HomeMy WebLinkAboutPermit Electrical 2009-9-28
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69600-BEL-09-00152
9/28/2009 12:18 pm
Approval Code: 909041
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City of Springfield.
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Electrical Autho.rizatio.n To. Begin Wo.rk
E.mailed To: c_perkins@ym~il.com
Check on status of permit
.::. ~'y Phone: 541-726-3753 or Email: permitcenter@ci.springficld.or.us
Itr0::r~=~::i7~'~)'L~~~'r"~TYp.E:dF~w6Rk~l,{?"f-',..-~2''':15 ~;,{gL.. :.~~~, .':-'
I 0 New ~ons~c~.~n . ',. . 0 Addition/alteration/replacement
1~.t;:'~"~~~{~~~i::ATEGORY?OF.:'cb"t.isTRUCTiON~~~?r.:?!_(: ;1(l~_.~?~~,:~."~
I [~} 0" '""ily dw,II'" OM,lti.'",,"y OComm"'i~ 0 A,,,,,oO'
1l:';:ij.l!i'\!"~~OB:siTE'IN~ORMAfioN;ANiii:ooCAfION?~j>.',:~z.:;:"i'\;
I Job Address: 952 R ST
I City/StllltlZIP: SPRINGFIELD, OR 97477
I Suite/bldc./apt.no.:
I projut Name: 'A09.324:
I Cross Streelldirections to job site:
~;..:_ ~f~,'.~l.';'~-'h; j;.:PLAN,REVIEW' :';~:<-'-"' ~li. ~-~~.;";,;:'(~.~;".:
DHazardousll>c3lions
DAs~rviocotfeedettBledB1600
ampsotml;ne
Please check all lhalapply
o A scrviceotfeedel beginning al400
Amp~ where the availabk fault
currenlel(ceed510,OOOAmpsal
150 Vohs 01 Icss 10 groUIld el(ceeds
14,OOOAmpsfot8110lhcr
installalions
DBuildingsmorethlll1threeslories
DM~rinBslllldboatyards
OFloalinllbuildings
OCommercial-useagricullural
,buildinll~
Oloslallalionofal50KYAorJarcer
sepenllcly derived sys
O"A","E",ol"I-2"or"I-J"
DRecre8tionaJVehiclel'81ks
OSupplyvohageformorethan600
supply volts nominal
o Fire pumps
o Emergency systems
o Addilionofanewmololloadof
100 HP or more
DSil(ormorcresidenlialunilsinone
struclure
o Uealth care facilities
I Tn.plp","'o.: \'ID''::;'~h)l~ .~~
1~"~.;~:~~t~~~~1fDESCRI~ti9~Cn:;.wdR~,~~~~:~~;~~~~
e]ectrical forhvac
I Q~
;'~:%7~'/zJ : .
I
I
$55.00 I
$6.00 I
~I
$61.00 I
$7.32 I
$l051
$71.371
Description
~~ch ~j~i_tP::~~~ <'S5F.
Branch circuitswithoUl serviee or
feeder
Branch cin:uitseach additional circuit
"-'.=.,
-"'~, .
$55.00
.$6.00
withoulservice
ISubtOlaJ
I Stale surcharge (12% of permit 10Ia])
I Technl?logy fee (5% of permit total)
I TOTAL PERMIT n:E
Nllmc:RiteE]ectric
Pbonc: 541-895-4466
Fax: 541-895-4366
Email: cyerkins@ymail.com
Ir~:C':;,~-t:i~~~~:t~C:O-NjRAC.tC)R~;ffh~~~:~_;-:::::t"~~~~," '.:;'i~~?~~/;'I
Elec lie. no.: C335
CCB lie. no,: 178518
Business Namc: RITE ELECTRIC INC
Contact:
Addrcss: PO BOX 842
City/StattlZIP: CRESWELL, OR 97426
Phone: 541-895-4466
Fax: 541-895-4366
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Email: heidi@c-pcrkills.com
City tic. no.:
Metro lie. no.:
\~rf"
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~Ij.l..
Supcn'ising Elcctrician's lie. no.:
Supen'ising Elcctrician's Name:
2970-s
clyde perkins
Numbcr of inspections included In paid serviccs:
Rcsidentinl Service; 4
RcconncclOnly: I
AIIOthcrScrvices: 2
Upon review and approval by your local jurisdiction, your pennit will be
e-malled or faxed within one business day, with instructions on how to
schedule your inspection.
LorYlvit>9 -' ({) I ~ 6'1
nrYI' . Q8o!o9,
NOTE: This Authorization To Begin Work expires within 180 days If a penn It is
not obtained.
The local building department may detennine 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 unlit replaced by a Permit
Status
Issued, ' , '
225 Fifth Street;Spriugfield, OR
541-726-3753 PhuDe, ' . "
541-726-3676 Fax "
541-726-37691nspectiun Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01289
ISSUED: 09/0112009
APPLIED: 09/0112009
EXPIRES: 03/28/2010
VALUE:
SITE ADDRESS: 952 R ST
ASSESSOR'S ~ARCELNO.; 1703261305800
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Heat Pump
Owuer:
Address:
TRUST DATED JUNE'9, 1995
952 R ST
SPRINGFIELD OR 97477
TYPE OF USE: New' Residential
Phuue Number: 541-742-1543
. ' . I CONTRAC~OR INFORMATION ~
Contractor Type'
Electrical ~l.
