HomeMy WebLinkAboutPermit Electrical 2009-10-15
City of Springfield
Electrical Anthorization To Begin Work
E-mailedTo:cycrkins@ymail.com
Check on status of permit
By Phone: 541~726-3753 or Email: permitcenter@ci.springfleld.or.us
I
, '".."1
' ?,. ~
o A service or feedcr beginninll al 400
Amps where Iheavailable faull
currenlc><'eeds 10,000 Ampsal
ISOVohsorlessto ground exceeds
14,000 Amps for all other
installarions
I D NewCOnstrucriOn
Please check all lhalapply
o
Addition/~lterationlrep]acement
01 or 2 family dwelling
DMUhi-ramily
Dcommercial
DACCeSSOry
JobAddress:6895 CST
o Fire pumps
o Emergency systems
o Addition of anew mOl or load of
IOOHPornlore
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: M09-~18 / Bellina
o Six or more residemial units in one
slructure
Cross Streetldirl'ctio!l5 tojob5ite:
DHeahhcarefacililies
I Tax map/parcel no.:
Description
electrical for hvac equipment
Branch circuits withoul service or
feeder
Bianch circuits each additional circuit
without service
69600-BEL-09-00193
tO/t5/2009 to:46 am
Approval Code: 400052
P,LAN'REVIEW''J!c;' ';:, ~t<:~'r",,'S~.
DHazardouslocalions
DA service or feeder rated nt600
amps or more
DBuildingsmorethwtlhreeslOries
[:JMarinaswtdboalyards
o Floating buildings
DCommercial-useagricultural
buildings
Dlnslalla'ion ofa 150 KVA odarger
: seperalelydenvedsys
D"A". "E". or "1-2" or"[-3"
DRecrealionalVehicleParks
Dsupply voltage for morethlll1 bOO
,upply volts nominal
$55.00
Name: Rite Electric
$6.00
Phone:,541-895-4466
Fax: 541-895-4366
Subtotal
Slale surcharge(12% of penn it totaJ)
Technology fee (5% of permit total)
Email: cycrkins@yniail.cOlI1
TOTAL PERMIT FEE
$61.00
$7.32
$105 I
$71.J71
I D lu:; \ D~
Elec lic. no.: C335
CCOlic.no.: ]78518
LOj,- l5DD ,!/{/
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
City/State/ZIP: CRE~WELL, OR 97426
Phone: 541-895-4466
IL.mllil: cJ>etkins~~le.~: _ . _ _0 ,_
Metro lit. no,; THIS PERMII ::;-"-.t1~~:.~~fJ.~~ ~I/I~''''
. . HI)'. lW~ I-l.IJ' nVI:\J~"'''''' ....1 ~BE.. ~,'''-
SupervISIng Electr1c}~!l~s-.r.I.s.~_::. ,......,2~o4!~.u..C'::uI"Cn,{"'\Q I~
~.--n_."..' .....' ...:. - _...,- -
Supervising Elect.~~!l!'!l-',s,~...f!m.~:.~i.\ ~{ydE:op~~ 1 RO DAY PERIOD,
Number oriDSpe~ti;;-~s -in~luded in paid services:
Residential Service: 4
Reconnect Only: I
All Other Services: 2
ATTENnON: Oregon taw requires you to
follow roles adopted by the Oregon UtIlity
Notification Center. Those Nlea are set forth
In OAR 952.001.0010 through OAR 952.(l()1.
0090. You may obtain copies of the nllea b1
calling the center. (Note: the telephone
PUmber for the Oregon UtIlity NoUflcatlon
Center Ie 1-800-332-2344).
Fllx: 54]-895-4366
Upon review and approval by your local jurisdiction, your permit will be
e.mailed or faxed within one busines~ day, with instructi~ns on how to
schedule your Insp'ection.
. "V r:J-
\y"_~ K
~ib'
~~
N~TE: This Authorization To Begin Work expires within 180 days if a pennit Is
not obtained.
The local building ~epartment 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
This Authorization To Begin Work must be posted at the iob site until replaced by a Permit'
x"
~~ ~ct'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01500
ISSUED: 10/12/2009
APPLIED: 10/12/2009
EXPIRES: 04/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
i
SITE ADDRESS: 6895 C ST
ASSESSOR'S PARCEL NO.: 1702353202900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: BELLINA JOSE A
Address: 6895 C ST
SPRINGFIELD. OR 97478
Phone Numher: 541-729-5876
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING I~FORMATION'
Expiration Date
09/25/2011
12/23/2009
Phone
541-895-4466
541-747-7445
# of Units:
Primary Occupancy Group:.
Secondary Occ~pancy Group:
Primary Construction Type
Secondary Con.struction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other: '
, Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you to
~~~..!'~I~!. adopted by the Oregon UtilitY
i OAR ' --..I~.. T. 'UQ" I u,,,.. are senorth
~ 952-001-0010 through OAR 9S2-001-
~iill~ql! IPfYellbtaln copies of the rules by
1:I'fh6:i:!eilter. (Note: the telephone
lW~fwtthllrfilregon Utility NolificatiDn
, enter is 1-800-332-2344).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: NOTICE:
THIS PERMIT SHALL EXPIRE IF THE
WORK AUTHORIZED UNDER THIS
PERMIT IS NOT COMMENCED OR IS
ABANDONED FOR ANY 1 eo DAY PERIOD,
Notes:
Page I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01500
ISSUED: 10/12/2009
APPLIED: 10/12/2009
EXPIRES: 04/15/2010
VALUE:
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I V ~I~ation D~~criDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated '
Total Value of Project
L.Fpp, P'i1.l
Fee Description
+ 12% State Surcharge
+ 5% Technol9gy Fee
1st Appliance
Air Handling Unit Up to 10;000
+ 12 % State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ,
. Add, Alter, Extend Circ EailAdd
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79,00
$17.00
$7,32
$3,05
$55.00
$6,00
10/12/09
10/12/09
10/12109
10/12/09
10/15/09
10/15/09
10/15109
10/15/09
2200900000000001174
2200900000000001174
2200900000000001174
2200900000000001174
2200900000000001187
2200900000000001187
2200900000000001187
2200900000000001187
Total Amount Paid
$183.69
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, "
~n~.p~~tin"i.l
Rough Mechanical: frior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When. all electrical work is complete,
Paee 2 of 3
CITY OF SPRINGl'll'.;LD
Status
Issued
Building/Combination Permit
PERMIT NO:COM2009-01500
ISSUED: 10/12/2009
APPLIED: 10/12/2009
EXPIRES: 04/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541:726-3676 Fax
541-726-3769 Inspection Line
By signature, I state aud agree, that I have 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 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 the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
:1.
"
,
Paee 3 of 3
2Z5 Fifth Street
Springfield, Oregon 97477
54:1-726-3759 Phone
Job/Journal Number
COM2009-0 1500
COM2009-0 1500
COM2009-0 1500
COM2009-0 1500
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
2200900000000001187
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% Slate Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/15/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
c
Page I of I .
ONLINE RITE Online.
ELECTRIC
Payment Total:
II :35:59AM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.3 7
$71.37
10115/2009