HomeMy WebLinkAboutPermit Electrical 2009-8-6
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69600-BEL-09-00064
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S/6/2009 3:43 pm
App}ovaICode: 753399
,City of Springfield
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
[illHazardouslocations
mAs~rviceorfeederraledal6ooamps
j;:ormore
mBuiJdings more than threeSlo,ies
DnMarinas and boat yards
ITlFlo3tingbuildings
DCommercial.use agric~hural
!Ibuildings
[ITJlnslaJl3lionofa 150 KYA or Jarger
1iseperalelyderivedsys
D;J"A'" "E",or"]-2" or'].)"
[IJRecrealional Vehicle Parks
[IJSupply vollage for more than 600
j;SUpplyvoltsnominal
D NewCollstructiolJ
o Addition/aJteration/repl~cemenl
Plea5echeck all that apply:
DAserviceorfeederbeginningat
400 Amps where the available fauh
currenlexceeds 10,000 Amps at
J50 Volls or less 10 ground
e.xc~eds J4,OOOAmps for all other
installations
I [~} "zr_nil, dwdho,
DMUlti-family
DACCeSSOry
DCommerCinl
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I Job Address: 2837 MANOR DR
I CitJ/StatelZIP: SPRINGFIELD, OR 97477
I Suitelbldg./apt.no.: I
I Project Name:, 09-393 / Barth I
1 C'"" S"<<lId;",ri"" tojob,;'" \\D~ 7..37:/'2- D\~c:x:.) ,I
ITaxmap/parcelno.:~t~~til I
I~;t, ~~'047Y*~;I~~~!~~~~6E'SCRlJiTTQNt6FrwoRK;~.d~g~;~~~~:!;'f~~1
circuits for kitchen & HV AC equipment & service upgrade
o Fire pumps
o EmergerTcysySlems
o Addilion of anew motor load of
100 HP or more
o Six or more residenlial unilsinone
,lrUClute
o Heahhcare facililies
I Description
I Qty,
Services 200 amps or1ess
$6,00 I
$36.00
Branch circuits with service or feeder
each circuit
Name: Rite Electric
I Subtotal
I State surcharge (12% or permit
total)
ITechnology fce (5% of permit total)
I TOTAL"PERMIT FEE
$ll7.001
$14.041
$5.85 (
$136.891
Phone: 541-895-4466
Fax: 541-895-4366
Email: c_perkins@ymail.com
Elcc lie. no,: C335
CCB lie. no.: 178518
01- I DJ1 '&l '6\ ~ \ ()C1
Business Name: RITE ELECTRIC INC,
Conlaet:
I Add"'''(,pr'l9-'iI'l'l-.
I C;ty/S''';(W~cW~'itEthfRr'!'n61 L [Vp'P.[, IF Tut: wmH(
I Phone: 54~I~g~f41~1,1..,,~~~ UV:"~\~r"1 ;'1~W.'5411~~t~tf-15 ~lnT
I . t1l).,llitrl \ILL...U lVUL...1 1.1..... ....1:.... .
Emall:he~I.l$~-p.;r~l.!!.s.;<;O~........ 'ljn ^3f\~dnn",tEr- enD
1 . vUIVltVIL.l~VL..V 0. I .... 1\ .\l~~""'t. ..--
Metro lie. DO.: _............ City he, no.:.
,-- --HE;-~v.
1 Supervis~lbletMfll\l's'rllho.: lJ97rK.
1 Supervising Electrician's Name:
ATTENTION: Oregon,law requires you to
follow rules adopted by the Oregon Utility
Notificalioli Celiter. Those rules are set forlh
in OAR 952-Cl01-Cl010through OAR 952-ClCl1-
009Cl, You may obtaili i:;opies of the rules by
calling the center, (Note: the telephone
~nber for the Oregq:n Utility Nolification
Center is 1-8ClO-332-2~~ ___
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""Q-\ tr- 0' i: S' \0 ,(f\
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This Authorization To Begin Work must be posted at the Job site until replaced by a perml:' \Jw ~
clyde perkins
Number orill-~peetions included in paid services:
Residcntial Service: 4
ReconnectOitly': 1
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
pennit 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
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2837 MANOR DR
ASSESSOR'S PARCEL NO.: 1703233201400
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CITY: OF SPRINGFIELD
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Building/CJmbination Permit
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PERMIT NO: COM2009-01009
ISSUED: 07/09/2009
APPLIED: 07/09/2009
EXPIRES: Oi/06/2010
VALUE: '
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New" Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence, circuits for kitchen and hvac equipment &
service upgrade '
Owner:
Address:
BARTH DELOIS
2837 MANOR DR
SPRINGFIELD OR 97477
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Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I CONTRACTOR INFORMATION I
License
178518
25790
BUILDING INFORMATION:!
