HomeMy WebLinkAboutPermit Electrical 2009-10-29
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, City Of Springfi:el~ .
. ' 225 Fifth 5t ....,.c.,:.:;.
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';~,: ~mail: permjtce.n~e.r~ci;Springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00214
Approval Code: 483514' 10/29/2009 12:14 pm
E,mailed To: cyerkins@ymaiLcom
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o Ne;" Construct;~n ..
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00 1 or 2 family dwelling.. 0, Multi-family 0 Commercial 0 Accessory
I)S1i"~~JOB~iTElfNIiCiijM~1J:Jof.j;l):l'Ni:i"l!(ic:ASf:l()N~:r~~~
Job Address: 777 OLD 'P.RCHAR~\!",
City/State/ZIP: 5PRINGF,I~LD,:OR 97477
Suite/bldgJaplno.:' .
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Project Name: A09-339 I Lohrifi'g :"','
'Cross Street/directions to job site:'
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I Tax map/parcel no.:
.1703234307900. '" ;
electrical forhvac equipmE!nt
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Name: Rite Electric
I Phone: 541-895-4466
I Email:
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Fax: 541-895-4366
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Elec lic. no.: C335
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CCB IIc. no.:
178518
Business Name: RITE ELECTRI,C INC
Contact:
Address: PO BOX 842
I City/State/ZIP: CRESVVELL, OR, 97426
Phone: 5418954466
Fax: 5418954366
~mai1: heidi@c-perkins.co~ . 5,."
Metro lie. no,:
I SupelVising Electrician's Iic. no;.:
I SuperVising Electrician's Name~
'CltYlic. no.:
2970S
CLYDE I.PERKINS
Number of inspections Included In 'pald selVices:
Residential Service: _" 4 I '
Reconnect Only: 1
All Other Services: .':.~. 2 .. 4"
Upon review and approval by your local JUrlSdlc~ionJ' your permit will be e-maUed or faxed
~ithin one business day, with instructions on how to schedule your inspection.
NOTE,:,This Authorization To Begin Wor1t expires within ,180 day. If a pe!mlt Is not obt~ined,
The local building department may determine thai' an Authorization To Begin Work Is null and
void if It does not meet applicable land use laws and local ordinances,
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Please check all that apply:
o A service or feeder 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
o 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
. 0 Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 t0JA or
larger seperately derived sys
O "A" "E" or "1,2" or "1,3"
, ,
o Recreational Vehicle Parks
o Supply voltage (or more than
600 supply volts nominal
I: Description
1",Branch circ~its without service or
feeder
I' Branch circuits each additional
circuit without service
I' State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I' TOTAL PERMIT FEE
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Total
$5~,OO $5500
$6,00 $6,00
$61,00
$732
$3,05
$71,37
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, ' Inspections Phone: 541,726,3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status Issued
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225 Fifth Street;Springfleld; OR','
541-726-3753 Phone, '
541_726-3676 Fax .. "
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541-726-3769 Inspection Line, __":;, ':
. CITY OF SrKlJ'ltJ'I11J!,LD
Building/Combination Permit
PERMIT NO: COM2009-01468
ISSUED: 10/05/2009
APPLIED: 10/05/2009
EXPIRES: 04/29/2010
VALUE:
SITE ADDRESS: 777 OLD ORCHARD LN
ASSESSOR'S PARCEL NO,: 1703234307900
Springfield TYPE OF WORK: Electrical Work Only
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PROJECT DESCRIPTION:' n~:ozOJie mini-split
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Owner: MILLER LOHRING S
Address, 777 OLD ORCHARD LN
SPRINGFIELD Olf' 97477 '
TYPE OF USE: New
Residential
Phone Number: 541-915-5459
, I CONTRACTOR INFORMATION I
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Contractor Typei::>!'Contractor
Electrical ; -- RITE WAY ELECTRIC INC
Mechanical . EUGENE HEATING & COOLING
License
40077
149452
Expiration Date
10/13/2010
10/22/2011
Phone
(541) 926-0504
541-726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructio.n Type
Secondary Construction Type:
# of Bedrooms: '
"
.,~ ,
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path,
Sprinkled Building:
n/a
Lot Size,
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
, Occupant Load:
I DEVELOPMENT INFORMATION I
I PUBLIC IMPROVEMENTS I
A'l:TENTION~W8k ~e: '
follow rules ~ ,n ~rr,es you to .
