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HomeMy WebLinkAboutPermit Electrical 2009-3-31 City of Springfield Electrical Authorization To Begin Work E-maile~.To:cyerkins@ymail.com ~eceipt # EC549252 3/31/20091:1I :32 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I 0 New construction [i] Addition/alteration/replacement 10 J or 2 family d'welling D Multi-family o Commercial J Industrial I,Jobno,: IJobadllrcss: 6531 AS'!' ICily/State/ZIP: SPRINGFIELD, OR 97478-7096 I Suite/bldg.l:tpt.no.: I Project name: Crossstrcrt/dircctions to job sit,e: I Subdivision: ITax map/parerl no.: 1702344201300 I Lot no.: v\'V~ ~I (J I Dcscdption QI)'. Ell:.....,. l Total I:Resltil.in'iialrSINGEE:::()R'multiifarnilfliwl'lling,Unit?Yncludes'?i?,~'~::1 .~..~"""" .':~~_,;'.' ,*",~. ,'~" "'.. '~:' ..~- ..,. :..:,.,._"iIi:"'~~..,~""[:f_" ,....,":.. . ,',' ~',"," '("1'. :attaehedgaragc; "~~:e,~' _" i;;....~ 2 ;>', ~"',"'>'4 "::":'jJii''''?~~~1;,.t$;, '.~_ "'+ -. M ... ,.....~_.. .... ,.', '"" . c' ", '~y "~",'-'d:,,,E..-~S:.,,~e:k,....,.j .~"e"'. '..,.',Y"'y ~~ 11,000 sq. ft or less [4] I Ea. addl 500 sq. ft. or portion I-Limited energy, residential (witll above SQ. ft.) I-Limited energy; multifamily residential (with above SQ. 11:.) I-Limited energy, commercia'] not oflered online at this jurisdiction (with above SQ. ft.) 1 . Stand-alone limited energy, residential I - Stil.nd~alone limited energy, multi~familv I - Stand-alone limited energy, commercial electrical forhvac eq\iipment 1200 amps or less [2] 1201 amps to 400 amps [2] 40] amps to 599 amps [2] IName: heidi IPhone: IEmail: IF"" 1." lic. no.' cm THIS PERMIT SHALls:MIRE IFS'fHE WORK l"n,ln",Name i!\tJJJj~DRI>Z<EINJNDER THIS PERMIT IS NOT ICon',,," He'd' COMMENCED OR IS ABANDONED FOR IAdd"'" PO BO:AW{ 180 DAY PER Inn I City/State/ZIP: CRESWELL OR 97426 IPlion" (541)8954466 IFa" (541)8954366 I Email;c....pakins@ymail.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 29705 I Supervising electrician's name; CLYDE I PERKINS Upon review and approval by your local jurisdiction, your . permit will be e~mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work'is null and void if it does not meet applicable land use laws and local ordinances. 0V,&'- ~I(C ~ ~~ \J 1200 <lmpsor less [2] 1201 amps to 400 amps [2] 140 I amps to 599 amps [2] 1~!l!1!1_~:'~!.~-,~!~~.~~~t,~JE.I"~Jt?p?:g~~~!~~.(?~t~e~y~~.~~tI;~~:~" I A. Fee for branch cirCllits with "",'ce ocJffl1fef\llmOO: Or gon law "equires "ou to ~,a~~~:t2~~~'ihlfc~fl~ 2~L f_22}' ~il:' 0~i~':'4 11ti!i~y 0 I W'llim,,~"\ll'il<OIlIJQlJr~~ntel. Those I ules :1, E? . _et fdrlW fi", bn~I<J1!l?001.0 1 0 throuJlh OAR 9,2-001- I caeli cdl!lMl\!),h 1j!!l"J'lfI1av ob tain cop!$S of l(qiJ04 ules "''Po I 1:~~j~~"~<R~mhg:![~IQ~fii~It:!(t'!$5,t~;-;:!bjli!~!.~I1Q~)')~,i.5t I Serv'ce nlill.m!(;l\l~IJq2Itne. L rego:' ~_II~IIJ_1~0111 callon . I Each manufactured ,"!:IlllliGl~r 11:1 I-OUU-u'''; ~wo::;.v"'t"'t). dwelling, service andfor feeder 121 . I Pump or irrigation circle [2 ] I Sign or outline lighting [2J I Signal circuit(s)or limited- alteration, or I . Subtotal I State SLircharge (12% of permit fee) I City Of Springfield fees '" I TOTAL PERMIT FEE. . City or Springfield fe<.::s; 5% Technology Fee [Defmdl number of inspeCtions aI/owed] (Lg- Lj(f--l ~ 3/3D10C1 , This Authorization To Begin Work must be posted at the job site until replaced bya Permit. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00424 ISSUED: 03/30/2009 APPLIED: 03/30/2009 EXPIRES: 10/01/2009 VALUE: 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6531 A ST ASSESSOR'S PARCEL NO.: 1702344201300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heat pump and air handler in residence Residential Owner: REGALIA PAUL P Address: 6531 NORTH A ST SPRINGFIELD OR 97478 . I, CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARS HALLS INC License 178518 25790 BUILDING INFORMATION I Expiration Date 09/24/2009 12/23/2009 Phone 541-895-4466 541-747-7445 # 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: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~~~TI~::: . THIS PERMIT SHALL EXPIR'~ ~~.5Nr,~~OVEMENTS ~TTENTION: Oregon law requires you to Street Impro41.IIrT&nOOIZED UNDER THIS'PERMIT IS NOT . onowSi/'Ht'.ll..i!Pl'Pi.Ii>d by the Oregon Utility cnnn . Notlflca Ion L;enfe'C'those rules are set forth Storm Sewer ;\'VdlMlifli{;ED OR IS ABANDONED FOR In OARIlIDi'a'Sjlo.agorllill~Jgh OAR 952-001- SpeciallnsllMllbil:80 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Overlay Dist:. # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Notes: Paee I of 3 _~,'1;t~,~p,~~~ei' 11; , .I Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I V aluation Oesc~!8tIo,n I Descriution TVDe of Construction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Total Value of Project Fpp<. PqirlJ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Exlend C;rc . Add, Alter, Extend Circ Ea Add Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00 $7.32 $3.05 $55.00 $6.00 Total Amount Paid $203.58 I Plan Reviews I Date Paid 3/30/09 3/30/09 3/30/09 3/30/09 3/30/09 3/31/09 3/31/09 3/31/09 3/31109 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00424 ISSUED: 03/30/2009 APPLIED: 03/30/2009 EXPIRES: 10/01/2009 VALUE: Value Date Calculated Receipt Number 3200900000000000197 3200900000000000197 3200900000000000197 3200900000000000197 3200900000000000197 3200900000000000202 3200900000000000202 3200900000000000202 3200900000000000202 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. ~rprl Tnli',nection'\ 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 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00424 ISSUED: 03/30/2009 APPLIED: 03/30/2009 EXPIRES: 10/01/2009 VALUE: By signature, I state and agree, that I have carefully examined the completed applicatiuu 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 Ordinauces of the City of Sllringfield 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 aud employees who are iu 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 frontof the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pace 3 of 3 Date 225 Fifth Street Springfietd, Oregon 97477 541-726~3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00424 COM2009-00424 COM2009-00424 COM2009-00424 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT#: 3200900000000000202 Date: 03/31/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE Rite Electric Online Payment Total: Page I of I 1:25:5IPM Amount Due 55:00 6.00 3.05 7.32 $71.37 Amount Paid $71.3 7 $71.37 3/31/2009