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Home My WebLink AboutPermit Electrical 2009-8-12 City of Springfield Electrical Authorization To Bcgin Work E-mailcdTo:c_pcrki.:ls@Yl11ail.com Check on status of permit By Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us o New Construction o Additionlalterationfreplacement DAserviceorfeederbeginningat 400 Amps where the avllilable faull curremexceeds 10,000 Amps at 150 Vohs or less 10 ground exceeds 14,000 Amps for all other installations Please check all lhatap"ply. ,- -c~: .if,",;; ,+',~' CA TEG~ORY~OFjc6NSiRlJCTION' /0 I ",2 fmnily dwdliog o Multi-filmily DCommercill1 o Acees,ory Job Al.Itlress: ]141 S7THST DFirepumps o Emergencysy51cms o Addilion of anew mOl or load of 100 HP or rnore DSi"ormoreresidcnlialunilsinone Structure o Health c,are facilities City/StatefZIP; SPRINGFIELD, OR 97478 SuiteJb1dg./apt.no.: Project Name: 09-411 1L:lsher Cross Street/directions tojobsite: I Tnm'p!p""lno., If/~ ~~ 1 1~"~;:;;'?')4~-5;~~~J':~F~~:_"_"'-DE~rcRip;Tlo0N'(6irw6-~K~:;:01f~~-~~;~;:'~ff~~lf; 69600- B E L-09-00071 8/12/2009 9:32 am ApP,'oval Code: 151243 [JHaz.ardouslocalions [JA service or feeder raled al 600 amps or more DBuildirigsmorethonlhreeslories [JMarinas and bomyards BFloalingbuildings [J Commercial-use agricullural buildings Dlns,allationofa150KVAorlarger o seperal~ly derived sy, D"A". "E".or;'l.2" or"l-J" [J Recreational V~hicle Parks BSupplyvoltageformor~than600 I, supply vohs nomin31 INOTICE: ... THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 pAY PERIOD. . ~~ ~ (}.tx.,d'\ (\,,0' I Description IServft~~~or:fi~~~~~-~~~:~. IServices200ampsorkss service change I Branch circ;ils with service ol'feeder enchcircuit Name: Rite Electric I Subtotal I State surchargc (12% of'pennit total) ITechnology fee (5% of pennillolal) !TOTAL PERMIT FEE Phone: 54/-895-4466 Fax; 54J-895-4366 Email: cJlerkins@ymail.coin I E!cclie. no.: C33~ I Business Name: RITE ELE~~TI()f\I. "rpnnn I!:II . 1... ~ _ M "?1"'~:: 'j:-=r-:v I Co",",,, follow rules adopted bv thf> ,orpnnn IIHn,'1 I Add"", PO BOX 842 !~O~l1lCallOn Center. Those rules are set forth I C;'Y/S'''<1ZIP, CRESWE?\;,S<KW~~""-UU I -~UlU mrough OAR 952-001- I . ---.. ,-- '''~, vV<"'11 Wu,~, UI L1.le rUles oy Phune: 54J.895-4466 t"'pllinn th..... ,...~II~:*~J'll'}{~EtlP.. -'-'- '.' . I Email: heidi@c-perkins.comnumb~r for th-~ 'n~~C'~:;i~;jl~~; t-~l~~t;~~I:~l I Metro lie. no.: Centeritigic1ugOO-33?_?:1..1.1) I Supervisinl' Electriciao'slic. DO.: 2970s I Supnvising Electrician's Name: CCB lic. no,: 178518 c.q - U"lD clyde perkins Number ofinspections included in paid services: Residential Service: 4 ~cconnect Only: 1 AIlOlherServices: 2 Upon review and approval by your localjurisdlction, your permit wilt be e-mailed or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires withii1180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void iUt does not meet applicable land use laws and local ordinances This Authorization To E3egin Work must be posted at the job site u~tlI replaced by a Permit, I. 1 ,,,~81 ',00 ( <01,'tl $60001 -,I '87.001 $]0.441 54.35"' I $101.791 \4- B\ \'2. \cA Total ~Cf\ ~~ Status Issued CITY OF SPRINGFIELD Building/Cqmbination Permit PERMIT NO: COM2009-0I170 ISSUED: 08/12/2009 APPLIED: 08/12/2009 EXPIRES: 02/12/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectioo Line SITE ADDRESS: 1141 57TH ST ASSESSOR'S PARCEL NO.: 