HomeMy WebLinkAboutPermit Electrical 2009-6-12
Electrical Authorization To Begin Work
E"'mailed To: cjJerkins@ymail.com
Receipt # RC55362 I ~ c.i6
6Ji2/2009 3:29:30. PM '\/
I: (j
pty of Springfield
Check on, status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D N0W construction
[K] ] or 2 family dwelling
DMultj.family
o Commercial J Industrial
Description r Qty. l Ea. Total
I:ResidentiilfSINGI:E~-I' OR'm"lliti:fa"miH"'<hvelling:u'ilitJilncludes' y~~\\,~~ 'I
.~r!~~~!~}~~'~g~r}"~1~ ;i:;4:S~:~ '" ~~i.':~~~ _:'~'~-;'!jo" ';.;~ ':i~~:.~~<':
11,000 sq. ft. or Jess [4]
I Ea. add! 500 sq. n. aT portion
Iil Addition/alteration/replacement
IJob rlO.: !Job.address: 7265 GLACIER DR
I City/State/ZIP: SPRINGFIELD, OR 97478-7459
I Suitelbldg./apt.no.:
I Project name:
Cross street/directions to job site:
ILot no.:
I-Limited energy, residential
(with above so. ft.)
I-Limited energy, ~uhifamily 1
residential (with above Sq, ft.)
I-Limited energy, commercial not offered online at this jurisdi~tion :1
(wIth above SQ. IU :
I - Stand-alone limited energy, 1
. residential
I - Stand-alo,ne limited energy, 1
multi-family
- Stand~alonelilllitcd energy, I
commercial Jl '
f~~~~ce~<if{~f~~[f?s1~m:~~,,~ii'()~~~ltir~.ti~II,:i\!'li?!~~i~~ioT:!~t~\::r3~1
1200 amps or less [2] 1
120 I amps to 400 amps [2] I
1401 amps to 599 amps [2] I
'''1
I
I
1
;-,-;' I
... -0.
I
.180202120]800
electrical forhvac equipment
Upon review and approval by your local jurisdiction, your
permit will be e-mailedor faxed within one, business day,
with instructions on how to schedule your inspection.
1200 amps or less [2] "
120] amps to 400am~s [2]
~J~F~i;~::~::;~'~I\"r,atib~6~~x\e~S!?j~'P-et p1.~~I..
I A, Fee for br.anCh Cire. uits with I
service or feeder fee,' each
branch circulf .
B, Fee forbranch circuits J.' c$S$,(\n to $55 00 I
witholtilS,&;~Jb:'ii!~'rQeilgo 1 law re411reo y (10. . .
firslroratich\cirouM~ :::lrlnntp.c bv ~he ( reaon U~lhtv
eaclili<!~liBr~!.l"hj;i["!!i!:mter. T lOSe ruin, areelorth $6001
!~J;lffQ3~iPi1115~'PQJ~9"QtQht.tlrQ\!,g!J..i2~!i!;~~f'-,\i~};., i.,'1
se~Q:,'1aon)(€litIOm\flIQPDlaIJ,COPle~ ljl1,t1I~~~l~ :ouy I
:~~:,;:~~;g;':;d~:;;~ \~~u;iI'li':' N-~ti;;~'~i;n I
[21 '" _:::'L_~ :_ <t ^f\ 1)"2(Lr: 'J.t1L1.\
Pump or irrigati~'C:r~~'C'br 1- - I
I Sign or outline lighting [2) I I
I Signal.CirCilitCS) or li,mited- I I
energy panel, [IlteratlOn, or
extensIOn [21
1~:":';~;~E[f~stRlc~h,[>ER~it,I~~Es_.
i Sflbfalall
I State Surcharge (12% of permit fee) I
I C!ty OfSbringfield fees *
~ I TOTAL'PERMITFEE
~ ~ . City Of Spnngfield fees 5% Tecli,nology Fee
The local building department may determine that an [Default number ofmspecllons allowed}
Authorization To Begin Work is null and void if it does not JI
_....;;~~; ~~ Cg~S5B !V 9
This Authorization To Begin Work must be posted at the job site until rePla:red by a Permit
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II
i:
I Fa"
I Name: Reed
I Phone: (54l) 520-7280
I Emllii:
[El.lie. no.. C31.jl}""!"~_
1 . .........M
Business Namerl~~!.. 'Clf~ I]'JC _
jConta". Heidi,; :~I'~ L~:V1.11 "HALL I:XPIRE IF THE WORK
Add",,, PO $9~@7~_RfL.tu UI~UI:H IHIS PERMIT IS NOT
C1tyfStalefZIP/[;t\.~sWE.lLloRU,14M I~ ABANDONED FOR
"ho.co (541)89544'66' au UAY t'tKIUU.!F"" (541)8954366
IEmail: cyerkins@ymaiLcom
1J\'lelro lie. no.:
I Supen'isinj!; electrician's lie. no.: 29705
ISupervisin~ electrician's name: CLYDE [PERKiNS
ICCBlic. no.:- ]78518
1 City Ik. no.:
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
561.001
$7.32 I
$305 I
$71.37 I
LQ IlSIOg
. i:
CITYI10F SPRINGFIELD
I:
Building/Co'mbination Permit
If jl
i'
PERMIT NO: COM2009-00858
ISSUED: 06/15/2009
APPLIED: 06/12/2009
EXPIRES: 12/15/2009
VALUE: '
,;
_"'i:tAIN(1JIl';I!!i:D,~..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7265 GLACIER DR
ASSESSOR'S PARCE.L NO.: 1802021201800
,
Springtield TYPE OF WORK: Heating System
, .