Mechanical
Contractor
;. RITE ELECTRIC
EUGENE HEATING & COOLING
License
178518
149452
Expiration Date
09/2512011
10122/2009
Phone
541-895-4466
541-726-7654
I ,BUILDING INFORMATION I
# ufUnits:
Primary Occupancy Gruup:
Secundary Occupancy Gruup:
Primary Cunstructiun Type
Secundary Cunstructiun Type:
# ufBedruums: .:
# uf Sturies:
Height uf Structure
Type uf Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:"
nla
Lut Size:
Sq Ft 1st Fluur:
Sq Ft 2nd Fluur:
Sq Ft B~semcnt:
Sq Ft Garage/Carpurt
Sq Ft Other:
Occupant Luad:
I DEVELOPMENTlNFORMATlON I
Fruntyard Setback:
Side 1 Setback: ,
Side 2 Setback: '
Rearyard Setback:
Sular Setbacks:
Overlay Dist:
# Street Trees Rqd:'
Paved Drive Rqd:'
% uf Lut Cuverage:
I ~UBLlC IMP~OVEMENTS I
Street Impruvements:
Sturm Sewer A vailable:-
Special Instructiun:
Nutes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 uf 3
REQUIRED PARKING
Tutal:
Handicapped:
Cum pact:
Sidewalk Type:
TTENDu,ll;DSIluuts/Drain.:requires you to
A, llvl', V,~"VI' .-" Utilit
follow rules adopted by the Oregon t forih
Notification Center. Those ru~e~ ~~e 9~e2.001'
in OAR 952.001.0010 throug " I by
0090 You may obtain caples of the ru es
" h center (Note: the telephone
callmg t e '. Utility NotificatIOn
number for the Oregon
Center is 1.809.332.2344).
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax
541-726-3769 I~spectiun Line
'7";"" ".
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.t~ . .~'.
I '::' alu~tion Descri"tion I
Descriptiun
Tvpe uf Cunstructiuu
$ Per Sq Ft
ur multiplier
Square Fuutage
ur Bid Amuunt
Tutal Value uf Pruject
~ F,,~. tiWU
Fee Descriptiun
+ 12% State Surcharge
+ 5% Technulugy Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technulugy Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add'
Amuunt Paid
$1l.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Tutal Amuunt Paid
$183.69
I Plan Reviews I
Date Paid
9/1/09
9/1/09
9/1/09
9/1/09
9/28/09
9/28/09
9/28/09
9/28/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01289
ISSUED: 09/01/2009
APPLIED: 09/01/2009
EXPIRES: 03/28/2010
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000620
3200900000000000620
3200900000000000620
3200900000000000620
3200900000000000674
3200900000000000674,
3200900000000000674
3200900000000000674
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 folluwing
work day.
IR"~
Ruugh Mechanical: Priur to. Cuver
Final Mechauical: When all mechanical wurk is cumplete.
Ruugh Electric: Priur to. Cuver
Final Electric: When all electrical wurk is cumplete.
Page 2 uf3
Status
Iss u ed
225 Fifth Street, Springfield, OR, .
541-726-3753 Phuue, .".
541-726~3676 Fax' :"
541-726-3769 InspectiunLine
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01289
ISSUED: 09/01/2009
APPLIED: 09/01/2009
EXPIRES: 03/28/2010
VALUE:
By siguature, I state and agree, that I have carefully examiued the cumpleted applicatiuu and do. hereby certify that all
iufurmatiuu hereun is true and currect, and I further certify that any and all wurk perfurmed shall be dune in accurdance with
the Ordinances uf the City uf Springfield aud the Laws uf the State uf Oregun pertaining to. the wurk described herein, and
that NO OCCUPANCY .will be mad~ uf any structure withuut permissiuu uf the Cummunity Servic'es Divisiun, Building Safety.
I further certify that unly cuntracturs arid empluyees who. are in cumpliance with ORS 701.005 wilhbe used un this project.
I further agree to. ensure that all required inspectiuns are requested at the pruper time, that each address is readable frum the
street, that the I\ermit c~rd is lucated at the fruut uf the pruperty, and the appruved set uf plans will remain un the site.at all
times during cunstructiun. .".
Owner ur Cuntracturs Signature
~i ~:
11 1 f.
.,
Pa2e 3 uf3
Date
225 Fifth Street.
Springfield, Oregun 97477
541-726-3759 Phone
Job/Journal Number'
COM2009-0 1289
COM2009-0 1289
COM2009-0 1289
COM2009-01289
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
,RECEIPT #:
~~Q"'.:..''''.l.'''..........
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City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000674
Date: 09/28/2009
Description
,Add, Alter, Extend Cire
.Add, Alter, Extend Cire Ea Add
+ 5% Teehnulugy Fee
+ 12% State Surehaqie
'PaidBy'.
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE RlTE In Persun
ELECT
Payment Tutal:
Page I uf I
12:t8:36PM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
9/28/2009