HomeMy WebLinkAboutPermit Electrical 2009-8-26
. City of Springfield
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Electrical Authorization To Begin Work
[-mailed To: c_perkins@):mail.com
Check on status of permit
B)' Phone: 541-726-3753 or Email: permitcentcr@ci.springfield.oLuS
.' -:''f~~_", 'i_+~~ '5:": ~-~~-PLAN,REVIEW"';;;;:
[i cC-':~:.;~~7~E~ii-'::'~TYPE-OF";WORK:~?:":'_:-';;';i, :-:..:'::5:.-. T~:{' ~ c I
I D New Construction 0 Addition/alteration/replacement I
I;':;'-~' .'::,.:'i;;;'i!"'~CATEGORY,'OFCO'NSTRUCTIONi1; ';C';':::''''':' I
I [~} ,,2f=ilydw,'Hn, DMohf.'iunilY Dcomm'''f'' D A"""'Y I
I~-::' ~\~~J<~~~...;;,~;~~!.;:JOB"slrEJN~oRMATI6N -ANDiL:bcA~TION y. _ ~~~~1...,- 3_: --.'" I
Job Addrns: 463 63RD ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: M09-361 I Rich
CrossStrectfdirrctions fo job site:
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-,_' 'i~"~;_DES.CRIPJlor~hq~WORK::>!'+,,f''''-r::t:::.... ~_- -"""" -~,,,,,._,_ .,.
electrical for hvac
it,
\:!, ~~r;'sITE~c.6NT AC\Z,,,"' ",.\~
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Name: Rite Electric
Phone: 541-895-4466
Fas: 541.895-4366
Email: cJlerkins@ymail.com
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"......;~~9.CONTRActOR-.-:~Ill ,~:;;<t -
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I Eleclic.no.:C335
I Business Name: RJTE ELECTRJC INC
I Conlact:
I Address: PO BOX 842
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I Em.i1, h'fdi~?~';kf:;:'''o'~,IVI'' ::>HALL tXfJlKt I~ I HI: WOKK
I Melrolic. no':;; I nUMILtU UI\JUtH ci'tYii? n'i:.tKIVIII I~ I'JU I
I SupcrvisingE"lectric'i~~'s"liL'rio!:J UH9;a~sA!jANOUNED FOR
CCBlic,no.:
178518
CityfSlattl7t!r~]lE.S~~L,,oR 97426
Phone: 54 I --8"95:4466 u r..
Fas: 5~1-895-4366
I Supervising EieCiricia~'!N~.~:r PEc'~a~'d~ins
Number of inspections included in paid sen'ices:
Residential Service: 4
Reconnect Only: I
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 jf 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
PJcascthetkalllhalappJy:
o Aserviccor fccder beginning al400
AmpswhcrcthcavailabJcfaul1
currenlclIceeds 10,000 Amps 8t
ISO Vollsor less 10 ground exteeds
14,000 Amps for all olher
installations
o Fire pumps
DEmergenty~stems
o AJdilion ofa newmOlor load of
100 HPor more
o Sill or more residenlial unilS in one
strutlUre
Dllealthcarcfacililies
69600-BEL-09-00096
8/26/2009 11 :59 am
Appro\"al Code: 853091
DHlWlrdoUSloclIuons
DAserviceorfeederraledal600
amps or more
DSuildings more than three slories
Dr.tarinas and boal yards
DFloalinllbuitdings
OCommercial-useagricuhural
buildings
DlnstallalionofalSOKVAorlarger
seperlllelyJerivedsys
O"A","E",or"I-2"Or"'-3"
DReCleational Vehide Parks
DSupplyvohagefol more than 600
supplyvollSnominal
':)fEE}fcHEOULE;g,; "'\",T:,,~.,
I Qty J
:1ot~;:~::-:",
I Description
lurlliiCh"CJr~~lts1:~;"<,,;t,.~'~"\+;~
BrRJIch circuits without seT\"icc or
feeder
Branch circuits each additional circuit
without service
EI_tclricaIPern,:rit'Fees
~.,:: ~~
Subtolal
Stlltesurcharge(12%ofpemlittotal)
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$55,00
$55.00
$6,00
$6,00
,"1:'
.'
$61.0U
$7.32
$3.05
S71.37
CH-\()\~
Vi2-~ \ ()\Jl \ OC\
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332.2344). L
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C\'~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01218
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 463 63RD ST
ASSESSOR'S PARCEL NO.: 1702342402300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: RICH SUSAN K
Address: PO BOX 227
EUGENE OR 97440
Phone Number: 541-953-8637
.'
I CONTRACTOR INFORMATION'
Contractor Type,
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARS HALLS INC
License
178518
25790
BUILDING INFORMATION 1
Expiration Date
09/24/2009
12/23/2009
Phone
541-895-4466
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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION 1
REQUIRED PARKING
Total:
Handicapped:
ATTENTION: OreQ:ofuliact:equires you to
follow rules adopted oy the Oregon Utility
Notification Center. Those rules are set forth
In ('1M' Q~?_nn1.nn1 0 throuah OAR 952-001-
0090. You may obtain copies at the rUles oy
callinq the center, (Note: the telephone
~iI!~lt'l1"t1iyP:e:J Oregon Utility Notification
D r.en/'Dor is 1-800-332.2344).
ownsplruts rams: . .
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
~'nT'I'E'
Rearyard Setbaclb . % of Lot Coverage:
Solar Setba!'JqlS PERMIT SHALL EXPIRE IF THE WORK
nVIIIVIIII..L..LJ UI\lULrl I rill,) rcr.I"~'.ll'" '.lLl.,.I..\
COMMENCED OR IS ABANDO~r,P,IIJ,lLi~ IMPROVEMENTS I
Street Impr~\lqm:e>>tJ;OAY PERIOD.
Storm Sewer Availahle:
Special Instruction:
Notes:
Pa~e I of3
Status
Issued
225 Fifth Street, Springfield, OR
54 I -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
I Total Value of Project
Fees Paid I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01218
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/26/2010
VALUE:
Value
Date Calculated
Fee Description Amount Paid Date Paid Receipt Number
'I- 12% State Surcharge $11.52 8/20/09 1200900000000000955
+ 5% Technology Fee $4.80 8/20/09 1200900000000000955
1st Appliance $79.00 8/20/09 1200900000000000955
Heat Pump $17.00 8/20/09 1200900000000000955
+ 12% State Surcharge $7.32 8/26/09 1200900000000000989
+ 5% Technology Fee $3.05 8/26/09 1200900000000000989
Add, Alter, Extend Circ $55.00 8/26/09 1200900000000000989
Add, Alter, Extend Circ Ea Add $6.00 8/26/09 1200900000000000989
Total Amount Paid $183.69
I Plan Reviews 1
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 wor,king day, inspections requested after 7:00 a.m. will be made the following
work day.
I Rellllired Insnections 1
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
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009cOl218
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/26/2010
VALUE:
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 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 will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 3 of3
Date
. 22'5 Fifth Street
Silringfield, Oregon 97477
54J -726-3759 Phone
1j:G~;M
aI:~ '
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000989
Date: 08/26/2009
12: 18:02PM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55,00
6,00
3,05
7,32
$71.37
Job/Journal Number
COM2009-01218
COM2009-01218
COM2009-01218
COM2009-01218
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
$71.3 7
$71.37
cReceintl
Page I of I
8/26/2009