1702280002400 Springtield TYPE OF WORK: Electrical Work Only TYPE OF USE: New: Residential PROJECT DESCRIPTION: Service change in residence Owner: Address: LASHER HENRY G & JUDITH A 1141 N 57TH ST SPRINGFIELD OR 97478 Contractor Type Electrical Contractor RITE ELECTRIC Expiration Date 09/24/2009 Phone 541-895-4466 # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure ' Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft ind Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: I' Occup~nt Load: n/a I DEVELOPMENT INFORMATION' , N' DTIGE" II REQUIRED PARKING ATTENTION: Oregon law requires you to .: Frontyard'S~t~il'cl<:les adopted by the Oregon UtgN'rlay Dist: THIS PERMIT SHALL EXPI1\<!:t4f<THE WORK S~de 1 Set~~J{.!Catlon Center. Those rulesare set f(\,$treet Trees Rqdi'lUTHORIZED UNDER TH,lgi.ae.~!W1pr.9:NOT Side 2 Setl)ac~:~;,52'OO1-001? through OAR 952-lltJl;V.ed Drive Rqd: COMMENCED OR IS ABAf'<(Ot11!'t'erFOR RearyardCSl,~~~cl<:'U may obtain COpieS of the rule~\!ll'f Lot CoverageANy 180 DAY PERIOD Solar Setbafli's:,ng the center. (Note: the telephone . , number for thA nrpnnn Iltilih, ~J,",";~:""""",:__ Cenier is 1-800.332-234'{JPUBLic IMPROVEMENTS I Street Improvements: Sidewalk Type: I Storm Sewer A vailahle: Special Instruction: DownspoutslDra,ins: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amonnt Value Date Calculated Paee I 01'2 , _~,!J;,~~~~!$e}i '~:'f:'i I " Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ Paid I Fee"Description + 12 % State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $10.44 $4.35 $6.00 $81.00 Total Amount Paid $101.79 , Plan Reviews I 8/12/09 8112/09 8112/09 8/12/09 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01170 ISSUED: 08/12/2009 APPLIED: 08/1212009 EXPIRES: . 02/1212010 VALUE: Receipt Numoer 220Q900000000000912 2200900000000000912 2200900000000000912 220Q900000000000912 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. wil(be made the following work day. ' ' I, Rellllired Tnsnections . Rough Electric: Prior to Cover Final Electric: When aU electrical work,is complete. By signature, 1 state and agree, that I have carefuUy examined the completed application and do hereoy certify that aU information hereon is true and correct, and 1 further certify that any and aU work performed shaU oe done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wdrk descrioed herein, and that NO OCCUPANCY will oe made of any structure without permission of the Commuoity Services Division, Bu'ilding Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will oe'used on this project. 1 further agree to ensure that aU required inspections are requested at the proper time, that each address is readaole from the street, that the permit card is located at the front of the property, and the approved set of plans will remain 00 the site at aU times during construction. Owoer or Contractors Signature Paee 2 of2 Date City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street , Springfield, Oregon 97477 541'-726-3759 Phone Job/Journal Number COM2009-0 1170 COM2009-0 1170 COM2009-01170 COM2009-0 1170 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200900000000000912 10:45:58AM Date: 08/12/2009 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Amount Due 81.00 6,00 4.35 10.44 $101.79 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How:,Received Amount Paid KR $101.79 $101.79 Page 1 of 1 8/12/2009