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Home My WebLink AboutPermit Electrical 2009-05-04 City of Springfield Electrical Authorization To Begin Work E-mailed To: c yerkins@ymail.Jom II Check on status of permit By Phone: (541)726-3753 or Email: permitcenter1j)ci.springfield.or.us Receipt # EC551090 5/4/2009 I :26:20 PM ~'b\f 0: V . D Commercial! Industrial Total ! 0 New constmctiol1 [X] Addition/alteration/replacement I [Xl I or 2 family dwelling o Multi-family II,Oq,osq. ft. or less [4] I Ea. :?ddl 500 sq. ft. or portiol) IJob no.: jJob address: 537 HAYDEN BRIDGE PL ICity/State/ZIP: SPRINGFIELD, OR 97477-1500 I Suite/bJdg.lapt.no.: Project name: Cross street/directions to job site: I - ~imiled energy, residential (with above SQ. III I - ~jmited e"nergy, multifamily residentilll (with above sa. ft.) I - l:.imitcd energy, commercia-] (with above sq. ft.) I - Sland-alone limited energy, residential I - ~,tand-alone limited el,lcrgy, multi-family I - ~,tand~~]one limited energy, commercml : 1;~c1?}~'~Q~_(~?!f~~~E,!!~t!~;}T(rr~.~~~[~B'qf,g~1r~I~~~ll9i~~~~~ I 1200~~amps or less [21 $8 J ,00 $81.00! )20 lj1amps to 400 amps [2] I !401]!amps to 599 amps [2] r tjl 1200:: amps or less [21 I I i 20 I!lamps 10 400 amps 12] I i:~~r~~~~;i~~~;;~~3l:'~J(~a,!~~~~x1E;"i?~"~~rl~~{I't~[~'i\il I A. f.:.ee for braJ)cJJ circuits with 2 $6,00 $12.001 servIce or feeder fee, each branch circuit I B. Fee for branch circuits I wit~out service or feed~'r fee: first branch circuit 121 . addl branch circuit I not offered online at this jurisdiction I Subdivision: mllp/parcl'I_"o.: ! Lot no.: 170326210 1100 upgrade service and 2 circuits fur hV<lc equipment Name: heidi I Phone: (Email: I Fax' IEl.lic. no.: C335 I Business Name: RITE ELECTRIC INC I Cont;lct: Heidi IAddress: PO BOX 842 I City/SI"',/ZIP, CRESWELL OR 97426 I Phone: (541 )8954466 I Emllil: cyerkins@Yl11uil.col11 IMctrolic. flO.: I Supcn1ising electrician's lie. no.: 29705 I Supervising electrician's name: CLYDE I PERKINS ICCBlic.llo.: 178518 ! SerYice reconnect only [2] I Eac,r manufactured or m. odular dwellmg, service andlor,feeder [2]ii I Pu~p or irrigation circle [2] I SigQ or Olltline lighting [2] I circuit(s) or lirnited- alteration"or I~,:f I Subtotal &..D.. I State Surcharge (12% of permIt fee) NOTE: This Authorization To Begin Work expires within 180 ~ I CIty OrSprmgfield fees" days if a permit is not obtained. ~ I TOTAL PERMIT fEE ft__. * CIty OrSpnngfield fees 5% lechnology Fee The local building department may determine that an ~ - J'\t IDefault /1umbel ofll1spe.CllOns a/lOlled) AlIthorization To Begin Work is null and void if it does not ~: meel applicable land use laws and local ordinances. ~ ~ ~/Y7 d'c1O 1 00.5?c;" . ..(l.Q') f\~ N/YI s- ~- 09' V CZ\l " I Fa:(; (541 )8954]66 ICity lie. no.: 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 yo!-,r inspection. $93.00 I $11 16 I $4.65 I 1108.81 i This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2009-00586 ISSUED: 04/30/2009 APPLIED: 04/30/2009 EXPIRES: 11/04/2009. VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 537 HAYDEN BRIDGE PL ASSESSOR'S PARCEL NO.: 1703262101100 " Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and Owner: KLIPFEL DONALD J & JUDITH A Address: 537 HA YDEN BRIDGE PL SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARSHALLS lNC I CONTRACTOR INFORMATION I i! License 178518 2~790 BUILDING INFORMATION I Expiration Date 09/24/2009 : 12/23/2009 Phone 54 I -895-4466 541-747-7445 # of Units: Primary Oecupaney 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I l REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setbaek: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: ,.Sompaet: Street Improvements: I PUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires you to follO\Sil'l'eWaJlllciW\!1d by the Oregon Ulility Notification Center. Those rules are set forth in OAIQ~\)'!!'P9~tain'ough OAR 952-001- 0090. You may obtain copies of the rules by calling Ihe center. (Note: the telephone ,number for the Oregon Utility Notification Center is 1-800-332-2344). Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Paee I of 3 CITY OF SPRINGFIELD Building/Combination Permit TVl>e of Construetion I II II II I ,II Val~ation Desc.~!?tion . II I, Square Footage or Bid ArAount II II PERMIT NO: COM2009-00586 ISSUED: 04/30/2009 APPLIED: 04/3012009 EXPIRES: 11/04/2009 VALUE: Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description $ Per Sq Ft or multiplier Value Date Calculated Total Value of Project II FW P'\W II Date P1id j~ 4/30/09 I, 4/30/09 I, 4/30/09 4/30)09 4/30)09 ], 5/4/09 5/4/0'9 5/4/0'9 5/4/09 " .i Receipt Number Fee Description + 12% State Surcharge + 5% Teehnology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Sureharge + 5% Technology Fee Add, Alter, Extend Cire Ea Add Perm ServlFdr 200 amps or less Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00 $11.16 $4.65 $12.00 $81.00 1200900000000000321 1200900000000000321 1200900000000000321 1200900000000000321 1200900000000000321 1200900000000000334 1200900000000000334 1200900000000000334 1200900000000000334 Total Amount Paid $241.02 I Plan Reviews I " 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 liafter 7:00 a:m. will be made the following " work day. .~p('tion~, I:: . 'I 'I I, Rough Mechanical: Prior to Cover Final Mechanieal: When all meehanical work is complete. Rough Electric: Prior to Cover Final Eleetric: When all eleetrical work is complete. i Eleetric Service: Approval required prior to utility company energizing service. !I ';1'. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line 'CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00586 ISSUED: 04/30/2009 APPLIED: 04/30/2009 EXPIRES: 11/04/2009 VALUE: I' By signature, 1 state and agree, that I have carefully examined the complete~ application and do he'reby eertify that all information hereon is true aud correet, and 1 further certify that any and al'i work performed shall be done in aeeordance with the Ordinances of the City of Springfield and the Laws of the State of Oreg?n pertaining to the work deseribed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only eon tractors and employees who are in compliance'with ORS 701;005 will be used on this project. 1 further agree to ensure that all required inspections are requested at the pl~oper 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. If :f Owner or Contractors Signature Paee 3 of 3 " " " ;i Date '. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00586 COM2009~00586 COM2009-00586 COM2009-00586 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000000334 Description + 12% State Snrcharge Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee Paid By ONLINE PERMIT CHGS Received By i' il Check Number Batch N umb~r II NJM ONLINE ! Page I of I City~f Springfield Official Receipt Development Services Department Public Works Department Date: 05/04/2009 Item Total: Authorization Number How Received RlTE Online ELECT Payment Total: ,. , , ] :33:55PM Amount Due II.l6 81.00 12.00 4,65 $108.81 Amount Paid $108.81 $1U8.81 5/4/2009