HomeMy WebLinkAboutPermit Electrical 2009-6-9
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:c_perkins@ymail.com
Receipt # EC553291
6/9n009 9:05:23 AM
S
'"..._,+........".c.;'^
Check on status of permit
By Phone: (541)726-3753 or [mail: permitcenter@ci.springfield.or.us
'':;1 '.fEE SCHE.QULE
III. ;:;;~~:::.: SI;o;G,~E' OR m'!!ti.raniJ~';~emng un~;:: InelUdes/....l
.J 'att~~~~garage .;;.~;<_ .'Co". '"--". ..'" .
. "! i~;:.~~~.i~~i~~~;~t",';, I. " < I. ',; I
I I - Limited energy, residential
I {with above SQ. ft.}
I . Limited energy, multifamily
I residential (with above Sq. 1'1.)
I I . Limited energy, commercia"1
(wi\h above SQ. 1'1.)
I - Stand~alone limited energy,
residential
I - Stand-<llone limited energy,
multi-familv
I . Stand-alom: limited energy,
commercial
I, Se'J!~es.o~~fee'MrS !~"~~I!llt!~D,)il!~k~t-~~,'A~i?~OR'reio'c~.tion
1200 amps or less [2]
1201 amps 10 400 amps [2J
1401 amps to 599 amps [21
I;T.:MP(jRARY'~~rviees ORJ~~,erstnstallati()n:'.iilie~alion"
Al'!~/O~ ~eloctl~'-~~_ - '.. '.- _ - _ >
1200 amps or less [2]
120] amps 10 400 amps 12]
140] amps 10 599 amps (2] .
I. Brilllc~~{in:~ilis~::'~.:w,- ltltt'lat~o!~,.OR-exttnsio_n,per panel:;
A. Fee for branch circuits with
~'''' .:: service or feeder fee, each
-- bmnchcircuit
B. Fee for branch circuits
without service or feeder fee,
lirst branch circuit r21
I each addl branch circuit
l:rv~Sc~.i~~~us. ~_
I Service reconnect only 12]
I Each manufactured or modular
dwelling, service and/or feeder
[21.
1 Pump or irrigalion circle [2]
I Sign or outline lighting [2)
1 Sig~a] .circuit(s) or limited.,
enl.:rgy panel, alteration, or
extension f21
~. ~cf\ i:': "'Ei .: ~.,ELECTRicA~ "EI'l~~:~~ES:'
State Surcharge (12% of permit fee)
NOTE: This Authonzation To Begin Work expires within 180~ 'J'\. , City Of So ring field fees *
days if a permit is not obtained. . t\.. V'- I TO'L\L I>ERMIT FEE
. . .''- (j" . City Of Springfield fees: 5% Technology Fcc
. ~ ",--,"7~
"
- - -.....TY~E;'bF WORK'
:t"'.~.
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I 0 New construction [K] Addition/alteration/replacement
.. .:;>-:CAT~GORy.'OF CONSU~UC.t!O~.' . ,
I [K] I or 2 fa~ilY dwelling 0 Multi-family 0 Commercial/ Industrilll
I
.'
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. ",~OB Sli~ INF.O~,(liI\TION AND LOc:~TioN
"
lJob no.: I.Job address: 30] 69TH PL
!City/StllteIZIP: SPRINGFIELD, OR 97478-7295
I Suitelbldg.lllPt.no.: .
Project name:
not offered online at this jurisdiction
Cross street/directions to job site:
ILot no,:
ISubdivision:
ITax Ulllp/parccll1u.: 1702353201700
I....,. '_,'.n'2eESCRIP:'n.oNOY::WORK'!r' ~
ektrical for hvac equipemnt
I~J
~a~c:
:SI1'ffi."CONTI\Cr
ferell
Phone: (541) 747-0403
I"'llx:
Email:
"
CON!RACT9R".:'.'::"C' ',"
IceD lie. no.: 178518
$55.001
$6.001
lEI. lie. 110,: C33S
I Busincs.~ Name: RITE ELECTRIC INC
ICon.act: Heidi
IAddress: PO BOX 842
ICity/Shlle/ZIP: CRESWELL OR 97426
I Phone: (541 )8,954466
I [mail: cJ)crkins@ymall.eom
11\11.'11'0 lie. no.:
ISupen.jsing electrician's lie. no.: 29705
ISuper\'ising electrician's name: CLYDE I PERKINS
II
. :7- ~~""-"
-..-:....
