HomeMy WebLinkAboutPermit Electrical 2009-11-12
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, , City Of Springfield ,.'
225 Fifth 5t
Springfield, OR 97477 .
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..1 0 Newconst~ctio~'\;: . '. IRl Addition/alteration/replacement
I [R] 1 or 2 family dwelling . D. 'Multi-family:,., "m qor:nmercial D Accessory
1~~JOBTsiTE1iiji;,0RJV1ATiON'AN6fi!oc"::fi~
I Job Address: 857 S 46TH 5T ';)
I City/State/ZIP: SPR'~~f},~#):'S~}?~I~r:;ii&'??-fl[<::' '.r
I Suitefbldg.faplno.: :f:' '..;"
'I Project Name: !vl.: KIT~S '~.
I Cross Str.etJdlr.Cti~~~'t~j~b'~ri~;
I Tax mapfparcel no.: 1802051204701
electrical for hvac equipment
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I Name: Rite Electric
I Phone: 541-895-4466
I Email:
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Fax: 541-895-4366
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I Elec lic. no.: C335 I~;-
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CCB lic, no.:
178518
Business Name: RITE'ELECTRIC INC
Contact:
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Address: P0!.80K"lBt2'I:,
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I Clty/Stat.IZI"'lql'Ss~~Mf!N}ijALL-EXPIRE IF lMlIWORK
I Phon.: 5418~,i.I.,tSiORIZED UND~RT.w&Ji'JiRDI1JnlUIU'
I Em.;I: he;d;@c-~~YllXjrcJ~lJl:U. vnt~ MO,,,,""{,I.Ei h:lT\
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I Metro JJc. no.: '.' - ~ . City lie, no,:
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Supervising EI9ctricla:n's.lIc~ no;:;' _ 2970S :
Supervising Electrician's Name:
CLYDE I PfRKINS
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and - approval by your local Jurisdiction, your permit will be e-malled or faxed
within one business day,_wtth Inst":,~ons on how to schedule your inspection.
NOTE: This Authorlzatlon,To Begin Wor1l expires within 180 days If a permit Is not obtained.
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The local building department may tieterinine that' an Authorlzatlon To Begin Wor1l Is null and
void If It does not meet applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00246
Approval Code: 294645 11/12/2009 10:04 am
E.mailed To: cyerkins@ymaiLcom
Please check ail that apply:
D 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 Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 KVAor
larger seperately derived sys
D "A" "E" or "1-2" or "1~3"
. . ,
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
D Fire pumps
o Emergency systems
o Additionaf a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health 'care facilities
I Description
I Branch circuits without service or
feeder "
I Branch circuits each additional
circuit without service
Ig!~~cfric~.I:l',errrmlli~g~X~l~~~~nS;,~
I Subtotal $81,00
I State surcharge (12% of permit $7.32
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$55.00
$55.00
$6.00
$6.00
$3.05
$71.37
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111/2..ICfi
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ATTENTlON: Oregon law requires you to
foll.ow rules adopted by the Oregon Utilltf
NOllficatlon Center. Those rules are set fotlIt
In OAR 952.()()1.()()10 through OAR 962-GOt-
0090. You may obtain copies of the rules bJ
calling the center. (Note: the telephone
IlUmber for the Oregon Utility N",I-...
Center II 1-600 '112 G44).
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() Inspections Phone: 541-726-3769
This AuIhOr!~a~!1'1 To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SrK1j~lJt<l.t,LD
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Building/Combination Per'mit
PERMIT NO: COM2009-01645
ISSUED: 11112/2009
APPLIED: 11/12/2009
EXPIRES: 05/12/2010
VALUE:
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Status Is~;~'ei(i\'
, 225 Fifth Street; Springfield, OR
541-726-3753 PIi~rie'c;-',::j:', .
541-726-3676 Fax ' "
541-726-3769 Inspection Line
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SITE ADDRESS:,.,;, 857 S46THST;'~ :
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ASSESSOR'S PARCEL'N();t 1802051204701
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Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
" PROJEC1"I)ES,~RII'.TWI'!: 2.cIrcuits for heating system in residence.
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Owner:
Address:
SKITES SHELLY j('i.
