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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). ~ ~~~. ,~~ ~.~. \-\- ~~ '0-' 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