HomeMy WebLinkAboutPermit Electrical 2009-10-7
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."City ofSpringfi';ld,i~):i"
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Electrical Authorization To Begin Work
E-mailedTo:c-lierkins@ymail.com
69600-BEL-09-00169
10/7/2009 11:02 am
Approval Code: 314399
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Check on status of permit
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',f';' '{:,By Phone:.541.726.3753
or Email: permitccnter@ci.springflcld.or.us
OHazardouslocations
DAserviceorfeederratedat600
amps or more
DBuildjngsmorethanlhreeslorj~s
DMarinas and boat yards
DFloatingbuildings
DCommercia'-use agricullunll
buildings
DlnslaJlationofa'SOKYAorlarger
seperatelyderivoosys
D"A","E",or"I-Z'or"I-3"
DRecreational Yehide Parks
DSUpp,yvohage for more than 600
supply volls nominal
"" 0:;:f:,~jd\JiOlV.~~~tionl,~\aCemen\
Pleai;ccheck all lhalapply:
o A service or feeder beginning at400
Amps where lhe availabJc fault
~urr~lexceeds JO,OOOAmpsal
J50 Vohsor less lO ground exceeds
14,000 Amps for all other
installations
o New Consttucti~n
,.'10' O'2f,,",~'Y IJM"It'~r'm"y Ocommm,'''' 0 Ace""'"
~r;II~~'"~lf.rsOB!Sl'rE:INF,ORMAfiON?ANOiItoCA-TiON~~~t~X~,~
'I Job Address: 510 . 10TH STi:"':"?' ,
City/State/ZIP: SPRINGFIELD; OR 97477
o Fire pumps
o Emergencysyslems
o Addition of anew motor load of
100 HP or more
o Six or more residentiaJ unilsinone
suUClme
'0 Health care facilities
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SuitelbldgJaptno.: .
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Project Name: Gorm~,.,
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Cross Street/directioni'to job .site':::
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;z,51 :<;bi
Tn map/parcel no.:
I Description
dt.ctri>:,al work rm h\'ac equiptment
I Branch circuits without ~~rvice or
feeder
I Balance of penn it fees
".
!Subtotal
I State surcharge (]2% of penn it total)
ITechnology fee (5% of permit total)
ITOTAL PERMlT FEE
Name:RiteElet-tric "
$58.od
$6,96
$2,90
$67,86
Phone: 54]-895-4466 ~
Fax: 541-895-4366
Email: c...perkins@ym~l.com .
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I EJeclic. no.: C335
I Business Nam~: RITE ELECTRIC INC
Contact:
~ ces lie. no.: 178518
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Address: PO BOX 842
city/StMe.iziP:'CRESWELL~:OR 97426' "i [ \^/~OV
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I Pbone: 54i~895'=4466";\Vtll"unMLL L.J\l F~~~54r-895-4366 .. - ;"'T.
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I. iI' lllkiiil~:.!.~:r"'UI\J.UCn 1111'-' I L-IIIVII' ,,,, .....'
Ema:c~er s~J'~.cOfl'! _..;., ,_ ..........."'ft'r-n,An
I Metro'Ii~7'ri.:;.':l\lltl\JLJCU. un JO ,t'\u"cilYid:~~"'"
I supervis1ig'-EI~c'tri~iahi5'ii~. ~.r: n I Li97V_S f
I Supervising Electrician's Name: Clyde Perkins
Number of inspectio~s included in paid services: . ;-
Residential Service: 4 ~ ..: ,'l.:;"'?5-'.l:tF
Reconnect Only: ,,' : I .~;-. .,...._+ "r"'~'-.
All Other Services: 't,-I." ;:2':'P ", " I,
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Tl10se rules are set forll1
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 Utilily Notification
Center is 1.800.332-2344).
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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
. schedu~8 your insp;ctionT ."Y' :~, " :.. .,~.
NOTE: This Authorization To Begin Work expires within 180 days ita pennit is
not obtained.
,
The local bu\\ding deparbnent may determine that an Authorization To Begin
Work is null and void if It does not meet applicable land use laws and local
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'ordinances '~.'~' -;-- ;!:' .. ~
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This Authorization To Begin Work must be 'posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Status
Issued
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Building/Combination Permit
PERMIT NO: COM2009-01388
ISSUED: 09/21/2009
APPLIED: 09/21/2009
EXPIRES: 04/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
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SITE ADDRESS:'~{r 510 10THST"
ASSESSOR'SPARCELNO::.'- i?0~351307500
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
I,'ROJECT DESCRIPTION: 2 zone mini split heating system in residence
New
Residential
, Owner: MAVi"GORMAN~VOCABLE LIVING TRUST
Address: 510)OTHST
SPRINGFIELD OR 97477
Phone Number: 541-741-7860
'; I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical,. . , "
Contractor
RITE ELECTRIC
, ',. EUGENE HEATING & COOLING
License .
