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