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Home My WebLink AboutPermit Electrical 2010-7-14 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.us 8/0.g7& Residential Electrical Authorization To Begin Work 69600-BE L-1 0-00326 Approval Code: 034141 7/14/2010 9:57 am E-mailedTo:electricman1@centurytel.net , ' ~-'<~'. ~. ~' C' ""': TYPE,OFWORK.:"" ,7 ,Ch, ..' - , , 'C ;T~ ~ , 0 ..: i New Construction IX] Addition/alleration/n3placemenl' , , " ';, CATEGORY OF, CONSTRUCTION, '" " 00 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory .. ~ JOB SITEINFORMA TION AND LOCATION , , . Job Address: 3449 DOUGLAS DR City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.no.: Project Name: 2265 Cross Street/directions to job site: ..... Tax map/parcel no.: 1802062104700 . .' 1.:1 R<:"'< .,~: DESCRiPTION OF WORK. f. ',;'. " '" , , .' -.- - " ---- . ....- . Install 3 cite, furnace, heat pump and exterior gfci r ,.T --:;- , .~ , SITE:CO!,!T ACT; '. ','''', ',' , . . . Name: matthew arover Phone: 541-225-7827 Fax: 541-895-3922 ,'.,I;I~:'~.$:-; "0.'. ...._-- .-..-....-,.-.. Emall: ..-----.. .. .-. , , --:-: , -'-. CONTRACTOR .. " . . - '. .. Elec Iic. no.: C441 CCB lic. no.: 184274 Business Name: COMPLETE ELECTRICAL INSTALLATIONS INC Contact: Address: 33024 CAMAS $WALE RD CityfStatefZIP: CRESWELL, OR 97426 Phone: 541-895.3922 Fax: .., .. . Emall: . , Metro Iic. no.: City IIc. no.: Supervising Electrician's lie. no.: 5367$ Supervising Electrician's Name: MATTHEW E GROVER Number of Inspections Included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 ....;i'i~~.~-:':::17t-~r\'.~ . - Upon review and approval by your local jurisdiction, your permil will be o-malled or faxed within one business day, with instructions on how to Ichedule your Inspection. '~~l:-;: .: I.' " NOTE: This Authorization To Begin Wor1l; expires within 180 days If a permit 15 nol obtained. The local bllildlng department may determine that an Authorization To Begin Work 15 null and vOid If It does not meet applicable land Ille laws and local ordinances. ! """j: ";,'.:, ,~ PLAN REVIEW, 7." ,." ., Please check all that apply: D A service or feeder beginning at 400 Amps where the available faull current exceeds 10,000 Amps at 150 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 ,:: o Hazardous locations D A service or feeder rated at 600 amps or more o Buildi~gs more than three stor D Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A". "E". or "1,2" or "1.3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply valls nominal Description Branch circuitS..,. :: FEE SCHEDULE" \," I Qty, Ea, .". .',: ;: Total , .", Branch circuits without service or feeder Branch circuits each additional circuit without service ~Iectrical Permit Fees'~ Subtotal State surcharge (12% of permit lotan Technology fee (5% of permit total) TOTAL PERMIT FEE ;~: ~ l>-: ~\t 1" WU)/O 7-/<:/--- /CJ , '. :,", $55.00 , $55.00 2 $6,00 $12.00 , .. , --. , $67.00 $8,04 $3,35 $78.39 ~1J if -- m2/?0? /z/'r--, Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit '.)t;~:,~" !:'~~~;';l:,t:., . I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00876 ISSUED: 07/01/2010 APPLIED: 07/01/2010 EXPIRES: 01101/2011 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3449 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802062104700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Installation of HXAC..e.quipment, , .-~ Owner: EGGERT NATALIE J Address: 3449 DOUGLAS DR SPRINGFIELD OR 97478 Phone Number: 541-521-6585 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor ' ;:"'''' ,'\' "1..' . , License Pjtl'~ ' 1~1' ~ COMPLETE ELECTRICAL'INSTALLATION 184274 INNOVATIVE AIR INC~=" ~,~. '. 