HomeMy WebLinkAboutPermit Electrical 2009-9-1
City of Springfield
...1l'!1;!:!,~!
Electrical Authorization To Begin Work
E-mailedTo:c_pcrkins@ymail.com
Check on status of IJCrmit
By Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us
I 0 New Construction
Please check all that apply'
o Addition/alteration/replacement
o A serviceorf"der bcginningal400
Ampswhereth~availablefauh
currcmc?,ceeds 10,000 Ampsal
150 Vohs or less 10 ground e)[ceeds
14,000 Amps for all other
installations
I 0] ",r=i1ydwe";"g
o Multi-family
Dcommcrcial
o Accessory
,Job Address: 593 71ST ST
o Fire pumps
o Emergency systems
DAddilionofanewmolorlo3dOf
100 HP or more
o Sixol more residential units in one
structure
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldgJllpt.no.:
Project Name: A09-289/ Ortel
Cross StreetJdirectiims to jo~ site:
o Health caiefacililies
EiI.
I Tn.p/p."']"", \'1.01 ~~ O~~c::U I
IFf~~,g;..;:;'~~~+iii~~~E;~S]RIf;IIQNTC)FdW:OR~1i:~~~~t';€ZJ~~C~~~~}'~~' Description
electrical for hvac work
Branch circuits without service or
feeder
Branch circuilseach additional circuit
wifhoutscrvice
I~~;
Name: Rite Electric
69600-BEL-09-00111
9/112009 11 :38 am
Approval Code: 284017
[JHazardiluslocarions
DA seNice or feeder rated al 600
amps or more
DSuildingsmoretharilhreestories
DMarinas Md boat yards
DFloatinllbuildings
DCoinmercial.useagriculturaJ
buildinlls
Dlnstallationofal50KVAorlarller
seperatelydcflvcdsys
D'A",'E".or"I-2"or"1-3"
DRecrcalional Vehide Parks
DSupply voltage for more than 600
supply vohs nominal
I Q'Y,
$55.00
$55.00
$6.00
$6.00
I Subtotal
I State surcharge,(12% of permit tolaJ)
I Technology fee (5% of permit tota])
I TOTAL PERMIT FEE
Pbone: 541-895-4466
Fax: 54].895-4366
Emall: c yerkins@ymail.com
s6I.ool
$7.32 I
$3.051
$71.37
CCB lie. no.: 1785]8
~t ~ \ \ \ OS
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).
Elec lie. no.: C335
I t9-\?1q
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Busil1ess Name: RITE ELECTRIC ]NC
I Contact:
I Add"", PO BoN~TICE:
I C;ly/SIo,<iZIP, 'Pl'lmEPEI'lWlft2'8HALL EXPIRE IF THE WORK
I Ph..",4].895'A'lfTHORI7FD lJND~'T'PtI'&'PffiMIT IS NOT
I Em.;kh';d;@c.e'1'J*'t!lJl'ENCED OR IS ARANDONED FO-R
I M"m"c,"".' A~IV 1RO nAY PFRlfJPI";, no,'
I Sup~rvising Electrician's lie. no.: 2970-s
I Suptn'ising Electrician's Name: clyde perkins
Number of inspections included in paid services:
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.
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NOTE: This Authorization To Begin Work expires within 180 days if a pennit 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 hiws and local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
~~.~
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01219
ISSUED: 08120/2009
APPLIED:. 0812012009
EXPIRES: 03/0112010
VALUE:
225 Fifth Street, Springfield,.OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 593 71ST ST
ASSESSOR'S PARCEL,NO,: 1702352404300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump in residence
Owner:
Address:
ORTAL H LORRAINE & JOSE
52494 MCKENZIE HWY
BLUE RIVER OR 97413
Phoue Number: 541-746-2102
I CONTRACTOR I~FORMATION I
Contractor Type
Electrical
Mechauical
Contractor
RITE ELECTRIC
EUGENE HEATING & COOLING
License
178518
149452
Expiration Date
09/24/2009
10/22/2009
Phone
541-895-4466
541-726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupaucy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
. Occupant Load:
u/a
NOTICE:
Fronty T);I~~"~~~MIT SHALL EXPIRE IF THE W08~rlav Dist: '
Side 1 ~tbWk:KILtO UNDER THIS PERMIT IS NfI!;tree! Trees Rqd:
Side 2 ~lb'Wluf-NCED OR IS ABANDONED FOR Paved Drive Rqd:
RearyaMJS'eltillilIDAY PERIOD. % of Lot Coverage:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Street Improvemeuts:
Storm Sewer Available:
Special Iustruction:
Total:
Handicapped:
ATTENTION: Oregorc'6iiipacl:Jires you to
follow rules 'adopted by the Oregon Utility
Notification Center. Those rules are set forth
'n ('\^" Q<;,,_001-001 n thrnllnh OAR 952-001-
I PUBLIC IMPROVEMENTS luutlO. You may obtain caples oi the rules by
calling the center. (Note: the telephone
nur~ills."I'!.l,ktil:,)!P.!negon Utility Notification
Dowg~'llltfsiD~aIlR?-332-2344) .
Notes:
Paee 1 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01219
ISSUED: 08/2012009
APPLIED: 08/20/2009
EXPIRES: 03/0112010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fe.e
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
8/20/09
8/20/09
8/20/09
8/20/09 '
9/1/09
9/1/09
9/1/09
9/1/09
1200900000000000956
1200900000000000956
1200900000000000956
1200900000000000956
1200900000000001017
1200900000000001017
1200900000000001017
1200900000000001017
Total Amount Paid
$183.69
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 follo:wing
work day.
I Reouired Inspections I
Rougb 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 of3
Status
Iss u ed
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: COM2009-01219
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 03/0112010
VALUE:
By signature, I state and agree, that I have carefully examined tbe completed application and do hereby certify that all
information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb
the Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I furtber certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will' be used on tbis project.
I furtber agree to ensure that all required inspections are requested at the proper time, tbat eacb address is readable from the
street, tbat tbe permit card is located at tbe front oftbe property, and the approved set of plans will remain ontbe site at all
times during construction.
Owner 01' Contractors Signature
Paee 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
54,1-726-3759 Phone
"~,71;~~ii,'
~c..~..:'.'~i J
Job/Journal Number
COM2009-0J219
COM2009-01219
COM2009-01219
COM2009-01219
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
1200900000000001017
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Check Number
Batch Number
Received By
KR
ONLINE
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/0112009
Item Total:
Authorization 1
Number How Received
,
RITE Online I
ELECTRIC I
Paymert T?tal:
I
I
.1
,
,
, ,
1I:39:15AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
9/1/2009