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HomeMy WebLinkAboutPermit Electrical 2009-3-17 . Receipt # RC54R42R / (Y 3/17120094:46:47 PM 'l.. /),/ :;'1 tV' 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. \~6\ ro~r<< ~\F 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\ . '0 yJJ /) 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