HomeMy WebLinkAboutPermit Electrical 2009-6-30
<\
Electrical Authorization To Begin Work
E-mailedTo:c_perkins@ymail.com
By Phone: 541~726-3753 or Email;pcrmitccnter@ci.spnngfield.or.us
Check on status of permit
10 NcwConstmclion
~ AdditionJaJtnationJrcplaccmcnt
69600-BEL-09-00016
6/30/2009 1:33 pm
Please ~hcck aJllhat apply:
o A serviN or feed;rbeginning nt
400 Amps Where the available fault
currenlel<ceeds 10,000 Amps at
ISO Vohs or less 10 ground
,
exceeds 14,000 Amps for a110lher
inslallatiolls
I [~} ,,2f.nily dwelll" 0 Moltl-,,,,,,lly OCmmn"'I'1 0 A,,,,,,,,,
1;"_' ,- :';;'::iy- -~~~'7;;-3:':-JOB.'Sl-j-E"iNF."'OFfMATiON;ND;~O'CA:H6N:~~"'.4, ',~~,<,#?~
I Job Address: 463 70THST
I Cit)'/SlatclZIP: SPRINGFIELD, OR 97478
I Suite/bldg./llPt.no.:
I Project Name: 1...109-283 I Reed
I Cross Street/directions to job site:
o Fire pumps
o Emergency systems
o Addition of anew mOl or load of
100H?ormore
OSixormoreresidemialunitsjnonc
structure
OHealthcarcr~cililjes
I To< m"p/p",,' 00.' ! '1m..~~ 0l.4,pCJ
U::;j;,~:.~~~~r#c:;.~~:2DEsCRlHTI'ON;OFJWORK,)~~;;:tS;:$i~Y~~~;.~~ ~~~~~I
eleclricalforhvacequipment
Name: RileEJectric
Ph",,, 541-895A46rENTION: OregolFlm!4it&W-'~6@S youto
Email: cyerki~~~1.~4Me~ aU~fJu:~~, U~ ~Il~'l~~ ~~~I~ _~~I~l~!,-
-- ~ -.. J "vn~,~Y~.I,~.I_ _ '-{~~t,,~~l ,._,.,.._""""d-....'!':-'{.-~';--:-~":''\''X;-r.,i/,..
__ - ;:::'~r'\ :A'""'$...-::p.---"E....-R--l.-,f\~jCQNTBACTORCI.^'Di nt:::'1YAn,f,"
I Elee lie. no.: ~~b~" V~~~ ~~\; ~ht~ir;~llj~~lU).nfln~?-'!&.1 ,lp.~ hv
I "",In", ',m" e\!~~.'i"I1'H5= U<Sf\ter. (Note: the telephone '
I Cootmt number jor the oregon Utility NOliTICatlOn
I Address: PO BOX 842 venl~r l::i I-OUU-vv~~~v,'1''iJ'
I City/Stale/ZIP: CRESWELL, OR 97426
I Phone: 541-895-4466 Fal(: 541-895-4366
I Email: heidi@c-pcrkins.com
I Metro lie. rlO.: Cit)'lic.no.:
I Supervising Electrician's lie. no.: 2970s
I Supervising Eleclrician'sName: clyde perkins
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: I
All Other Services: 2
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 Author~zation To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
IDes~riPtion
lJ:Jrali_c~;ci;~tiiiS: w~'r0~'~
I Branch circuits without service or
feeder
I Brancb circuits each additional
circuit without service
1 Subtotal
IStatcsurchargC(12%OfPennit
lotal) .
:/~:17~~~:l;a1 :::::~O~:t:::1(:;oFo:":ennit tOlal)
CC\- Q5C\
OHazardouslocations
C]A sCI>'ice or feeder r~ted al 600 ~mps
or more
[JBuildings more than three stories
G]Marina,andboalyards
OFloatingbuildings
[JCommercialouse agricultural
buildings
Dlnstallatiol\oral50KYAorlarger
seperalelyderivcdsys
O"A". "E".or"I-2" or"l-l"
ORecreationalYehicle?arks
Dsupplyvoltag"formorelhan600
supply volts nominal
$55.00
Ell.
TOlal
$6.00
$61.00
S7.32
$3.051
$71.371
KR
lY 1301 oc~
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
~cf\(V
~~
\j\
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
,
~~"6"
o.:.tcr--~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00959
ISSUED: 06/30/2009
APPLIED: 06/30/2009
EXPIRES: 12/30/2009
VALUE:
(\
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 463 70TH ST
ASSESSOR'S PARCEL NO.: 1702352307400
Springtield TYPE OF WORK: Heating Syslem
'\ TYPE OF USE: New'
Residential
PROJECT DESCRIPTION: Electric for heating syslem in residence
Owner: REED MICHELLE K
Address: 463 70TH ST
SPRINGFIELD OR 97478
I CONTMCTOR INFORMA TION I
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION I
Expiration Date
09/24/2009
Phone
541-895-4466
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Waler Type: ATTENTION: Oregon laSqrIlI:jBase~ent:to
Range Type: follow rules adopted bySq ,FO>a!jageLGaJ;port
Energy Path:Notification Center. ThmSq"J;t;(')ther:et forth
. Sprinkled BUl!pthgR 952-001nZ:il1 0 thr 0csupani1JS'ofdD01-
"'.....,...... \1_.. __.. _1.--1-"",;... ............irH.. .....itho rldo<:, hH
I DEVELOPMENT INR0R~m[()N'r,er. (Noie:the:.t~I~p,~O,n:
nUlllue, 'u, "It, Oregon UtII11Y!\REQUIRED PARKING
Center is 1-800-332-2344),
Front yard Setback: Overlay Dist: ' Total:
Side 1 Setback: # Street Trees Rqd: ' Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact: .
Rearyard :5'e'fl,....dkE: % of Lot Coverage:
Solar Setb]i~)f~: PERMIT SHALL EXPIRE IF THE WORK
2~~~~CtD O~~I~\~~~~~~'~~~~1~PROVEMENTS I
Street Impr.qv.ef!1s(jt~AY PERIOD. Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspoutsmra~ns:
Notes:
I Valuation D~scriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amounl
Value'
Date Calculaled
Pa2e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P3id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$71.37
Plan Reviews I
Date Paid
6/30/09
6/30/09
6/30/09
6/30/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00959
ISSUED: 06/30/2009
APPLIED: 06/30/2009
EXPIRES: 12/30/2009
VALUE:
Receipl Number
1200900000000000760
1200900000000000760
1200900000000000760
1200900000000000760
To Request an inspection call the 24 hour recording at 726-3769. All inspections rl!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. .Re\1uk~d ln~wecH~~~ I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 a~cordance with
the Ordinances of the City of Spriugfield 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, Buildiug Safety.
l further certify Ihal 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 al the proper time, that each address is readable from the
street, that the permit card is located at the frout of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of2
Date
22"5 Fifth Street
Springfield, Oregon 97477
5:;'1-726-3759 Phone
Job/Journal Number
COM2009-00959
COM2009-00959
COM2009-00959
COM2009-00959
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000760
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
. + 12% State Surcharge
City of Springfield Official Receipt
Developmeftt Services Department
Public Works Department
Date: 06/30/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How ,Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE RITE Online
ELECTRIC
Payment Total:
1:41:44PM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid,
$713t
$71.37
6/30/2009