HomeMy WebLinkAboutPermit Electrical 2010-8-2
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Ernai/: permitcenter@ci.springfieJd.oLuS
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00356
Approval Code: 002306 8/2/2010 9:19 am
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o New Construction [KJ Addition/alterati~'~/rePlacement
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"c:ATE~ORY, O{ ic:()Nl)TRUqION:~~'i:ti:,' i,,,,' ',,' "i".
[Z] 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
" JOSYSrrE.INFORMA TION,At:m LOCAiION~..
Job Address: 1780 HAYDEN BRIDGE RD
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no. ;
Project Name: Bonnie WeIer
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Cross Street/directions to job site: MOHAWK BLVO becomes 19TH S.T.Turn
LEFT onto HAYDEN BRIDGE RD. .
Tax map/parcel no.:
1703243401500
We are installing a air handler and a heat pump
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Name: Bonnie Weter
Phone: 541-747-3610
Fax:
Email:
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Elec 'ic. no.: C357
eca lie. no.:
84164
Business Name: HOME COMFORT HEATING & AIR CONDITIONING INC
Contact
Address: PO BOX 24205
City/State/ZIP: EUGENE. OR 97402
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Phone: 541~345-2838
Fax: 541-302-3070
Email: JEFFE@EHOMECOMFORT.COM
Metro Iic. no.:
City IIc. no.:
Supervising Electrician's lie. no.:
51398
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 and approval by your local jurisdiction, your pennit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This AlJthoriution To Begin Work expires within 180 days if a permit is not obtained.
The local bUilding department may detormine that an Authorization To Begin Work is null and
void if it does not moet applica~le land use laws and local ordinances.
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E-mailed To: bethp@ehomecomfortcom
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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 Volls or
less to ground exceeds
14,000 Amps for all other
, 0 Hazardous 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 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply valls nominal
$55.00
$55.00
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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
$6.00
$6.00
"
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
~1~ctricaIPG'!rriit;Fe~s. :l.
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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$61.00
$7.32
$3.05
$71.37
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Inspections Phon~: 5~1.,726"3769
This Authorization To Begin Work must be poste? at the job site until replaced by a Permit
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: I 780 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703243401500
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PROJECT DESCRIPTION: [nstallation of heat [iiimp an'd air handler
Owner: WETER BONN[E J
Address: 1780 HAYDEN BRIDGE RD
SPR[NGF[ELD OR 97477
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01032
ISSUED: 08/02/2010
APPLIED: 08/02/2010
EXPIRES: 02/02/2011
VALUE:
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
Phone Number: 54[-747-3610
I CONTRACTOR [NFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
ROME COMFORT HEATING & AIR [NC
HOME COMFORT REA TING &' AIR [NC
License
84164
84164
Expiration Date
06/25/20II
06/25/20II
Phone
(541) 345.2838
54 I -345-2838
BUILDING [NFORMATION I
# 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': ,i"
"Sprinkled:Building:
o/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT [NFORMA TION ~
Tota[:
Handicapped:
Compact:
OU 10
"u\leS Y"'I"
laW Ie", 01'1 \.l\l.,
l'\'. Ole90~ h I l\1e Ole~ . ~el \olID
. s auu\-," e {Ulv.... ;- 952.- u
PUBLIC [MPROV . 111& cenler. }\1Os IlgD Op..R leS tN '
, \0" J:\[)\OIDlO. ollDeN
, :.1'101\ ^R 902..00\~td~W\~IIs(J(Yil~: \ele\1Done
','in 0" 'IoU may 00." INO\e', 1\'1~ ,,)\\I\oa\lon
. 0090. \De o9:dWnsPb'~t~r.a!.tl:)
cal\\n9 I I \\1e 0Ie90~_33'2.-'2.344 .
numbel c~n\el is \ -BO
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special. [nstruction:'
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Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR . ',,"i
, IS ABANDONED FOR!,;,," ;;,1,1:":',:
ANi 180 DAY PERIOD, '.'~lib;)'.'J',i'" "
";!D"F
.-''''1''.
,',
Paee I of 3
. REQUIRED PARKING
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I V al~ation Description ~
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amount
, Total Value of Project
~'.,
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
Heat Pump
Amount Pa~,~Y{'
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'.+-:1:'-::-
$7.32
$11.52
$3..05
$4.80
$79.00
$55.00
$6.00
$17.00',
Total Amount Paid
$18M-'!.;;'",
I . Plan Reviews ~
Date Paid
8/2/10
8/2/10
8/2/10
8/2/10
8/2/10
8/2/10
;8/2/10
, 8/2/10
1:
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-OI032
ISSUED: 08/02/2010
APPLIED: 08/02/2010
EXPIRES: 02/02/2011
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000906
2201000000000000906
2201000000000000906
2201000000000000906
2201000000000000906
2201000000000000906
2201000000000000906
2201000000000000906
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 r,equested after 7:00 a.m. will be made the following
work day. !~lJ~~'-~Z1il[r.;L:' '.
l..feci'IJiredJiisTfections ~
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 complete.
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Page 2 of 3
CITY OF SPRINGFIELD
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Building/Combination Permit
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PERMIT NO: COM20]0-0]032
ISSUED: 08/02/20]0
APPLIED: 08/02/20]0
EXPIRES: 02/02/20]]
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information bereon is true and correct, and I further certify th'at 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 structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are incompliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspection's are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of t'he 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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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 #:
22010~96Q0000000906
Date: 08/02/2010
IO:56:20AM
Job/Journal Number
COM20 1 0-0 I 032
COM201O-01032
COM2010-01032
COM20 I 0-0 1032
COM2010-01032
COM2010-01032
COM2010-01032
COM2010-01032
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description:'.'<,',
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
, '.
Paid By
ONLINE PERMIT CHGS
. Check Number
Received By Batch Number
NJM
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Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
11.52
4.80
55.00
6.00
7.32
3.05
$183.69
Amount Paid
$183.69
ONLINE HOME Online
COMFORT
Payment Total:
$183.69
8/2/2010