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Home My WebLink AboutPermit Electrical 2009-9-9 City of Springfield Electrical Authoriz';iion To Begin Work E-mail_edTo:c_perkins@ymail.com Check on status of pc....riit . By Phone: 541-726-3753 or Email: permilcenter@ci.springfield.or.us o NewConstruction 0' Additiowalterationlreplaccment 0] or 2 fwnily dwelling o Multi-family DCOInmercial o AccessOlY Job Address: 1074 0 ST City/State/ZIP: SPRINGFIELD, OR 97477 SuiteJbldgJapt.no.: }>roject Name: 09-458, I Southwick Builders CrossStreetldirections lojohsite: ~ 1~~~1~~-t$:~!ir1~rD-E$"~BiR.IIPWO~~WOR,if~~:~~kl!€~~~~ Taxmap/parcelno.: \ I(U :)'~';)\"\- replace existing service & kitchen remodel Name: Clyde PERKINS Phone: 54]-912-8862 Fax: 541-895-4]66 EmJliJ: c yerkins@ymail.com Elee lie. no.: C3]5 CCBlic.no.: 178518 Business Name: RITE ELECTRIC INC Conlact: Address: PO BOX 842 City/State/ZIP: CRESWELL, OR 97426 Phone: 54]-895-4466 Fax: 541-895-4366 Email: heidi@c-perkins.com MefTolie.no.: City lic. no.: Supervising Electrician's lie. no.: Supervising Electrician's Name: 2970-s c1ydeperkins Number of inspections included ill paid services: Residential Service: 4 Reconneclonly; 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 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 loc"al ordinances 69600- BE L-09-00 124 9/9i2009 10:20 am Approval Code: 838657 'f?P (j) () '\ Please check all that apply: OHazardouslocati<:lns DA service or feeder raled al 600 amps or more DBui,dingsmorethanlhreestories DMarinaiandboalyards DFloatingbuildings DCommercia'-useagricuhural I buildings Dlnstallalionofal50KVAorlarger seperalely derived sys .' D"A". "E".or"l-l" or"1-3" o Recreational Vehicle Parks DSuppJyvoitageformorelhan600 I supply volts nominal $1]7.001 $14.04 S5," I S136.891 f~.~ ,~ ' Com2<rD9- (J/dc3o /J/?/ 9/0'YO? This Authorization To Begin Work must be posted at the job site until replaced by a Permit , - " I DAS~f'\'iceorfeederbegi!l!li!lgaI400 Amps ",here the available fault curientexceedslO,OOOAmpsal 150 Volts or less 10 ground exceeds 14,000 Amps foraJl olher installations o Fire pumps o Emergencysysteins o Addition oranew rilOlOf load of lOOHPormore o Six or more fcsidenliaJ units in one structure o Heaith Care facilities I Description IServiccs200ampsorless I Hranch circuits with service or feeder each circuit I Subtotal ,fStmcsurcharge(12%ofperinittotal) jTechno]ogy fee (5% of permit 10Ia]) IrOT,\L PERI\HT FEE , ~l\j~. ~~ ~C\~ " . fJl/ \u.c.-., ~(lr\oct '; 01. - CITY OF SPRINGFIELD Building/CQmbination Permit Status Issued , PERMIT NO: COM2009-01330 ISSUED: 09/09/2009 APPLIED: 09/09/2009 EXPIRES: 03/09/2010 VALUE: 225 Fifth Street, Springfield, OR 54 I -726-3753 Phone 541-726-3676 Fax 541-726-37691nspec,tion Line SITE ADDRESS: 1074 D ST ASSESSOR'S PARCEL NO.: 1703351407900 Spriuglield TYPE OF WORK: Electrical Work Only TYPE OF USE: New' PROJECT DESCRIPTION: Replace existing service for kitchen remodel Residential Owner: Address: SOUTHWICK JERRY F & L L 1074 D ST SPRINGFIELD OR 97477 I. CONTRACTOR INFORM~ TlON I Contractor Type Electrical Contractor RITE WAY ELECTRIC INC License 40077 Expiration Date 10/13/20 I 0 Phone (541) 926-0504 BUILDIN,G INFORMATION I # 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 Garage/Carport Sq Ft Other: Occup~nt Load: n/a I DEVELOP~ENT INFORMA nON , REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: l Handicapped: Compact: I PUBLIC IMPROVEMENTS" Street Improvements: Sidewalk Type: Downspouts/Drains: Storm Sewer Available: Special Instruction: ATTENTION: Oregon law requires youto allow rules adopted by the Oregon Utility ~otificatiOn Center., !~.os_e r~~e~ ~6e as:;_~~~~ I~UIIL,t. , :_')flti;1a<C"UUI-VV'~""--,~ I by . I ,.. , btain caples of the ru es - THIS PERMIT SHALL EX Valuation DescriDtioifC 10., You may at {Note- the telephone AUTHORIZED UNDER T~~RE Ir I nt VVURK va~I~~, %~ f:; ~;~gon Utility Notification Descriptio.cOMMTYiJeLof,Oonstructioq, PEF~,.fJ(l'"lf}lrfbT squBa.rdeAIFootogecenter is 1\Wue'332-2344Date Calculated ANY 1 -,- u un '" AtJANDOf\orll""uwher or I mount 80 DAY PERIOD. c r II - _ Notes: Paee 1 of2 SPJUNGI'IBLD. '--~Jt" :"'''''i,~,~,'''i~~'' "<~"', 1i1"" Status Issued' CITY OF SPRINGFIELD' Building/C<~mbination Permit PERMIT NO: COM2009-01330 ISSUED: 09/09/2009 APPLIED: 09/0912009 'EXPIRES: 03/09/2010 VALUE: ' 225 Fifth Street, 'Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I I III $14.04 $5.85 $36.00 $81.00 9/9/09 9/9/09 9/9/09 9/9/09 Receibt Number 3200900000000000639 3200900000000000639 3200900000000000639 3200900000000000639 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid, Date Paid Total Amount Paid . $136.89 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, wilJ"be made the following work day. . RellJuired Insoections . if -l.. '" .., Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do b~reby 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 Servi~es 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 Date Page 2 of2 225 Fifth Street , , Springfield, Or~gon97~77,: 541-726-3759 phillie""'" Job/Journal Number COM2009-0 1330 COM2009-01330 COM2009-01330 COM2009-01330' 3200900000000000639 . , Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add ,;:., ,'+ 5,% Techn~Mgy Fee ,..~ ,-.. .'- . , -. ,'.,O:; ,:i+12% State Surcharge Payments: ie,: i' j. :: Type of Payment ' ,'Paid' By,>' . '.. Received By NJM Check Number Batch Number ONLINE CHGS cReceintl ONLINE PERMIT CHGS ONLINE Page I of I City of Spri!1gfieId Official Receipt Developmerit Services Department , Public Works Department r Date: 09/09/2009 Item Total: Authorization Number How Received RtTE Online ELECT Payment Total: 12:51 :47PM Amount Due 81.00 36,00 5,85 14,04 $136.89 Amount Paid $136,89 $136.89 9/9/2009