HomeMy WebLinkAboutPermit Electrical 2009-10-7
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City of Springfield
Electrical 'Authorization To Begin Work
E-mailedTo:c_perkins@ymai1.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springficld.or.us
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10 Now
o :;AdditionJalterationJreplacement
o 1 or 2 family dW~I~i?g
DMUI~-fll111i_~(,,;,:'D~ol~~rcial'
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o Accessoty
F;o~:::: 1373 ~;.~~B~eITeHN~6RMA'fiON'lANi5li!oCATI6Nl:]~~~'i:.1
I: City/Statt/ZIP: SPRI~9~~~P. O~.- 974~'7 . I
" . I Suitelbldg.lapt.no.: ',:','; r ,'-
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Cross Street/directions to job site:
Tax map/parcel
Dd.. 000
Electrical work for hvac eq~iptment. This is to replace minor label # 179498
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Name: Rite Electric
Phone: 541.895-4466
Fall:: 541-895-4366
Email: c....perkins@ymail.com
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Elee lie. no.: C335 ,;
CC8Iie. no.: 178518
I Business Name: RlTf(ELECTRIC me
I Cont"..~nTIr.E:' , . _ _ ,
I Add"",..p""I~X.:',i2~M1TSHALL EXPIRt I~ I Ht vvu,:,~
I C;ty/S"'oIZ'P,.CRESWELl!;'jORI9742,cR THIS PtKIVll1 I~ ,"u i
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I Pho." 5,41,895-4466'Ir:"'0 OR IS ABF;,\Jj;4J}iQi.oi3'6<i'Uh
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I Email:c~ff~s~atLf?~Y-?ERIOD;--": ;,
I Metro lie. DO.: ":- City li~'. no.:
I Supervising ElectricIan's lie. no.: 2970-$
Supervising Electrician's Name: ~ - Clyde Perkins'
Number of inspections included in paid s'ervices:
Residential Service: 4 . .f
Reconnel;tOnly: I
All Other Services: 2
Upon review and approval by your local Jurisdiction, your permit will be
I)-mailed or faxed within one business day, with Instructions on how to
schedule your insPtiCtion;r _" .. . ~'~
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NOTE: This Authorlzatlon,To Begin Work expires within 180 days if a permit is
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I not obtained. ,f:: 1 :: ~. ~ ".
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The local building department may determine that an Authorization To Begin
Work is null and void if it does not meet applicable land use laws and local
ordinances
69600-BE L-09-00 168
101712009 9:48 am
Approval Code: 010893
?Iease check all lhalapply:
o A s~rvic~ or feed~r beginning 8\400
Amps wherc the available faul\
curr~nlexc~eds 10,000 Amps at
.150Vollsorless logroundexce~ds
14.000Ampsforalloiher
installations
o fire pumps
o EmergenCjlsystems
o Addition of anew motor load of
100 HPor more
o Six or mO'e rcsidenlial units in one
structure
o Health care facilities
DI-Jazardouslocalions
D^ service or feed~r ml~d al 600
amps or more
D8ujldingSmorethilnthreestories
DMarinasandboatyards
DFloalingbuildings
DColl1m~n::ial-usellgricultural
buildings
DIn5tallalionofa150KVAorlarger
seperately derived sys
D"A". "E",or"l.r or"I-J"
DRecreationalVehicleParks
DSUpply vollage for more than 600
supply v(l11S nominal
I Branch ciicuitswithout service or
feeder
Balance of penn it fees
$58.001
$6.961
$2.901
S67.86j
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IO/7/0S
Subtotal
I State surcharge (12% of permit total)
ITechnology fee (5% of permit lotal)
I TOTAL PERMIT FEE
tg-/480
AnENT/ON: Oregon law requires you to
lo::ow rules adopted by the Oregon Utility
Nutilication Center, Those rules are set forth
/!1 OJ''rl952"OOl,001O through OAR952'001-
oosa, Yuu m'lY obtain copies 01 the rules by
cr.I::,rrl the center. (Note' the telephone
nU",u8i fur the Oregon Utility Notification
(;,mter is 1-800'332c2344),
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINlJ'l'lELD
Building/Combination Permit
PERMIT NO: COM2009-01480
ISSUED: 10/0712009
APPLIED: 10/07/2009
EXPIRES: 04/07/2010
VALUE:
.(
, Status
Is~~ed' ,'"
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: 225 Fifth Street;:SpringfieJd~,.oR,
541-726-3753 Phone<. ';t". '.:.L ".::.~ ..
541-726-3676 Fax ',.
