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Home My WebLink AboutPermit Electrical 2009-10-30 ." City Of Springfield 225 Fifth St. , Spnngfield, OR 97477 Phone: 541-726.3753' Email: permitcenter@cLspringfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-09-00218 Approval Code: 823737 10/30/2009 10: 18 am E-mailedTo:cyerkins@ymail.com I Q New Construction ."~ Addition/alteration/replacement 001 or 2 family dwelling !; 0 Multi-family 0 Commercia) 0 Accessory " 11r~~tIIl!roBrsT'fE!IN"ORMA'fTON1AND)jfOCA'fj~Ji'~ I Job Address: 1465 PIEpMpNT ST I City/StatefZIP: SPRINGFIElD, OR 97477 I Suitefbldg.fapt.no.: I Project Name: 09-535 Edmons~n I C,o.. St~eetJdl'ec"ons to Job site, I Tax map/parcel no.: 170~253205300 200 ~mp panel change I Name: Rite Electric I Phone: 541-895-4466 Fax: 541-895-4366 Email: I Elec lie. no.: C335,; .... I Business Name: RITE ELECTRIC INC I Contact: I Address: PO BOX 842 I City/StateIZIP: CRESWELL, OR 97426 I' ~""'I:"'" " Phone: 54"8"'44~" .0;'(,)1>) 1:.' r:vOI'~t!':I,,",eWOR,, I 'Mlj;l !"enl"I, ,_n" ,- -, U MIT IS NOl Em.II' h~;~~\"i'fP~W~ffl \IMni=R THIS PER I Me"oHc'~~,~;i;~^~~CEOOR IS ABANaO~~1.l:tUI\ I supe"'\~r!if'<\~@;~JlI'Il: I1'<ERIODmos I Supervising ElectricUln's Na,!11e: CLYDE I PE~KINS ceB lie. no.: 178518 Number of inspections Included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by, your local Jurisdiction, your penntt will be e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorlzatlon To Begin Worll expires within 180 days If a pennlt Is not o~~a!ned. The local building d~partment may detennlne that an Authorization To Begl~ Worll is. null and void If It does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or f~eder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps iD Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards D Floating buildings o Commercial~use agricultural buildings o Installation ota 150 KVAor larger seperately derived 5YS D "A" "E" or "1-2" or "1-3" , , o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal ['DescriPtion l Qty. J Ea, Total IS~i~sr6r.tee'~e~1~~~ft'i~~~~t.gJ;j;ri~~~~~~b;}1:~1 I-Services 200 amps or less $81.00 I I' Branch circuits with service or feeder each circuit I Subtotal 'I, State surcharge (12% of permit ,total\ !'Technology fee (5% of permit total) I'TOTAL PERMIT FEE CCf-159l 2 I $6.00 $12.00 I '~I $93,00 I $11.161 $4.65 I $108.81 , yo (0 \SolCf1 , ATTENTION: Oregon law requIres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon UtilitY~otil;catio Center is 1-800-332-2344) .~~'0- \\.1.()\ ~ 01; rv"? ~~-v-- Inspections Phone: 541-726,3769 This Authorization Tq Begin Work must be posted at the job site until replaced by al Permit Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01597 ISSUED: 10/3012009 APPLIED: 10/30/2009 EXPIRES: 04/30/2010 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541.726.367~ Fax 541-726-37691nspection Line I , I SITE ADDRESS: 1465 PIEDMONT ST , ASSESSOR'S PARCEL NO.: 1703253205300 [ PROJECT DESCRIPTION: 200 amp panel change I Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Owner: EDMONSTON HEATHER Address: 1465 PIEDMONT ST I, SPRINGFIELD OR 97477 , I Contractor Type Electrical , Contractor , RITE ELECTRIC I CONTRACTOR INFORMATION I 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: "eight of Structure Type of "eat: 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: n/a 'I D,EVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard Setb~~I9T1CE:! 2y~..~~);.UiJt: S~de 1 Setback: THIS PERMIT SH~LL EXPIRE IF lAiUrWlIMes Rqd: Side 2 Setback: '!THORIZED UNDER THIS PERMt\'HS~ Rqd: Rearyard Setbac~:\,' ORIIS ABANOONE'I> JIORnt Coverage: Solar Setbacks: ,uMMENCED _"- ~.l\' -l on n ^V DI=C:nOn ATTENTION: OregoifnM!tequlres you to follow rules adopted~llD~n Utility Notification Center. TK088PlllUs are set forth In OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules by ....allif\3 tl<le 8'::::::. :N'Jt':" .1"'~ t....lnph^":, I PUBLIC IMPROVEMENTS I number for the Oregon Utility Notification , S'd' Center Is 1-'800-332-2344)- I ewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation DescriDtion I Desc~iption Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-01597 ISSUED: 10/30/2009 APPLIED: 10/30/2009 EXPIRES: 04/30/2010 VALUE: 225 Fiftli Street, Springfield, OR '541-726-3753 Phone 541-726-3676 Fax '541-726-3769 Inspection Line Total Value of Project F..~, Pa,i~. , $11.16 $4.65 $12.00 $81.00 10/30/09 10/30/09 10130109 10/30/09 , Receipt Number 1200900000000001215 1200900000000001215 1200900000000001215 1200900000000001215 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid- Total Amount Paid $108.81 I 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 , R~I1"ir..d In'rection,' Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. " By signature, I state and agree, that I have carefully e:':"';;ined 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 sball be done in accordance witb the Ordinances of the City of Springfield and tbe 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, tbat tbe permit card is located at the front of/he property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 6f2 22,? Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ';' Job/Journal Number COM2009,O 1597 COM2009-0 1597 COM2009-01597 COM2009-0 1597 RECEIPT #: City'of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001215 Date: 10/30/2009 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment ,Paid By ONLINE CHGS cReceinll ONLINE ~ERMIT CHGS Item .Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE RITE Online ELECTRIC Payment.Total: Page I of I 10:39:39AM' Amount Due 81.00 12,00 4,65 11.16 $108.81 Amount Paid $108,81 $108.81 10/30/2009