161742 BUILDING INFORMATION ~ Expiration Date 10/14/2010 10/11/2010 Phone 541-225-7827 541-746-1040 # 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ " REQUIRED PARKING '..... Total: Handicapped: Compact: ' ATTENTION: Ore ' , follow "J~_ _. gon law reO/J'rM , o(jfication C~r~i;;"~Th uy. the Oregon Utilit In OAR 952-001.00' ose rules are set fort Sia0'@liIk'y'(~P'~iay obt 10 through OAR 952-001 cal/ina ~ arn COpies of th I Do/'/'tffilb"ut ~rniiis:3r, (Note: the tIe ru es b er or the Orego U" e ephone Center is 1_800n33frllty Notification . 2-2344). Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ,1" ~ Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC'IMPROVEMENTS ~ .',\1;, ""'1":')) , ..~,;;;,- ., ...b'.~; .~ Notes: \\lOTlCE: E WORK 'HIS PERMIT SHALL EXPIRE IF TH ,;iTHORIZED UNDER THIS PERMIT IS ~OT,;, :", . "r"l't!WI OR IS Ji~ANDON~p' F~~ _: .,~,' ;.., I.' . -'-,",\1"'-; ,'",.\I.i.~~.,--:',i,~'I,. J\.... I . ,.'~ ",.." .-" .' , '~':. 't' '" ,j, ... l' Paee I of 3 i :/'" .~., , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line --- ,--, --- .,. , ~ LIC~t '.~p;lU~r" , " "~',;-iU'&l.:~~,:,;,~\"."'f' T'j ,",:!, ' ,', , ",,,I.~ , _,' ,_ I Valuation Description ~ Descriotion $ Per Sq Ft or multiplier Tvpe of Construction Square Footage or Bid Amount Total Value of Project .,,~ . . Fee Descriotion + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $9.48 $3.95 $79.00 $7.32 '". $3.05,T0-' ',1!f?j_~'(,-~; $55.00~4'~' ~,;~.x; ~;~rl $6.00.... '''.'' Total Amount Paid $163.80 I Plan Reviews I Date Paid 7/1/10 7/1110 7/1110. 7/14/10 .7/14/10 .',. 7/14/10 7/14/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00876 ISSUED: 07/0112010 APPLIED: 07/0112010 EXPIRES: 0110112011 VALUE: Value Date Calculated Receipt Number 3201000000000000363 3201000000000000363 3201000000000000363 3201000000000000437 3201000000000000437 3201000000000000437 3201000000000000437 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..peclI'iiredJ nsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is cojij'pletei .'7..1':.). \ '\~:'~., "r,,;.,; l'~'~o;: 10.. .... ".J '. L ,:' ' I '. ....- 'Pace2 .;r 3 '.' ,~ ~ CITY OF SPRINGFIELD :')' Building/Combination Permit _~ I Status Issued " ~~~'."'. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .,,' PERMIT NO: COM2010-00876 ISSUED: 07/0112010 APPLIED: 07/0112010 EXPIRES: 0110112011 VALUE: By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furtheriC;ehify 'that' any.and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the r;'aw,;'of the' State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any 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. Owner or Contractors Signature . I Date 'h .,. ,J~ .'IIL.i : ;-:..,! ;:.~t~llr-\ ',1(\' IhtH ~\,":.: r. ';;I;'V:~ f'l h;~ (~. 1 ' ~,t1'i' W .t IU! ~: ;, \,s',', '.'; ,;'.i' :,i ..!r,\~! ;.:t:i' :i)f', r': luvr; >nh: 1;- I , , , I ~:' . , -., . '" Paee 3 of 3 :..,;'t' ,~ 225 Fifth Str~et Springfield; Oregon 97477 541-72.6-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000441 Date: 07/14/2010 I:SI:ISPM Job/Journal Number COM20 I 0-00876 COM20 I 0-00876 COM20 I 0-00876 COM20 I 0-00876 Description Add, Alter, Extend Circ Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 55.00 12.00 8.04 3.35 $78.39 <.' : ~:', ~ ; Item Total: Payments: Type of Payment ONLINE CHGS cReceint I Paid By ONLINE PERMIT CHGS Check Number Authorization Received By Batch Number Number How Received Amount Paid NJM $78.39 ONLINE COMPLETE Online ELECT Payment Total: $78.39 '~~'~-l' ~ ;;.,[~[:1 . ~'pi~~~~la' ',,~ " ~-':~; 11~\ .-- , " :":,l(J . '~~""'l:.", ,;;, ,"" .'" . , "~~-:~':~r !".~~ '," !.w~"'.tl" ,: l:i:::'\t .. f.,' ' '~~. ,1" Page I of 1 7/14/2010