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HomeMy WebLinkAboutPermit Electrical 2009-5-13 Electrical Authorization To Begin Work E-mailed.To:cyerkins@ymail.com Receipt # ECSS1697 5/13/20094:30:18 PM 0\f t\)Y V City of Springfield Check on status of permit By Phone: (541)726-3753 or Email: permiteenter@ci.springfield.or.us 10 New construction I~ lliJ Addition/alteration/replacement I DescripHoo I Qty. Ea. Tot,,;' "I 1:~Sid~~~1~I~Gp[~q~~IUJt~~fU~1!f~"'e~lml(lrEit:lnC~1~dcs ,:: ~~ ~t~5~}'2g!rag~~"'.ifL~ ..;;#:t:k-:'#::~r ~'~;.::'~ -"- '<~" I 1,000 sq. ft. or less [4] I I Ea. add! 500 sq. ft. or portion I (Xl ] or 2 family dwelling 0 Multi-family 0 Commercial/Industrial -, _.r~~'11~![~':spr~_,i~!:9,~M~f!9H'~~-pl~Q.~~trQ~~~i~~;;~~~:~j~~1q I Job no.: I Job address: 2222 6TH ST I City/State/ZIP: SPRINGFIELD, OR 97477~2238 I Suite/bldg.lapt.no.: I Project naml": I . Limited energy, residential (with above SQ. n.) I-Limited energy,multifamily residential (with above SQ. fU I-Limited energy, commercial (with above SQ. ft,) I - Stand~alone limited energy, residential I - Stand-alone limited,energy, multi-family I - Staiid~aloiie limited energy, commercial 1~~~t"5.i_~~(2.!U~~di~lli'7!~ij,an~it~~1F~!l~;~~~:J?lq,~l~~~~ji~~t~t?gjl 1200 omps or less [2J 120] amps to 400 amps [2] 140] amps to 599 amps [2] , I 14tE'~:!!}{),J~!tY,_=~~,e, :r~~~;>RJl~lI}~~S, J:~~,!~,II.lil~~,:c~),f,~.~~iOTIi:~\~'iv,:1~1 ':~DZ{)J31~~~ca!~~.~1?;-,~~~~:';':~:if;'0~~;;;J!i:~-r"J;,l0;:i:y,:i~f:.::' J 200 amps or less [2] 1201 limps to 400 amps [2J 140 I amps to 599 amps [2] Ir~~,~~c~:ffill1,if~,'~_,ti~5V;~!ie'raii~~;;_?~R~i~t~r~j_o~~er:~a'Il~!~~';{;~r.~;1~;1 I A. Fee for branch cir,cuits with service or feeder fee, each branch circuit N!t'."'l!jJlbranChmCUitS ] $550~ $55,001 -nl iih~~ervice or feeder fee, , ~ H ~~~i;;~~~g~;~i;,~r ~,6V~~ ',~~,ool ~~~f;k~~~~~~~f;'DoN'E5~fO'rf~~~~' I'lllj dwelling; service und/or fceder 121 I Pump or irrigation circle [2] I II Sign or olJlJine lighling (2) J I I Signal cin:uit(s)or Ilmited- I panel, alteration, or . .nD I SUbtolal) , ~~ I SlaleSurcharge(]2% of permit fee) \1 City OfSprlngfield fees'- ~ - TOTAL PERJ\-UT FEE 1 ~ .. City'Or Springfield fees: 5% Technology Fce \.J ~ fDefault nll/nber afinspections allowed} ~ tg,-~'5lo lLL SIIL-l101 not offered online at this jurisdiction C.-oss street/directions tlJ job site: [Subdivision: ] Tax,map/parcCl no.: I Lot rio.: 170326210]415 electrical for llVac equipment IName: heidi I Phone: IF-mail: I',.,,, lEI. ]i<. 00,: C335/1TTi=NTION: OreQon I~GTl rii',co~.\rq!\>y~~",,~. lOusiness Name: fB!rvjiNl~l!.mxlG:1'Nopte~. ny lne ':'~ ~~~'~n~ ~~~~h I Contact: HeidiNotification t}~~l:;... IIIU~...~';~"";;~~- Q~~~-001.. I ' (~"H,::}:::>L-UVl-uv-13th;.:;~~ Address: PO BMk ~4f" ., .a_.,~~.;n t't"lniAQ of the rules by I City/Slate/ZIP 'C'R~~\t!~~.'R.iiJ.'zl.i.ffip'r (Noi,e:~~e :~:;~hOne I ~hon.c: (541 )8~54,~~mh~r f(lr the, OreQJ:Eil~~:~t~~I)~~?~6IGi:H1UII l,-m~lIl: cyerkll1s@Yl11tlllconCenter IS 1-800 jjt: c. ) I Metro lie, 110.: I ICity lie. no,: Supervising electrichlll.'s lie. 110,: 2970S I Supervising electrician's nllme: CLYDE] PERKINS Upon review and approval by your local jurisdiction, your permit will be e.maHed or faxed within one business d~y, with instruction$ on how to schedule your inspection, NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. $6100 I $7.321, $305 I $7137 I The local building 'department may determine that an Authorization To Begin Work is null and void if it does'not -..""