HomeMy WebLinkAboutPermit Electrical 2009-6-24
.iCity of Springfield
Electrical Anthorization To Begin'Work
E-m'ailcd_To: c_perkins@ylriail,com
Check on status of per!"it
By Phone: 541-726-3753 or Emllil: permitcenter@ci.springfield,or.us
I D NewConstruction
o Addition/alteration/replacement
lell"""n;IYdw,"',,
DMUIli-falllily
Dcommercial
DACCeSSOry
I Joll r\dtlress: 1565 KELLOGG RD
I City/Stale/ZIP: SPRINGFIELD, OR 97477
I Suite/bltlghpt.nu.:
I Project Name: M09-279 / Lamb
I CrossStreet/directions tojubsite:
I Tn,p'p",,"'" i'1n~?1.- 0\'l..CP I
l~~~I$~~'?;f+~:{~;DE-SCRiP:TioNTokiw6RK~~;~~",-~~-'?f~;;~~hi:-;i .:\;+~I
electric for hvac equipment
Name; RileElectric
Phone: 541-895-4466
Fill: 541-895-4366
Email: c_perkins@ymail.com
~.1-~
I Eke lie. no.: C335
I Business Name: RITE ELECTRIC INC
I Conlact:
I Address: PO BOX &42
I Cit}'/Stale/~omqML!-,OR 97426 " 1.-:- \.~''''''r''JK
I Ph".., S41"'llt~'PFRMIT SHALL m;y.t':l/It1i95l~3~,'L ~. N3T
I Em..iI, h';iI'.!ifl''1'~kltW\'rZED UNDER 1 HI::' t'tn~v~IJ~~~'l
I M""";"'N'~A~AFMr.Fn OR IS 1ill!\;\'~I.J,IJ"l:U I";'
DI<V;IQD,
CCBlie, no.:
178518
I Supl'n"ising j;1;t\r.'citlnj.'(\icf1l,q)?V
I Supcn'ising'E'I~~t~ician's Name:
clydt:pcrkins
Number of inspections included in paid sen.'ices:
Residential Service:
ReconneclOnly:
AIIOtherServices~
Please check all lhalapply:
D,\serlliceorfeederbcllinningat
400 Amps where the available fauh
currente,,"cccds 10,000 Amps at
150 Vults or less 10 ground
e,,"ceeds 14,000 Amps for all Olher
installations
DF:re"pumps
o Emergencyi;ystems
o Additionofanewmotorloadof
100 IIPor more
DSi,,"ormorer~identialunitsinone
Slructure
DHea!lhcarefacilities
I Descriplion
I Branch circuits withoul service or
feeder
I Branch circuits each additional
cIrcuit wlthollt scrvicc
IElecti'ic~I'p-e;'lnit"f~e~}~~~~{hf>~
I Subtotal
IStatc surchlll'!le (12% of penn it
[otal)
ITechnology fee (5% of permit total)
I TOTAL j'ERJ\lIT FEE
I
I
I
I
I
I
I
I
CC4-~D'1
69600-BEL-09-00006
6/2412009 2:05 pm
ll\, ~{\
G~/
" _ .. ,.~:..:" "~:z::~:;~"
mH:lZardousloclltions
CJA 5ervice ur feeder raled at 600 amps
orm",e
Dnuildings more Ihall three stories
[JMarinasllndboalYllrd5
IT]Floalingbulldiilgs
[JJcommercial.useagricuhural
buildings
[Jlnslalllllion ofa 150 KVA or larger
:iseperalelyderivedsys
Ill', "A" ..".. "1_1" "1-3"
, '" or ~ or
[JRecrealional Vehicle?arks
C]Supplyvoltil!:eformorethan600
I: supply volts nominal
$55.00
.' ~,,"','"
$;5~;j
$6,00
$6,00
$61.00
$7.32
$3.05
$71.37
te-
le I ~lOq
ATTENTION: Oregon Ii\w requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
numb'er for the Oregoq Utility Notilication
Center is 1-800f332-2344).
I
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
permit 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
lO{2/
LP .1~oq
~~(2..
~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
,
Status
Issued
CITY OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2009-00907
ISSUED: 06/24/2009
APPLIED: 06/24/2009
EXPIRES: 12/24/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1565 KELLOGG RD
ASSESSOR'S PARCEL NO.: 1703342201200
Springfield TYPE OF WORK: Heating System
TYPE OF USE; New-
Residential
PROJECT DESCRIPTION: Electric for heating system
Owner: LAMB TRA VIS W & SHELLE C
Address; 1565 KELLOGG RD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
I. ,BUILDING INFORMATION I
Expiratibn Date
09/24i2009
Phone
541-895-4466
.,
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1St Floor:
I'
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load;
~!
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
n/a
'....',.-..
I DEVELOPMENT INFORMATION' '.
, AI fENTION: Ore~~E0l'11RED(PNRK11N'a
, follow rules adopt~d bv the Oregon Utility
Overlay Dist: . Notification Center.1j%l~e rules are set forth
# Street Trees Rqd: in OAR 952-001-0q";l!'1.p,~~~aJ,1p~,\R 952-001-
Paved Drive Rqd: 0090, You may obtgl!,!!I)~~!s of the rules by
% of Lot Coverage: calling the center, (Note: the telephone
number.for the ()re9.?~ _U_t~itL ~?,tification
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sotar Setb'acks:
.........,..v, ,.... ':' ........... .........._ __ . '"
Sidewalk Type:
DownspoutslDrains:
I Valuation Des~riDtio~ I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Squar,e Footage
or Bid Amonnt
Valne"
Date Calculated
Paee I of 2
CITY OF SPRINGFIELD
Status
Iss u ed
"
i;
Building/Combination Permit
PERMIT NO: COM2009-00907
ISSUED: 06124/2009
APPLIED: 06/24/2009
EXPIRES: 12124/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
,I Fe~' 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
$3.05
$55.00
$6.00
6/24/09
6/24/09
6/24/09
6/24/09
1200900000000000728
1200900000000000728
1200900000000000728
12009~0000000000728
Total Amount Paid
$71.37
I 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 Reoui,red 1~'l1ection' I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is co"'plete.
By signature, 1 State and agree, that 1 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 shallibe 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 lhe Community Servites 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.
1 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
Pa~e 2 of2,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
lie~
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00907
COM2009,00907
COM2009,00907
COM2009,00907
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000728
Date: 06/24/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ONLINE RITE Online
ELECTRIC
Payment Total:
KR
Page I of I
2:21:4IPM
Amount Due
'55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.3 7
$71.37
6/24/2009