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HomeMy WebLinkAboutPermit Electrical 2009-10-9 City of Springfield Electrical Authorization To Begin Work E~mailed To: c_perkins@ymail.com " " 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 I I 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 ;;:::::::;;,_~fjD3Jj,~,'\~.r ",.'.~~~$;,~ Yd-",'s.:!?ZI1 1~.?i~'E~~L"'l>",~~~Ql:.~~GRIPcTIO~,PJ:iWP~~'2?~:"",;-,~'~>f~,)~~'~J"JffJ70 Description service change out ': ., Name: Rite Electric Phone: 541-8954466 Fax: 541-8954366 Email: cJlerkins@ymail.com Eleelie. no.: C335 CCBlic.no.: 178518 Business Name: RITE ELECTRIC INC Contacl: Address: PO BOX 842 CityIStare:/ZlP: CRESWELL, OR 97426 Phone: 541-895-4466 Fax: 541-895-4366 Email: cyerkins@ymail:com Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: Supervising Electrician's Name: 2970-5 clydepcrkins' Number of inspections included in paid serviee5: Residential Service: 4 Reconnect Only: I All Other Services: '2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your insp,?ction:- -. NOTE: This Author~tion ,!o B.agin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authoriz~tion To Begin Work is null and void If it does not meat applicable land use laws and local ordinances Services 200 amps or less Branch circuits with service or feeder each circuit Subtotal State surcharge (12% ofpennitlOtal) Tcchnologyfee(5%ofpermittotal) TOTAL PERMIT FEE &; ,'- ~ ~,,~ (bri/2QL:f1 N"^ t q , I ~q~ 69600- BE L-09-00 177 10/9/200,9 3:10 pm Approval Code: 064241 DHazardous'ocarions DA service or feeder rated al 600 , amps or mor~ DBu;ldings more Ihan three storks OMarinllS and boat yards Drlo31ingbuilding.s Q Comm~rcial.use agricullural bu;ldinl\s OlnSlJ.llationofal50KVAorlarger sepenttelyderivoo5)'$ 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, ~VL- . \o.\~.oq \-l~(2- lk\ - 0 \ Lj-CI ~ 4:-12..-0 "i This Authorization To Begin Work must be posted at the jOb site until replaced by a Perm!t .. :'~,_. :"7' [ .::.::;.. 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';;::;' .' . ,'~.'f.;';'f"~',,~s'.:;,,", ':;;i :-~_.,-1 . 225 Fifth Street,!Springt'ield;"OR'{,;:;:. 541-726-3753 Phone .,,,' . ..'.., 541-726-3676 Fax " 541-726-37691nspection Lin~ ,..~~z,E;' . . .;'i~:;:~:':{J;i,';?\~.:> ",i::/ ;':::'~J: :",,:,?: SITE ADDRESS!:;;;: 2:365 DUBENS LN , .. ;- ASSESSOR'SI'ARCELNO.: 1703361105700 {:;:ii . '.' ': ~';~:.#::,~;~~~~.;f:;;!:f;~~ i:~'.',~"" :,:(- ;~: ' . PROJECT DES'CRIPTIONi": service change o~t, " ':.... '-~- . . Springfield TYPE OF WORK: Electrical Work Only TYPE OF USIj:: New Residential Owner: PHIPPS BONNIE ;. -- , ;;; ,j Address'. 2365 DUBENS LN ,";':'''':''! . .' -' _ - '.: ~;r:;',.:.":' ..,'..'" 1 '-.. SPRINGFIEW10R"9i<i77" .. . . t ~ f ," ",.," . ,:H.,,' '.; 1,,1, / . -~:J';1 '- ".'; ".. '".'.' . '.' - '''ll ~~":;'~~I""~t"l"" ,_ " Contractor Type'!":',( Co'ntractor Electrical RITE WAY ELECTRIC INC I CONTRAnOR INFORMATION I License 40077 Expiration Date 10/13/2010 Phone (541) 926-0504 "..\., . ,(. ,..~' ;,. ">.,'n..~,~~~~:. # ofUmts: ,. ',~;;"!!I'.,lr',r~:...(.:,l" ",~ of:: , ,.., 111", ' ','. Primary Occup~ncy;Group: ' . Secondary Occupancy Group: : Erimary Constru~ti~n Type' ' ~:..';, nl "!, ' ~~ " 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: . , . ~~;.~;, .;~;;; 1",. ,~,~" .~...: ~~: "..' .I. ':..1,. :,lr.I,~,H,I,......,~..r~J~_" , . '1>: ~,.::?t,. .' -\. 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: , ;':,:;, - ,I...... ...'.r.... 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 " ' . or mu tip IeI' or I mount \ t" J '. 