I Fa" (541 )8954366
ICity lie, 110,:
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.
Authonzation To Begin Work IS null and void if it does not
meet applicable land use laws and local ordinances,
wm 2-0-0 'I
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0077V
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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$55.001
$6,001
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$61.00 I
$7.32 I
$3.05 I
$71.37 I
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00776
ISSUED: 06/03/2009
APPLIED: 06/03/2009
EXPIRES: '12103/2009
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 301 69TH PL
ASSESSOR'S PARCEL NO.: 1702353201700
Springfield TYPE OF WORK: Heaiing System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump & air handler
Owner: FARRELL RICHARD M & D L
.. Address: 301 69TH PL
SPRINGFIELD OR 97478
Phone Number: 541-747-0403
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/2312009
Phone
541-747-7445
# 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 TYI,e:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
. Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION 1
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:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidew~lh.ry,p.~: 'i-~S you to
Storm Sewer Avaih.ble: ATTENTION: ODregn '~'. I'D'" n~n Utility
d ownsl'outs rams: t forth
Special Instruction: tallow rul3S a ~f"\. ,u'se IUle. 31'8 S8
NOTlCr. NotiticatiOn Cenl~~,(. '\'ire.lnn,ji ,Ii 952-00~-
Notes: p." 1;. in OAR 952-00i- ,.:" 0 i~so1therules y
1 ,I~~ PERMIT 0090, YOLl may obtain c ~e: the telephone
IJ 1,-'......_ SHAll r\....... ,,0 _ lhn ('Pn.1er. (No ..0. '_I_i;;:;,..~tJnn
'. .. "'-CU UI\ID -", 'f1t ". - .........-, 0 egoll V"'''J .
r. ,'. "-'",., ER THIS ., I' nt WnDI7 . ~i.:mbll' tor the, r 0332-2344),
, .: ~l '( .[[1 OR 1<;, A PERI A:v.aluatlOn DeSCrtDtlOn Center IS i -80 -
- . - n.. c BAIVDONE - "VII
. . ,-,.el/en,. [Vp~RSq Ft Squa~e Footage
Description Type of ConstructIOn I ' I' B'd A Value Date Calculated
or mu tip Iff or I mount
Pa!!:e I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valoe of Project
FpPli',~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$13.56
$5.65
$79.00
$17.00
$17.00
$7.32
$3.05
$55.00
$6.00
Tolal Amount Paid
$203.58
I Plan Reviews I
Date Paid
6/3/09
6/3/09
6/3/09
6/3/09
6/3/09
6/9/09
6/9/09
6/9/09
6/9/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00776
ISSUED: 06/03/2009
APPLIED: 06/03/2009
EXPIRES: 12/03/2009
VALUE:
Receipt Number
3200900000000000416
3200900000000000416
3200900000000000416
3200900000000000416
3200900000000000416
3200900000000000433
3200900000000000433
3200900000000000433
3200900000000000433
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 R"'\IIoirprlln<,nections I
Rough Mechanical: Prior 10 Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa!!:e 2 of 3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00776
ISSUED: 06/03/2009
APPLIED: 06/03/2009
EXPIRES: 12/03/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signalure, 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 Springfield and the Laws of lhe 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.
(further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permil 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
Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r1:Q~~~
..: .
City of Spri~gfield Official Receipt
Development Services Department
Public Wo,:ks Department
Job/Journal Number
COM2009-00776
COM2009-00776
COM2009-00776
COM2009-00776
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #: . 3200900000000000433
Date: 06/0912009
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
NJM
ONLINE RITE ELEC Online
Payme~t Total:
Page 1 of I
10:52:30AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
6/9/2009