Notification cen:~~~ Mgan Utility
~o~t\952-o01-0010 throu~ ~:he~~~~
ca'it;rh~~~~~~~'(N~fe~et~~ft~~:p~:: ~
num er for the, Oregon Utility Notlficau e
Center IS 1-800-332-2344). on
Frontyard Setback:
Side 1 Setback: ..'
Side 2 Setback:' '-'" r "
Rearyard Setba~k:
Solar Setbacks:,
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,'" ,.-if
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Street Improvements:
Storm Sewer Available:
Special Instruction: . "
,
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,
Notes':
r:p~~!!'tE'
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:':f~ERMiisHAll EXPIRE IF THE WORK
:u J hGWED UNDER THIS PERMIT IS NOT
::~f;:WEi~CED OR IS ABANDONED FOR
.,: : GO DAY PERIOD. . ..
Page I of 3
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REQUIRED PARKING
Total:
Handicapped:
Compact:
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Status ' Iss~e,d.', "
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225 Fifth Street, 'Springfield; OR:~" i'
541-726-3753 Phoue' ,.
541-726-3676 Fax
541-726-3769 Inspectiou Liue
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Description
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T~pe of Construction
Fee Description'; . .j, \;
+ 12% State Surcharge-'
+ 5% Technology,Fee
1st Appliance
Air Handling Uuit Up to 10,000
Heat Pump "
+ 12% State SU:rcbarge' "
+ 5% Technology Fee
Add, Alter, Exteud Circ
Add, Alter, Exteud br~ Ea Add"
Total Amount Paid
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Lit f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01468
ISSUED: 10/05/2009
APPLIED: 10/05/2009
EXPIRES: 04/29/2010
VALUE:
I Valuation Descrintifln I'
$ Per Slj Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
"
F""o, PiWLI
Date Paid
,10/5/09
10/5/09
10/5/09
10/5/09
10/5/09
10/29/09
10/29/09
10/29/09
10/29/09
Value
Date Calculated
Amount Paid
$13.56
$5,65
$79.00
" $17.00
$17.00
, $7.32
$3.05
$55.00
$6.00
$203.58
I Plan Reviews I
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Receipt Number'
3200900000000000691
3200900000000000691
3200900000000000691
3200900000000000691
3200900000000000691
i200900000000001211
1200900000000001211
1200900000000001211
1200900000000001211
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 wO,rking day, inspections requested after 7:00 a;m. wili be made the following
work day.
I ,I;>~rl\Wirl Ino,oections I
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Rough Mechanical: Prior to Cover
Final Mecbauical: When all mechanical work is complete.
Rough Electric: Prior to Cover
.
Final Electric: Wben all electrical work is complete.
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Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I~spectionLine . .'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01468
ISSUED: 10/05/2009
APPLIED: 10/05/2009
EXPIRES: 04/29/2010'
VALUE:
, By siguature, 1 state:aud agree, that I have carefully examined the completed application and do hereby certify that all
,~ " " '
information hereon is true,aud correct, aud I further certify that any and all work performed shall be done in accordance witb
the Ordinances of the City of Spriugfield aud the Laws of the State of Oregon pertaining to tbe work described hereiu, and
tbat NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division, Building Safety.
I further certify tbatonly contractors and e,rnployees who are incompliance with ORS 701.005 will be used on this project.
I further agree to ensure tbat all r~q'uired iuspections are requested at :the proper time, that each address is readable from the
street, that tbe permjt c.llrd is located at the front of the property, and tbe approved set of plans will remain on the site at all
times during constr!lction. ..
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Owner or Contractors Siguature
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Page 30f 3
Date
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725 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
120090000000000121t
Date: 10/29/2009
1:38:16PM
Job/Journal Number-t~: '..,Description
'.-- .,. .
COM2009-0 1468 ", Add, Alter, Ext~fld Circ
COM2009-01468 Add, Alter, Extend CircEaAdd
COM2009-01468 + 5% Technology'Fee
C0M2009-01468 + 12% State ,S!ITcharge
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Payments:
Type of Payment
ONLINE CHGS
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cReceintl
Amount Due
55,00
6,00
3,05
7.32
$71.37
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM ONLINE RITE Online
ELECT
Paymen,t Total:
$71.37
$71.37
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, 10/29/2009