HomeMy WebLinkAboutPermit Electrical 2009-4-15
City of Springfield
o
EC550172 ~t.j
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Electrical Anthorization To Begin Work
E-mailedTo:cyerkins@ymail.com
. Receipt #
4/15/2009 3: 1 0:53 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I
120]. .mp~400 "mps[2] I
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1 Name: he;d; A '11.<:' , "CO 1'4!N1llJ1IJ'f1E)'IDIFIfi,S:'l{r1 C~J'gl) ;-,vA ~/1' Sp';'fl1if't I
I Phone:"'; ~U,/;(I "fJ!i!i)A A 1 l:iii".ercin'lIilS':,N"Wihit.r.f(JIt,IOR,~1\::I;s'M!op{;.!P:l\Qei";i;' ':"""1
I.Email: -4 :.u,-t!1J4~fl9;''! ~I\l ~ I ~~'Fe:r~:b1~nt.9'~~~'" t:;.~~~~"~//;e"';'~:;' '/~~~IJ I:'-~"''''P. -'tW
III;,I~""; ,'r::'Is:t ;Iy cll;;'L,"~~r'lmCONiRACJ'o'Ri'/"fr((;IXJI;'::: ~"'l""'" :'Ifil"i','Ji,;;nn;';;:Jlj secvk'e or reeder re~, ~1iI_., III Y ^. elep"Y S by I
~;, .,""-~..,.,;i~",'Y'" . /","1't.":i.iI?0'ft0Xdfi"4/"'Ac.,__..:, ...'..~.vllr;,;,;,,<,"iJ;"#;;.';"V,,-:..;:?--:c>;""'oib;;;'iOw.':50T" 'branch CIrcuit u'J2~.).... 1VOfifi_101719
IELlk, no,: e335 -v <QIS;.~B li'.Y', '/.Y,~~85~srP/~..~ I B. F,dorbranch c;rcu;ls ~~4) -I' IIOf} $5500
. . "T.:. I..~ without service or feeder fee, .
I Business Name: RITE ELECTRIC INC Pf'J),_O.4t:;! ?,/S I)~ If:,..~ I tirst branch Circuit 121
IContact: Heidi <IUL? -~IfI/)9. ,:;r17/1~~1t: IA,_ I addl branch circuit
jAddress: PO BOX S42 IVe/) ::. IS . U0'A1
IOty/Stute/ZIP: CRESWELL OR 97426 "UII .tU/, 1
I Phone: (541 )8954466 I IOu" (54] )8954366 j
I Emili!: cyerkins@ymaiJ.com I
!\-letro lie. no.: 1 City lie. no,: I
1 Supervisingdeetrici:lII's lie, no.: 29705 I
I Supervising electrician's name: CLYDE I PERKINS I
I D New construction
[X] Addition/alteration/replacement
lliJ I or 2 family dwelling
DMulti-family
D Commercial/Industrial
IJob no.: IJob address: 2144 DEBRA DR
I City/State/ZII': SPRINGFIELD, OR 97477-2438
I Suite/bldg.!apt.no.:
Il'roject name:
Cross street/directions to job site:
ISubdh-'isj{,l/):
'ITax map/parcel no.:
j lot no.:
]70326]40]322
electricul forhvacwork
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. \~,0~-P--~
The local building department may determine that an " U . .
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
~~
I Description I Qty, I Ea. I Total
I:R, 'eS'dentil,li 81, N,G,'I:,E, >on,'iriUlti~fariil,'lf dWclliiiifu,. ',iiiflnc!udes' .,~..;..~;'~I
~t~t~~1tfg~r,~g~~~~~:"_J.:~:.;I::r;~~~~i:i~~~.;; ;)~':~~~~~<t
1 ],000sq,t\,or]ess[4] 'I I I I
I Ea, add] 500 sq. ft. or portion . I
1[~~mite"~:~-fl~l]yt;~~~"\~<t~7~11"~~1t}~~::i~~p, ~;~::}~:
I -Liniited energy, residential
(With above SQ, ft.)
