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Home My WebLink AboutPermit Electrical 2009-8-7 City of Springfield Electrical Authorization To Begin Work E-mailed To: cyerkins@ymail:com Check on status of permit By Phone: 541-726-3753. or Email: permitcentcr@ci.springfield.or.us I 0 New Construction o Pleaseeheck all lhat apply: Addition/alteration/replacement o A service or feeder beginning at 400 Amps v,nere the available fauh curremexceeds JO,OOOAmpsat J50Vohsorlesslogrollnd exceeds 14,000 Amps for all other installations 10'oc'fwnilYdW'"i'" o Multi-famity o Commercial o Accessory Job Address: 6721 B ST o Fire pumps o Emergency systems o Addilion of anew mOlor load of 100 HPormQre o Sixor more residel1lial units in one Slructure DHealthcarefacilities City/State/ZIP: SPRINGFIELD, OR 97478 Suile/bldg./upt.no.; Project Name: M09-345I Weinbrenner Cross Street/directions to job site: ()".&:U Descriplioll eleclric forhvac equipment Branch circuiis without service or feeder Branch circuits each additional circuit withoul service Name: RiteE1ectric Subtotal Phone: 54]-895-4466 Statesurch~ge(]2%ofpennit total) Technology tee (5% ofpemiit total) Fax: 54]-895-4366 Email:.cJerkins@ymail.com TOTAL PERMIT FEE Elee lie. no.: C335 CCBlie.no.: ]78518 Business Name: RITE ELECTRIC INC Contaet:_ Address: PO BOX 1142 City/State/ZIP: CRESW_ELL, OR 97426 Phone: 54]-895-4466 ~ ~ ~ b-rY' ~ ~~ Fax: 541-895-4366 Email: heidi@c-perkins.com Mctrolic,no.: City lie. no.: Supervbing Electrician's lie. no.: Supervising: Electrician's Name: 2970-s clyde perkins Number ofinspecfions included in paid services: Residential Service: 4 ReconneclOnly: 1 All Other Services: 2 Upon review and approv,al by your local jurisdiction, your pennit will be e-mailed or faxed within one business day, with instructions on how to schedule your in~pection. t1-f155 69600-BE L-09-00066 8/7/2009 2:47 pm Approval Code: 502045 DHazardouslocanons DAser'>'iceorfcederraledaI6DOamps or more DBU'ldingsmorelhil!llhreeslOries DMarinas and boat yards DFloalinllbuildinlls OCommercial-uSeagricultural buildings Dlnstallationofal5oKvAorlarger seperlllelyderivedsys D"A","E",or'r:2"or"I-3' DRecreationalVehicleParks DSupplyvoltage for more than 600 supply vohs nominal T;!,;y:- $55.00 $55.00 $6.00 $6.00 $6].00 $7.32 $3.05 $71.37 .~ ~.\\.O~ ~~~ VA ComhJ?Yl,- 0//55 8"//0/0 Cj jr/~ 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 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0II55 ISSUED: 08/10/2009 APPLIED: 08/10/2009 EXPIRES: 02/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6721 B ST ASSESSOR'S.PARCEL NO.: 1702344104300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Electrical for HVAC equipment Owner: 6721 LLC Address: 1040 TYINN ST STE 5 EUGENE OR 97402 Contractor Type Electrical Contractor RITE ELECTRIC I CONTRACTOR INFORMATION I License 178518 BUILDING INFORMATION I Expiration Date 09/24/2009 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I,DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: . Handicapped: COlT!pact: I PUBLIC IMPROVEMENTS I Street Improvement~:JOTlCE: Storm Sewer AvailaIile:IS PERMIT SHALL EXPIRE IF THE WORK Special Instruction: AUTHORIZED UNDER THIS PERMIT IS NOT . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type:. Description Type of Construction ATTiDownspouts/Qr'airis:\! r\:rl':'."" ~'t ~l to follow rules adopted by ,,:e u" ~ J" lJiility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95~-001- 0090. You may obtain. copie~ of the rules by '-'all II I'::) Ul~ ....vl"...... \~"UL....... "'V L....''-'t''.'..........., I Valuation Descriotion I number for the. Oregon Utility Notification Center IS .1-800-332-2344). $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Notes: Pa2e I of 2 . Status Issued \ CITY OF SPRINGFIELD Building/Cl,)mbination Permit PERMIT NO: COM2009-01l55 ISSUED: 08/1012009 APPLIED: 08/10/2009 EXPIRES: 02/1012010 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~id I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid ReceiptNumber $7.32 $3.05 $55.0'0 $6.00 8/10/09 8/10/09 8/10/09 8/10/09 3200900000000000572 3200900000000000572 3200900000000000572 3200900000000000572 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. ~e,lI~]ired I n~.n.~.~tion.~ I Rough Electric: Prior ,to Cover Final Electric: Wheu all electrical work is complete. By signature, 1 state and agree, that 1 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 descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safetv. 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 propel' time, that each address is re..dable from the street, that the permit card is located at the front afthe property, and the approved set afplans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 0\'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 COM2009-01155 COM2009-0 1155 COM2009-0 1155 COM2009-01155 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 3200900000000000572 Date: 08/10/2009 Description + 5% Technology Fee + 12% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By B'atch Number Number How Received njm ONLINE rite elect Online Payment Total: Page I of I 8:41:25AM Amount Due 3.05 7.32 55.00 6.00 $71.37 Amount Paid $71.3 7 $71.37 8/1 0/2009