HomeMy WebLinkAboutPermit Electrical 2009-9-18
. .
Electrical Authorization To Begin Work
E-mailedTo:c-perkins@ymail.com
69690-BEL-09-00139
9/18/2009 2:25 pm
Approval Code: 127588
City of Springfield
Check on status of permit
By Phone: 541-726-3753 or Email: pcrmitcenler@ci.springfieJd.or.us
o New ConSl:ru~tion' 0 .'~dditiOn/alleratiOnlrep]acement
!ii'~~f\';,t~~CA\TEGORY;roFICONSTRUJ;JION~~-,.,'~,r;:%"i!1
Please check all that apply:
DHaurdouslocations
DA serviccClr feeder rated a1600
ampsorm<;lrc
o I Of 2 family dw~)Ijng
DMlllti-fan:i~Y..'DcommerCjal
o Accessory
DAserviceorfeederbeginningal400
Amps where lhe available fault
currenlexceeds 10,000 Ampsal
150 Vohs or less 10 ground exceeds
14,000 Amps for all Olher
installations
DBuildings more than three slories
DMarinasand boaly;m1s
Dflolltingbuildings
DCommercial.useagricuhural
buildings
Dlnstallat;onufa150KYAorl1lfger
sepemlelyderivedsys
O"A':. "E",ol "1-2" or "1-3"
o RecleationaI Vehicle Parks
OSupplrvoltage for nJore thOll 600
supply volts nominal
o Fire pumps
o EmergencysystcnJs
o Addition ofanewmotOl load of
100 HPor more
Job Address: 1523 FAIRVIE~ DR
City/State/ZIP: S~R1":1GFIELp, OR 97477
Suile/bldg.lapt.no.:
Project Name: M09-393 / Butterfield
Cross Street/directions to job sile:
o Six or more residentiaJ unilS in one
SI"'ctule
o Health care facilities
Total
Description
eJectricaJ forhvlIc equipment
Branch circuits without service or
feeder
Branch circuits each additional circuit
without service
$55.00
$55.00
$6.00
$6.00
I Name: Rite Electric
I Pbone: 541-895-4466
I E~ail: c""perkins@ymaiI.com
Fax: 541-895-4366
Subtotal
Stllte surcliarge(]2% of penn it total)
Technology fee (5% of permit total)
$61.00
$7.32
.H05
TOTAL PERMIT FEE
571.37
Eleclie. no.:C335
CClJlic.no.: ]78518
t9 ~ \3'11 ~ q\ \BloC}
Business Name: RITE ELECTRIC INC
,-c..,'''' NOTICE:
Add",,, P<T~918l4PERMIT SHAll i=YPIOi= II: TU,: W.QHJ~
I c;ty/s'''<fWJq~IjUi'!~y.jDl'l Wi~ini=R Tl-lle: p~o~nIT I\: WH
I Ph"""'41j1)'l5j1~i.~~Ir:m no Ie: fll!li ;lhl\9,5,i~i> r011
I ~':'._t. ~I
Email: heidl~c~~fttrkjrr~.fJ~)AY PFRlnn
I Metro lie. no.:
Supervising Eleetrici.an's lie. no.:
Supervising EI<<trici.an's Name:
City lie. no.:
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 fhe rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
2970s
c1ydeperkins
Number of inspections included in paid serviees:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
NOTE: This Authorization To Begin Work expires within 180 days if a pennit is
not obtained.
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Upon review and approval by your local jurisdiction, your permit willlJe
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection. '
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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01377
ISSUED: 09/17/2009
APPLIED: 09/1712009
EXPIRES: 03/18/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1523 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703273200136
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler.
Owner: BUTTERFIELD WILLIAM & TRACIE
Address: 23614 SW HERON LAKES DR
SHERWOOD OR 97140
Phone Number: 541-519-4529
I CONT~CTOR INFORMATION.
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION'
Expiration Date
09/24/2009
12123/2009
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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I,:NTION: Oregon law requires you to
E. K ,uuuv, rules adoptecRE.QUlRED;~RNJlI,G
NOTle. - EXPIRE IF ll1E WOR Notification Center. Those rules are setforth
F~ontyard Set~af~iS PERMI"T SHALL PER~~,,"r~af-lgljit: . in OAR 952-001-0010 lI?,til!i,Qh OAFj 952-001-
S~de I Setback. AU1HORIZED UNDER THIS II S.lf\'!2t ~rees Rqd. 0090. You may obtailfu8S,1g'lP.~~e rules by
Side 2 Setback: ~ ENGED OR IS ABANDON~f~'bnve Rqd: calling the center. ~,oul\''p'aliliJ telephone
Rearyard SetbackDMM AY PERIOD. % of Lot Coverage: number for the Oregon Utility Notification
Solar Setbacks: ANY 180 0 ' Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
(
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01377
ISSUED: 09/17/2009
APPLIED: 09/1712009
EXPIRES: 03/18/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
I F. l'es Paid.
_Ilil .
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 Date Paid Receipt Number
$11.52 9/17/09 3200900000000000653
$4.80 9/17/09 3200900000000000653
$79.00 9/17/09 3200900000000000653
$17.00 9/17/09 3200900000000000653
$7.32 9/18/09 2200900000000001067
$3.05 9/18/09 2200900000000001067
$55.00 9118/09 2200900000000001067
$6.00 9/18/09 2200900000000001067
Total Amount Paid
$183.69
I Plan Reviews ,
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. Ii
I Reonired Insnections I
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 01'3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01377
ISSUED: 09/17/2009
APPLIED: 09/17/2009
EXPIRES: 03/18/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is ,true and correct, and I further certify that any and all work performed shall be done in accordance witb
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 Serv.ices 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 ti~e, that each address is readable from the
street, that the permit'card is located at the fronrof the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e3 of 3
'.,'
225 Fifth Street ,. -
Springfield, Orego'n 97477
541-726-3759 Phone
"
City of Springfield Official Receipt
Development Services Department
Public Works Department
....RECEIPT #:
2200900000000001067
Date: 09/18/2009
2:39:22PM
Job/Journal Number:
cOM2009-01377
cOM2009-0 1377
cOM2009-01377
cOM2009-01377
Received By
KR
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due
55,00
6,00
3,05
7,32
$71.37
Description
.-Add, Alter, Extend circ
...",t .
Add, Alter, Extend circ Ea Add
+ 5% Technology Fee'
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE cHGS
:."
Paid, By ,
"ONLINE PERMIT cHGS
Amount Paid
ONLINE RITE In Person
ELECTRIC
Payment Total:
$71.37
$71.37
cReceintl
Page I of I
9/1 8/2009