HomeMy WebLinkAboutPermit Electrical 2009-10-9
City of Springfield
Electrical Authorization To Begin Work
E~mailed To: c_perkins@ymail.com
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Check on status of-permit
By Phone: 541-726-3753 or Email: pcrmilcenter@ci.springficld.or.us
I D New Construction
o 'Addition/alteration/replacement
I [~} ,,2f=ilydwolliog DM"lt;,r=ilY Dcomm',,,;,] D A"",o'Y
1~.\EJ:~li~~:JOB'SITE~IN~ORMATiONANDfifoCAjio'N~{t?;';\f.;;-~~
I Job Address: 2365 DUBENOS LN I
.City/State/ZIP: SPR1~9F!E~D, OR 97471
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Suite/bldg./apt.no.:
Project Name: 09-502 I phipps
Cross Street/directions to job site:
Please cl1eckaJl tl1at apply:
o A service or feeder beginning at 400
Amps where the available fauh
curremexceeds 10,000 Ampsal
ISO Vohs or less 10 ground exceeds
14,000 Amps (or all olhcr
installations
DFirepumps
DEmergencysystcms
o Addition ofa new motor load of
100 HP or more
OSi)(ormOreresidenli~lunitsjnone
structure
o Heahh care facilities
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1~.?i~'E~~L"'l>",~~~Ql:.~~GRIPcTIO~,PJ:iWP~~'2?~:"",;-,~'~>f~,)~~'~J"JffJ70 Description
service change out
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Name: Rite Electric
Phone: 541-8954466
Fax: 541-8954366
Email: cJlerkins@ymail.com
Eleelie. no.: C335
CCBlic.no.: 178518
Business Name: RITE ELECTRIC INC
Contacl:
Address: PO BOX 842
CityIStare:/ZlP: CRESWELL, OR 97426
Phone: 541-895-4466
Fax: 541-895-4366
Email: cyerkins@ymail:com
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
Supervising Electrician's Name:
2970-5
clydepcrkins'
Number of inspections included in paid serviee5:
Residential Service: 4
Reconnect Only: I
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 insp,?ction:- -.
NOTE: This Author~tion ,!o B.agin Work expires within 180 days if a permit is
not obtained.
The local building department may determine that an Authoriz~tion To Begin
Work is null and void If it does not meat applicable land use laws and local
ordinances
Services 200 amps or less
Branch circuits with service or feeder
each circuit
Subtotal
State surcharge (12% ofpennitlOtal)
Tcchnologyfee(5%ofpermittotal)
TOTAL PERMIT FEE
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69600- BE L-09-00 177
10/9/200,9 3:10 pm
Approval Code: 064241
DHazardous'ocarions
DA service or feeder rated al 600
, amps or mor~
DBu;ldings more Ihan three storks
OMarinllS and boat yards
Drlo31ingbuilding.s
Q Comm~rcial.use agricullural
bu;ldinl\s
OlnSlJ.llationofal50KVAorlarger
sepenttelyderivoo5)'$
Q"A","E".or"I.2"or"'.3"
DRecr~alionalVehicleparks
OSupply vollage for more than 600
supply vohs nominal
Ea.
I Total
$S7,OO I
$10.441'
$4.35
5101.791,
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4:-12..-0 "i
This Authorization To Begin Work must be posted at the jOb site until replaced by a Perm!t
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01496
ISSUED: 10/12/2009
APPLIED: 10/12/2009
EXPIRES: 04/1212010
VALUE:
.,j.siatus."lIss ~edk';;::;'
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. 225 Fifth Street,!Springt'ield;"OR'{,;:;:.
541-726-3753 Phone .,,,' . ..'..,
541-726-3676 Fax "
541-726-37691nspection Lin~ ,..~~z,E;' .
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SITE ADDRESS!:;;;: 2:365 DUBENS LN
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;- ASSESSOR'SI'ARCELNO.: 1703361105700
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. PROJECT DES'CRIPTIONi": service change o~t,
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Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USIj:: New
Residential
Owner: PHIPPS BONNIE ;. -- , ;;; ,j
Address'. 2365 DUBENS LN ,";':'''':''! . .'
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SPRINGFIEW10R"9i<i77" ..
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Contractor Type'!":',( Co'ntractor
Electrical RITE WAY ELECTRIC INC
I CONTRAnOR INFORMATION I
License
40077
Expiration Date
10/13/2010
Phone
(541) 926-0504
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# ofUmts: ,. ',~;;"!!I'.,lr',r~:...(.:,l" ",~ of::
, ,.., 111", ' ','.
Primary Occup~ncy;Group: '
. Secondary Occupancy Group:
: Erimary Constru~ti~n Type' '
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Secondary Construction.Type:....~":.
