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Home My WebLink AboutPermit Electrical 2009-5-18 City of Springfield Electrical Authorization To Begin Work E-mailedTo:cyerkins@ymail.com Receipt # F:C551906 5/] 8/20094:30:37 PM 1\' ~)J (t ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us '.' "J~-~~;-:~:~~;:~t~.;'"~:t~ri,.yp~~O~fNR~~;,~j:~~~:::~~~~':~~ <'.:/~~~: I: :':"->~~~~-~:'_';:'-t.Z~:1?;~~~.F~E,"sCliE1?lil.(~;':Z',>! ~"-- ,/,- .- ", '.1 Dcsniplioll I Qly. I Ea. I Total I ~Rcsiden(ial SINGl.:E~;OR -niul_ti~:tall1ilf:dw,l'lIing-uriit. In'dudes'. ".' ',. 'I 'at~!,ch~d~~a-ragc'~;~'. :"~....'~'';~~ , -:1" ~,~.::. " ~'":_;:':; 1,000sq, fi, ocless[4] I Ea. addl 500 sq. fl. or portion I :qm)!~.}:ne~f;- ,).<j}~ _'. ~ .-' '. .'b. I-Limited energy, residential (with above SQ. ft.) I-Limited energy, m!lltifamily residential (with above SQ. n.) I-Limited energy, commercia"] not olTered online at this jurisdiction (with above SQ. n.) I . Stand.alone limited energy, residential I - Stand.alone limited energy, multi.fami]y . Stand-alone limited energy, I commercial _ ~Sc'~)~~s:9R fc_~4i~!msi~llati~~tm,te~a!J~~i.\t\NP26Ro!rel(J,~\ti~n'# . ~ 1200 'mps oc 1m (2] I 1201 amps 10 400 amps [2] I 1401 amps 10 599 mnps [2] I I 'I~TEMPO~RY s~n'~i~~?~ feed.e-~~ IRsliill~lion. alt~nltio~."' -. '-"1 ~~.D/qRreloc~t~ol~;"'I. .... ,. ~ i '..-r.- , q '.~~~-,,; '-. '. ~ , 1200 amps m less [2J I 120] amps to 400 amps [2] I IName: hcidi 140] amps to 599 amps [2] I I Phone: I Fax: I. ~~'n~b~Cin:uiis-'~1\Y,'allera"(i~_~!~'OR ~xte~sion.-per panel I 1~::"a;l: ,:Ciii#;t\'~i".r~1'f~JccjNTRActOR:t:'~i~.3'f.- 1 ~~:~~~~;~:I~~'chl~;:':~:shWilh I. I EI. lie. no.: C335 I CCB lie, no.: 178518 I B. Fee for branch circuits $55.00 $55.00 I without service or feeder fee. I Business Nllme: RITE ELECj'RIC INC tirst branch circuit [21 IContacl: Heidi I.e~ch,,~_d~!_.broanch c.i~~it , ". ~ _:.::~,:t6191! t?, $6.001 IAdd"'S: PO BOX 842 I ML~~f.~'t!NT\ON:'Qreg~r.''':v~~,,.; P,;,,;'ofr Utility" I 1C;,y/StaIeWP: CRESWELL OR 97426 I Servk~,"(!'.n.'l"qtlOhI)S[i)aOfJ" ':: ":'"~';~'t"~ are S~fortn I I Phon" (541 )8954466 I Fa" (541)8954366 I Each m~~f1it!.'1rt<tJlnn","""''''', .L - - OAR 95 -uu 1- I dwell~K>>\Yl'iee:ndt<lO~'()O 0 throug I th r lies by I Emllil: cyerkins@ymtlil.com [21 10 Ut"\ ;Jt:.. _ _. ~ Jin r.aDle _ 0 e. I ,'I,tm lie, no,: !C;,ylk. no,: I Pomp QG?ilg,~lio"'iY~I~riL~,,,1. (Note: ~he tel~~ll~t::_ ISopm;,;n. d"'~1'>_.ntl/k't'l"__. ,: 29705 I Sign oc oJtirn~'I!iitl,i'!:i12Ih" Ofeqon UtlPW _1~Ul1"r~ .-.. lie - +-b I Signal ci/dIt\I(\Ifi,Yijtitgc~'er is r -80U-;j;jf-~""4)' I ISuper\'isill~ e1l"~~ifHti\1tT'ffilAftEXPtRE it" I Mt WOR- ~:~;~~'i~~r;~\, al.lcra~~[Jr ~~~;~~~E~~1Wi~~~~~~!=~~6~ NO~ i;,;~f~':' ""'::i~ELE9TRIC~GPER~~:I~~~IS A~IY 1~(l nIJ.v I State Surcharge (12% ofpcrmit fee) NOTE: This Alit'horiZ1l'tlbrYl'O tiJ'~eXPlr9S within 180 ~ I City Of Springfield fees .. days if a permit is not obtained. I TOTAL PERMIT FEE I ~ ~ .. City or Springfield fees: 5% Techno]ogy Fee The local building department may determine that an ~ [DeJaufl number of in spec Ii OilS allowed} Authorization To Begin Work 'is null and void if It does not ~ I J () meet applicable land us. laws and local ordlnane.s, ~ \J " t q -lo ls'~ ' \C-L. ~~I\,b<\f' SS'l9.. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. , , I D New construction IX] Addition/a]teration/replacement I . ., ;, .'TCAT~GORY.(lFCONSrRlJ~_i.lo~"~;.l:'1'~'" I [K] ] or 2 family dv..