HomeMy WebLinkAboutPermit Electrical 2009-5-22
;
~
"
'. City 01' Springfield
Electrical Authorization To Begin Work
E-mailedTo:c-pcrkins@ymail.com
~ii
.1
I', ,,'"
Receipt # EC552178 f\
5/22/20098:21 :37 AM 1 \
~~/
Check on status of' permi1
By Pholle: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
~Tv~E q~,W6RK '
".'!
"
10 New construction [K] Addition/alteration/replacement
Ii';!; , >, _' ,'.";.<;'i,q~TEG.9.~Y OF,CONS:rRUClI'ON' " "';:'."
I (X] I or2 family dwelling 0 Multi-family 0 C~mmcrcial {Industrial
I'~~,,' .. - ,',t' .,\'\JO,BS[TEl!"f6~MAji9~ANi>~2CI<TION,!"j' (, ;~~
IJob no.: IJob address: 5252 CYNTHIA CT
ICity/StllICrIJP: SPRINGFIELD, OR 97478-6229
I Suite/bldg.fllpt.no.:
IProjeclllllmc:
Cmss street/directions to job site:
ISubdivision:
ITa., IIlllp/parcelllo.: 1702333400202
ILot no.:
2 CklS. for healing equipment
I'},
,/U~j1;;:; 7;, ~': ~~rrACO~T{\9.:'r:_
I Name: smith
I Phone: (54l) 988-4336 II-'ax:
IEmail:
I~:;:_:, >';';N OTI CE:;:-.";;~;CONTi!AcTOR;'J~:~ .
Il:I.lk, "0,: C3:rt1IS PERMIT SHALL ~IR5>~f TklIi,WORK
I Bo';,>ess NamcA[ijlJflijlJ1ll4t!HIHHIIDER THIS PERMIT IS NUl
leO"tacl: Hcidf.OMMFNCED OR IS ABANDONED FOR
IAddcess: PO Br:lNl\421 Rn flAY PERIOD,
ICily/Slall./ZIP: CRESWELL'OR 97426
I Phone; (541 )8954466 I Fax: (541 )8954366
I EmaiJ: c_p~rkins@ymail.com
1l\lelro lie. no.: I City lie. no.:
ISupervising eleetricilln's lie. no.: 2970S
ISupervisillg eleclrician's nlllDe: CLYDE I PERKINS
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 1\ / .-0\...
days if a permit is not obtained. ~y U "'
The local building department may determine that an 'b~
Authorization To Begin Work is null and void if it does not .
meet applicable land use laws .and local ordinances. ~
~~~6^' ~.
~.Il.,k
.,
"i.~' /"l';f:-
,I:'
"j
I
I
:,~~I
I
I
I
I
I
I
I
I
I
I';C'C-';Pti"" ]\;;_~EESCHE~I~CE'<' Ea, :'~I~I""1
I ;.I~eS~d e,itial'S,,1 NC~L E,; ~O,lr ill ~Itilr~;'! ,jy~i iV!l.li~g u il it.:t_~dud~~-" ;:"~":l~'\l
a.!.!aeh~d,gllrllge T-~;:.,r: ", !,,,:~ ?"~~.'~;}~' ' ~ I~'., ,. ._.""'.;;~,~"'
11,000 sq. ft. or less [4]
lEa, uddl 500 sq. ft, or portion
]. U~!tedEi(ergy
I . Limited energy, residential
(with above suo 11) .
. Lililited elll.'rgy, multifamily
residential (with above SQ. ft.)
- Limited energy, commercia"1 not offered online at this jurisdiction
(with nbove sq, ft.)
; - Stund-alone limited energy.
residential
- Stand-alone ltmited energy,
multi. family
I ~ Stand-~lone limited energy, J
commercial
I'~cj.l'i~i~ '<?R. tt~.~ts'!Estllllafi~~ta!Irr-~tion;:'~~DI9~:tfitf~l?n:;:~ ;~:l
. 1200 amps or less [2]
1201 amps 10 400 amps [2)
! 401 amps to 599 amps 12]
1':!'"I!:~'II'OI'y\nyse'fViel;s91~, fL~dfrs ins,i~l!ation, llller~tt~,~, ;:,.t~.';~"',
ANU[9R relocatioll.!' : .,.},,';:""~~,L~ 'J "/" <./ :'f1fr.' ./ ;.. 1(.....
