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Home My WebLink AboutPermit Electrical 2009-7-17 City of Springfield Electrical Authorization To Begin Work' E-mailedTo:cycrkins@ymail.com Check on status of permit By Phone: 541-726.3753 or Email: permitcenter@ci.springfield.or.us =r.".., I 0 New Construction 0 Addition/alterationJreplal;ement 1?"?",:'~;~;"~:~~";~~f~:;;C'ATE-GORYloFtcoNSTRUCTloN~~~4i.~;':'~,,;~:~:,::~i~"J11 101 ,<2 Im"ily dwelho, OM"";"","ilY OCO,",""C;" 0 ^'''''''Y I Job Address: ]023 6STHST City/State/ZIP: SPRINGFIELD, OR' 97478 Suite!bldg.!apt.no.: Project Name: MO?-313 / Woodsman Cross Street/directions, to job sile: II >~::'~<~;::~~~ \~a1/~j~ , jJ]:i1::"Z~,~_""_", \,~~"~~,% +:t">1;~''''~~1"'l''r'''''DESCRIP.TION;OEiWORKf%--~-;._..:.-;;.- ~';;f!JP; , "'"S;"''i':,,>+,!t:t~; ""^*"~._,=_.,_.._....~,.....,,,..,.~..:A:iP!,._;_...... ... .,' :, "'-.... ..........."""''''"'=<-....:...:......:....:..lli.......... ,co,.. ~..= electrical for hvac equipment Name: Rite Electric Phone: 541-895-4466 Fnx: 541-1:195-4366 Emnil: c-perkins@ymail.com Elee lie. no.: C335 CCB lic.no.: 178518 Business Name: R1TE ELECTRIC INC Contact: Address: PO BOX 842, City/State/ZIP: CRESWELL, OR 97426 Phone: 541.895-4466 Fax: 541-895-4366 Email:heidi@c.p.erkins.com J\1etrolie.no.: Ci\). lie. no.: Supervising Electrician's lie. no.: Supervising Electrician's Name: 2970-s c1ydeperkins Number ofinsllections included in paid sen'ices: Residential Service: 4 ReconneclOnly: I AlIOtherSeniices: 2 Please ch~ck a1llhat apply: DAs~rviceorfeederbeginningal 400 Amps where the available fauh curremexceeds to,OOO Amps at 150 Volts or less 10 ground exceeds ]4,000 Amps for all other installations Dfiiepumps DEmergencysystem, D Addilionofanewmotor load of 100 HPm mor~ DSixormoreresidentialunilsinone structure DHealthcarefacilities cqA r:A~ 69600- B E L-09-00044 7/17/2009 3:49 pm J Approval Code: 645828 E]HllZardouslocations DA service or feedeiraled at 600 amps or more , DBuildings more than rhree,tories DMarinasandboatyards Dfloatingbuildings DCommercial-useagricullural , buildings Dlnslal'ationofaI50KYAor'arger ,eperatelydenwd,ys CJ"A", "E",or"I.2"or"I-3" DRecreationalYehideParks DSuppJy vciltage for more than 600 supplyvohsnominal Description E., Totnl I Branch circuits wilhoUI service or $55.00 $55.00 feeder I Branch circuits each additional $6,00 $6.00 circuit without service " Subtotal $61.00 Istate surcharge (12% of penn it $7.32 lotal) . ITe~hnolob'Y fee (5% of pen nil tolal) .$3.05 'TOTAL I'~RMIT FEE $71.37 "# r.t.~~ 6"- ~~.~ Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with'instructlons 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 ,,,0(/ ~ w: /l;D .,rt.'1.! 09-" '\~'J'( ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit ConL6U9 - % y~ --j/J'L-- 'I-1'1---di Status Issued CITY OF SPRINGFIELD Building/Cqmbination Permit PERMIT NO: COM2009-0I043 ISSUED: 07/20/2009 APPLIED: 07/17/2009 EXPIRES: 01/20/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726~3753 Phone 541-726-3676 Fa. 54]-726-3769 Inspection Line SITE ADDRESS: 1023 65TH ST ASSESSOR'S PARCEL NO.: 1702341200428 Springlield TYPE OF WORK: Elec!rical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Electrical for HV AC equipment. Owner: WOODMAN CLINT & HEATHER Address: 1023 65TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor RITE ELECTRIC License ]78518 BUILDING INFORM~TION I Expiration Date 09/2412009 Phone 541-895-4466 # 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 ] st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup~lnt Load: n/a , I DEVELOPMENT INFOR~ATlON , Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING , Total: Handicapped: , Compact: Street Improvements: I PUBLIC IMPROVEMENTS I . , . , ATTENTION: Oregon law requires you to lollc~!d.e)Y~Lkc1'yp'~,:3d by the Oregon Utility NotifD;~otinn r.p.nt/cD"" 1;hose rules are set forth '. ownspouts ralOs:' AR' 952 001 in OAK ":J~-UUI-ulJ I U'lllroUgh 0 -- 0090, You may obtain copies of the rules bV calling the center, (Note: the telephone . number for the Oreqon Utility Notification r",~d~r i~' 1_.2.()rL~~?_?:1441. Storm Sewer Available: Special Instruction: NOnCE: THIS PERMIT SHALL EXPIRE IF THE WORK ^"TUf"\DI7Cn mlnm THIS PERl'vm IS NOT COMME~JCED OR IS ABANlJLI'~cu ru~ "I ANY 180 DAY PERIOD, ValuatIOn DescnDtlOn $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Type of Construction Value I Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01043 ISSUED: 07/20/2009 APPLIED: 07/17/2009 EXPIRES: 01/20/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P,'ilid I Fee Description + ]2% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, E.tend Circ Ea Add Amount Paid Date Paid Receipt Number $7,32 $3.05 $55,00 $6,00 7120/09 7120/09 7/20/09 7/20/09 3200900000000000540 3200900000000000540 3200900000000000540 3200900000000000540 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, Reolli.red I~S;l~Cti?,~s , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 shaH be done in accordance with the Ordinances of the City of Springtield 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, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 70] ,005 will be used on this project. ] 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009,0 1 043 COM2009-0 I 043 COM2009-01043 COM2009-0 1 043 Payments: Type of Payment 'ONLINE CHGS cReceintl RECEIPT #: Date: 07/20/2009 3200900000000000540 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 How Received njm , ONLINE rite elect OnlIne Payment Total: , Page I of I 8:01 :54AM Amount'Due 55,00' 6,00 3,05 7,32 $71.37 Amount Paid $71.3 7 $71.37 7/20/2009