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HomeMy WebLinkAboutPermit Electrical 2009-11-6 t 1. 16,0 Residential Electrical Authorization To Begin Work 69600-BEL-09-00235 Approval Code: 665798 11/6/2009 3:47 pm E-mailedTo:cyerkins@ymail.com 1i1';~~1\.i!;&~&4:~~R'I!.b.N:REVTEW~~,~~:~,Wl~-&!WI1 D New Construction [g] Addition/alteration/replacement 00 1 or 2 family dwelling D Multi-family D Comm~rCial D Accessory IIlL~:!:~'liOB!SITEftNF.ORMATIQN!'ANP:ri!OCATldN~~"Y:'llR~~ Job Address: 543 HAYDEN BRI.oGEWAY.~' City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldgJaptno.: ~[ Project Name: AD9-36B I Long I C.oss St..e.d;.ectlons to lob s;te: I Tax mapfparcel no.: 1703262100901 electric for hvac equipment I Name: Rile 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 Add.e..: p~r!fffi'C. ..d I c;ty/Stat./z"':t"",.;;H......"""""ll EXPIRE IF lHt wuni< ., ~i"-PrF<I\lTIl-"l"TI" .. -iT It r'lET I Phon.: 541e95446?10RIZED UNDER lm1;!;Ji',,"nlJl!~ rno' I ' . ';~;m~"'CtU UK I" ~D"liOOtlES dr. Emili: heldl@c,pet~IA$.iGdrTi - - .~' ~~[1\n~ IMetrolic.no!0I~Y I.OUt't\, .11-. oJ . City lie. no.: I Supervising Electrician's lie. no.: 2970$ ,. I Supervising Electrician's Name: CLYDE I PERKINS eca lic. 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 pennlt will be e.malled or faxed within one business day, with InslRlctlons on how to schedule your Inspection. . NOTE: thIs Authorization To Begin Work expires within 180 days If, permit Is not obtained. 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. " .J Please check all that apply: o A serVice or feeder beginning at 400 Amps where the available fault current exceeds 10,pOO Amps al150 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 o Hazardous locations o A service or feeder rated at 600 amps o,r more o Buildings more than three stor D Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings ' '0 'Installation of a 150 K:VA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Description Total I Branch circuits without service or feeder I Branch circuits each additional circuit without service I $55.00 ~55.00 $6,00 $6.00 I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE C9 1530 $61,00 $7.32 $3.05 $71.37 ~ II!q/cPJ tiJTENTlON: Oregon law requIres you tG ~oti7;:a~~I~~:~:::;~eth~~~~f~:~~~r~ OAR 952-001-0010 through OAR 952-001- 0090.. You may obtain Copies of the rules by Calling the center. (Note: lf1e telephone number for the Oregon Utility Notifioatlalt Center 111-800-a32-2344). \))~ C\ \\. \'0 .0 ~~Q.- ~ , Inspec):io~_~ Phone: 541-726-3769 This Authorization To Beg.in Work must be posted at t,he job site until replaced by a Permit ~~~ ~~\ Status Issued':." .:-. ". ,:' . . . :""'":' ~e~ "~ 225 Fifth Street, Springfield, OR. \ . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, -'. ';.1 . '"I. SITE ADDRES~;.. '543 HAYDEN BRIDGE WAY ; ASSESSOR'S PARCEVNO.: 1703262100901 \~~l~::"~~""-':":'-'" . ':... ';',,- ~. ~" . ~:~;.:':"'~"7;"~;:1:, . PROJECT DESCRIPTION: . Hea(pnmp in residence CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01530 ISSUED: 10/19/2009 APPLIED: 10/19/2009 EXPIRES: 05/09/2010 VALUE: Springfield TYPE OF WORK: Heating System Owner: LONG JAMES WILLiAM & if L . . Address: 543 I1AYD.J!:N Bl~1J?9F;'WAY SPRiNGFiELD' OR:97477 , .., '. '. . t'1 .l ~r. ~, . ~. t I' ~ ,~i TYPE OF USE: New Residential , ',1' I CONTRACTOR INFORMATION I Contractor TY)Je Electrical Mechanical , Contractor RITE ELECTRIC EUGENE HEATING & COOLING f '; .;i~';f~t', . -~ -i.;, :~~ BUILDING INFORMATION I . , # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type' . Secondary Construction Type: # of Bedrooms: ~'j . ~~\ . ,~ ,_? '1, {' ) ; ,~ License 178518 149452 Expiration Date 09/25/2011 10/22/2011 Phone 541-895-4466 541-726-7654 n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ' Occupant Load: ,........~. .. ., I DEVELOPMENT INFORMATION , p. -- l. '. Frontyard Setback: 1" . .1.. ,. _ Overlay Dist: Side 1 Setbaclii CE:. i:.,":' ~ ~iWElS1trees Rqd: Side 2 setbacIl'10'" MIT SHfllt EXPIRE If \f~9'\IlOliveRqd: Rearyard Setb'iMk$ PE~ZED UNDER THIS PERM ~O'f\Lot Coverage:. Solar Setbac~;,UTHOH 00 \S flBf\.NOONEO _~. ."c~If':Fn n AN~/;18? Df1'< P~~J~u. I PUBLIC IMPROVEMENTS I Streetlmprove~ents: ' Storm Sewer A vliilable:1:. Special Instruction: Notes: '.) j, : ~ . ~, t:i I, . t~ "'~ ' : ~ ;'\ 1~ I: \ ~': I' t.. { ", . Pa2e 1 of 3 REQUIRED PARKING Total: t O .....'--~\les you 0 ATTENTION: reg"'.'IUR: . n Utility follow rules adopteddilipM-. rego f rth Notification Center. Thhose ru~e~~~e:;~.g01. In OAR 952-001-0010t roug I 5 b ';'':'':'3. '::~' -~\' nhtQi'l ('nples of the ru e y calling the center. (Note: tile tele~nul,n. ber ,foI;.the Oregon Utility Notification ~ld'ew~r\M~ 1-800-332-2344). DownspoutslDrains: . . . .~ ;! . Status Issued.._;.. " . . ~ w. :'i.'" . ~ . .' 225 Fiftb Street; Springneld,.oR':{:~i'{;'i:~' : . 541-726-3753 Pb:one.~ ,;'\'j~~ ';:J "C<"":cF" 541-726-3676 Fax" ;. " . 541-726-37li9Inspec!ion,Line . \. ... ';.';. . ,~.. _:.:' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01530 ISSUED: 10/19/2009 APPLIED: 10/19/2009 EXPIRES: 05/09/2010 VALUE: ".; '. ,.~, "'- I Valuation DescriDtion I '.'. .J..' $ Per Sq Ft , or mnltiplier Square Footage or Bid Amount Value Date Calculated Description Tvpe .of Construction.' : 'w;-,r?t-'."<'i'~( " Total Value of Project " , Fees PaidJ Fee Description . I: + 12% State Snrcbarge.~. . _ ' ,!~ ,i:" + 5% Tecbnol~gy F~e=#r 1st Appliance i .: ; .- Heat Pump I'~' '. . + 12% State S';.~cbarge:1 ., .,_ ~ + 5% Tecbnology Fee . ., ..: . Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $11.52 . $4.80 $79.00 $17.00 $7.32 $3.05 $55.00 $6.00 10/19/09 10/19/09 10/19/09 10/19/09 11/9/09 11/9/09 1119/09 11/9109 1200900000000001161 1200900000000001161 1200900000000001161 1200900000000001161 1200900000000001245 1200900000000001245 1200900000000001245 1200900000000001245 " . -:,1':';"""" Total Amount Paid. '::'~ -l~~! . .... ." ~. ~."_'.. .._ ......._ ._.1, .h $183.69 I lot ~. ~r ! j' I Plan Reviews I , , . . h _ r.~ '" J't; To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the sa_m~.