178518
149452
Expiration Date
09/25/2011
10/22/2009
Phone
541-895-4466
541-726-7654
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BUILDING INFORMATION I
# of Units: '. ~:"'-'I' .'
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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# 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' I DEVELOPMENT INFORMATION I
if ; j' , '. . . A' ,<:'" "U'~: Oregon law rR!P.QIl!R;~Q !'tARKING
~lnTl~E' . .' . . follow rules adopted by the Orp.(Jon Utility
Frontyard Setbac\{: ' . ." Overlay DlSt: . Notification C t Th Total: . t f h
Side 1 SetbIW!3 PERMIT SHALL EXPIRE IF THEW/Street Trees Rqd:) OAR 952_00e1n_OeOr.1 0 those nH1.Mrfa~~ed')o/t1
. ^' 'THORIZED UNDER T ..." roug" UhM ~v~-u -
S.de 2 Setback,:.. __ .. HIS PERMIT 1~~~qDnve Rqd: 0090. You may obtain copie~~T.~,':HLles by
Rearyard ~m~.~R:~NCED OR IS .A~ANDONED For40of Lot Coverage: calling the center. (Note: Ihe telephone
SolarSetb>r~IW:180 DAY PERIOD;' number_fortheOregon Utilily Notification
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Street Improvements:
Storm Sewer Available:
Special Instruction:
I ~UBLlC IM,PROVEMENTS I
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Sidewalk Type:
Downspouts/Drains:
Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01388
ISSUED: 09/21/2009
APPLIED: 09/21/2009
EXPIRES: 04/07/2010
VALUE:
c.
Status , ISi,i~~:,:;11L
225 Fifth Street; Sprin'gfield, OR
" 541-726-3753 Ph'One'.. '" . ,
c541-726-3676F~x'i:f'[k" ,':i'i,>;, '.
541-726-3769 Inspection Line . ;i,
.1 Valuation DescriDtion ,
Square Footage
or Bid Amount
- $ Per Sq Ft
or multiplier
Value
Date Calculated
~ D.escription
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Total Value of Project
L.fm Pair I
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Fee Description';' ~- ,~!.~: ~?!
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'!" 12% State SU;rcharge
.;1; 5% Technology .F~e '. >
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1st ApplIance -" ", L. .... '.
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ -, .'::
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Total Amount Paid
Amount Paid Date Paid Receipt Number
$13.56 9/21/09 2200900000000001069
$5.65 9/21109 220090000000000]069
$79.00 9/21109 2200900000000001069
$17.00 9/21/09 2200900000000001069
$17.00 9/21109 2200900000000001069
u $6.96 10/7/09 1200900000000001120
$2.90 10/7/09 1200900000000001120
$58.00 10/7/09 120090000000000]]20
$200.07
jf
I Plan Reviews I
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To Request a~ inspe~tion call the 24 hour recording at 726-3769, All inspections requested before 7:00
'a.m, will be m..ad<<; ~he same working day, inspections requested after 7:00 a.m, will be made the following
work day. . '
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I .Reri~ired Insnections"
Rough Mechanical: Prior to Cover
Final Mechanical: When aU mechanical workis complete.
Rougb Elect;Jc: 'Prior to Co~er
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Final Ele'ctri~: When all electrical work is complete.
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CITY OF SPRINGFIELD'
,
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01388
ISSUED: 09/21/2009
APPLIED: 09/21/2009
. EXPIRES: 04/07/2010
VALUE:
225 Fifth Street, Springfield, OR.~ .::~
. 541-726-3753 Phon~___ -_._~~,
541-726-3676 Fax' , .
': 5.41-726-37691nspection Line
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By signature, I state and agree, that 1 have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I fnrther 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 OCCU!;ANSV::,~iII:~eni~dO. of any -structure without permission of the Community Services Division, Building Safety.
I further certifftbat: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 (!erm,it ca.rd is !o~a,te.d at the front ofthe property, and the approved set of plans .will remain on the site at all
. times during con'striiciion.. '-,':",'.'{:' .
Owner or Contractors Signature
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Page 3 of 3
225 Fifth Street
Springfield, Or~gon:.~7,17?:. .
541-726-3759 Phone:~":'/i"+-"
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'. RECE~PT #;
Job/Journal Number ,;~.
COM2009-01388
COM2009-01388
COM2009.01388
, . . .
: Desc~iption ,'J;:~:~;' <~.:
'Add, Alter, ExtendCirc.
+ 5% Technology Fee .
-t 12% State,S.ur~harge "
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Payments: :,' " " " ,
Type of Payment .' :~'r';id'By
ONLINE CHGS. .:,'ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001120
Date; 10/07/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE RJTE Online
ELECTRJC
Payment Total:
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Page 1 of 1
1:02:04PM
Amount Due
58.00
2.90 .
6.96
$67.86
Amount Paid
$67.86 .
$67.86
10/7/2009