# of Bedrooms: .;.. '.
.) I BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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Frontyard SethacI1: ~ /:;
, Side 1 Sethack: ~i? ;} ; ','.'
, Side 2 Setback:'~:\hJI11.'~f' ",. ,.'
Rearyard S'etback: .,,' .-{ .; 'r' ~ .'(,
Solar Setbacks:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
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Street ImproveriteDts:~~~:' .,;.~ r,l~~l it;'l
: ; :1'1.-, i,
: Storm Sewer AJ~iiable: ' ATTENTI~P~~P..oJ'js/Drainsquires youto
. Special Instruct,i~~:\._ :;: follow rules adopted by the Oregon Ulility
, . ,~:;I"'JI '"'e" , "'" ,~ .i Notification Center. Those rules are set fort~
Notes:NOnCE. " .~ in OAR 952,001-0010 through OAR 952-001
THIS PERMIrSHAII ~)(PIRi= II: nn: IMrJOV . noqO You may obtain copies of the rules by
AUTHORIZED UNDER THIS PERMIlII~ IIIOT '1,lIing the cemer. \IW'~"I-'t~ N-~tiftc~tion
COMMEN,CED:DR IS ASANbONED I _V.~luitHon DescriotioDl mber for tlleor~gon_~i~~I344),
ANYl80J:,w.,'Il'i';!lI:.i' '~<"";0 ;;,: .... Center IS 1 800
. " Wf.\\II:'JrtiIOD, -. '. $ Per Sq Ft Square Footage
DeSCriptIOn '1,' Type of ConstructIOn I' I' B'd A Value Date Calculated
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I PUBLIC IMPROVEMENT~ I
Sidewalk Type:
Paec I 01'2
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CITY OF ~rKll~GFIELD
Building/Combination Permit
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Status Issued,',..,::,,' '.:... "\":;"':;'," .'.
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225 Fifth Stree(Sprj,lliffieId;'OR\..',::' "
. 541-726-3753Phooe':' y,:' , ,
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'; ,5,4~_-726:36?6, F~~,~:t.,;.;.. "
"'541-726-3769 IJ!~pec!i~n'Lin~....:,!';i.:\' . '
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PERMIT NO: COM2009-01496
ISSUED: 10/12/2009
APPLIED: 10112/2009
EXPIRES: 04/12/2010
VALUE:
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Total Value of Project
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.... .' ..I~q.. R""""- ',-:'>.r ~I ",' .(:'';':>;00' ~ , Fees Paid I
1i~. ""ri,~'i~~';;':':jl~l. Amo," ,,;0 "", ,,;0
Receipt Number
Total Amount Paid
$0.00
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I Plan Reviews I
e :1
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To Request'sn inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made ,the same wo'i-king day, inspections requested after 7:00 a.m. will be made the following
work day.
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Rough Electric: Prior to Cover
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Final Electric:'_\'Yhen:all electrical work is complete.
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Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have direfully examined the completed application and do hereby certify that all
information hereon is true and corr~.ct, and I further certify that any and all work performed shall be done in accordance with
tbe Ordinances"iif ill'. City of SpriIigfield and the Laws of the State of Oregon pertaining to the work described herein, and
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that NO OCCUPAN'CYwill be made of any structure without permission of the Community Services Division, Building Safety.
~:.I,further certify~'~~t~only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
., lfurther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
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street, that the permit card is located at the front of tbe property, and the approved set of plans will remain on the site at all
times during construction. r
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225'Fifth Street"":'.;.:.',. . "",,"ii:::;:,': '.'
S'pringfield, Or~Wri,,~7~771!~~(;"if;):j;,f
541-726-3759 Phone'" . ...,
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:.: "j"",'RECE1r11;#:
3200900000000000704
Job/Journal Number 'Description
COM2009-01496 . ,Penn Serv/Fdr 200amp~,or less
COM2009-0 1496 ;\;>.:A~d, Alter, .E,(t~nd~ircEa Add
COM2009-0 14%6 ~;}~if'f;~i:?YdAfhi.'~!d~f"~ee . .
COM2009-01496 "/i:;::~.:\+.'12% State Surcharge
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Pa'yments: ..~: ;':,.J1;,': ~ ~<~F, ~ .::.'~, ';;. ?
Type oCPayment Paid'By:;',::"':"::;,:"':_'" ,
ONLlNECHGS . ON",INE PERMIT CHGS . .'
, Received By
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Check Number
Batch Number
ONLINE
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Page 1 of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/12/2009
Item Total:
Authorization
Number How Received
rite elect Online
Payment Total:
,
9:01:32AM
Amount Due
81.00
6.00
4.35
10.44
$IU1.79
Amount Paid
$101.79
$IUI.79
10112/2009