857 S 46THST
SPRINGFIELD OR 97478
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Contractor Type" :.-. Contractor
Electrical ,i\f:fl-II'l:;:b'RITE ELECTRIC
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I CONTRACTOR INFORMATION'
, License
178518
BUILDING INFORMATION I
Expiration Date
09/25/20 II
Phone
541-895-4466
# of Units:
Primary Occupancy Group: ,. ~ ,~t
Secondary Occupan~y Group:
Primary Construction Type
, Secondary Construction Type:
"#'ofBedrooms.IJ.:---.1... .~:. . '
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# 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
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I DE~ELOPMENT INFORMATION I
.._,,...;_.-:....~~ - - ". -.-'" ~.
REQUIRED PARKING
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Frontyard Setback:,"'':':'" '--:"'-'::"~ Overlay Dist: Total:,
S~de 1 Setback:::~. :j p?:.e.: . ,'.,., # Street Trees Rqd: Handicapped:
StdeRacv~ '; . :'. ' ' .J'aved Drive Rqd: ATTENTION: Oregon lawtl"tlq;l:llres you to
Reaq'~~~~, SHAllEXP1R~ IF THE WOR~/o of Lot ~overage: foll.ow r~le8 adopted by the Oregon Utility
Sola~ fl 1z' E' D'UN"fiEif'tHIS PERMn'1S NOT ' Nolificatlon Center. Those rules are set forth
A I . ~ '., ti6~ . .,.OARAfi?~nn1.nn1nthrnllghnAAac~..M..-
COMMENCED OR IS AllANUUNr.::U - TpUBLIC IMPROVEMEN1~1l0. You may obtain copies of the rules bJ
AMY 180 DAY PERIOD.' _,,,,lIIng the center. (Note: the telephone
StreUTmprovements: ,;"'~.." numb~ilbJ>t~ (JOlI\7lln Utility Notlflcallon
Storm Sewer Available:"..'. .,,",::;~~ iLill; ~" 6lfw.\9bAM7lW9.-2344).
Special Instruction:;; .,'.,.. .;. '
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Notes:
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I Valuation Descriotion ,
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Description Type ?f Construction
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$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01645
ISSUED: 11/12/2009 . ,
APPLIED: 11/12/2009
EXPIRES: 05/12/2010
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR;i(',~~~~:,', "
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541-726-3753 Phone:, ,'"::,r,,,: ":<,,;,,.',"q""~i.""~'
541-726-3676 F#.:J\.:':t="" "''\;'' .
, 541-726-3769 lIi~pection Line
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Total Value of Project
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: ';~;"':;,'S'i:i~~:;}Af:/;,j~!'~~P:\;~:~unt Paid
Fee DescrhJtion{";: :!: ~ -"'.;' " .
T 12% Stal~Siii~h~r.ge:,,:
+ 5% Technology Fee"':':"
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Fe~s Paid I"
Date Paid
Receipt Number
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$7.32
$3,05
$55.00
$6.00
11/12109
11112/09
11/12/09
11112/09
2200900000000001280
2200900000000001280
2200900000000001280
2200900000000001280
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Total Amount Paid ....' (
"'$7137
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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
,0
work day. ':.,;;:.
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~.~,o,ujr~d I~srectin~s ~
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Rough Electric: Prior to Cover
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Final Electric: When all electrical work-is complete.
By signature, I state,and agree, that I bave carefully examined tbe completed applicatiou and do bereby certify that all
information hereou is true and correct, and I.further certify that any and all work performed shall be done in accordance with
the Ordinances'<if the City of Spri~gfield and the Laws of the State of Oregou 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 further ag'ree to,ensun\ tbat all required inspection. are requested at the proper time, that each address is readable from the
street, that the permit card is located at tbe front of the property, and tbe approved set of plans will remain on the site at all
times during construction. ' ..
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Owner or Contractors Signature, i
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Date
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Page 2 of2
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225 Fifth Street,)",.
Springfield, Oregon,9;74ni;i.;(0~i;ii;fSi'
54i-726-3759 Pholi'cH(">./'" ''-'',' .
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..~CEI~t#:' , 2200900000000001280
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Job/Journal Number
COM2009-0 1645
COM2009-0I645
COM2009-0I645
COM2009-0I645
Payments: --.
Type of Payment
ONLINE CHGS
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cReceintl
, Description' ";, .:.
Add, Alter, Extend 'Circ
Add, Alter, Extend ,Circ'Ea Add
, '~:i';(t,~~101'~~~Jli.g!9~Y:'R;'e\' '
, ':f;',::,i;+;n%'State Surcharge
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ONLI]'lE PERMIT CHq~ . ','
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/12/2009
10:S2:4SAM
Item Total:
Authorization
Number How Received
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
11112/2009