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