-elling D Multi-family D Commercial/Industria] I. " ,JOBSITEj!lF.ORMATIqN AND[OC~TiON' IJob no,: IJob address: 4961 FORSYTHIA DR 1 Cify/State/ZIP: SPRINGF]ELD, OR 97478-7718 I Suile/bldg./apt.no.: I Project mIme: Cross slrect/din'ctions to job sile: ISubdivision: ITax map/parcel no.: 1802042203200 1- ;''''/~;:,"'_:;' _~. -~'-~}..}, ~1;:g!;5C~f~Tl~N..9.F'cWOJ{~~~;'i:',,~'~~ e]ectrical for h~ac equipmt:nt ILol no.: I I ~.~.:d,','1 .-....-~, r , $6'1~;1 $7,32 I $3.05 I $71.37 I 511~109 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00689 ISSUED: 05/1812009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4961 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042203200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install beat pump and air handler in residence. Residential Owner: Address: SPRINGER DIANA KAY 496] FORSYTHIA ST SPR]NGFIELD OR 97478 I CONTRACTOR INFORMATION 1 Contractor Type Electrical Mecbanical Contractor RITE ELECTRIC MARSHALLS INC License 178518 25790 BUILDING INFORMATION I Expiration Date 09/24/2009 1212312009 Phone 541-895-4466 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: 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 1 Frontyard Setback: Side I Setback: ' Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQU]RED PARKING Total: Handicapped: Compact: ~~~ I~E~MIT SHALt clJl.~~:tl J~,!,,~ENTS 1 Street ImprovemenAtnHORIZED UNDER THIS PERMIT IS NOT Storm Sewer Avail{j)fJoI:1MENCED OR IS ABANDONED FOR Special InstructionANY 180 DAY PERIOD. Notes: AIICI"IIUI"; UIt::lYUlIIc::lVY 1~4UIIIJ" yuu IV follow rules adopted by the Oregon Utility NCS'ilieWiillo 'Pfp'V!3r. Those rules are set forth in OAR 952-obl-001 0 through OAR 952-001- Oo!m~"I~Wla9lr1!I!lM copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Paee ] of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project F(>es Paid 1 11.1 Fee Description + 12% Stale Surcharge + 5% TechilOlogy Fee 1st Appliance Air Handling'Unit Up to 10,000 Heat Pump + ]2% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $13.56 $5.65 $79.00 $17.00 $17.00 $7.32 $3.05 $55.00 $6.00 5/18/09 5/18/09 5/18/09 5/18/09 5/18/09 5/19/09 5/19/09 5/19/09 5/19/09 Total Amount Paid $203.58 Plan Reyiews I CITY OF ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2009-00689 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: Value , Date Calculated Receipt Number 1200900000000000476 1200900000000000476 ]200900000000000476 1200900000000000476 1200900000000000476 1200900000000000478 ,1200900000000000478 ]200900000000000478 ]200900000000000478 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.~. will be made the following work day. I Reouired Insnections 1 Rough Mechanical: Prior to Cover Final Mechanical: When all mecbanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Status Issued CITY OF ~rKll~\.JNJ<.,LD Building/Combination Permit PERMIT NO: COM2009-00689 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspeciion Line By signature, ] state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and] fnrther certify tbat any and all work performed sball be done in accordance with lhe 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 wilhout permission of the Community Services Division, Building Safety. I further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all reqnired inspections are reqnested at the proper time, that each address is readable from the street, that the permit card is located at the front of tbe