HomeMy WebLinkAboutPermit Electrical 2009-6-15
City of Springfield
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Electrical Authorization To Begiu Work
E-mailedTo:c-..erkins@ymail.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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D New conslruction
lliJ Addition/alteration/replacement
I1J 1 or 2 family dwelling
o Commercial/Industrial
DMulti-family
~~Jo~Y~I'ffJfiFo(~-~tI9iiY~iiQJ&9kCA~6~}dli i"f~~~):t?~~
IJob no.: /Jobllddress: 5997 LlLACLN
I City/StateiZIP: SPRINGFIELD, OR 97478-6987
I ~uite/bldg.lapt.no.:
Iprojeclmlme:
Cross strcet/dire_ct~ons to job site:
ISubdivision:
I Tax mllp/parcel no.: 1802032303800
I Lot no.:
electric for hvac equipment
,
I Name: Richard Farrell (home owner)
I Phone: (541) 747-0403 I Fax:
I Email:
lie. no.: C335 ICCBlic. no.: 1785]8
I Business Name: RITE ELECTRIC INC
I Contact: Heidi
IAddress: PO BOX 842
I City/StlltelZIP: CRESWELL OR 97426
I Phone: (541 )8954466 I F}I:(; (54J )8954366
I Email: cyerkins@ymuiLcom
I J\letro,lic. no.: 1 City lie no.:
1 Supervising electrician's lie. no.: 2970S
ISuper\'ising electrician's name: CLYDE I PERKINS
Upon review and, approval by your local jurisdiction, your
permit will be eMmailed or faxed within one business day,
with instructions oil how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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Receipt # EC553673
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6/15/2009 12:09:03 PM
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I Description Il( Qty. lEa. . Total _
I\Re~id~~~~~'I~-~i~q,L~!1bH:T~lti~NmiJ?~~;eIJin-~~~'~aff~I~~ejf~J!~
,attaclledga......ge :r...~";X;;;t1(1t..'> ::';:, .~ /,: .. ",,>;,"2' ,,~-., ;' ,'=~v:z?2&-,
~ .,,,,,,"""" __ _", ' '<:,r.%c50ii:",:{;.1 ", ,,,,.,,;..<4..., "m . ~._"',__,,_ __",",,' .. )h,:"l.,~ ,"_ ,', f't,F_~
11,000 sq. fl. or less [4]
lEa. addl 500 sq, ft. o~: portion
I -, Limited energy, residential
(wIth above SQ. ft:)
I-Limited energy, multifamily
residential (with abov'e sq. 11.)
I . Limited energy, coj~merCia-1
(with above SQ. n.} 1.
I - Stand-alone limited energy,
residential I[
I - Sland-alone limited energy,
multi-family "
I . Standcaforie hmiteg energy,
commercial ~~
lt~,c.i:YI~~q.~1{~~els2~!!~Ii],t~~#B~(t!i~Jl0!;2~r'nYQ.~.I,re~~c~ti~~:~"';>:~1
1200 amps or less [2] if 1:
120] amps to 400 alllp~ [2] J:
140 I amps to 599 amps [2] I!
li:.!:~,~IE6~.~)j~~.r\'ic~~~,~Ej~..".'~.'>".?efj 'ins~.a.-'I~a.ti~'~;,alt~.r_i!t~o~~\,", ,j,' .
~~~DlO~. r~'2~.t~-;~-m<:~ ,X~";h~~.:t:~J;;>j;~7.0-~ l ,...,.~'""-~'~, ",.,;
1200 amps or less [2] :~
120] amps to 400 amp.~ [2]
140] amps to 599 amps [2]
t~~l~~t.CCi~~)~s~~JiS,~iY;~I!e'~~..!jol:,:,SLR" t;x.fcn~2~:~p~f!tan'~t;:~~~;;,"'iq'l,{,1
I A. Fee fO,r br,anCh CirC",uits with Ii"
service or feeder fee, each .
branch CIrcUIt ~
lB. Fee lor branCh,CirC,uits II""
without service orfee'oer fee, .
first branch cirCUIt [21
1 each addl branch circ'yit
I Service reconnect onl}' [2]
I Each manufactured or modular
dwelling, service and!or feeder
r:n I;
I Pump or irrigation ci~cle [21
Sign or outline lighti0g [2]
Signal circuit(s)'or lilnitcd-
pane], alteration, or
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[ State surCha, rgc(]2% of penn it fee) I
[ :: City Of Springfield fees.
