HomeMy WebLinkAboutPermit Electrical 2009-11-12
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~_PRINGF:;L,D ,<.~ 225 Fifth 5t. .
,C ; .:Springfield, OR 97477
"':' .'_' f:Jhone: 541-726-3753
X\;'; E~ail; permitCenter@ci.springfield.?r.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00250
Approval Code: 451697 11/12/2009 11:43 am
E.mailed To: c-"erkins@ymail.com
o New Construction
IRl Addition/alteration/replacement
D Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" Of "/-3"
o Recreational Vehicle-Parks
D Supply voltage for more than
600 supply volts nominal
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
Jess to ground exceeds
14,000 Amps for all other
1001 or 2 family dwell.i.ng,' ~~:'mj,;~Ulti~fariiiiy:r', ~D. Commercial D Accessory
Ir'~~~,_JOB1STiElIN1;ORMATIONrAN15.:l!Ocgfr0NiIi\lll<'!~
. Job Address: 1,295. .~ ST "~i' ~
I CitylStatelZlP: SPR'NGF'E(D:dR"97~77h:.,[t::1:~;;.
I Suite/bldg.Japtno.: ....
D Fi~e pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
Project Name: A09-375 I Moulton
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Cross Street/direction, .~..J.~b.. ~.~~,:.'
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Tax map/parcel no.:' 1703351418000
) Description I Qty. 1 Ea. 1 Total
1$'r[:n]:H~ir~uits~~1{~~r~~~~~~~t{:![~~}~J;~~A';1lt't~~
I Branch circuits without service or $55,00 $55.00 ~
feeder
I Branch circuits each a~ditional
circuit without service
electric for hvac equipment.
.r,i ....
$6,00
$6.00
Name: Rite Electric
I Phone: 541-895-4466,. '!:
I Email:
.;~ :\.:
I Subtotal
I Stale surch~rge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
, ,
Fax: 541.895-4366
$61,00
$7.32
$3.05
$71.37
I Elec Iic. no.: C335
I Business Name: RITE .ELECTRIC INC
I Contact:
I Address_: PO BOX 842 --' -" -.-
;
City/State/ZIP: CRESWELL,! OR 97426
178518
CCB'lic, no.:
C.q-I~3 ~ 11112-/09
.-.:..-:t.
,
Phon., 54189t~nCE: ; " Fax, 541895,:\0....,."....,;.1/
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Em.;I, h.id;@J~,\S,,~MlT ~n~~ ThUS 'p.:AMIt IS NOT
/-IU I numi:EEi ur!~~R FOR'
M~trol'c.no.,,, ..I'~n nR l~ ~NOONED
v'JWilE,__ '" .
Sup.",',;n. EIt"IrIo/'f~'i1' ['JAY PER10ID{: ' , --
ATTENTION: Oregon law requIreS you.~
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set fortll
In OAR 952.001-<1010 through OAR 952.001-
0090. You may obtain copies of the rules br
calling the center. (Note: the telephone
number for the Oregon Utility Notifiu~
Center II 1-800-3a2-2344).
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I Supervising Electrician's Name:,:-
CLYDE I PERKINS
Number of inspections Included In paid services:
ReSidential Service: .4
Reconnect Only: ~. '1
All Other Services: ...1~:" L 2 -.--;.. "" _...; ,-
Upon review and approval by your local Jurisdiction, your permh will be e-malled Ot faxed
Within one business day, with Instructions on howto schedule your InspectIon.
NOTE: ThIs Authorization To Begin Work expires Within 180 days If a permIt Is not obtained,
".,t- .
The local building department. may deterinlne u{atF~i"AUthOrilatlon
void If It does not meet applicable land use laws and local ordinances.
