HomeMy WebLinkAboutPermit Electrical 2009-7-23
City of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:.cyerkins@ymail.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
D New Construction
o Addition/alteration/replacement
01 or 2"family dwelling
DMulti-ramilY
DcommerCial
o Accessol)'
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Job Address: 6646 B ST
City/Stale/ZIP: SPRINGFIELD, OR 97478
SuitelbhlgJapl.no.:
Project Name: M09-32] I Lamb
CrossStreetldirections tojobsite:
Tax mnpfparcel no.:
\\lJ L.--O~
electrical forhvac
Name: RiteEJectric
Phone: 54]-895-4466
Fax: S4].895A366
Email: cycrkins@ymail.com.
Elec lie. no.: C335
CCBlic.no.: ]785]8
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
City/Stille/ZIP; CRESWELL, OR 97426
Phone: 541-895-4466
Fllx: 54]-895-4366
Email: heidi@e-perkins.com
MelTolic.no.:
City lic. no.:
Supervisin~ Elcctrician's lic. no.:
Supervising Electrician's Name:
clyde perkins
2970s
Number ofinspectioos included in paid services:
ResidentiaiService: 4
ReconnectOn]y: ]
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 Authorization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
Cq- J 0&1
69600-BEL-09-00049
7/23/2009 3:27 pm
Approval Code: 475893
I'lease check all lhatapply:
o Aserviceorfeederbeginninllat
400Amps.vhereLheavailablefaulL
currentexceeds,IO,OOOAmpsal
150Vo!tsorlesstollfound
exceeds 14,000 Amps for aJI olher
installations
o Fire pumps
o Emergencysystems
o Addition ofa new motor load of
IQ{JHPormore
DSixormoreresid~ntialunitsinone
stroctore
o Heal!hcare facililies
I Description
I Branch circuits without service or
Ih:dn
I Branch circuits each additional
circuitwithoulserviee
I Subtotal
I State surchar!;e (12% orpennil
lotal)
I Technology fee (5% of penn it 101al)
!TOTAL PERMIT FEE
I
. 8'
DHazardouslocations
OAservice or feeder rated at 600 amps
, ormore
O)luildingsmore than three stories
DMarinasandboatyards
DFloatingbui1dings
DCommercia1-useagricullural
buildings
Dlnstallationofal50KVAOrlarger
sepuatelyderivedsys
O"A". "E". m"l-Z" or "I-J"
DRecreationalVehideJ>arks
DSupplyvohage for more Lhan600
supply volts nominal
$55,00
$55.00 I
$6.001
,_ -I
$61.00 I
$7.321
$3.051
$71.371,
$6.00
~.~
f\ ..v~q,.-
~
This Authorization To Begin Work must be posted at the job site until feplaced by a Permit
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CITY OF SPRIN(,-l'lJ!.LD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-01069
ISSUED: 07i23/2009
APPLIED: 07/23/2009
EXPIRES: 01/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 6646 B ST
ASSESSOR'S PARCEL NO.: 1702344101800
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
LAMB CHRISTIE NOEL
6646 B ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical '
Contractor
MARS HALLS INC
License
25790
BUIm~NG INFORMATION'
E,xpiration Date
, 12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction' Type;
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PU~LIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:rTENTION' 0
", ' regon law requires you to
~Otl-7W rules adopted by the Oregon Utility
_ O^IA' I~atlon Center_ Those rules are set forth
In I J M O~')_f)rH f'I""'" .. ._
0090 Y -. -"'~"'"" "-,, -~--"'"
- ou may obtain copi'ls cf'hp ''''~ " .. I COMMENCED OR IS ABANDONED FOR
calling the center. (Note: ',:ValuattonSDf'sCrtDtlOn
number for the Oregon UtiPt)' N~S~;;~'"-ti; ANY 180 DAY PERIOD,
r;",~tM '" < '0"0332$ Per- q Ft n Square Footage
Type o. \Oollstructill'ri - -2344.11 1_ 'Value
or mUll p ,er or Bid Amount
Downspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
.^.~l-:-,L :~~;~=~ ~~~X~ TI !/~ ~[r~.~~: ~: ~IC':
Description
Date Calculated
Page I of 2
SF.!AIHGFJmiD:
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01069
ISSUED: 07/23/2009
APPLIED: 07/23/2009
EXPIRES: 01/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pairlj
Fee Description
+ 12% State Surch-arge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Ext'end Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
- 7/23/09
7/23/09
7/23/09
7/23/09
7/24/09
7/24/09
7/24/09
7/24/09
1200900000000000830
1200900000000000830
1200900000000000830
1200900000000000830
3200900000000000548
3200900000000000548
3200900000000000548
3200900000000000548
Total Amount Paid
$183.69
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 R..e~ "![.~,rl Inspections I
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.
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 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 herein, and
that NO OCCUPANCY will be made of any structure without permission of the. Community Services Division, Building Safety.
I further certify tha(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
Date
Page 2 01"2
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 1 069
COM2009-0 I 069
COM2009-0 I 069
COM2009-0 I 069
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000548
Date: 07/24/2009
Description
Add, Alter, EXlend Cire.
Add, Alter, Extend Cire 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
- njrn
ONLINE rite elew;c Online
Payment Total:
Page 1 of 1
7:04:14AM
Amount Due
55_00
6.00
3_05
7.32
$71.37
Amount Paid
$71.3 7
$71.37
7/24/2009 /