HomeMy WebLinkAboutPermit Electrical 2009-3-17
. Receipt # RC54R42R / (Y
3/17120094:46:47 PM 'l..
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City of Springfield
Electrical Anthorization To Begin Work
E-mailedTo:c_perkins@ymail.com
Check on status of pe.rmit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
ID Ncw,"onstruction
lliJ Addition/altcration/replacement
Ill)csCriPtiun
10 I or.2 family dv,ielling
o Multi-family
o CommercialllmJuslrial
IJob no.: IJob address: 2147 CENTENNIAL BLVD
ICity/Stater.llp: .SPRINGFlELD, OR 97477-4355
I Suite/bldg.lapt.no.:
Project name:
Cross street/dih'ctiolls to job site:
ISubdivision:
I;nl.'l:.map/parccl no.: 1703254304700
ILot no.:
electric forhvac work
. I Name: heidi
IPhone:
I Email:
IF."
I EI. lie. no.: C335 I CCB lie. no.: 178518
I Business Name: RITE ELECTRIC INC
I Contact' 1I,'d' . nTIGE" . .
IAddm" ro Both:1~ -':'v 1'1I~P~!l'= Ir: THI= WORK
IGty/Stat<iZIP, c*~\\lEfL~~=., THI~ D!:t:lMIT I~ ~T
Irhon" (541)8954.!W Trl~~I':,'- I(V\'B~h l=nR
lEma", , n"bn,;L\,ll\1l!.. ~!,\'I~vEfj &:1 . .
~ 'E!Y - - Ii'" F-P,Y.lP
!Metrolic.no.: AI\JY IOU ,'U L '-rL'rty lie, no.:
I Supervising electrician's lie. no.: 29705
!Supcrvising elcct.[ician's name: CLYDE J PERKINS
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspe~tion.
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NOTE: This Authorization To Begin Work expires within 180
days if a pennit 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.
II,OOOsq, tt. or less [4]
I Ea. add! 500 sq. ft. or portion
I-Limited energy, residential
(with (lbove SQ, ft.)
I . Li111iledenergy, multifamily.
residential (with above SQ, ft.)
I-Limited energy, commercial not alTered online at this jurisdiction
(wIth above SQ, ft.)
I . Stand-alone limited energy,
residentIal
I - Stand-alone limited energy,
multi-famllv
- Stand-alone limited energy,
commercia]
rsewrn~~'~;6R;recderfInstaIHliion7aHera'iion;:KN-DR:fRrreioca'tiOll;!:5/;,;
~...'~~ ".='.Jr..iiiiI..?"';" ... .',^"'.","'""'"'.".~" ,."'-.$,.=....,. ,". ','."<',,;,,,;,,;,,''''__",, .. '. " ,,- . .....-.,...,.,t"'."'-' ,__..._
1200 amps or less.'[2]
120] amps to 400 amps [2]
140] amps to 599 amps [2]
1~:r..E~~PO!~RXS~_~~C~~,-9l(~~)J~~-iifS{a~ati()~,~t~rat~illi~';;:"04tt~01
r'~Np!O!rt~t~_fu!.~~~f;'€,~,; ~"t' '; d~~;~1t~ ~%~,t'4.'0~:l~"-f.\':T4:~?i;,"~'E:
1200 amps or less [2]
120] amps to 400 amps [2J
140] amps to 599 amps [2J
1~'!iri_~hic!r~1~i;s~.lSL~'l:{~~I~Cfiii1]"L.qKe'xti~ri~~~'';~~P:~I!;t(~~~~'1
1 A. Fee for br.anchcircuits \vith
service or feeder fcc, each
branch circUlt _ _ _ _ .
