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Home My WebLink AboutPermit Electrical 2009-8-25 ." City of Springti...~ :, .. Electrical Authoriz,ation To Begin Work E-mailedTo:c-p~rkins@ymail.com Check on status of permit - By Phone: 541~726-3753 or Emai'l: permitcenter@ci.springfield.or.us' 69600-B E L-09-00092 8/25/2009 10:30 am Approval Code: 8820 \ , o New Consuuclion Pleasecheck,.]lthutapply o A service or feeder beginning at 400 Amps where the available fault current exceeds lO,OOO'Ampsal 150Vohsorjesstogn>\mde~ceeds 14,000 Amps for aJl other installations 0'.AdditionlallerationlrePl3cement 0.] or 2 family dwe;'!ing . DMU]li-familY Dcommercial o Accessory ~F:~,,;;;~Z"t;;;:tJOBlSifE'INF6RM"'-:nbN'1ANO:[QCA'TION~C~;:'<.it~~: Job Address: 2365 DUB ENS LN o Fire pumps o Emergencysyslems o Addition of anew m010r load of 100 HP or more CityfStatelZIP:SPRINGFIELD, OR 97477 Suite/bldg.lapt.no,: Proj<<t Name: 09-438 / Phipps Cross Street/directions'to job sitei" o Six of,more residenliaJ unils in one structure o Healthcarefacililies . au to ATTENTION: Oregon laW reqUlresy .. follow rules adopted by the Oregon ~~~~ih Notification Center. ThhOSe ruh\eOs :~e ;52-001- . OAR 952-001-0010 t roug ~090, You may obtain copies of the r~~~:y callin the center. (Note: the tele~ . b g f the Oregon Utility Notlflcalion num er or ) Center is 1_800,332-2344 . ~~'V ~ \}/. <\.0 ~I)i t/<~ , y-. Tu m.p!p"," "'., J'! l?~l ) I O?\C:C:> I 1~~#7;'"~,;;i:~1",c[)Es~[{llTi~~:OF.;woRiS~~;:,~~~~~fl'1 raise weatherhead to code heighth I Description IServicercconneclonly ISubtota] I Stale surcharge (]2% ofpemlil IOlal) ITechnologyfee(5%ofpefmillolal) ITOTAL PERl\:llT FEE I Name: Rite Electric Phone: 541-895-4466 FlU:: 541-895-4366 Email: c -perkins@ymaiLcom tq-l~LjS Elee lie. no.: C335 CCBlie.no.: ]78518 Business Name: RITE ELECTRIC INC Contact: I Address: PO BOX'842J II (,; 1:: I City!S"'<iZIP: cWwEut!.Loj\M!'16 SHALL EXPIRE IF THE WORK I Pb~" 541-,954/6011 HURIZED UND!:i~ ~f-w.3-4l"'ERMIT IS NOT I Em.il:h"d;@c-&:;I~~.8~.1ENCED OR IS ABANDONED FOR I """"c.",, ANY HW DAY PER/0f)!c..,., Supervising ElectriCian's lie. no.: Supervising Electrician's Name: 2970-s c\)ldeperkins Number ofinspectioDs included in )laid sen'ice$: Residential Service: 4 ReconnecIOn]y: I AIlOtherServkes; 2 ...~ ~~~; ~. 0/ O\~ 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 deparbnent may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local \ d' '. or mances \ , This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,OHazardouslocations "OA service or feeder raled at 600 limps or more , DBuildingS more than three stories o Marinas and bolllyards OFlolltingbuildings OCommerciaJ-usellgriculturlll buildings OlnstalJlltionoflllSOKVAorl:irgcr ,: seperately derived sys O'A". 'E". or "1-2" or "1-3" f ,'. ORecreal1onalVehlcleParks DSuppJY voltllge for more than 600 supply volts nominal ---~"'- ~.", $63.00 :'1 $63.001 $7.56 H]51, $73.711, ~\L 0\d5\09 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: COM2009-01245 ISSUED: ' 0812512009 APPLIED: 0812512009 EXPIRES: ()212512010 , VALUE: SITE ADDRESS: 2365 DUBENS LN ASSESSOR'S PARCEL NO.: 1703361105700 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Raise weatherhead to code height. Owner: Address: PHIPPS BONNIE 2365 DUBENS LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor RITE ELECTRIC 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 ~asement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: ATTENTION: Orego~?~~~&uires you to Rearyard Settf~cHICE: %V50FikCoverage: follow rules adopted by the Oregon Utility Solar SetbacksiHIS PER~I! S~~~~ ~:.~R~;~~~TE,c hll'\T ' Notification Center. Those rules are set forth AUlnunlLLU UI'H./L..11 "...... ,'t......... IIlv,",n::J..Jc..-VUI-UVIUllIIUUY'IUf-\ntlO~-UUI- COMMENCED OR IS ABANr1(Inl.l~IWDRo1PROVEMENTS 10090.. You may obtain copies of the rules by Street Improvements30 DAY PERIOD. cesililMSil.. 't:Y~e':r. (Note: the telephone ,,,., . number tor the, Oregon Utility Notification Storm Sewer Available: Dow(WJP.l!tsilih1all1.';J-332-2344). Special Instruction: . . . . Notes: I Valuation ~escrintionl Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 01'2 Status Issued CITY OF SPRINGFIELD BuildingfCombination Permit PERMIT NO: COM2009-01245 ISSUED: 08/25/2009 APPLIED: 08/25/2009 EXPIRES: 02/25/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line Total Value of Project Fees Paid II . ,.. Fee Description + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid $7.56 $3.]5 $63.00 8/25/09 8/25/09 8/25109 Receipt Number 12~0900000000000977' ]200900000000000977 1200900000000000977 Total Amouot Paid $73.71 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. Reouired Insoectinns I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I bave carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify tbat any and all work performed shall be done io 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. 1 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, aod the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1245 COM2009-0 1245 COM2009-0 1245 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Service Reconnect + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 1200900000000000977 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/25/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE RITE Online ELECTRIC Payment Total: 10:53:20AM Amount Due 63.00 7.56 3.15 $73.71 Amount Paid $73.71 $73.71 8/25/2009