2010-00788 Payments: Type of Payment ONLINE CHGS cReceiotl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee , '. Paid By ONLINE PERMIT CHGS Check Number Batch Number Received By NJM Item Total: Authorization Number Amount Due 55.00 6.00 7.32 3.05 $71.37 How Received Amount Paid $71.37 ONLINE COMPLETE Online ELECT Payment Total: -. ",' ,," " ! '~~~~ <.:. )"-.,,"' '11 ., Page I of I $71.37 7/2/2010