HomeMy WebLinkAboutPermit Electrical 2009-5-4
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Electrical Authorization To Begin Work
E-mailed To: c yerkins@ymail.~om
City of Springfield
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CA.1
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Receipt # EC551093
5/4120091 :32: 12 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I .
II ,
o New construction
[XJ Addition/alterution/r.:pJacemen[
,
I [X] J 'or 2 family dwelling D Multi-family D' Commercial! Industrial
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IJObno.: IJObaddress: 1008 DIXIEDR I
I City/StaterLIP: SPRINGFIELD, OR 97478-9505 I
I Suitt'/bldg./apt.no.: I
[Project nllme: I
Cross street/directions to job site:
ISubdivision:
I Tax map/parcel no.: J802052407300
[Lot no.:
2 circuits forhvac equipemnt
11''''
lEI. lie. no.: C335 ICCBlic.no.: 178518
I Busincss Name: RITE ELECTRIC INC
I Conflict: Heidi
JAddress: PO BOX 842
ICity/State/ZIP: CRESWELL OR 97426
I Phone: (541 )8954466 I Fax: (541 )8954366
I E:mail: cyerkins@ymaiLcom
) Metro lie. no.: J City lie. no.:
I Supervising electrici.an's lie. no.: 29705
I Supervising electrician's name: CLYDE] 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 inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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~~
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.
~ ~,D"
DeSl.'ription
Il,OQO sq. f1. or less [4]
I Ea. :?ddl 500 sq. 1'1. or portion
I . ~irnited energy, residential
(with above sa. ft.)
I - }imi.led energy, mullifamily
resldenllal (w1th above Sq. n,)
- Uimited energy, commercial
(witOh above sq. ft,)
- Stand-alone limited energy,
residential r
I - ~tand-alone limited e!1ergy,
multi-family.'.
- Stand-alone limited energy,
commercial -r
nol offered onljnl:' al this jurisdiction
1200. amps or less [2] I I
1201lamps to 400 amps [2J I I
1401Jamps to 599 amps [?J ,I
I'.TEMP.ORXRY'SCr:Vic'e~~R;fecderS:installaiion;:aiie/iiiion~;:.;_~'iit~1
(A:~PIORi're"l?c~-tf5!~\7;~;;i::t~~~~{:!.tf~;:~~.~~-':;:~_;~:\;~ ~.",~
1200: amps or less [2] I
120!:amps to 400 amps [2] I
[40(! amps to 599 amps [2] I
1[i!~~[~~!,~~~),t~;~~~~nili$'t~JI~~f@i~:!it~iij!~!l'1Rcr~#Ee,I~~~~!'_.:~}-;' ;"1
A. Fee for branch circuits with
serVice or feeder fee, each
branch circuit
B, Fee for branch circuits
I wilbout service or feeder fee,
first branch circuit [21 "
I I addl branch circuii
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1
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$5500
$55.00[
$6.00
1 Se6'ice reconnect only ,[2]
I Each manufactured or modular
dW~Jling, service andlor feeder
[211r ".
I Pump or irrigation circle [2]
f Sign or outline lighting'[2]
or limited-
alteration: or
I
I
I City OfSpringlleld fees'" I
l TOTAL PERMIT FEE
'" qty Of Springfield fees: 5% Technology Fee
{Default number afinspections allowed}
C<Dm ;) (J7J fj - C;Q S.s-y
5 +- Y '0:1 ;tI/Vl
Subtota! I
Statl:' Surcharge (12% of penn it fee)
$61.00 I
$7.32 I
$3,05 I
$71.37 I
This Authorization To Begin Work must be posted at th~ job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1008 DIXIE DR
ASSESSOR'S PARCEL NO.: 1802052407300
PROJECT DESCRIPTION: Heat Pump/Air Handler
Owner: WILLIAMS LIVING TRUST
Address: 1008 DIXIE DR
SPRINGFIELD OR 97478
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00556
ISSUED: 04/27/2009
APPLIED: 04/27/2009
EXPIRES: 11104/2009
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
I CONTRACTOR INFORM~TION .
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
PACIFIC AIR COMFORT INC
L:icense
178'518
39237
Expiration Date
09/2412009
03/25/2010'
Phone
541-895-4466
541-672-9510
BUILDING INFORMATION'
# 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:
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
!I
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS,'
Street Improvements:
Storm Sewer Available:
Special Instruction:
NorJflTlCE:
THIS PERMIT SHALL ~XPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee ,1 of 3
Sidewalk Type:
ATTE~WPe1tb~fil'!I~i requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forlh
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note:,the telephone
humber for the Oregon Ullllly Notification
Center is 1-800-332-2344).
_..I1!RlNGF;I~LO ,
I
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvne of Construction
Fee D~scription
+ 12% State Surcharge
+ 5% Technology Fee
Ist Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
I
;CITY OF SPRINGFIELD
Buildi11g/Combination Permit
PERMIT NO: COM2009-00556
ISSUED: 04/27/2009
APPLIED: 04/27/2009
EXPIRES: ll/04/2009
VALUE:
II
I Valuation Descriotion 'Ii
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,I
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$ Per Sq Ft Square Footage
or multiplier or Bid Ari\ount,
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Value
Date Calculated
Total Value of Projecf
Ii
lippI;', P'1irU
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'1
'I
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Date Paid
ii
4/27(09
4/27/09
"
4/27/09
,
4/2 7 /09
4/27)09
"
5/4/09
5/4/0'9
5/4/09
5/4/0'9
'I
3200900000000000275
3200900000000000275
3200900000000000275
3200900000000000275
3200900000000000275
2200900000000000477
2200900000000000477
2200900000000000477
2200900000000000477
Amount Paid
Receipt Number
. $13.56 '
$5.65
$79.00
$17.00'
$17.00
$7.32
$3.05
$55.00
$6.00
$203.58
I Plan Reviews I
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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 ~~fter 7:00 a:m. will be made the following
work day. '
I R'lOlI,;rp,J In<nppt;nn< .
_'r'l~
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
_&E'~I"'~I;'II,il;"'~,
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'CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT,NO: COM2009-00556
ii ISSUED: 04/27/2009
il APPLIED: 04/27/2009
"EXPIRES: 11/04/2009
VALUE:' .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
!i
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By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and [ further certify that any and all work performed shall be doue in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oreg~n pertaining to the work described herein, and
that NO OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
[ further certify that only contractors and employees who are in complianc~!with ORS 701:005 will be used on this project.
[ 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 remain on the site at all
times during construction.' 1~; .
Owner or Contractors Signature
~ .
it Date
Paee 3 on
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00556
COM2009-00556
COM2009-00556
COM2009-00556
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
2200900000000000477
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Received By
njm
Check Numb,er
Batch Number
11
ONLINE
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Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/04/2009
Item Total':'
Authorizat~on
Number\ How Received
rite elect Online
Payment Total:
"
I :46:02PM
Amount Due
55.00
6,00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
5/4/2009