HomeMy WebLinkAboutPermit Electrical 2009-8-26
~ity of Springfield
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Electrical Authorization To Begin Work
E-mailedTo:c_pcrkins@ymail.com
Check on status of permit
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By Phone: 541-726-3753 or Email: permitccnter@ci.springfield.or.us
., Pf)>.NHEVIEW,
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D NewConstrUction
o Addition/alteration/replacement
-~ -, '; c';;;:~;"'XCATEGoFiy OF, CONSTRUCTION ;.0: - .., -'1.
101 or2 family dwelling DMulti-familY DCommercial D Accessory
I""" ~'- JOB SITE INFORMATION MiD lOCATiON~<:~
I Job Address: 90 I S 56TH ST
I City/StattlZIP: SPRINGFIELD, OR 97478
I Suitelbldg.fllpt.no.:
I Project Name: M09-364 I Petty
I Cron Street/directions to job site:
I T" m.p/p.",' n" 1j9)'O 0--1.l1 n~
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electrical forhvllc
I Name: Rite Electric
Phone: 541-895-4466
Fax: 541-895-4366
Emoil: cJ)Crkins@ymail.com
Eleclic.no.:C335
CCBlic.no.: 178518
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
I CilyfStalflZIP: l{M~~~R. 97426
i Ph,"" 541-895--l46li;:' I'l:KIVII r SHAL~'BXipIfffi6tf THE WORK
I Em"n.h';di@,~lJI;jJajJKILED UNDER THIS PERMIT IS ~IOT
I M.",lk,nn" l,UIVIIVIl:NlJED OR IS:;~MPJDONED FOR -
I s","~;';".EI.AllIlj(n'l@OuDAY f'ffilOn
I Supen'isini Electrician's Name:
clyde perkins
Number ofinspections included in puid sen'ices:
Residential Service: 4
Reconnect Only: 1
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 pennlt is
not obtained.
The local building department may determine that an Authorlzati~n To Begin
Work is null and void if It does not meet applicable land use laws and local
ordInances
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Pleasech<<k all Ihalapply:
DAserviceorfeedelbeginningat400
Amp!lwherelheavaiJablefauh
curreolexceeds 10.000 Amps al
ISO Volts or less 10 ground exceeds
14.000Ampsforallothel
installations
69600-BEL-09-00097
8/26/2009 12:02 pm
Appro\'al Code: 867311
Dflazaroouslocation!l
DAserviceorfeederr3tedat600
amps or mole
DBuildingsmorethanthreeslOries
DMarinas3ruJboalyards
DfJoaunllbulldings
DComm~'cial-use agricultural
buildings
Dlnstalla,ionofaISOKVAo,Jarger
seperatelydenvedsys
D"A"."E".or"I-Z"D'"1.3"
DRecreationalVehiclePllIks
DSupplyvohllge for more than 600
>upplyvollSnominaJ
1- "-~, =~~" ' ~'-"" ~'_ ".-FEE_ SCHEDULE
I QI)'.
Ea. TOlul
$55.00 $55.00
$6,00 $6.00
h~_";,:#.' "~';i'T
561.00
57.32
$3.05
$71.37
k-fL e\21o I DCl
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).
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
DFilepumps
DEmergencysystems
DAdditionofanewmolorloadof
100 HPor more
DSixolmoleresidenti~luni'sinone
slruclure
DHcllhhcarefacilities
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I
I
I
I
I
I
I
IDes~'ription
IB~aiichci"';;uits .::...~ .-~_ -oiL. ~. "-
I Branch circuitswilhout service or
feeder
I Branch circuits each addilional circuit
without service
IElecjri~al r1illt!t
I Subtotal
I State surcharge (12% of permit total)
I Technology fee (5% ofpermil total)
ITOTAL PERMIT FEE
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Status
Issued
CITY VI' ~t'RINl>1'1J'..LD '
Building/Combination Permit
PERMIT NO: COM2009-01240
ISSUED: 08/25/2009
APPLIED: 08/24/2009
EXPIRES: 02/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line ;
SITE ADDRESS: 901 S 56TH ST
ASSESSOR'S PARCEL NO.: 1802041103800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRiPTION: Install heat pump and air handier in residence
Residential
Owner: PETTY STEPHEN E & FRANCES C
Address: 901 S 56TH ST
SPRiNGFIELD OR 97478
Phone Number: 541-746-8327
I CONTRACTOR INFORM A TION 1
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRiC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION'
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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I,
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay'Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improve'P~"l}lfiCE:
Stor'." Sewer A~~i!i!l'\etRMIT SHALL EXPIRE IF T
SpecIal InstructlOn:'HO HE WORK
MU I RIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS I
-5ide.lY;llk T.Ype: ,
ATTEN IIUN: Or egon law requires you 10
folloDO'I:i1spo,utsl,D.(airisj' 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).
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$183.69
I Plan Reviews 1
Date Paid
8/25/09
8/25/09
8/25109
8/25/09
8/26/09
8/26109
8/26/09
8/26109
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01240
ISSUED: 08/25/2009
APPLIED: 08/24/2009
EXPIRES: 02/26/2010
VALUE: .
Value
Date Calculated
Receipt Number
1200900000000000973
1200900000000000973
1200900000000000973
1200900000000000973
1200900000000000988
1200900000000000988
1200900000000000988
1200900000000000988
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 Reouired Insn""tions 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.
Page 2 of 3
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: COM2009-01240
ISSUED: 08/25/2009
APPLIED: 08/24/2009
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 3 00
Date
225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
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Job/Journal Number
COM2009-0 1240
COM2009-0 1240
COM2009-0 1240
COM2009-0 1240
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
RECEIPT #: ,1200900000000000988
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ 'Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/26/2009
12:17:35PM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
8/26/2009