~Qr.lsj!1g liay, inspections requested after 7:00 a.m. will be made the following work day." _".,. _ A '~" .. \ ,.:t,:, >~i'. ~ ~~ . ~', . Rougb Mecbanical: Prior :to !=over Final Mecb.anical: Wben all mecbanical work is complete. Reonired Insnections I Rougb Electric: Prior to Cover d Final Ele~trici' Wben all electrical work is complete. ;~ 1 ~ 1':~ ~ ~t ,;: .. -I'. . J; ~ !1' 'I:~ " \.- .r u ;; :j~' Page 2 of 3 .1: ; ~ I ~r "{ ; CITY OF SPRINGFIELD _u_ ,___" ...~,) Building/Combination Permit ,'.;" .' ;~. ";~i.' .' '-, :. '^,; :.~:.'. .- Status . Issued:;:'.;;';".,,- "'," :,.,"'". . ".',., ,,: \" " , 225 Fifth Streei; S~~in.gfield, OR . 541-726-3753 Ph'one\:L . . . . ~"~"'-" ."" '. "f"'~,/' 541-726-3676 Fax" ,y, \:;:"""" ,."' 541-726-3769 Insp~ction Line :0 'F PERMIT NO: COM2009-01530 ISSUED: 10/19/2009 APPLIED: 10/19/2009 EXPIRES: 05/09/2010 VALUE: . . :'. ~i, . By signature, 1 state.and agree"that! have carefully examined the completed applicatiou and do hereby certify that all information hereo~ 1s irue "~d corr~ct, and I 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 O~CU.rANCY..will be made of any structure without permission of the Community Services Division, Building Safety, lfurther certifY:ihat'only.coIltractors and employees who are in cOl11pliance with ORS 701.005 will be used on this project, 1 further agree to ensure that all relJ,.uired 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 rel11ain on the site at all times during construction. " _~1.1.I ~j':,i;~, ....:~ ::.;,::.:: ;~, _ . . Owner or Contractors ~ignature " I~}':' '; ';\ If "W:V'-~: tl.~ .. " l'l! .Jl::'::;;~'.t.t',.... ',' .,. .. Date " .. ., -. f' ~ 1! II,';:" i ._ ..t, :~~ .., ,.. ~ ... ' ,\I .i 1 lf~ ~~, i.. ~ . . ,'J , .:':'1.;.'1'1;"" i" :; " <, . li~tli-, ...:.. ,.,:.. ." .1'4- .. ..!._~';l:~ :~~~ " " ~' .~ , .it : : \ .t. ~~ , " ; I , ,) . L~ r ., . \ ; i,i , " j ! " ; > .. ". .. .. ~~ . . - '. , 1: .. . Page 3 of 3 ,;/,.~." City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth StreefT.' Springfield, O~~g~n,97477 541~726-3759 PIi'o~e: c,~;: . II ".. ,.." .' \ RECEIPT #:. 1200900000000001245 Date: 11109/2009 9:38:lIAM Job/Journal Number': D,e~criptio~ ,_.:~.}..:/t"'. :,~;' " ," COM2009-0 1530 .{,::;'Add;' AlteriExtend. Circ COM2009-0 1530!0'~:')Aaa(Ait~r: E~i~;;d' Circ Ea Add COM2009-01530:;(.':+' ~% Technology Fee COM~009-0 1530 ,::,H;;\i2;' F'Yo ~t~te ;Surpharge . ,. {~'> ~" ;.':,.,::-: ~.\.., "/ ,-:: . ','," ;-'" "'-. .. .,',' . . ~. "." Payments: Type of Payment ONLINE CHGS .,.~~>.t, Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55,00 6,00 3,05 7.32 $71.37 Paid By <. I ONLINE PERMIT CHGS. ,,, Amount Paid ,..,...,' ,'i;;i',JJi~i,;~U ;" KR ONLINE RITE Online ELECTRIC Payment Total: $71.37 $71.37 ,-.;, () 'r:'" ~.: ,..::.- .,": '': , . '- .,::. :~~~ , --.;""~'- , .. n', . '.~, '. ,. ~~ r '!" . ~ .. '. r Il _,,' r ~. _-'- " . .... " l' '. ' _._. _.i ,~.. .i.. , , , ~~ 'j; f. t.., '- .' .;~.'~ ., l.f . . " - " .~ .:'~ :~;. , , ~~ J -.!' , ~; .~~~ ~~\t cReceintl " Page 1 of I 11/9/2009