[ TOTAL P[RMIT ,,'[[
\SS..n / . CIty Of Spnngfie]d fees 5% Techpology Fee
The local building department may determine that an ~ .J1 /d^- {Default number oJIn~pf!CflOnS cdlowed]
Authorization To Begin Work is null and void if it does not €..(;J\~ I lJrY_/O
meet applicable land use laws and local ordinances. ~ U~. Cu:r1 b<S7J 7' .-. "-'Y:'
"!I.~~~~ 00... \9~Q/. &//J/07
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This Authorization To Begin Work must be posted at the job site until replaged by a Permit
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hot offered online at this jurisdiction
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$55.00
'$55.001
$6001
$600
"'""",,
,
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Sublatall
$61.00
$7.32 I
nos I
$71.371
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, CITY OF SPRINGFIELD
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Buildjng/C?mbination Permit
PERMIT NO: GOM2009-00610
ISSUED'~ 05/05/2009
APPLIED: 05/05/2009
EXPIRES: 11/05/2009
v ALUE:I!
, _ 11
Ki~/oOj
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5997 LILAC LN
ASSESSOR'S PARCEL NO.: 1802032303800
TYPE OF WORK: Mechanical Only
'.'. II.
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TYPE OF USE: New! .
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ATTENTION)Oregon law requires youto
,,_ _ ,. .'. Ll_ _ ,",~",,...,...,n Ilhhtlf
"'';)1I0VV lUte;:) ClUVPU,"'" ~} ... ~... -
I PUBLIC IMPROVEMENT~'ltification Center. Thqse rules are set fort~
. OAR nr:o_nn< -Q01 0 through OAR 952-001
In Sidewalk: Ty' e:" .
. 0090. You may olJ[~ln c,oples of the rules by
callin~qW~!\p.Q1its/D~ains:: the telephone
number for the Oregqn Utility Notlllcatlon
Center is 1-809-332-2344).
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Springfield
PROJECT DESCRIPTION: Install mini-split
Owner: BROOM ROBERT JOHN
Address: 5997 LILAC LN
SPRINGFIELD OR 97478
I. CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
PACIFIC AIR COMFORT INC
License
178518
39237
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: nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvl.c}!lents:
. IVOT/l'r:.
Storm SewerAvailaiJle~
Special InstrtiJli~)'PERMIT SHAll EXPIR .
11UTHORIZED UNDE E IF THE WORK
Notes: COMMENCED OR IS R THIS PERMIT IS NOT
ANY 180 DAY PERIOD ABANDONED FOR .
Paee 1 of 3
Residential
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Phone Number: 541-342-5300
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Expiration Date
09124(2009
0312512010
Phone
541-895-4466
541 ~672-951 0
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Lot Siie:
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Sq Ft 1st Floor:
Sq Ft i'nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
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. Ii REQUIRED PARKING
, Total:
Handicapped:
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if Compact:
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00610
ISSUED: 05/0512009
APPLIED: 05/05/2009
EXPIRES: ll/05/2009
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Oescrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value'
Date Calculated
Total Value of Project
L.F,,~. P~\lU
,
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $13.56 5/5/09 3200900000000000309
+ 5% Technology Fee $5.65 5/5/09 320Q900000000000309
1st Appliance $79.00 5/5/09 3200900000000000309
Air Handling Unit Up to 10,000 $17.00 5/5/09 3200900000000000309
Heat Pump $17.00 5/5/09 3200900000000000309
+ 12% State Surcharge $7.32 6/15/09 3200900000000000452
+ 5% Technology Fee $3.05 6/15/09 3200900000000000452
Add, Alter, Extend Circ $55.00 6/15/09 3200900000000000452
Add, Alter, Extend Circ Ea Add $6.00 6/15/09 320?900000000000452
Total Amount Paid $203.58 "
I Plan Reviews ,
To Request an inspectiou call the 24 hour recording at 726-3769. All inspt;ctions r~quested 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"nWfr~ In<'\1"~t~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough 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: COM2009-00610
ISSUED: 05/05/2009
APPLIED: 05/05/2009
EXPIRES: H/05/2009
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 w~rk descrihed 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 he 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 constructioll.
Owner or Contractors Signature
Date
Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00610
COM2009-00610
COM2009-006 ro
COM2009-00610
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
City of Sprihgfield Official Receipt
DevelopmeJ]t Services Department
Public Works Department
3200900000000000452
Date: 06/15/2009
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
NJM
ONLINE RITE Online
ELECTRIC
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~aym~nt Total:
Page I of I
12:41:11PM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
6115/2009