HomeMy WebLinkAboutPermit Electrical 2009-7-15
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 center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800,332-2344).
Electrical Authorization To Begin Work
E-mailedTo:c-pcrkins@ymail.com
Chetk on status ot'permit
By Phone: 541-726.3753 or Email: permitcenler@ci.springfield.or.us
o NewConstruction
o Additiowaherationlrcplacemenc
PleCiSe check all thaI apply
o A ser..ice or feeder beginning at
400AmpswheretheavailablefauIL
current ~xceeds 10,000 Amps a!
ISO VQl1s or less to grOlll1d
exceeds 14,000 Amps for all other
installations
I G I ,,2 [.nily dwolling
o Multi-ramily
Dcommercia'
o Accessory
Job Address: 1196 DlAMQND ST
o Fire pumps
o Emergencysyskms
DAdditionofanewmoto,loadof
lOOHPormore
DSixormoreresidentiaJunitsinone
structure
o Heahhcalcfacilities
City/State1ZIP: SPRINGFIELD, OR 97477
SuifefbhlgJapl,no,:
ProjecfName:09-371 f Sinclair
I Cross Slreetfdircctions tojobsite;
I '"m'p/p,mln, \r)O-~'O'(1--'\ \t;)f}J1'7 ' I
~~~C~~~~t~~~*D'EscRlP:rIONT6F.r'^iORK~~~~Y~.f~f~~~~1
upgrade service & I ckt for hvac equipment
I Description
I Services 200 lllllpS or less
I Branch cir.cuitswith scrviceor feeder
eachclfcull
Name: Rite Electric
I Subtotal
IStatesurchiuge(12%OfPennit
total)
ITechnology fee (5% of permit total)
I TOTAL PERMlT FEE
Phone: 54]-895-4466
Fllx; 541-895-4366
Emai!: cyerkins@ymail.com
I Elec hc. no.: C3~ n ,
I Busmess Nllme~J~~Il~~c INC
I C,n"" , ,',I.~~CtiIVI/I SHAll J:)(PIRE 1fT' _
I Add"", po';;i(~Ii'UtiILtU UNDER.IH1S-D"'r.": IC,~VUKK
I J'/',r,iVLt'J"'CLDL'lR . ~ ,wrn li; IVUI
Cily/S"ldZIP~~E"""OIl<L'l]A", IS ARAAIQOpl~
I Ph,n" 541,';r4'!ll6' OU UAY PERinI'/''' 541"95,dt-3 ;ijii
CCB hc. no.:
178518
~Q ~ \ D'ZJ'-'\
,
I Email:heidi@c-perkins.com
I Melrolic.no.:
I SUf/crvising EIe-flridaD'j lie, no,:
Supen-'ising Electrician's Nllme:
City lie, no.:
cJydeperkins
2970,
Number of inspections ineludedin paidserviees:
ResidelltiaISeI>'ice: 4
Reconnect Only: J
AIlOlherServices: 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.
~
t~ ,,~~
(\V
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
69600. BE L.09.0003 7
7/15/2009 2:56 pm
Approval Code: 59500 I
DHazardoll.\loealion,
DA serYice 01 feeder raledal 600 amps
orlnOle
DBuildingsinorethimthreeSlOries
DMarinasandboa,yards
DFloatingbuildillgs
DCommercial-useagricuhural
buildings
DIllSlallationofalSOKVAorhllger
seperately derived sys
D"A","E",or"I-2" or "I-J"
DRecrea,uma!\-'ehideParks
DSupply"vollagcformorc,han600
supplywllsnominal
$81.001
"I
$6,001
':1
,",,00 I
$10.44
$4.35
SI01.791
'\LIL i( 15\OC1
~f
'f~
"':"~!1:~I~GPI~~~
.,~ ' ,
g}
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009.01024
ISSUED: ' 07/14/2009
,APPLIED: 07/14/2009
EXPIRES: 0111512010
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726'3676 Fax
541.726.3769 Inspection Line
, SITE ADDRESS: 1196 DIAMOND ST
ASSESSOR'S PARCEL NO.: 1703342400203
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence and upgrade service and add circuit for heating
system. '
Owner:
Address:
DORIS SINCLAIR LIVING TRUST
1196 DIAMOND ST
SPRINGFIELD OR 97477
'I CO\,TRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INmRMA TION,
Expiration Date
09/2412009
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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVE~OPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback: Overlay Dist: ,Total:, t
S'd 1 S b 11'0 C # St t T R d ATTENTION: Oregon, fill r.l'eltlresdYou 0
I e et ac,~ TI E: , ree rees q: follow rules adopted bj'.fflelUrt~~'bri Utility
Side 2 Setbac~:rl'S PERMIT SHALL EXPIRE IF TH~:wtl~te Rqd: Notification Center, Thosg'PJ1~g are set forth
::I:;=;:b~:~~ffNiORIZED UNDER THIS PERMIT IS NOT Coverage: in OAR 952'00f'001~through OAR 952.001-
rn~n~n",w'cn nD!C' ^D^"nn"Cn cl'\n 0090, You may obtain copies of the rules by
ANY 1 - - -- ~ -. - calling me GeIllt::I. \1',IUll::J. Ul~ ltm:::~llUIJt;;
80 DAY PERIOD. I ~UBLIC IMPROVEMENTS l1umber for tlie Oregon Utility Notification
Street Improvements: Si&watmr~Pe~00-332.2344).
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
Pa2e 1 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-01024
ISSUED: 07/14/2009
APPLIED: 07/14/2009
EXPIRES: 01115/2010
VALUE:
225 Fifth Street, Springlield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.37691nspection Line
I Val~ation DescriDtion ,
Description
Type of Construction
$ Per Sq Ft
or muJtiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Pai~ I
Fee Description
+ 12% Slale Surcharge,
+ 5% Technology Fee
1st Appliance
+ 12% Stale Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amounl Paid
Date Paid
Receipt Number
$9.48
$3,95
$79,00
$J0.44
$4,35
$6,00
$81.00
7/14/09
7/14/09
7/14/09
7/15/09
7/15/09
7/15/09
7/15/09
J200900000000000803
1200900000000000803
1200900000000000803
2200900000000000799
2200900000000000799
2200900000000000799
2200900000000000799
Total Amouut Paid
$ J 94.22
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.
Reouired I nsneelions .
.
Rough Mechanical: Prior to Cover
F:inal Mechanical: When all mechaiIical work is complete.
Rough Electric: Prior 10 Cover
Final Electric: When all electrical work is complete,
Paee 2 of 3
_~~I;1Il!1"!ll!!i!;"'~.i
~ <'
:iy'; ,
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541"726.3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009.0I024
ISSUED: 07/14/2009
APPLIED: 07/14/2009
EXPIRES: 01115/2010
VALUE:
By signatnre, 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 Springfield and the Laws of the State of Oregon pertaining to the work described hereiu, and ,
that NO occur ANCY will be made of any structure without permission of the Coriununity Services 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.
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
Page 3 of 3
Date
225 'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009_01024
COM2009.0 1 024
COM2009.0 I 024
COM2009.0 I 024
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000799
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
'+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/15/2009
Item Total:
Check Number - Authorization
Received By Batch Number Number How Received
KR
Page I of 1
ONLINE RITE Online
ELECTRIC
Payment Total:
3:03:37PM
Amount Due
81.00
6,00
4.35
10.44
$101.79
Amount Paid
$101.79
$101.79
7/15/2009