HomeMy WebLinkAboutPermit Electrical 2009-6-30
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:c_perkins@ymail.com
Check on status of permit
By Phone: 541.726-3753 01" Email: permitcenter@ci,springficld.OLUS
10 NewConstructioll
[;] Addilionlalteratio~rcplaccmcnl
Pl~ase .:heck all that apply:
o A service or feeder beginning at
400 Amps lI'here the available fauil
currenlexceeds 10,000 Amps al
150 Volts or less to grllund
exceeds 14,OOOAmps for all othcr
installations
0JOrZfamilYdWelling
o Multi-ramily
DcommerCiaJ
o Accessory
o Fire pumps
o Emergencysyslcms
o Addition of ~ new motor load of
100 HPor more
o Six or more residenlial unilsinone
structure
o Health care fadlities
Job Address: 5840 G ST
City/Slate/ZIP: SPRINGFIELD, OR 97478
Suitelbldg.lapt.no.:
Project Name: M09-285 I Eubank
Cross Street/direction:! to job site:
Taxmap/parcelno.: \'
OCSOO\
69600- B E L-09-000 15
6/30/2009 1:28 pm
[JHazardouslocalions
DA service or feeder rated at 600 amps
or,more
DBuildingsmorelhanthreeslories
[jMarinasandboatyards
DFloalingbuildinl>s
[]Commercial.useal>ricultural
buildings
Dlnslallati,unofalsoKvAorlarger
seperately deriv~J 51'S
D"A". "E": Ot "J-Z" or"r-l"
[JRecreational Vehicle?arks
DSupply voltage for more than 600
. supplyvollsnominal
I Description
I Qty. . Ea. (Total
'~5"F<I-:<~;..t~7f',j.;".." .
ATTENTION: Oregon law 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 cenler. (Note: the telephone
. \. [) '",.().. number for the Oregon Utility Notification
~~~~ U \. ~C\ Center is 1-800-332-2344).
. (\~~
~~
clectricalforhvacequipment
I Brallch circuits without service or
feeder
I Branch circuits each additional
circuit withou\ service
Phone: 54].895.4466
Fax: 54]-895-4366
ISublotal
IStllte surcharge (12% of penn it
total)
ITechnology fee (5% ofpermillolal)
I TOTAL PERMIT FEI!:
Email: cJerkills@ymail.com
I Elce lie. no.: C335
I Business Name: RITE ELECTRIC ]NC
I Confact:
I Address: PO BOX 842
I
I
I Em,;l: h,iJ;@,_,,,LI;j~nt-'I:KMII ::iHALL I:XPIRE IF THE WORK
I M,n-oli,. "0.: AU I HUIiILI:U UNU:IilikJJ;;Ij::i I-'I:KIVIII I::; NU I
I sU,,,,;,;",E,,,,,I.:;\J.IVIIlI/,ffiNGEEl,.,lilflIS ABANDONED FOR
I Supm;'in,EI,,,J\W.\i!'1j.so bA\iy~J;RIGln
CCB lie. no.:
178518
-CQ-C1Q/
CityfStale/ZIP: CRESWELL, OR 97426
Phune: 541_895_441~uIICc~
hx:541-895-t366
Number of inspections included in paid sen'ices:
Rcsidcntiill Service: 4
ReconneelOnly: I
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be
a-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
This Authorization To Begin Work must be,posted at the job site until replaced by a Permit
, "
$55.00
$55.00
$6.00
$6,00
$61.00
$7.32
$3.05
$71.37
kl~ Le 1001 D1
"
.--.:~~~!!~~qJ ~;:Li
~"
. . i~
Status
Issued
CITY OF SPRINGFIELD
Building/COmbination Permit
PERMIT NO: COM2009-00941
ISSUED: 06/26/2009
APPLIED: 06/26/2009
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: 5840 G ST
ASSESSOR'S PARCEL NO.: 1702342200301
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIP,TION: Install heat pump and air handler in residence
Residential
Owner: EUBANK JAMES S & DEBRA J
Address: 5840 G ST
SPRINGFIELD OR 97478
Phone Number: 541-747-0514
I CONTRACTOR~NFO~MATION 1
Contractor Type
Electrical
Mechanical
.. Contractor
RITE ELECTRIC
.MARSHALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/24/2009
12/23/2009
Phone
541-895-4466
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 Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft qther:
Occupant Load:
n/a
"InTI""'.
'"_IW",_.
THIS PERMIT SHALL EXPIRllfNI'..MlIl~T INFORMATION 1
AUTHORIZED UNDER THIS PERMIT IS NOT
Front yard Set!jIj):.Ii'iMENCED OR IS ABANDONEDC?OOlay Dist:
Side I Sethac's\NY 180 DAY PERIOD. # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: . % of Lot Coverage:
Solar Setbacks:
REQUIRED PARKING
I ~UBLIC IMPROVEMENTS 1
, Total:
Handic.anned' t
ATTENTION: Orego~iu" '.'f.>;,.~ you 0
follow rules adopte.a<i:,~"1I!i!C!'regon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
____ " _,__ _..1..,__ ....1__ t...
vvvv. I....... ".....J .....~.....,.. --.....'-- _. -_.- .----- '-J
calling the center. (Note: the telephone
nursbt<r fCJkt~e Oregon Utility Notification
I eE~ntelge:I.800-332-2344).
Downspouts/Drains:
Street Improvements: '
Storm Sewer Available:
Special Instruction :
Notes:
Paee I of 3
_S;~f!t~G,I!I~Q;"_II'J,ji-<
~f '
Status
.Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
.Square Footage
or Bid Amount
Total Value of Project
Fees Paid 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$183.69
I Plan Reviews I
Date Paid
6/26/09
6/26/09
6/26/09
6/26/09
6/30/09
6/30/09
6/30/09
6/30/09
CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2009-00941
ISSUED: 06/2612009
APPLIED: 06/2612009
EXPIRES: 12/30/2009
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000744
1200900000000000744
1206900000000000744
1200900000000000744
1200900000000000759
1200900000000000759
1200900000000000759
1200900000000000759
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 Reouirecl Insnections 1
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.
Pa2e 2 of3
,_~g,1'I'~9F,1~~!
~:,j
I
Status.
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00941
ISSUED: 06/26/2009.
APPLIED: 06/26/2009 .
EXPIRES: 12/30/2009
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 shalfbe 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 ofthe Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 willfbe 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 construction.
Owner or Contractors Signature
Date
Pa~e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0094I
COM2009-0094I
COM2009-0094I
COM2009-00941
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000759
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Check Number
Received By . Batch Number
KR
Page I of I
City of Springfield Official Receipt
Development Services Department
Publk Works Department
Date: 06/30/2009
1:41:07PM
Item Total:
Authorization
Number How Received
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
ONLINE RITE Online
',-
ELECTRIC
.Payment Total:
$71.3 7
$71.37
6/30/2009