HomeMy WebLinkAboutPermit Electrical 2009-11-12
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SPRINGFIELD "';'225Fifth.St'...,.c;,. ";' .,c ','
.f€i~'t ':,:'Springfield: ~'R:~74r~.:~-': -
, ':;Phone: 541-726-3753 ..>~'.;
Email: permitcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00247
Approval Code: 308949 11/12/2009 10:13 am
E-mailedTo:c_perkins@ymail.com
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00 Addition/alteration/replacement
New Construction
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I 00 1'~r 2 famify d~eHiii~i~{Vlm~; ~Ult~f~~}.~,:~~.O C~mmercial ." 0 Accessory
la~_9BlsITE1INrt0~MAmIONrANDri!Qc;~fiQr:j~
I Job Address: 6531 EST
City/State/ZIP: SPRINGFIELD, 9R 9747~. :.
Suite/bldg.laplno.:
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electrical for hvac equipment
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I Name: Rite Electric' J;- . ';i~~;::;.y,~t ~'!:.:-::,
I Phone: 541-895-4466 Fax: 541-895-4366
I Emall: 2 :!:.~ ~ ()
B.~~!I:L~colitBA'..QiI:!:1RIIIIl'''~
I Elec lie. no.: C335 '1;':~;' ,1,!j~'~!,"L;). jr~ CCB llci'. no.: 178518
I BusIness Name: RITE E'~~CTR]C INC
Contact:
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'Address: PO BOX 842
City/State/ZIP: CRESlNEll, OR 97426
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Phone: 5418954466
F.BX: 5418954366
I Email: hejdi@c~perkins.cOm .~
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Metro lie. no.:
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~/ty lie. no.:
Supervising Electriclan's'lie. no;:
29705 .
Supervising Electrician's Name:
CLYDE 1 PERKtNS
Number of insp~ctions Included In paid servic~~,:.;(~ I
Residential Service: 4... - . '-:':':1':Hr' .,.
Reconnect Only: .. 1 ., _..~. ,:~": ~',:.m1~;~1 :,.
All Other Services: . .~>2 ~':',~";-.:".";::: . '-". t
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Upon review and approval: by your local jurisdictIon, your permit will be e-mailed or
within one business day, wlthinstructlonl!l'on how to schedule your Inspection.
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NOTE: This Aulhorlzation To Begin Work expires withl~ ~80.day.lf a permit is not obtained.
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The local building department' may determine that an Authorization
void if it does not meet applicable land USe laws and local ordinances,
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To Begin Work Is null and
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Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
availab!e fau!t current exceeds
10,000 Amps al150 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 ~ore residential units in
one structure
o Health care facilities
I Description
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 Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1.2" or "1-3"
o RecreationalVehicle Parks
o Supply voltage for more than
600 supply volts nominal
I Branch circuits without service or
feeder
I Branch circuits each additional
circuit without service
$55,00 $55,00
$6,00 $6,00
$61,00
$7,32
$3,05
$71.37
I Subtotal
I State surcharge (12% of permit
totalJ
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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CITY VI' ~nd1'lilJnELD
Building/Combination Permit
PERMIT NO: COM2009-01638
ISSUED: 11/09/2009
APPLIED: 11/09/2009
EXPIRES: 05/12/2010
VALUE:
Status Issued'
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. 2"25 Fifth Street/SprlngV,eld,pRL ;" '
541-726-3753 Phone '.-',.,:,..,; ,;,,:.::,
541-726-3676 Fa~. ~,;' 'I; "
541-726-3769 Inspection Line
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SITE ADDRESS:"-\; '6531 EST~:-'~';""
ASSESSOR'S PAR9Ei'NO:: 1702341300321
Springfield TYPE OF WORK: Heating System
,___ , TYPE OF USE: New
. PROJECT DESCiuPTION:, Install heat pump and air handler in residence
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Residential
Owner:
Address:
RUlZ JOHN A In ",
6531 EST ., ,"
SPRINGFIELD OR' 97478
Phone Number: 541-744-1322
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, CONTRAC~OR ~NFORMATlON I
License
178518
25790
Expiration Date
09/25/2011
12123/2009
Phone
541-895-4466
541-747-7445
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Contractor Ty"ije!;;'\::'L~ontractor
Electrical " .,1' RITE ELECTRIC
Mechanical MARSHA""LLS INC
(> I BUILDING INFORMATION I
# of Units: ';",h ...~ l~"
Primary Occupancy;Gr~up: \
Secondary Occupancy Group:
. Primary Constructi6n Type
Secondary Con;inictioJ Type: l~
# 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 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
...d'
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
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Frontyard Setback:" " ~
Side 1 Setback:' I.. ... "
Side 2Setback:;~~j 't~'~.; !;,,l :~ '<<' '. t'
Rearyard S'etback: ,;., :":'..~ ,'"" "c'
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Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/~ of Lot Coverage:
Total:
Handicapped:
Compact:
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Street Improvements _c 1;'.'1'.:', .~ ";'.' .
