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
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cReceintl
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11/6/2009