HomeMy WebLinkAboutPermit Electrical 2007-12-6
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:heidi@c-perkins.com
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
l
lXJ Addition/alteration/replacement
CATEGORXOF'CONSTRucnON
I [K] 1 or 2 family dwelling D Multi-family 0 Commercial J Industrial
1 ':}I1}uoifSITE INFORMATIl:lN'[.Nll LOCATION:' ,
1,lob no.: f Job address: 6921 B ST
ICily/State/ZIP: SPRINGFIELD, OR 97478~7247
I SuUe/bldg.Japt.no.:
I Project name: MARSH ~ SIDWELL
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: ]702353202000
ILot no.:
DESCRiPTION OF WORK
ELECTRICAL FOR HVAC
I
I Name: HEIDI
I Phone:
I Email:
SITE
IFa"
c6N:tRACTOR
lEI. lie. no.: C335 ICCOlic.no.: 178518
I Business Name: RITE ELECTRIC INC
I Contact: Heidi
IAddress: PO BOX 842
\ City/State/ZIP: CRESWELL OR 97426
I Phone: (54] )8954466 I Fax: (54] )8954366
I Ernllil: heidi@c-perkins.com
I Metro lie. no.: ICily Ii<:. no.:
1 Supervising electrician's lie. no.: 29705
l.~upervising ele~t!:i_~ian's na~e: CLYDE [ PERKINS
Upon review and approval by your local jurisdiction, your
permit will be e-mailed 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 not 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 laws and local ordinances.
[Uescription l Qty.
1- Hcsidelltial S~~Q~'~c~_Q~:;T_V!~i:family
I attached g~r:ag.c:;<<'-_-','-<>:-
111,000 sq. ft. or less
I Ea. addl 500 sq. fl, or portion
'I - Limited energy, residential
I (with above sa, f1.)
- Limited energy, multifamily
1 residential (with above sq, fU
1 l~e_,?:ices-9~-r~~e..sillstalllltio[l.~J.1~r~t!o~/1~n/9~_'re_1_~catip~,
I 1200 amps or less
I 20 I amps to 400 amps
140] amps to 599 amps
I:TE!\'1P9~~x,seHices OR fcederSinst_~I,I~,tion, alt~r~tion,
_-1:S.J?(2Jt'r,eI,o,c~_!i~n - -_---.-:','-.------_-__"- _-_--
I 200 amps or less
1201 amps to 400 amps
140] amps to 599 amps
I:B,~a.IICh-ci_fc.~i~<;--NEW. alteration, OR extension~ p~~panel_ -
I A Fee for branch circuits with
above service or feeder fee,
each branch CIrcuIt
I B" Fcc for branch circuits
wIthout servIce or feeder fee,
llrstbranch C1fcuit:
I each add! branch circuit
$48001
I
I
I
I
I
I
I
I
Subtotal $48,00 I
Minimum fee used instead of Subtotal $50,00 I
State Surcharge (8% of penn it fee) $4.00 I
City Of Springfield fees'" $7.50 I
TOTALPERJ\-UTn:E $61.50 I
10% Local Admin Fee; 5% Loca] Technology Fce
I Service reconnect only
I Each manufactured or modular
dwe]]lng, service and/or feeder
1 Pump or irrigation circle
I Sign or outline lighting
I Signal circuit(s)or limited-
energy panel, alteration, or
extenSIOn.
Receipt # EC522047
12/6/2007 9:48:06 AM
FEE SCHEDULE
Ea.
Total
$48.00
not otfered online 111 this jurisdiction
ELECTRICAL PERMIT FEES
~.'
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
I
I
i
I
... City Of Springfield
Status
Issued
CITY OF ~rKll"'l\.J..IELD .
Building/Combination Permit
PERMIT NO: COM2007-00832
ISSUED: 06/19/2007
APPLIED: 06/07/2007
EXPIRES: 06/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6921 B ST
ASSESSOR'S PARCEL NO.: 1702353202000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ac nnit
Owner: SIDWELL LARRY D & BARBARA M
Address: 6921 B ST
SPRINGFIELD OR 97478
Phone Number: 541-746-7351
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATlO:, I
Expiration Date
09/24/2009
12/23/2009
Phone
541-895-4466
541-747-7445
VB
# of Stories:
Height of Strncture
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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
IPUBLlC IMPROVEMENTS I
Street Improv'l'll'1't!NTION: Oregon law requires you to
Storm sewer~RlrIfN!eS adopted by the Oregon Utility
SpecialInstr IIW: cation Center. Those rules are set forth
n'(5, R 952-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utilily Notification
Center is 1-800-332-2344).
Sidewalk Type:
DownspontsfDrains:
Notes:
f\!OTICE: .
:HIS PERMIT SHALL EXPIRE IF THE WORK
'I:JTHOR/ZEO UNDER THIS PERMIT IS NOT
~OMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
L.!<'''''< P~ilU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Boiler/Comp Up To 100,000 btu
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
$5.00
$2.50
$4.00
$48.00
$2.00
6/19/07
6/19/07
6/19/07
6/19/07
6/19/07
6/19/07
12/6/07
12/6/07
12/6/07
12/6/07
12/6/07
Total Amount Paid
$126.85
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00832
ISSUED: 06/19/2007
APPLIED: 06/07/2007
EXPIRES: 06/06/2008
VALUE:
Value
Date Calcnlated
Receipt Number
1200700000000000785
1200700000000000785
1200700000000000785
1200700000000000785
1200700000000000785
1200700000000000785
1200700000000001467
1200700000000001467
1200700000000001467
1200700000000001467
1200700000000001467
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.
UeouirerUnsnections 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 complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00832
ISSUED: 06/]9/2007
APPLIED: 06/07/2007
EXPIRES: 06/06/2008
VALUE:
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 hereon is true 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 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
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00832
COM2007-00832
COM2007-00832
COM2007-00832
COM2007-00832
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000001467
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/06/2007
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE RITE Online
ELECTRIC
INC
Payment Total:
10:43:5IAM
Amount Due
48.00
2.00
2.50
4.00
5.00
$61.50
Amount Paid
$6150
$61.50
12/6/2007