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