..""' ~~"- This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF ~nul'lGFIELD I Building/Combination Permit PERMIT NO: COM2009-00656 ISSUED: 05/12/2009 APPLIED: 05/12/2009 EXPIRES: 11/13/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2222 6TH ST ASSESSOR'S PARCEL NO.: 1703262101415 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECf DESCRIPTION: Install heat pnmp and air handler Owner: VIAN DA VID G & NIKKI Address: 2222 6TH ST SPRINGFIELD OR 97477 Phone Nnmber: 541-988-1910 I CONTRACTOR INFORMA TION I Contractor Type Electrical Mechanical , Contractor RITE ELECTRIC MARSHALLS INC License 178518 25790 BUILDING INFORMATION I Expiration Date 09/2412009 12/23/2009 Phone 541-895-4466 541-747-7445 # of Units: Primary Occupancy Gronp: Secondary Occupancy Gronp: 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: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: , Paved Drive Rqd: Rearyard SetltlTcK::NTION: Oregon law requires yO'{.!J;f Lot Coverage: Solar Setbac~!Iow rules adopted by the Oregon Utility 'NOTICE' ' "I.....+:+:,......+:......."...~+..... .,..l--____.,r___..__~....r._.-'-.... . -',--11IE\.'3.....t' in OAR 952.001-0010 through CIJR,mBb'i<i:;~MPROVEMENIrIlP.PERMII ::lHALL ~~~n~E~MIT IS' NOT 0090, You may obtain copies 0, "'" ,u,,,> uy r,J, ~ORIZ~D UNDER . Street Improvemm'l\j:the center, (Note: the telephone ' COMMEN~~Il"e/\' ISrJl,\3ANDONED FOR Storm Sewerl!Wii'4iIltlIWr the, Oregon Utility Notification ANY 180 IJAV"'ilImUllirains: Special Instruction: Center IS 1-800-332.2344). Total: Handicapped: Compact: Notes: Paee 1 of 3 _~RIN!ii!'lI~.D, , , i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDti.on I Description Tvpe of Constrnction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Total Valne of Project Fees Paid ~ Fee Description + 12% State Snrcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pnmp + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add AmountPaid $13.56 $5.65 $79.00 $17.00 $17.00 $7.32 $3.05 $55,00 $6.00 Total Amonnt Paid $203.58 I Plan Reviews I , Date Paid 5/12/09 5/12/09 5/12/09 5/12/09 5/12/09 5/14/09 5/14/09 5/14109 5/14/09 CITY VJ' .:srRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00656 ISSUED: 05/12/2009 APPLIED: 05/12/2009 EXPIRES: 11/13/2009 VALUE: Value Date Calculated Receipt Numher 1200900000000000402 1200900000000000402 1200900000000000402 1200900000000000402 1200900000000000402 3200900000000000362 3200900000000000362 3200900000000000362 3200900000000000362 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. I Reollirerllnsnections, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete, Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00656 ISSUED: 05/12/2009 APPLIED: 05/12/2009 EXPIRES: 11/13/2009 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and " that NO OCCUPANCY will be made of any structure withont 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 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 th'e front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt, Development Services Department Public Works Department' Job/Journal Number COM2009-00656 COM2009-00656 COM2009-00656 COM2009-00656 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000362 Date: 05/14/2009 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 8:37:31AM Amount Due 55.00 6.00 3,05 ' 7.32 $71.37 Amount Paid $71.37. $71.37 5/14/2009