property, and the approved set of plans will remain on tbe site at all times during construction. Owner or Contracto,rs Signature Dale Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-n6-3759 Phone Job/Journal Number COM2009-00689 COM2009-00689 COM2009-00689 COM2009-00689 Payments: Type of Payment ONLINE CHGS cReceiotl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000000478 Date: 05/19/2009 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 Online ELECTRIC Payment Total: Page I of I 8:34:16AM Amount Due 55,00 6,00 3,05 7.32 $71.37 Amount Paid $71.3 7 $71.37 5119/2009 City of Springfield Mechanical Authorization .To Begin Work' E-mailedTo:Lindsey@marshallsinc.com Receipt # RC55]1l91 5/18/20092:20:28 PM \J.C{~ ~/ (;, 7f~ Ii I.,.: ,,' Check on status of permit By Phone: (54])726-3753 or [mail: permitcenter@ci.springfield.or.us -."',~!.:- ~~ ."".," r(p~- qf~,VY9R,Kf~",.'-'-:-7~. ! ~'';~T ", '.", .- ';~:.,'. ~'" I-'.'~;;(-- '-'''-Jff''\'''':~''''-';;-..{F. E-E S C-H-E' DUL.Ei:", .....\" .:~-;t_.i.,jl_~~L- ,,_--.. "_;~-- I Description Qty. I~ ~~~~tin~co_{l~}~g 'l:lppJ ia Dce(~ I Furnace- up to ] 00,000 BTU I Furnace" above 100,000 BTU I Electric Furnace I Duct alterations and additions I Gas heater units/ in-wall, in~ duct susoended. clel I Vent, nuc, liner for above I Air Conditioner I Heat Pump I AI, Haodle; II l:g~~'cf_.~!.UJ_"b-~-i'~~lfapp~nc~'S ~.~~~:?~?~:;~ I Water heater I Gas firepluce/insl'rtlstove I Gas log! Jog lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pclletstovc/insert I Wood fireplace Chimney/linerJnuc/vent w/o aoo,lilll1ce J].vj~n~~D'taJ-eihaug~~DYf~-tjJation' .!' ",( "..<L -~.,' I Ea. Total I , I .,,'>.' I I I I I I I I I $17,001 $17,001 $17.001 $17,001 .. I D New construction [i] Addition/lllteration/replaccment I'.~, , ,"y7~CAfEG()FlY.OrCON~tRU:ETION:"-:~,~ . ',.:t.~,. I [K] ] or 2 family dwelling D Multi-fami]y D Accessory Building I _;J()B.SIT~INFORM&ioNAND;L9C~TLQHc. ';c:, IJob no.: IJob address: 496] FORSYTHIA DR !City/StatelZIP: SPR]NGFIELD, OR 97478-7718 I Suite/bldg.hJpt.no.: 1 Project name: DALTON Cross strect/directions to job site: .. -"~-, ~_'ri~J I Subdivision: ! Lot no.: !Tax map/parcel no.: ]802042203200 ."~7f-:~' ~'~~.r{l}.;}Qg$.CRJPj-,o~~Pf,YY,9]K,!:;f;~< :1- .'~::!' , ~~~ INSTALL HEAr PUMP AND A]R HANLDER IN RESIDENCE ~~t"~1 I<;:~~:'~, . ~.." ~ .1,_:~\~ {" "r~f~'.~s'i;(( C_q~_TA~"t~:t-?;~ ..:; ~~~~', I Name: JIM DALTON I Phone: (54]) 744-8899 I }.'ax: I I I I I I Range tj6.ijOfENTION: Oredon law r~gUireS Y,'JU to I I C]olheI0f}rc~,hnaulp.s adopt, ,d by the Oregon Jtillty I Smg],'UDclexh',uSI:(bat"oBlWJ. 1 nose r les are Sl llOnn I tmle< M~,,<!)~Plem%!,lt1Jl),1-001 0 throug OAR 95 ~-001- mom,l.v_ '{ " ' ' 'll - I I, ' At\lc/~r'a'~~'ace'fusllH;.l,Y UULl III ....vt--"<.;.;t.J, ''''' I~ ........ i.JJ I . ~:~::-:9 tnz ::::::-:t::r. -~~~::~::_~~ .: ~:~:;;~ :"':n' I ,::,:,;,:;;,:~~~::~:;~~:;ti~~_~;~il~~~~;~fir.rtin~ I each additional outlet J I l~:.~-~~~~~,~:t~j{r~J~.c"B~NIc{~!~RMT!if,E~~~~\;~~ ,-, .-1 I ' Subtotal I $34_00 I I City Of Springfield First Appliance fee $79.00 I I State Surcharl':c (12% of penn it fee) $13.56 I I City OfSpringf1eld fees. 1 $5,65 I I TOT,\LPER,,\1ITFEE $]32,2] I . City Of Springfield fees: 5% Technology Fee tC1- lo g Cj - \(JL - 5 t l 8'\ Oq I I I _;~~i{':CONt~9'f'9~:~~:.'>'~~:~7':: 'CCB lie. no.: 25790 I Buslnc" Name:l'l.!liHiIA!;~s INC , -. ,_. ~ ~ I[ \\IMy' ICuntae<, L1ND~IID\t\b:IKMII ::'HI\LL :.