HomeMy WebLinkAboutPermit Electrical 2010-7-7
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
EmaiJ: permitcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00306
Approval Code: 007243 7/7/2010 8:07 am
E-mailed To:.-bethp@ehomecomfortcom
[Z] 1 or 2 family dwelling
D Multi-family 0 Commercial
D Accessory
Please check all that apply:
o A, service Of 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 Hazardous locations
o A service or feeder rated al
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
D Floating buildings
o Commercial.use agricultural
buildings
D Installation of a 150 !<:VA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
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Job Address: 831 C ST
CityfState/ZIP: SPRINGFIELD, ?R 97477
o Fire pumps
o Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure .
o Health care facilities
Suite/bldg.fapt.no.:
Project Name: Andrew Jones
Cross Street/directions to lob site: Tum RIGHT onto PIONEER PKINY W.Tum
LEFT onto C ST.
Name: Andrew Jones
Branch circuits without service or
feeder
Branch circuits each additional $6.00 $6.00
'circuit without service
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84164
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$61.00
$7.32
Phone: 541-747-7230
Fax:
Elec lie. no.: C357
CCB lie. no.:
$3.05
$71.37
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
Contact:
Address: PO BOX 24205
City/State/ZIP: EUGENE, OR 97402
Phone: 541-345.2838
Fax: 541-302-3070
Supervising Electrician's Name:
JAMES M CARTER
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Email: JEFFE@EHOMECOMFORT.COM
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
51395
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only; 1
All Other Services: 2
Jpon review and approval by your local jurisdiction, your permit will be e.mailed or faxed
vithin one business day, with instructions on how to schedule your inspection.
~l 0 -0001<1
(-1~10 nr0
mTE; Thill Authorization To Begin Work expires within 180 days if II permit 1$ not obtained.
rhe local building department may determine that an Authorization To Begin Work is null and
'oid if it does not meet applicable land use laws and local ordinances.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the jobsite.until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination P~rmit
PERMIT NO: COM2010-00899
ISSUED: 07i07/2010
APPLIED: 07/0712010
EXPIRES: 07/07/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 83] CST
ASSESSOR'S PARCEL NO.: ]703351311200
Springfield TYPE OF WORK: Heating System
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Air handlers and h~,~i';pump"::',!'.
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Owner:
Address:
JONES GORDON A
831 CST
SPRINGFIELD OR 97477
Phone Number: 541-747-7230
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
HOME COMFORT HEATING & AIR INC 84164
BuiLDING INFORMATION I
Expiration Date
06/25/2011
Phone
54]-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:
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:
n/a
',-..,
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVEL~PMEN~ INFORMATION ~
',-J',"
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"Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
" Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEJ!I{I~N: Oregon law requires you to
foUow rules adQllde&tit:ij< flW€lregon Utility
, ,Notlllcallon Centl',.r~ Those ruIP t I
.: n'ryi9AR 952-001-00l'b~ffl8Mf,lJ6"'~~~~~,oo~~~
i' ,,(jd90.. You may obtain copies olthe rules by
callmg the center. (Note: the telephone
number for the Oregon Utility Notilication
Center i
Notes:
',IOTICE: C
rf'lS P V I '
~\UTHORIZED UNDER THIS PE
GOMIVIENCED OR IS ABANDOI
D " ' I 11i~ "",,,,cOlnll, $ Per Sq Ft
eSCrIptlOn~, t~\ ~vpelOn uonstrn'ction It' I'
. ,. or rou .p lef
Square Footage
or Bid Amouut
Value
Date Calculated
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Status
Iss u ed
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 Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Air Handling Unit Up to 10,000
Heat Pnmp
Amount Paid I
. ,,'r!
$7.3~::{'ij, '1';'
$15.6Q::i'~O
$3.05,. "
$6.50 '
$79.00
$55.00
$6.00
$34,00
$17.00
Total Amonnt Paid
$223.47
I p;lan Reviews' i
Dale Paid
'717/10
717/10
717/10
717/10
717/10
717/10
717/10
717/10
717/10
b,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00899
ISSUED: 07/07/2010
APPLIED: 07/07/2010
EXPIRES: 07/07/2011
VALUE:
Receipt Number
3201000000000000392
3201000000000000391
3201000000000000392
3201000000000000391,
3201000000000000391
3201000000000000392
3201000000000000392
3201000000000000391
3201000000000000391
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will he made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~eri~~edJLt"nections I
L {}; ~r' 'x '
Rough Mechanical: Prior to Cover ~}F->Ii<:F"
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00899
ISSUED: 07/07/2010
APPLIED: 07/07/2010
EXPIRES: 07/07/2011
VALUE:
.._i'.:/.. .
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne 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 strncture without pepl'ission of the Community Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees.who are incompliance with ORS 701.005 will be used on this project.
I further agree to ensure that all reqnired 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 ou the site at all
times during construction.
Owner or Contractors Signature
Date
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225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000392
Date: 07/07/2010
8:28:3IAM
Paid By
ONLINE PERMIT CHGS
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.Received By
NJM
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Job/Journal Number
COM20 I 0-00899
COM20 I 0-00899
COM20 I 0-00899
COM2010-00899
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
ONLINE HOME Online
COMFORT
Payment Total:
$71.37
$71.37
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