Storm Sewer A~JN~~PERMITS'HALL EXPIRE IF THE WOR
Special Instruct,6W," O,RIZED UNDER THIS PERMIT IS NOrK
, "r.(iJ'VlMfNCED OWlS
Notes: . '. 'IV! rn O.^,\f Pr:F;U;~BANDONED FOR
"I PUBLIC IMPROVEMENTS I
sr.,mtillQ~~:Oregon law requires you to
Jb'lI.~W r~r~s adf,lpted by the Oregon Utility
bnWitSJmll.1l"(J!mI:~: Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090.. You may obtain copies of the rules by
Calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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Status
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Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01638
ISSUED: 11/09/2009
APPLIED: 11/09/2009
EXPIRES: 05/12/2010
VALUE:
225 Fifth Street, Springfield, oRj~ci:t- ,,):c" .'
541 726 3753 Ph ",:,"~"--'.' '"":''',::.'1<:;'''';''
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541-726-3676 FaX]',;!!,:,:I;:,):":: .,,'.::."'t...'
541-726-37691nspection Line
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Description
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Tvpe of Constrnction '
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Fee Descriotion
+ 12% State Snrcharge.. .;-{
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+ /0. ec no ogy, ee,rt~-;11 .,lio; iii0:r1 1;.]:: ,:
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1st Appliance '""," 'ji:'~;."'.. r.. ',,',
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Heat Pump .'t.:,"
,+ 12% State Sux~~~rge.:.
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+ 5% Technology'Fee '.'
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
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Total Amount Paid
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'1 ':' aluation Oescrintion ,
';) $ Per Sq Ft
, or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
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Amount Paid
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Receipt Number
2200900000000001268
2200900000000001268
2200900000000001268
2200900000000001268
2200900000000001282
2200900000000001282
2200900000000001282
2200900000000001282
Date Paid
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11/9/09
11/9/09
11/9109
11/9/09
11/12/09
11/12/09
11/12/09
11/12/09
$11.52
$4.80
$79,00
$17.00
$7.32
$3.05
$55.00
$6.00
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, $183.69
Plan Reviews I
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 ~f!r.king day, inspections requested after 7:00 a.m. will be made the following
work day.
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UelluiredJnsne,ctions: I
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Rough Mechanical:. Prior to Cover
Final Mechanical: When all mechauical work is complete.
Rough Electric: Prior to Cover
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Final Electric: 'When all electrical work is complete.
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Status Issued ..' ,",
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225 Fifth Street,.SPr:!"~~,..I~~pl{.));~~/~;j;'
541-726-3753 P~oneW;:o,""i,' ,,' ..." i.'
541-726-3676 Fax' ': ,--
. 541-726-37691n~pectionLine
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CITY OF SP1Ul-.lTJ:<IELD
Building/Combination Permit
PERMIT NO: COM2009-01638
ISSUED: 11/09/2009
APPLIED: 11/09/2009
EXPIRES: 05/12/2010
VALUE:
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By signature, 1 state ~nd agree, that I h~ve carefully examined the completed application and do hereby certify that all
information hereon is trne and corr:e.ct, and,J fnrther certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Sp,ringfield and the Laws of the State of Oregon pertaining to the work described herein, and
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that NO OC~U!:ANFy;",iIIb~':rij~dfof any structure without.permissi.on of t~e Community Sen:ices Division, B~ilding Safety.
I further certlfy:;that"only contractors and employees who are In compliance WIth ORS 701.005 Will he used on thIS proJect.
I further agree io,en~ur~ that all required inspections are requested at the proper time, that each address is readahle from the
, street, that ih~ ~~r.i1.liil,~~~d isJo~~te,? al the front of the property, and the approved set of plans will remain on the site at all
times during construction.. --:,.,;",.;;":;,,
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Owner or Contractors Signature.. '.:'" .
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Date
225 Fifth Street. ' :,: .), "
Springfield, Oreg!lI,1'in~J7,i;;!::),,?~j;;{0\f..
541-726-3759 Plioii~'D\{:':'.'!'C":
Job/Journal Number
COM2009-0 I 638
COM2009-0I638
C0M2009-0I638
COM2009-0I638
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Description " . ,
Add, Alter, Extend Circ'
Add, Alter, Extend Circ,Ea Add
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,,+ 5% Technology Fee i:'.
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,:::',-~+'12% si~i~SUfch~ge
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Pay~ents:, ",,:, ..'j~';',':';, ; ',c- :
Type of Payment ' ! "p'a.id:.Byi'.<
ONLINE CHGS
cReceintl
ONLINE PERMI~SfIqS'"
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City of Springfield Official Receipt
Development Services Department
,Public Works Department
2200900000000001282
Date: 11/12/2009
Item Total:
L:heck Number Authorization
Received By Batch Number Number How Received
NJM ONLINE RITE Online
ELECTRIC
Payment Total:
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Page I of I
12:30:44PM
Amount Due
55,00'
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
11/12/2009