B, Fee for ttUch~t\hlitUl\I; U t!YUII Icty It:H*~~,ij YU'-$s%O
wilhool sefc'ltcYW'Fl!Jtes.adcpted by e Greg n Utility
hm hmn'll:{!lHl~\rk~ 8e~1 ,r, TI":3S
each addl~~J\!f\l'g2 001 lo,tn th',t .'~~I!\I . ",<-1ftq~
I"Misca'il" 's' --:~ "-'rtJ;$r;.z;;;;.Y{,E74?J;:;::;;470'::.t,yr:~. ,if;."f~t"L;.""'*'fL\"'I\}-'k;/b""<;:
,''''_~' , ~ . . , 0 "A.ru es. v
3""'" "cOl'fi'!tlil'11!l'tIlll cener. INo(: the telE!phone - L
E"h ~nanulil\l!tll!lI'[r"f9\\l''t'l1e Jregon l~tility Not lication I
t~;,,,,,,g. >erv,,' ,,,;]fe'ijh1l!ir i; 1-800-332-2344)
I Pump or irrigation c.ircle,[2] I
1 Sign or outline I(ghtitig [2] 1
1 Signal circuit(s) or ]imited-
energy panel, alteration, or
extension f21
I;i~~'~;;._:, ~?Fifi7:f}~~~,~~$:9J~19~reERriJlI;(;F~[S~~~c'
I Subtotal
I State Surcharge (12% of permit fee)
I City or Springtleld fees *
I TOTAL PERMIT FEE:
'" City Of Springfield fees; 5% Technology Fee
{De/ault number a/inspections affowedJ
C9 -35\>1 k:Q,
$61.00
$7,32
$3.05
$71.37
8(19:.\0'1
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
\ ~ ~II\
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00356
ISSUED: 03/17/2009
APPLIED: 03/17/2009
EXPIRES: 09/17/2009
VALUE:
Status
Issued
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2147 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703254304700
.
Springfield TYPE OF WORK: Heatiug System
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Installing heat pnmp and air haudler
Owuer: BURGESS HELEN C
Address: 2147 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Nnmber: 541-744-1452
I CONTRACTOR 1NFORMA TION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARS HALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09124/2009
12/23/2009
Phone
541-895-4466
541-747-7445
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction 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 I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm SewetJAtl'Q~: .
Special1nstlJUfiD.P.ERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY180 DAY PERIOD.
Sidewalk Type:
ATffiNTION: Oi\}9.0n law requires you to
followo)Yu~'lfsoMgopfElH'~y the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies o(the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
Paee 1 oB
ll'~R'NClI!;IIa:L:Dr
-II. .' .. ....
Status
Issued
225 Fifth S'reet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pnmp
. + 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
. Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$13.56
$5.65
$79.00
$17.00
$17.00
$7.32
$3.05
$55.00
$6.00
3/17/09
3/17/09
3/17/09
3/17/09
3/17109
3/18/09
3/18/09
3/18/09
3/18/09
Toll.1 Amount Paid
$203.58
I Plan Reviews ,.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00356
ISSUED: 03/17/2009
APPLIED: 03/17/2009
EXPIRES: 09/17/2009
VALUE:
Value
Date Calcnlated
Receipt Number
3200900000000000166
3200900000000000166
3200900000000000166
3200900000000000166
3200900000000000166
2200900000000000279
2200900000000000279
2200900000000000279
2200900000000000279
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.
~e,\~.i~e,~ Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00356
ISSUED: 03/17/2009.
APPLIED: 03/]7/2009
'EXPIRES: 09/17/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-3769Inspectiou Line
By siguature, I state an'd 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 compliauce 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 remaiu 011 the site at all
times during construction.
Owner or Contractors Signature
Date
Page 3 of 3
225 Fifth Street
Springfield, Orcgon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00356
COM2009-00356
COM2009-00356
COM2009-00356
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000279
Date: 03/18/2009
Description
Add, Alter; Extend Circ
Add, Alter, Extend Circ Ea Add
. + 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE' PERMIT CHGS
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE Rite Electric Online
Payment Total:
Page I or 1 .
8:08:08AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
31 f 8/2009