PROJECT DESCRIPTION: Electrical for heating system
TYPE OF USE: New
I:
Residential
I
!REQUIRED PARKING
I
Front yard Setback: Overlay Dist: !fTotal:'
Side 1 Setback: # Street Trees Rqd: ATTENTION: OregoA\fJ.W<fie'~BII\3'!:youtl~
Side 2 SethaW;:lTICE: XPIRE IF THE.,JWt'l\4Rrive Rqd: follow rules adopted'i&\l'Wl1PEliegon U\iIiW
Rearyard Se\'l~~PERMIT SHALL E ERMIT r~ 'M'M! Coverage: Notification Center. Those rules are set fot;!~
Solar Setbac~'tiTHORIZED UNDER THIS P in OAR 952-001-0010 through OAR 952,00,1-
-- I~ fnt"""Mr:n I=OR .' , "J 'J
l,;UIVlIVltl'JuCU VI\ V {- -..- .' rvV'u. IVU 1I.Gl.l.....II..I\~U'! ..........................., ,...... .....""....,"j,J
ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS ~ calling the center. (Note: the telephone
Street Improvements: 'nu~llbw.1JhR,Dl.egon Utility Notitication
venier f$''1'-800-332-2344). .
'I
Downspouts/Drains:
I:
.'
Owner: REED RICHARD A & JOYCE K
Address: 7265 GLACIER DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
l 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: 'n/a
I DEVELOPMENT INFORMATION I
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount.
Type of Construction
Pa2e 1 of2
Ii
Expirati6n Date
"
09/24/2009
Phone
541-895-4466
Ii
Lot Size':
II
Sq Ft 1st Floor:
Ii
Sq Ft 2nd Floor:
r
Sq Ft B:isemeut:
"
Sq Ft Garage/Carport
F
Sq Ft Other:
"
Occupant Load:
If
Ii
II
I:
valuell
I'
Date Calculated
Ii
,:
Status
Issued
Ii
efT)';1 OF SPRINGFIELD
Ii
Building/C~mbination Permit
PERMIT NO: CbM2009-00858
'0
ISSUED: 06/15/2009
APPLIED: 06/12/2009
EXPIRES: 12/15/2009
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~ Paid I
$7.32
$3.05
$55.00
$6.00
6/15/09
6/15/09
6/15/09
6/15/09
I'
Receipt Number
'I
,
1200900000000000683
"
1200900000000000683
1200900000000000683
1200900000000000683
II
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II
Fee Description
+ 12% Siate Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amonnt Paid
Date-Paid
Total Amount Paid
$71.37
I Plan Reviews'
To Request an inspection call the 24 hour recording at 726-3769. All inspections rJquested before 7:00
. "
a.m. will be made the same working day, inspections requested after 7:00 a.m. will ~e made the following
~~ -,
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I Repuired In~l'~~ti?ns I I'
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By signature, 1 state and agree, that I have carefully examined the completed application and do hJ~ebY certify that all
information .hereon is true and correct, and I further certify that any and aU work perforincd shaUjbe done in accord mice with
the Ordinances of the City of Springfield and the Laws of the State of O.:egon pertaining to the wo}k described herein, and
that NO OCCUPANCY will he made of any structure without permissiou of the Community Servi~~s Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 willl,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 uf the property, and the approved set uf pia us will remain un the site at all
times during construction. I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Owner or COI~tractors Signature
Date
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Pa2e 2 of2
.
225 Fifth Street
SpriIlgficld, Orcgon 97477
541-126-3759 Phonc
JobiJournal Number
COM2009-00858
COM2009-00858
COM2009-00858
COM2009-00858
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
City of Springficld Official Rcceipt
DcvclopmJnt Serviccs Department
Public Works Department
RECEIPT #:
1200900000000000683
Ii
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 Howl:Received
KR ONLINE RlTE Online
ELECTRIC
Paym~nt Total:
I:
Page I of I
8:24:16AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
6/15/2009