I-Limited energy,m'ultifamily
residential (with abovesQ, n,)
I-Limited energy, commercial not offered online at this jurisdiction
(with above SQ, ft,)
I - Stund-alone Iil'nited energy,
residential
I . Stand-alone limited energy,
multi-family
I - Staiid-alone limited energy,
commercial
1200 amps or less [2]
$55,00
$6,00
$6,00
I Service reconnect only [2]
I eaeh manulactured or modular
dwelling, s<:rvice and/or feeder
121
1 Pump or irrigation circle [21
1 Sign or outline lighting [2J
I Signal Circuit(s) or limited-
panel, alteration, or
Subtotal I
State Surcharge (12% or pen-nit fee).1
City Of Springfield tees * I
I TOTAL PERMIT .,'EE
* City Of Springfield fees: 5% Technology Fee
[Default number afinspections allowed)
$61.00 I
$7.32 I
$3,051
$71.37 I
41 tLDlo9
0C1-4ss
~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
"
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00455
ISSUED: 04/06/2009
APPLIED: 04/06/io09
EXPIRES: 10/16/2009
VALUE:
225 Fifth SIreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2144 DEBRA DR
ASSESSOR'S PARCEL NO.: 1703261401322
Springfield TYPE OF WORK: Healing Syslem
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump & Air Handler Install
Owner: LEDSWORTH ROLAND 0 & MARY ANN
Address: PO BOX 916 '
ROCKA WAY BEACH OR 97136
Phone Number: 541-322-6351
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor '
RITE ELECTRIC
MARSHALLS INC
License '
178518
25790
BUILDING INFORMATION I
Expiration Date
09/2412009
12123/2009
Phone
541-895-4466
541-747-7445
# of Units:
,Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construclion Type:
# of Bedrooms:
#' of Stories: , Lot Size:
Height of Structure A Sq Ft 1st Floor:
Type of Heat: fo/[ftiVf/O Sq Ft 2nd Floor:
WaterType: iVo,.r;w rOle tv: OreSH FI Basement:
Range Type: inOA"iCE/lion CS QdoPiSq"Fh7;l\,:age;Carport
jl;' e c~ 10- ' ccru/(
Energy Path: 0090' 952'00/le1. ~!l Ff 0t.hU': es You I
Sprinkled Building"E/I/', YOu nn/a '007 GOc~'~plint,LJ'.w?n UIi/'lo
AI,,- ... - !f7e fI.._ 'QY 011,..., dlrO/fr./... :0 fire c:"~.. _ I v
tlil~ IICt.. I DEVELOPMENT INFORMArION'~"6er.(iv~~~ies Of~~ ~S2:o~7~
IIUt/J Pfl/.AA ' , '-c'lle'is lego/) ui' Ih~~!j:IQVIRE;'DPARKING
,-~O 'tOI/. will's. ' 7-800 1/lly ^I ,~Phone y
Front yard Sdba)fAj '1111/4, 'l.?fO /filL Overlay Dist: , " '332'23L~tiil;/qtion
Side I Setback: Ny 1{], 'fNefO U/VOfRL fr\"PII/. # Street Trees Rqd: ' Handicapped:
Side 2 Setback: 0 Oily OR IS tlils 'f IfPped Drive Rqd: Compact:
Rearyal'd Setback: PfR;. 1184A' PfI/.A1o!ijflpp,lcoverage:
Solar Setbacks: 00. '.DOM.Wllt IS UR/(
cl)~, IiIn_
I pUBd~ 'i~PRbvEMENTS I
Street Improvements: ,
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRIl'R.l'lELD
Building/Combination Permit
PERMIT NO: COM2009-00455
ISSUED: 04/06/2009
APPLIED: 04/06/2009
EXPIRES: 10/16/2009
, VALUE:
I Valuation Descriotion I
Description
$ Per Sq Ft
or mnltiplier
Tvpe of Constrnction
Sqnare Footage
or Bid Amollnt
Valne
Date Calcnlated
Total Valne of Project
Fees Paid I
Fee Description
+ 120/0 State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pnmp
+ 12% State Snrcharge '
+ 5% Technology Fee
Add, Alter, Extend'Circ
Add, Alter, Extend Circ Ea Add
Amonnt Paid
$13.56
$5,65
$79.00
$17.00
$17,00
$7,32
$3.05
$55,00
$6,00
Total Amount Paid
$203.58
Plan Reviews I
Date Paid
4/6/09
4/6/09
4/6/09
4/6/09
4/6/09
4/16/09
4/16/09
4/16/09
4/16/09
Receipl Nnmber
3200900000000000219
3200900000000000219
3200900000000000219
3200900000000000219
3200900000000000219
3200900000000000252
3200900000000000252
3200900000000000252
3200900000000000252
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, wiII be made the following
work day. '
Re~lIiredlns,n,ections 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 01'3
Status
Issued
225 Fifth Street, Springfie,ld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00455
ISSUED: 04/06/2009
APPLIED: 04/06/2009
EXPIRES: 10/16/2009
VALUE:
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 he used on this project,
1 further agree to ensure that all required inspeclions 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
Pa2e 3 of 3
Date
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00455
COM2009-00455
COM2009-00455
COM2009-00455
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 04/16/2009
3200900000000000252
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE Rite Electric Online
Payment Tolal:
"
Page I of ]
8:50:09AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
4/16/2009