'i'~;-'" '~"~';J~~:,;~",;;;t,' , ""r'- ,'I ~;. ..... ',~." . l.r~:, ",~:.. ~i' ~ , I PUBLIC IMPROVEMENT~ I Sidewalk Type: Paec I 01'2 " " ~ ~~~~;:~~;f;. :;~: ._:1'. j~~';;-"'l; ',: CITY OF ~rKll~GFIELD Building/Combination Permit " ,;. ,: J~'~,.:~?i; .'. '.~' Status Issued,',..,::,,' '.:... "\":;"':;'," .'. '-*:'~';"~~..t'~!~:- /'.~;!? ~'..\:,,!{/?Jj '>: ' 225 Fifth Stree(Sprj,lliffieId;'OR\..',::' " . 541-726-3753Phooe':' y,:' , , ~. .,. \' , .c~ '; ,5,4~_-726:36?6, F~~,~:t.,;.;.. " "'541-726-3769 IJ!~pec!i~n'Lin~....:,!';i.:\' . ' ~ -'_' t '.: "::'-.". ....:,\.~),.~~. ~"". PERMIT NO: COM2009-01496 ISSUED: 10/12/2009 APPLIED: 10112/2009 EXPIRES: 04/12/2010 VALUE: ~. .,r" .:X.. .;,: . ~~:~.'{:, .. ;.') Total Value of Project ~;~~:j .::;~~~?~ ~, ..~~~'0~,.:t; \,~.,"~. . .... .' ..I~q.. R""""- ',-:'>.r ~I ",' .(:'';':>;00' ~ , Fees Paid I 1i~. ""ri,~'i~~';;':':jl~l. Amo," ,,;0 "", ,,;0 Receipt Number Total Amount Paid $0.00 ,-:' . _;: i . :(~~ .L~. -;"!i.. ;~~~~ :.. ,. -. .~!.1ld~l1k1~,',.l. .~..,. "'_j. ./'r'" - . . , lr~,~;;Uf'S.'~' ~'~ .~. \ . , ..l:({~t~~:' I Plan Reviews I e :1 I ..". ".:i~J ~:.;~~ :.: i',. .. I 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. " ,. . I,i: '.:,1" , . "~:J .; _ ;:~~;'~." ~;" ."t~.~J~l ';. R,eoII i,r" ed. 'nsnel'ti(\n~ II ,. ".' ...I~'~ort,-~~...~-~---:-.,,....,-, ~ . ,"'" ll,i'......'... '",., "t:..r~ ):~ : . \ Rough Electric: Prior to Cover r ,~;!=." \ " . Final Electric:'_\'Yhen:all electrical work is complete. , . . ',I ' . ~.~.. 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 . "., 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 ~.' ~"'.. . 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 "', 'r~ ....,;.'. u "}"i, ;.tl~t',_";~.., _I;r~ \..j~.pY.-':.'1 , Owner or Cont~~~~I~f~ ~~jg~~t'unL: ~~. ~ i" r ,. ',. . f . ~IT;~' \, ;..... j" , t l,(','''' 'I, ,'i f",i.,ll"!~' . I . ..r" , Date "1.1> '1;'1; ,,'I., .r .l .. t, ~',.!l~"':, .~; :jI. 1 " ..~ .,n ,. ,'! . . ~ ;t"t; ~ti..lJ.11{;r~.. . ..~:; ...iiT;z~ . 'I("\t;l 11 t....,.;o.., "', '; ".~. ....it_.;~~ r .~:~".F'" 1 .:k . u Paee 2 of 2 I.Yo..' ..~.~\.', ? ~~!~~~\i'~~~'f.:.' " ';', 225'Fifth Street"":'.;.:.',. . "",,"ii:::;:,': '.' S'pringfield, Or~Wri,,~7~771!~~(;"if;):j;,f 541-726-3759 Phone'" . ..., !" " ~)-:y,;).r' ,~~~., J '!-;'\~::'2:~i::;:':;:~:'..i".' .~; - ",' I;; :.: "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 r ;: ~ :; 'J:~~3';)() ~.:.. Pa'yments: ..~: ;':,.J1;,': ~ ~<~F, ~ .::.'~, ';;. ? Type oCPayment Paid'By:;',::"':"::;,:"':_'" , ONLlNECHGS . ON",INE PERMIT CHGS . .' , Received By njm Check Number Batch Number ONLINE o "',.';;1: ,., ,in:1::,', , .:!.;i'~~j:i,:.ji<~~, / '.. ",...' 'oj, ," ':~i!;' S ~.,.; ;;~ " ~:-.:t=. ~- . - - :;-... ,,~ ~': II' ~ dH:~ '1'..);!:(1 !f~11:' .' :{r:~~~~y~~.; - ~~. -:,.:.:~' ,. .it" " 'J t , . .;i ,t::,j;., :~. .";1 ~ .,:, 'f, ~.\~, :. ,I -_~h~ ,JI~"l:rl{;~ . .' ," """U "/, ,', ,. " ~ ,j "~ ~ ,'" .., " 1:' ;; '. - _' ,; . " .~.; fi"~;~'1 '::~'Iillt~"':j~':'-~ _ .~:t.".::;~ l~:1 ~ " *' ':.~~,~':;'b~,~fn~~~r-?~ .,:;:,;'~;" -. ~ . "1' 1 .' . , d, ~ " ,;:'" \. ~ .~ j', t ::r:,lt', t"(~ ,?~~~ ",r' ~ < , , t , II". ! ' ~[~:;;l,tt~f~ , " "I' \',' . T ;' . :';L\oi: \. ,~~'. .:l~, I ~.. .1~ ,<.. _i'1'lr '! . , ~:: .' , , I. J;i,t4..~\:.J:~~ tilrvr .l ' ~it~ :. Ij ", : ,;irJ~.,ir"\;,L~ " it. \1~ cReceintl ~: '.j 'lr ;.j~:~ ., .' ~4 o;i . , 11 . ..~. ~.~~ ;n~ ,,' ....'~ ,) '. ... , . .- ",' ,1,;- " ,," ..' . o .. ":-,i:l ,;.. .lh,' ,,:~; ':'-:::'':' ih~:l " -"'J .; ':-: ~ I, ,- t,: '. ~J ''" *-.1 ....;' :~~~1.~i' ~) 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