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HomeMy WebLinkAboutPermit Electrical 2009-11-6 1"( . Cily Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permi~nter@ci.springfield.or.us , Residential Electrical Authorization To Begin Work 69600-BEL-09-00233 Approval Code: 014630 11/6/2009 1 :02 pm E.~ailed To: c-perkins@ymail.com I 0 New Construction IR] Addition/alteration/replacement 1I"'~~:;rr4's:~m:~oRY&O~gC9:ij~tl{(il:::riQ~.~~~ 00 1 or 2 family dwelling 0 .MUlti-family'. .0 ~ommercial 0 Accessory I~R~JOBisllfElIN"'C)~MA"ION~iiiDmOGA"ION~~ I Job Address: 3792 OREGON AVE I CitylStatelZlP: SPRIN'GFIEl..D:OR 97478 I Suite/bldg.laplno.: I Project Name: M09- . Garcia I Cross S"ee.direcUons to Job site: Tax map/parcel no.: 1702314208202 electrical for hvac equipment Name: Rite Electric I Phone: 541-895-4466 I Email: Fax: 541-895-4366 I Elec. lie. no.: C335 I Business Name: RITE ELECTRIC INC I Contact: I Address: PO BOX 842 I C'ty/StateJZ~I'\~,OR 97426 _ ~~.~~IC i Phone. 5418971t&PERMlT SH~~l :~~~W~SNm I "T""DI7tU UI~UC~ .\\1_ , ' Email:heidi@c:per~l\s"."'__ ~ ." ^IlANDONEDfOR :' I . 'JIVIIV\tl~vcE; ,,:1 (- .' Metrohc.no.: I I' n nl\V D~RlnD.cltyllc.no.: I C\,,\ 1:xl t.... Supervising Electrician's lie. no.: 2970S I Supervising Electrician's Name: . _ CLYDE I PERKINS CCB lie. no.: 178518 Number of Inspections Included In paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approvI' by your 10cIl Jurisdiction, your pennlt will be e-malled 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 ~ennit Is not obtaIned. The local building department miy detennlne that an Authorization To Begin Work Is null and void If It does not meet appllclble land use IIWS and local on:flnilnc~s. 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 D Addition of a new motor load of 100 HP or more o Six or more residential unit~ in one stn.Jcture o Health care facilities I~O Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star '0 Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Install'ation of a 150 KVA or larger seperately derived sys '0 "A" "E" or "1-2" or "1-3" , , o Recreati<?nal Vehicle Parks '0 Supply voltage for more than 600 s~pply volts nominal 1""''"'.;''';''''''''''''''~'''''''\\''E'~E''E''i'S'-CH'E'-D-U-''E~''''~~ ;%'t1t':.~.;=tjiW"tliJ"~~o~H;;':_);,_ _/",,"__~___~..__~__1~1\;~~if,*~:4G7~~~ I, Description " I Qty. Ea. I Total I Branch circuits without service or feeder I Branch circuilseach additional circuitwithoulservice $55.00 $55.00 $6,00 $6.00 $61.00 $7.32 $3.05 $71.37 ~ II/Lv/Dq I Subtotal I Stale surcharge {12% of permit total} I Technology fee (5% of permit total) I, :ruTAL PERMIT fEE c.cr - \LQDI 'I yOU\ttl a.-'''"ON' Oregon law requ res Ut'II:%. ,.., ,"',,,., " the Oregon follow rules adoPte~:Jse rules are set to Notification Center. hOAR 952..()01w In OAR 952..001-0010 throui~S otthe rules' bY 0090. You may obtal(~~fe. the telephone calling the :n~r~gon uiility NotificallOlt number tor e. 1r 000-332-2344). Center II -v .~~~, '0' ()..: 'V \,\)\ rf' ~.~V ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced ~y a Permit " " CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01601 ISSUED: 11/02/2009 APPLIED: 11/02/2009 EXPIRES: 05/06/2010 VALUE: Status " Issued " 225 Fifth Street, Springfield, OR' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3792 OREGON AVE ASSESSOR'S PARCEL'NO.: 1702314208202 Springfield TYPE OF WORK: Heating System " TYPE OF USE: New,. Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: GARCIA RALPH & JEAN T Address: 3792 OREGON.A VE< '('c. SPRINGFIELD OR 97478 Phone Number: 541-746-5006 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARSHALLS INC License 178518 25790 BUILDING INFORMATION I Expiration Date 09/25/2011 12/23i2009 Phone 541-895-4466 541-747-7445 # 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 2,~d Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a , , . ' :~V~~O.P:MENTINFORMATION ~ ,,.~ REQUIRED PARKING Frontyard Setback: I ~~ ~ ~v.erlay Dist: Total: Side I Setback: ~~ ~o.~~ ~~ #.~treet Trees Rqd: HandicaiY'ed: Side 2 Setback: . <efI:. ~~~'ff. Paved Drive Rqd; co~~ Rearyard Setback: A~\' 'l".~~ ~~ . % of Lot Coverage: ~<I> r$' 'V~ \0(/1' ~~~~~~ ~~~ ;j>.v rt~" ....~"". (e \: )a.Jt\ _0 ",\0f."?; _'mI ~ ,>..\':l <?~~1..~~ <<\)~~\)~. I PUBLIC IMPROVEMENTS I ~eQ,O~ ~'\ '\.~ (~0'O~,,~~~;~ 'l".'''' ...,,>,,\J ~\\J"" <?" ' ,. ~ 0 ~e ,,0'5 ~cf' O\~ ~0~ Street Impr~lrl\~~ ,,~ ' ~\U.la~llIil,~fv~~o '~e'i> 0,e . ~(\~\ . 9.,\) V . .... ~~ .~e'i> !;'\! ~~'CO~ ,~ ~ Storm Sewer JWlWt'M!:. .. ' , ~ III ~"6\'.~~~;:~~~~ ;.",.,. Speciallnstruc~: \O~.o~\"~~ f.},/:r::l ll-'\ 0 ,,0(' ~~~'"#V"' .~o~ r{$' r:r, ~ ~ r;Jl>~ 0(0($ ~l;) N ^O ~O ,,,0 .",0 ,fJ> - ~#~~ ~ ~'O0( c:/'~\! ~~ Page I of3 Status Issued, ,'". '". . " ~., CITY OF SPRINGFIELD Building/C9mbination Permit PERMIT NO: COM2009-01601 ISSUED: 11/02/2009 APPLIED: 11/02/2009 EXPIRES: 05/06/2010 VALUE: , , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax. . 541-726-37691nspection Line> ":, . ','1 Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated " , Total Value of Project '> Fees Paid I Fee Description ; + 12% State Surcha'rg,; + 5% Technology Fee 1st Appliance ;, Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 , $55.00 $6.00 Date Paid 1112/09 11/2/09 1 1/2/09 11/2/09 11/6/09 11/6109 11/6/09 11/6109 Receipt Number 1200900000000001220 1200900000000001220 1200900000000001220 1200900000000001220 1200900000000001242 1200900000000001242 1200900000000001242 1200900000000001242 Total Amonnt Paid $183.69 Plan Reviews I .). , To Request an inspection call the 24 hour recording at 726-3769; All inspections request~d before 7:00 a.m. will be m.acjl; the same working daY, inspections requested after 7:00 a.m. wilI"be made the following work day. Re?uired T nspectinns I II , " Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rongh Electric: Prior to Cover i, Final Electric: When all electrical work is complete. Paee 2 of-3 ro, , Status Issued-'-- 225 Fifth Street; Springfield, OR 541-726-3753 Phone'." , 541-726-3676 F~'x 541-726-37691nspection Line CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2009-01601 ISSUED: 11/02/2009 APPLIED: 11/02/2009 EXPIRES: 05/06/2010 VALUE: By signature, 1 state and agree, that 1 bave carefully examined the completed application and do hereby certify that all information hereon is true and corn;ct, and 1 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. 1 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 aUrequired 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 Ii .., " Paee 3 of3 ' Date 225'Fifth Street':i~'.' Springfield, Oregon 97477 " , 51'1-726-3759 Phone ".':' ,. City of Springfield Official Receipt Development Services Department Public Works Department RECElPT,#: 1200900000000001242 Date: 11/06/2009 1:44:53PM Job/Journal Num~er:-- .' COM2009-01601 COM2009-01601,:;j COM2009-0 160 I COM2009-01601 Description , Add, Alter, Extend Circ " , '.Add" Alter, Extend Circ Ea Add '+ 5% Te~hnolo~ Fee + 12% State Surcharge Paid By o~ ",:-' ,ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How'Received K:R ONLINE RITE Online ELECTRIC Payment Total: Amount Due 55,00 6,00 3,05 7,32 $71.37 Payments: Type of Payment ONLINE CHGS Amount Paid $71.37 ,~~. - $71.37 ":' '~:. .' .1' , ~. .:~. V':. ":'''' " "," " cReceintl Page 1 of 1 11/6/2009