1200 amps or less [2]
1201 Ul11p~ to 400 amps [2]
1401 amps to 599 amps [2]
I',~nll~ch ""~'ir'cuits :' N'~~Y.~.alt~r~li~n.;,O'R, cxtc,!,sJon,. per ~a.nel
I A. Fee lor brm)lJiif;J'E1i.Iffl'e\'N t ~ I
servIce orfeedcr ee, ~~~H I : 'Jregon I w requi s you tc
branch circuitT01 OW rules allaoted h tho ()ro "'.... I Irl:~ '
I B,. Fee r"r b~1IhilijlCi~@$on Cellter, Th die rulesog~ - q Jp>'S" .
wothoo,"cr'lfF0'Lqedg'\'2'001 001 e 5 I h
;;"1 bra"ch tY,;u>y1[..u" " - 0 thr Juqh OA~ 952-0n _
I each addl bra",[ciiF.!'''. ~,II "'YI,OOlaln QI pies gfctl~e rul~
IJ~'lisC.ell~~~~~II'\~+;~";:" ::.I,f' If:. ...~t(O I "':t\~~,U ~~;~~pell~!.ep'h pn e '.1
. ."~,",' Ilrnnor.f-:,~""~)_,:~',:,.. :';i;l;l~"c,"" .-<,',"
I Service reconnt.'l'tonly ~~~ 3 y 1'll~lIflCatlOnl
I Each manufactured or modular 22 204 ,. I
dwelling. service and/or fceder
121 .
I Pump or irrigation circle [2J I
I Sign or outline lighting 12] I
I Signal circllit(s) llr limited. I
energy panel, ultcrallon, or
extension 121
I,~:,;, ;.:~5;':'~' ;j"~E~ECT~I~~L PE~MIT-F~ES ;;.~!c ".:.,;;, ..~.~ I
I. Subtotal $61.00 I
I State Surchmge (12% of penn it fee) $7.32 I "
I City or Springfield fees" $3.05 I
I TOTAL PEHl\-IIT FEE $71.371
* City or Springfield fees: 5% Technology Fee
/DEqn:n10\~'''h\Z[dJ CJ\ O~,~
"'1._,'_
"
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00717
ISSUED: 05/2212009
APPLIED: 05/2212009
EXPIRES: 11/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5252 CYNTHIA CT
ASSESSOR'S PARCEL NO.: 1702333400202
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 2 circuits for heating equipment
Owner: . SMITH THOMAS J.& MELANIE K
Address: 5252 CYNTHIA CT
. SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION I
Expiration Date
09124/2009
Phone '
541-895-4466
# 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:
S'I Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemellt:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
NUIILr:;
. THIS PERMIT SHALL EXPIR~~~'1'!~~OVEMENTS I
Street ImprovArJrrr~RIZED UNDER THIS PERMIT IS NOT
Storm Sewer ~0\iW;[?:JCED OR IS ABANDONED FOR
Special Instrul\w>r180 DAY PERIOD.
ATTENTION: Oregon law requires 0
follow rulp~ ~rl^ntn",~...L ~ yu to
i~0~i1~~i~;g~1~~~1 OThthOS~ ;~I;~ ~~;'~e~f~;{h
00' '. rough OAR 952-001
S,UeWaJmTa:P~t>tain copies of the rules b -
c,<)lImQ the ffi""""[ IN t . th Y
ntYiorrg,~ou ruta ns, 0 e, e telephone
III or e, Oregon Utility Notification
Center IS 1-800.332-2344).
Notes:
1 Valuation DescrilJtion I
Description
Tvpe of Constrllction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00717
ISSUED: 05/22/2009
APPLIED: 05/22/2009
EXPIRES: 11/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pholle
541-726-3676 Fax '
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32
53.05
$55.00
$6.00
5/22/09
5/2 2/09
5/2 2/09
5/22/09
2200900000000000553
2200?00000000000553
2200900000000000553
2200900000000000553
Total Amount Paid
$71.37
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 after 7:00 a,m. will be made the following
work day.
, I Rellllired IlIsnections I
Rough Electric: Prior to Cover
Final Electric: Whell all electrical work is complete.
By signature, I state alld agree, that I have carefully examined the completed applicatioll and do hereby certify that all
illformation 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 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 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, tha". 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 remaill on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of 2
;22-5 Futh Street
Springfield, Oregon 97477
54i-726-3759 Phone
r;:o~~ ~:
IIli:
Job/Journal Number
COM2009-00717
COM2009-00717
COM2009-00717
COM2009-00717
Payments:
TYI~e of Payment
ONLINE CHGS
\
cRcccintJ
RECEIPT #:
2200900000000000553
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fec
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/22/2009
Item Total:
Check Number Authorization
Receind By 8atch Number Number lIow Received
Pl.lid By
ONLINE PERMIT CHGS
KR
Page I of 1
ONLINE RITE Online
ELECTRIC
Payment Total:
8:28:24AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.3 7
$71.37
5/22/2009