^~~ II yll,~ I' ..r~ ' IAdd..."" 4]]0 dh\1Ji!illHlLtU UIWttl I nh)!_E.hlv''r..I~ I" tlt. T I C1'y/S'a',WP, OOf.ilMlENl;lJi) <ljHg1l:>2d'1tll\l~uv]~Hi I 0:1 I Phone: (541)747AWi 180 DAY PtKIUft." (541)741082] I Email: Lilldsey@marshallsinc.com I Metro lie. no.: I Cit)' lie. no.: CCB 25790 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 pennit is not obtained. 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. This Authorization To Begil1 Work must be posted at the job site until replaced by a Permit. Status Issued , CITY OF SPRINGFIELD, . Building/Combination Permit PERMIT NO: COM2009-00689 ISSUED: ,05/18/2009 APPLIED: 05i18/2009 EXPIRES: 11/18/2009 VALUE: 225 Fiftb Street, Springfield, OR 54]-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4961 FORSYTHIA DR ASSESSOR'S PARCEL NO.: ]802042203200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install beat pump and air handler in residence. Residential Owner: Address: SPRINGER DIANA KAY 4961 FORSYTHIA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION 1 Contractor Type Mechanical Contractor MARSHALLS INC License 25790 Expiration Date 12/23/2009 Phone 541-747-7445 I. BUILDING INFORMATION I # 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: ' n/a I. DEVELOPMENT INFORMATION I I PUBLIC IMPROVEME~TS 1 REQUIRED PARK]NG ATTENTION: Oregp6ltMw requires you to fo".ow rules adoptfH!aIi\li\!JqJperugon Uti/it ~Olltlcatlon Center, €6Ripaff.ies are set toJh m OAR 952-001-0010 through OAR 952-001- 0090., You may obtam copies of the rules b calling the center. (Note' )J1" t,,'arhM~ y "Ulllu~r lOr me uregon Utility Nolilicat' C t ' Ion en er IS 1-800-332-2344). Sidewalk Type: NOTICE: FrOlltyard Sf~IflERMIT SHALL EXPIRE IF THE<W~ Dist: Side 1 SetbaJl!~JTHORIZED UNDER THIS PERMIT l/Sitt&i Trees Rqd: Side 2 Setba~ ilX1jV1ENCED OR IS ABANDONED Hllo/ed Drive Rqd: Rearyard Se ~,,: 80 DAY PERIOD ' , % of Lot Coverage: Solar Setba :. 1 . Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I V aluation Descriptio~ I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee ] of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00689 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 'Total Value of Project Fees Paid 1 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number $13.56 $5.65 $79.00 $17.00 $17.00 5/18/09 5/18109 5/18109 5/18109 5/18109 ' ]200900000000000476 1200900000000000476 1200900000000000476 1200900000000000476 1200900000000000476 Total Amount Paid $132.21 I Plan Reyiews 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 after 7:00 a.m. will be made the following work day. Rennirecllnsnections I Rougb Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon 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 furtber 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 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 Date Paee 2 of 2 225. Fifth Strcct Springfield, Orcgon 97477 541:726-3759 Phone sr~:G;;jtI Vie, ' City of Springfield Official Receipt DcveIopment Scrvices Department Public Works Department Job/Journal Number COM2009-00689 COM2009-00689 COM2009-00689 COM2009-00689 COM2009-00689 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000000476 Date: 05/18/2009 . Description I st Appliance Air Handling Unit Up to 10,000 Heal Pump + 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 MARSHAL Online LS lNC Payment Total: Page I of I 2:50:]7PM Amount Due 79,00 17,00 17,00 5,65 13,56 $132.21 Amount Paid $132,21 $ 132.21 5/18/2009