HomeMy WebLinkAboutPermit Electrical 2009-10-16
'.
City of Springfield
Gf~~~P.lELDt~
Electrical Authorization To Begin Work
E-mailedTo:c_perkins@ymail.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
10 NcwConstruction
o Addition/alteration/replacement
I [~} ""Mn;]y dwdlin,
Dcommercial
DACCeSSOry
DMuiti-familY
Job Address: 663 0 ST
City/StatclZIP: SPRINGFIELD, OR 97477
Suite/b1dg./npt.no.:
Project Name; M09.423 I Kiser
CrossStreetldirections 10 job site:
TaxmJlp/parcelno.:
elcctricalforhvacequipmcnI
Name: Rite Electric
Phone: 54].895.4466
Fax: 541-895-4366
Email: cyerkins@ymaiLcom
I Elcclic, no.: C335 CCBlic.no.: 178518
I Business Nnme: RITE ELECTRIC INC
I Contact:
I Add",,, PO BONeTJeE:
I GtyIS"lo/ZIP, mSEpEWM1'9"SHAtt ElWIRE If 1H.E WORK
I PhOD" 541,895'IUlTHORIZED lIND~IH:I'IIS.p~MIT I~ NOJ
I Em,n, 'J>"k;''t!JOM.MfN.C.ED OR IS ABANDONED FOR
I M,"o n" DO.' ANY 1 AO nAYPFRI{)D.", DO,'
I SUlu'.rvising [Itdridan's lie. no.: 2970-s
I Supervising ~:Iecfrician's Name: clyde perkins
Number of inspections induded in paid services:
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 inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a,permit is
not obtained.
The Io<:al building department may determine that an Authorization To Begin
Work is null and void if it does not m~et applicable land use laws and local
ordinances
69600-BEL-09-00196
10/16/2009 12:JJ pm
Approval Code: 771317
Please check all thaI Bpply;
DAscrviccorfccdcrbcllinningat400
Ampswhcrcthcavailablcfauh
currcnlcxcceds 10,000 Amps al
ISO Volts or less to glOund cxcceds
14.000Ampsforallothcr
in51a1laliuns
Dfirepumps
DEmergenCYSYSlemS
DAdditionofanewmotorloadof .
100 HP or more
DSixormorercsidentiaJonitsinune
structure
o Health care facilities
DHazardouslocations
DA scrvi,e or fceder ratedal 600
ampsormOlC
DBuildinllsmorelh",;,hrecstories
DMarinusandboatyards
Dfloatingbuildings
DCommerda'-use agricultural
buildings
':DlnslallationofaISOKVAorlargcr
seperalelyderivedsys
D"A","E",or"I-2"or"I-3"
DRecreationalVehicleParks
DSUpply voltage for morc than 600
supply volts nominal
Qty,
Ea. l Total I
''f~'L~g~~~
$55.00 $55.00
I Description
I Branch drcuits without service or
feeder
Il3ranChcircuitseachadditionaldrcuit
withoulservice
'$6.00 $6.00
I Subtotal
IStatesurcharge(l2%ofpcnnittotal)
ITcchnologyfce(5%ofp~rmitlotal)
I TOTAL PERMIT FEE
"1.00 I
$7.321'
nos I
$71.37 (
cq - \<32)'lp \~ lO\\12l0q
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
In OAR 952-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01526
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 04/16/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 663 D ST
ASSESSOR'S PARCEL NO,: 1703352408200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Electrical for heating system
Owner: KISER ELSIEM
Address: 663 D ST
SPRINGFIELD OR 97477
I. CONTRACT?R INFORMATION'
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION I
Expiration Date
09/25/2011
Phone
541,895-4466
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: ATTENTION: Oregoi'i'llIW~s you to
Paved Drive Rqd: follow rules adoptecftlV'lR~'tlregon Utility
% of Lot Coverage: NotificatiDn Center, Those rules are set forth
. ,_. in OAR 952-001-0010 through OAR 952-001.
. ~.:..:;.:.. -.'v... ......, v:"'~....;.. ...........:"'... ...f.~:..... .....I~... :"',
NOTICE: . I PUBElelMPROVEMENTS I calling the center, (Note:.t.he tele~ho~e
Street ImproveiiNl8sPERMIT SHAll EXPIRE !FUll: WUI1I\ nU~~{.Ylk \l1{lpQ!egDn Utility Notification
, 1IIJT\.lflRIZED UNDER THIS PERMIT IS NOT Center' IS 1-800-332-2344).
Storm Sewer AWlllll:lJe, .'.'. Downspouts/Drains:
Speciallnstruc!i.QMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
I Valuation De~criotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of2
,
Status
Iss u ed
U 1 i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01526
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 04/16/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees P,,;id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number'
$7,32
$3,05
$55.00
$6,00
10/16/09
10/16/09
10/16/09
10/16/09
2200900000000001190
2200900000000001190
2200900000000001190
2200900000000001190
Total Amount Paid
$71.37
Plan Reviews I
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,
I ReCjlJi~ed In.soec6oos I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
By signature, I state and agree, that Ihave carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further 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 OCCUPANCY will be made of any structure without permission of the Community Services 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 re,quired 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 the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
, Date
Paee 2 01'2
2-25 Fifth Street
Springfield, Oregon 97477
5..41-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1526
COM2009-01526
COM2009-0 1526
COM2009-01526
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000001190
Date: 10/16/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee'
Paid By
ONLINE PERMIT CHGS
,Item Total:
Check Number Authorization
Received By Batch Number . Number How Received
kr
ONLINE Rite Electric Online
Payment Total:
Page 1 of 1
2:27:02PM
Amount Due
55,00
6,00
7.32
3,05
$71.37
Amount Paid
$7l.3 7
$71.37
10/16/2009