j ,
Expiration Date
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09/24/2009
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12123/2009
Phone
541-895-4466
541-747-7445
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I' .
Lot Size:
J!
Sq Ft 1 st Floor:
I'
Sq Ft 2,~d Floor:
Sq Ft Basement:
Sq Ft qarage/Carport
Sq Ft Other:
Occup~'nt Load:
il
n/a
I DEVELOPMENT INFORMATION I
. REQUIRED PARKING
Frontyard Setback: Overlay Dist: ATTENTION: Oregon law reqmotal:JOU to
Side 1 Setback: # Street Trees Rqd':JW rules adopted by the OH'tndic\ipped:
Side 2 Setback: Paved Drive Rqd":l~fication Cenler. Those rule..c-oinp'act:orth
Rearyard..S1ltback:-. % ofLot Coverllge:<\R 952-Cl01-ClCl1 0 through OAR 952-0Cl1-
Solar set'Ii~~J''''''''MIT SHALL EXPIRE IF THE WORK OU9Cl., You may obtain copies of the rules by
I HIS PER_ ,_ 'X:~ cAllmn trA r.AntAr INntA' thA tAIAnhnnA
AUTHORIZED UNUtK I HI" t"[:""j:p~ic IMPROVEMOOSlIfor ihe Oregon Utility Notification
COMMENcEO OR IS ABANOONE. - ' ,I:;enter is 1-SClO-332-2344).
Street ImA'~veJ'BDnmW PERIOD. Sidewalk Type: i .
Storm Sewer Available: DownspoutslDrains:
Special Instruction: Ii
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Notes:
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Paee 1 of3
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541~726-3753 Phone
541-726-3676 Fax
541-726:3769 Inspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$9.48
$3.95
$79.00
$14.04
$5.85
$36.00
$81.00
7/9/09
7/9/09
7/9/09
8/6/09
8/6/09
8/6/09
8/6/09
Total Amount Paid
$229.32
I Plan Reviews I
CIT): OF SPRINGFIELD
Building/C6mbination Permit
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PERMIT NO: COM2009-01009
ISSUED: 07/09/2009
APPLIED: 07/09/2009
EXPIRES: 02/06/2010 '
VALUE: I
r
Value
Date Calculated
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Receipt Number
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2200900000000000775
2200900000000000775
220q900000000000775
2200900000000000891
2200900000000000891
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2200900000000000891
2200900000000000891
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To Request an inspection call the 24 hour recording at 726-3769. All inspections r~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 Relllli~ed Ins'1ec,tin~s 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.
Paee 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
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Building/C6mbination Permit
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PERMIT NO: COM2009-01009
ISSUED: 07/09/2009
APPLIED: 07/09/2009
EXPIRES: 02/06/2010
VALUE: '
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
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information hereon is true and correct, and I further certify that any and all work performed shalllbe done iu accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w6rk described herein, and '
that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Building Safety.
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1 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 ofthe property, and the approved set of plans wil! remain on the site at all
times during construction. .
Owner or Contractors Signature
Paee 3 of 3
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Sprirgfield Official Receipt" '\
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000891
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Date: 08/06/2009
3:48:34PM
Job/Journal Number
COM2009-0 1 009
COM2009-01009
COM2009-0] 009
COM2009-0] 009
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How J~eceived
Amount Due
81.00
36,00
5,85
14,04
$136.89
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS '
KR
ONLINE RITE Online
ELECTRIC
Payment Total:'
$136,89
$136.89
cReceintl
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8/6/2009