HomeMy WebLinkAboutPermit Electrical 2009-8-7
City of Springfield
Electrical Authorization To Begin W~rk
E-mailedTo:c_perkins@ymail.com
Check on status of permit
o;t"'tF,'.::~'i' ,.
By .Phone: 541-726~3753 or Email: permilcenter@cLspringfield.or.us
1-0 NewConSITuction
o
Addition/alteration/replacement
10' oc 2 frnnily dwelll"
DMulti-family
DcommcrciaJ
o Accessory
I
I Job Address: 2824 CHATEAUPL
I City/State/ZIP: SPRlNGFIELD, OR 97477
I S~ile/bldg.!apf.no.:
I Project Name: M09-344/ Combs
I CrossStreet/direrrions tojobsite:
I Tn.p/,,,,,,,"", \r10-6' ~"S~j.. n~
~:~~:~:E~~~~~I3Es-cRIPJiO'NfOf€iwo-RkG~11f-~;~F~f4:?+;7fkk:i!J~::;:t:;1
electric forhvacequipmcm
Name: Rite Electric
Phone: 541-895-4466
Fax: 541~895-4366
Email: cycrkins@ymail.com
Elee lie. no.: C335
CCBlic. no.: 17851S
Business Name: RITE ELECTRIC INC
ContaCt:
Address: PO BOX 842
Cit)'/StatelZIP: CRESWELL, OR 97426
Phone: 541-895-4466
Fax: 541-895-4366
Email:<heidi@c-perkins_com
Metro lie. no.:
Citylic.no,:
Supervising Electrician's lie. no.:
Supen'ising Electrician's Name:
2970-5
clydeperkills
Number ofinsllections included in paid sen-ices:
Residential Service: 4
Reconnect Only: ]
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 Wor~ is null and void if it does not meet applicable land use laws
and local ordinan~es
0<1
I
tq/\\01
69600-BEL-09~00065
817/2009 2:43 pm
Approval Code: 489872
-;;';-..-;':!5::-~?~i0:E~l!:.-=-,' " ,'PLAN'REVIEW ",j _t~.r"*~ -,'_i:.
Please check all lhat appJy:
DA~erviceorfeederbeginninga\
400Ampswher~lheavailablefauh
currenlexcecd~ 10.000 Amps at
150 Volls or less 10 ground
~xceeds 14.000 Amps for all other'
inSlallalions
,%,''"
DHazardousloc3lions
DA service or feeder rated at 600 amps
or more
DBuildingsmorethanthrceslOries
o Marinas and boal yards
DFloa,ingbuiJding$
o Commercial-use agri~uhural
buildings
Dlitstallationofal50KVAorJarger
seperatelyderivedsys
O"A" "E" "'2" "I)"
< , .or - or_
o Recre31ional Vehicle Parks
DSuPPly voltage for more than 600
supply volts nominal
I QIy
$55.00
DFjrepump~
o Emergency systems
o Addition ofa newmolOr]oad of
100 HP or more
o Six or more re,idemial units inone
structure
o HealthcarefaciJitiel
I3ranchcircuitswithoulser....iceor
feeder
Branch circuits each additional
circuitwithoutsen'ice
'Subtotal
Slale surcharge (12% of pen nil
tOlal)
Tt;:chnology fee (5% ofpermil total)
TOTAL PERMIT FEE
~~
Tota]
$55,00
$6,00
$6.00
$61,00
$7.32
$3.05
$71.37
~~
Cb\\IJ~
\k~
~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit
{Uyzw9 - 011:57
/lm 61/0/0 ~;
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01157
ISSUED: ' 08/10/2009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2824 CHATEAU PL
ASSESSOR'S PARCEL NO.: 1703233203000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric for HV AC equipment
Owner: DON & JUDY COMBS LIVING TRUST '
Address: 2824 CHATEAU PL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION'
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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ,
REQUIRED,PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
HandIcapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
,A,~ I t~ r ION, Oregon taw requires you to '
Storm Sewer,Avadabl__:adopted by the Ol'e Ut'I' Downspouts/DralUs:
S . II" ,.' . ' gon I Ity ,
pecla I!strUCl1on: n Center, Those I ules are set forth
In OAR 952-001-0010 through OAR 952-001- o. ,
Notes: 0090, You may obtain copies of the rules b NOTICE. ' ORK
calling the center, INote' thp tplpnhnno y THIS PERMIT SHALL EXPIRE IF ~H_E vy on
"u'''u", 'ur me uregon Utility Nc "'''allon ~UTHORIZED UNUtK I Mlu n:n,,"; lu t.e T
Center IS 1-800-332-23441 Valuation DescriDtion tOMMENCED OR IS ABANDONED FOR
S .J\~IV 180 DAY PERIOD. -
quare folltage V I
or Bid Amount a ue Date Calculated
Tvpe of Construction
$ Per Sq Ft
or multiplier
Description
Page I of 2
_~II."IIlIIill,'~:;Il'~ ,
~h
1~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
+ 12% State Surcharge
,
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Exteud Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$71.37
Total Value of Project
Fees Paid J
, ,
Date Paid
I Plan Reviews I
8/10/09
8/10/09
8/10/09
8/10/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0Il57
ISSUED: 08/1012009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE:
Receipt Number
3200900000000000570
3200900000000000570
3200900000000000570
3200900000000000570
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.
,Renl~,i,red Tn~necti~ns I
Rough Electric: Prior to Cover
Fiual 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
fnformation hereon is true and correct, and I further certify that any and all work perfol'~ed shaH be done ill 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 Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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. .
Own'er or Contractors Signature
Page 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01157
COM2009-01157
COM2009-01157
COM2009-0 1157
Payments:
Type-of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 08/10/2009
3200900000000000570
Description
Add, Alter, Extend Circ
Add, Alter, Extend.Circ Ea Add
+ 5% Technology Fee
+ 12o/;State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ONLINE
rite elect Online
Payment Total:
nJm
Page 1 of 1
8:32:ISAM
Amount Due
55.00
6.00
. 3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
. 8/1 0/2009