HomeMy WebLinkAboutPermit Electrical 2010-7-29
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
! cO.. YCir;' . ":~7;- <c. '-'1 TYPE.OF wORKr;'f;,: """::,':7",i' :':y'Y:;.,
0 New Construction [X] Additionlallerationlreplacement
, '~ . "' CA TEG.oRH)F cONSTRUc;T10N ' -"\:.'0, :;'j;:.">
1ZI 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory
. JOB SITEINFORMA TION AN[H:oCA TION,., I
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Job Address: 240 S 35TH 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Sulte/bldg.lapt.no.:
Project Name: 2279 " c'
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Cross Street/directions to job site: "
, . . .. ..
Tax map/parcel no.: 1702313106811
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exchange furnace and heat pump
h c" SITE CONTACT" ," .-
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Name: matthew qrover '""
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Phone: 541-225-7827 Fax: 541-895-3922 .-., .. -~,.~
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Email: ... .-
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~.~C , "t;: CONTRAcTOR ." . ..
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Elec lie. no.: C441 CCB lie. no.: 184274
Business Name: COMPLETE ELECTRICALINSTALLATIQNS INC
.
Contact:
Address: 33024 CAMAS SWALE RD ...
City/State/ZIP: CRESVv'ELL, OR 97426 ~_:,+;. ---~._..,. ,. .,
Phone: 541-895-3922 Fax: .,..- . -- ,
Email:
Metro lic. no.: City lie. no.:
Supervising Electrician's lie. no.: 5367S
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 o--mailed or raxed
within one businoas day, with instructions on how 10 schedule your lnspecilon:'.'~ ,,':;'
NOTE: This Authorization To Begin Work expires within 180 days if a permit Is nol obtained.
The local building department may determine that an Authorization To Begin Work is null and
void If it does not meet applicable land use lawe and local ordlnences.
C/O,I()I'-/-
Residential Electrical Authorization To Begin Work
69600-BEL-10-00353
Approval Code: 307015 7/29/2010 11 :12 am
E.mailed To: electricman1@centurytel.net
.~~. '.: ." .c:~.' .. ..:; .. PLAN REVIEW , .,' , .' .' .... .' ~
Please check all that apply: D Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other D Floating buildings
0 Fire pumps o Commercial-use agricultural
buildings
0 Emergency systems o Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A" "E" or "1-2" or "1.3"
o Six or more residential units in ' ,
o Recreational Vehicle Parks
one structure
o Health care facilities D Supply voltage for more than
600 supply volts nominal
,., . '_..,'. FEE-SCHEDULE .. '''! 'C -;
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Description I Qty. I Ea, I Total
Bra'nch.circ~its . c. -'c'.".. :<;. "0;, .... .' '.
.
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 2 $6.00 $12.00
circuit without service
Electrical. Permit" Fees. ,
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Subtotal $6700
State surcharge (12% of permit $8.04
total\
Technology fee (5% of permit total) $3.35
TOTAL PERMIT FEE $78.39
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-01014
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 240 S 35TH ST
ASSESSOR'S PARCEL NO.: 1702313106811
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Exchange furnace and heat pump
Owner: SOUTH 35TH LLC
Address: 5597 GLACIER DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
COMPLETE ELECTRICAL INSTALLATION 184274
BUILDING INFORMATION.
"- - .,.,
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
Expiration Date
10/14/2010
Phone
541-225-7827
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: . .
# Street Trees Rqd:
. Paved Drive Rqd:
, OJ? of Lot Coverage:
.
REQUIRED PARKING
Total:
Handicapped:
Compact:
NOTICE:
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I PUBLIC IMPROVEMENTS I follow rules adopted by the Oregon Ulility
Nolilipation Center. Those rules are set lorth
in o~i1/'!n;~-\;iff-W1 0 through OAR 952-001-
009COo~pIlilYsm)liiji1s.opies 01 the rules by
calling ttie center. (Note: the, telephone
number lor the Oregon Ulility Notilication
Center is 1-800-332-2344),
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Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
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IDC ':RK' "j':",
,("110 IV......... t.uT
AUTHORIZED UNDER THIS PER~~~ion Description I
COMMENCED OR IS ABANDON
D 't' ^NY 1 P.!l n~vfP.J'Rlnn't' $ Per Sq Ft Square Footage
escnp IOn\ U Fypc'O: {.,uiist'ru", JOn . . .
or mullIpller or B,d Amount
Value
Date Calculated
Paee I of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01014
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/2011
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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'.~cl'otal Value of Project
I Fees Paid ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$8.04
$3.35
$55.00
$12.00
$78.39;~" .
7/29/10
7/29/10
7/29/10
'. 7/29/10
3201000000000000487
3201000000000000487
3201000000000000487
3201000000000000487
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. . ". .;.... ....-. .. .
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Re~tiired Insnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify tbat any arid 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 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.
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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 ohhe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
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Paee 2 of 2
225 Fifth Street
Springfjeld,"Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000487
Date: 07/29/2010
11 :39:02AM
Job/Journal Number
COM2010-01014
COM2010-01014
COM2010-01014
COM2010-01014
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge . .:~,:C:'
+ 5% Technology Fee 'r':
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Item Total:
Amount Due
55.00
12.00
8.04
3.35
$78.39
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE COMPLETE Online
Payment Total:
$78.39
$78.39
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