541-726;37691nspection Line
SITE ADDRES~: ' :,: "B_73 MODOC ST Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703362202000
't
.';::. '. TYPE OF USE: New Residential
"-PROJECT DESCRIPTION:" Electrical worK for hvac equipment. This is to replace minor lab'el #179498
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Owner: CIEUTAT SUZANNE'
Address: 1373 MODOC ST . _
SPRINGFIELD OR. 97477
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I CONTRACTO,R INFORMATION I
Contractor T;ypeJ ..i.-Contractor
Electrical . RITE ELECTRIC
License
178518
BmLDING I~FORMA.TION I
Expiration Date
09/25/2011
Phone
541-895-4466
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# of Stories:
Heigbt 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 Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy. Group:
Secondary Occ~pancy Group:
Primary Construction Type
. Secondary Construc,tlon'Type:
," "'. ,
# of Bedrooms:" . "'-'. '
n/a
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~ DEVELOPMENT INFORMATION I
REQUIRED PARKING
, 'l
Frontyard Setback: 7' ..~ , ';' Overlay Dist: Total:
Side 1 Setback:: ;l # Street Trees Rqd: p,;T-TEN'fION: €lregon lawHanilicappelH.to
Side 2 Setback:' I . . ,_ Paved Drive Rqd: follow rules adopted by t'Co@pact:n Utility
Rearyard se'!HJJJ,G,E':i' . HALL EXPIRE IF THEdA;/6frlYot Coverage:~'otification Center. Those rules are set fort~
Solar SetbackS\\S PERMIT S PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001
.. ,,,"uClOI7I'n I I f\\O ER .THIS nnnn V~" m~" nht~in moies of the rules by
'C'O-MMENCED OR IS ABANUC1:pUBLic IMPROVEMENTs:,lIing the center. (Note:t.he teiepnone
"'\1 1 Q PERIOD.'. . . ,,~.nber for the Oregon Utility Notification
Street Impn>Yements9 DAY. " ~\!!<\,!~I1> 1,'y,jieD-332-2344),.
Storm Sewer A yaila~le:i'" '/
Special Instruction:
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DownspoutslOrains:
Notes: ,~: 'jl
,I Valuation Descriotion I
Description!, Type ,?f Construction
1, . l
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Page 1 of 2
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I480
ISSUED: 10/07/2009
APPLIED: 10/07/2009
EXPIRES: 04/07/2010
VALUE:
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225 Fifth Street, Springfield,:OR.',,':,;,:,
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541-726-3753 P"'on~i; >0-'1",:, ",t,' :c:".\.c".
541-726-3676 F~x'ir}:' ; .',' " '.
,,541-726-3769 Inspection Line
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Total Value of Project
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Fee Description":
,: ,.j. 12% State SJ;"harge'.
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+ 5% Technology Fee:.--
Add, Alter, Extend Circ
Fees Pllirl ,
, .
Amount Paid
Date Paid
Receipt Number
\:,
$6.96
$2.90
$58.00
1017109
1017109
1017109
1200900000000001119
1200900000000001119
1200900000000001119
Total Amount Paid
$67.86
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I Plan Reviews I
To Request an inspectio!l 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. ,)
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Rpouirerl Insnections I
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Rough Electric: Prior to Cover
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Final Electric: When':all electrical work is complete.
By signature, I state and agree, that I ha~e ~arefully 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,'ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCu:rAN,CY'will be made of any structure without permission of the Community Services Division, Building Safety.
I further certif)C 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 phmit card is located at the front of the property, and tbe approved set of plans will remain on the site at all
times during construction,'
Owner or Contractors Signature ,':~'
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Date
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225 Fifth Stree6;:<\.J)[;,;~~,i,,"J:i.;.>';:>" ~~",~'ii'~"J:"',b'"'
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Springfield, Oregon 97477 " ., '.', ,
541-726-3759 Pbo'ne '_', ,:,: ,", ;;,'.'.'/.,
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City of Springfield Official Receipt
Development Services Department
Public Works Department
'::;w,,'('!"T'RE~EIPT'#:
1200900000000001119
Date: 10/07/2009
1:00:49PM
J.?'~(~~Urn~:1 ~ U~bi6~t~1?~,~,~frJ~,ti~h f:;'::\:" :S)',.. ,. :, ;,,'
COM2009,01480 ;H;'?'''AM;'Alter,:r;3tend Clrc'
. _ "- ,'\ - .,. ,'~"'^ ",1' - ' ,-,' ,"."",,;-. '
COM2009-0 1480' 'f' .t'5% T,9clino\ogyFee: ;.'
COM2009-01480 ",:+ 12% State, Surcharge ,
Payments:
Type:of Paynit:nf
Received By
Check Number
Batch Number
Item Total:
Authorization
Number How Received
Amount Due
58,00
2,90
6:96
$67.86
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Amount Paid
KR
ONLINE RITE Online
ELECTRIC
Payment Total:
$67,86
$67.86
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101712009