. i! ' . ~
To BegIn Work Is null and
'. Inspections Phone: 541-726-3769
t This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01323
ISSUED: 09/08/2009
APPLIED: 09/08/2009
EXPIRES: 05/12/2010
VALUE:
SITE ADDRESS: 1295 B ST
ASSESSOR'S PARCEL NO.: 1703351418000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Mini split heating system in residence
Owner: MOULTON LISA BRIANNE
Address: 1295 B ST
SPRINGFIELD OR 97477
Phone Number: 541-726-7286
I ~ONT~ACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
EUGENE HEATING & COOLING
License
178518
149452
Expiration Date
09/25/2011
10/22/20 II
Phone
541-895-4466
541-726-7654
.BUILDING INFORMATION I
# 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:,.
SprinkJed 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
REQUIRED PARKING
Front yard Setback: _ Overlay Dist: Total:
Side 1 Setback: '" . ' '~'" /"'}'#'Str~et Tree~ Rqd: ATTENTION: Oregon 'Md'ltml~~U.~
~::~a~~~~:~tl9TICE: TT S\U~\.l f)G'IRE IF _~~:~e: ~~i~i~a~r~~~:~~~~e~~~~~~~~~~~~
Solar Setbacks: THIS PERM DER 11.\1$ PEalItl..a ,'" In OAR 952-001-0010 through OAR 952..Q01.
fI::TunQ\7.fpUN _;G.~'IC:nr\ln." " ~n Vn'lmRwtaincopiesoftherules!'V
C. OMMENCEO OR'~ ~u I 'pUBLIC IMPROVEMENTS . calling the center. (Note:.~8 tel~pn~e
o DAY PERIOD. '" Ihumber for the Oregon Utility NotificaliOn
Street ImprovemtIW.'{ 18 ' SirtmdrllYJ1e800-332-2344).
I DEVELOPMENT INFORMATION I
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
Pal!e I of3
Status:
Issued
225 Fifth Street, Springfield, OR
541-126-3753 Phone
541-126-3676 Fax
541-126-3769 Inspection Line
Description
Tvpe of Construction
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01323
, ISSUED: 09/08/2009
APPLIED:, 09/08/2009
EXPIRES: 05/12/2010
VALUE:
I ': aluation Descriotion ,I
$ Per Sq Ft
or,multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Pai!l Receipt Number
$11.52 9/8/09 2200900000000001015
$4.80 9/8/09 2200900000000001015
$79.00 9/8/09 2200900000000001015
$17.00 9/8/09 2200900000000001015
$7.32 11/12/09 1200900000000001255
~3.05 11/12/09 1200900000000001255
$55.00 11/12/09 1200900000000001255
$6.00 11112/09 1200900000000001255
$183.69
I 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 working day, inspections requested after 7:00 a.m. will be made the following
work day.
~eaujred fnsnections ,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 2 of3
~
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
,PERMIT NO: C0M2009-01323
ISSUED: 09/08/2009
APPLIED: 09/08/2009
EXPIRES: 05/12/2010
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, 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 OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I
further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project
I furtber agree to ensure that all required 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
Pal!e 3 of3
Date
225 Fifth Street .. ih ,', ,
Springfield, Orllg~II.'211n;,';'1~;~e!i:'?"" '
541-726-3759 Ph'o' n"e""ci?:: ";",,.' """","'i,":''''
h _:( ,;;,/"~.)" '", " '.;
Job/Journal Number
COM2009-0 1323
COM2009-01323
COM2009"OI323
COM2009-0 1323
, "~ i :.~;!';:~h,:RECEIPT#:
. Descripti~ri;~' {,~:<t '\"'. -
Add, Alter, Extend Circ
Add, Alter, E!'tend ,CirC,Ea Add
, '" ,.+ 5% Technology Fee,..:
. ;~t:j"ttYi~ ~i~i~~tir,fh~g~' '
~;~:'o~n;:~ment . : ::~~id:B;'(~;;
ONLINE CHGS
cReceintl
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ONLINE PERMIT-eRGS
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1200900000000001255
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/12/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
ONLINE RITE Online
ELECTRIC
Payment Total:
11:51:26AM
Amount Due
55.00
6.00
3.05,
7.32
$71.37
Amount Paid
$71.37
$71.37
11112/2009