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HomeMy WebLinkAboutPermit Electrical 2009-11-12 '\ ,,- .er"" "'i, ':~:.;:~ i;''',:,.~:;"'\': , , City Of Springfield ,.' 225 Fifth 5t Springfield, OR 97477 . ~,i;;'<:'!. " Phone: 541-726-3753, ~!,~., ;-,:" ~mail:.pe~j~nter@C!.s~ringfield.or.us . OR~.~P.!:tf'::/~;~; i; ..I;(:>,{;:':;;:~fH:~f:',,;), . 1-'-~''''~'''''''~<mW'''''IiE""nEfO~lWORK'Iil!J!f.~rli1J''t'-",J'''''''='''''-'''ij' Ji&tF~!~~.<-',ffl'f;::'f~:\E'a..~.,;,j;j;t'W4 .. ,r;, , , " Mi'E'~r.A:t~~'!"t"1:w.:..,.-.t:~~ ..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 .' .i1.',ii:, , ',:i, ir f ~"!; ;'5:1 I Name: Rite Electric I Phone: 541-895-4466 I Email: " Fax: 541-895-4366 " I Elec lic. no.: C335 I~;- :~ ...-1'';:' ". N' ;J'. . CCB lic, no.: 178518 Business Name: RITE'ELECTRIC INC Contact: . _.,.w__. , ,. Address: P0!.80K"lBt2'I:, /".II).-r '.'1;- 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\ ;.;;y (33 Il.\Y :-::mol}.' I Metro JJc. no.: '.' - ~ . City lie, no,: . , . 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 ,,' () ~ : ._:L:,~E:::::. ~ .. . ~'4l!~" . ..' 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. , "i! .r~~ il 'r'i~j; ,,~:.:,' ~ tii ji 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. cq .llR~ 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 Cq- \~l1S 111/2..ICfi ~ 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). ~-\pY.d\ . rj<:. " \\-\'? ~ ~ 6.:1:>' ~~\' ~ () 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 ------. ~.---_.-......_~. - ~ ."",.~ .-; :-:-: ~ .~ "' -'1;'" It " '. , ., I ., .i__.l:;._. CITY OF SrK1j~lJt<l.t,LD '"'. " Building/Combination Per'mit PERMIT NO: COM2009-01645 ISSUED: 11112/2009 APPLIED: 11/12/2009 EXPIRES: 05/12/2010 VALUE: 1f 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 ..t. ''-.' '! SITE ADDRESS:,.,;, 857 S46THST;'~ : . . .,. . .... _,. ~\ _'.'" "'". l ASSESSOR'S PARCEL'N();t 1802051204701 . :;~".~ ":r:' ....' '. " ' Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential " PROJEC1"I)ES,~RII'.TWI'!: 2.cIrcuits for heating system in residence. '," . :'~Jl::;~~'t \';~~'h '" it.\: ) '. Owner: Address: SKITES SHELLY j('i. 857 S 46THST SPRINGFIELD OR 97478 1" ., r; r,;:i,+t;:;,;'~:f Contractor Type" :.-. Contractor Electrical ,i\f:fl-II'l:;:b'RITE ELECTRIC ':f ii 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... .~:. . ' .'~'.." ;\ "., ."", , '. . ~:' ~ , .5".. ~:-~"1 F-Z .~; I" " ,) # 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 . i'I I DE~ELOPMENT INFORMATION I .._,,...;_.-:....~~ - - ". -.-'" ~. REQUIRED PARKING . ~._,lv.. 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:;; .,'.,.. .;. ' ( : ~. "- .~ Notes: .; \ '. 1~i J ~l . t, ~~. , " l'~. I Valuation Descriotion , .' " Description Type ?f Construction _, _'. .._t... f .t-~'.~.;;.~'.. '~'. :~ $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Calculated " .\ .' i'~ . r ;. ;~ J l~ \~.. .- Page I of2 f'}!: ~;' ~:':;;;~';:: ,_:i$ !.:.:.~~;~r!'~: 1~~)F~j;f, ' " 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 ,.,.... , 225 Fifth Street, Springfield, OR;i(',~~~~:,', " .:_~l',:"" .,,,.;.t.:,;/~;~~I,':,{l:::" 541-726-3753 Phone:, ,'"::,r,,,: ":<,,;,,.',"q""~i.""~' 541-726-3676 F#.:J\.:':t="" "''\;'' . , 541-726-3769 lIi~pection Line u " Total Value of Project r,:.. ., ,I'. ~ : ';~;"':;,'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 " $7.32 $3,05 $55.00 $6.00 11/12109 11112/09 11/12/09 11112/09 2200900000000001280 2200900000000001280 2200900000000001280 2200900000000001280 "f~ '~ Total Amount Paid ....' ( "'$7137 , ,r~ni~i;~;: ,:.' .;, \ ,.,:~~:~!~...~\-,.~i:.,. ~ .t.:-~.;' , 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. ':.,;;:. ", ,~.~: ~!~' r ~: . ~!. :"';- i J f .: , ~.~,o,ujr~d I~srectin~s ~ ).; \; Rough Electric: Prior to Cover .: ,,: 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. ' .. u .1; ,.. _, ., ~. . . ,,-.. _~i.:.":;;l, ~ Owner or Contractors Signature, i "i: ...1: ':. ~ ". ." , . t~\. ,- :i~, .. It:' ~,' ..,\.' Date '. " .~:i~: ,',;,'ij" ::"~:;l;r~:' Page 2 of2 . l' ~. : .;- 'J 225 Fifth Street,)",. Springfield, Oregon,9;74ni;i.;(0~i;ii;fSi' 54i-726-3759 Pholi'cH(">./'" ''-'',' . .:. . ," . . .'.' , .,. , . ..~. , ..~CEI~t#:' , 2200900000000001280 ".t,". . Job/Journal Number COM2009-0 1645 COM2009-0I645 COM2009-0I645 COM2009-0I645 Payments: --. Type of Payment ONLINE CHGS . ' .,"J 'd 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 ?X.~,::,?,I" ';, -;~i~~~U{j:~;~f:;~:: ONLI]'lE PERMIT CHq~ . ',' " n i' ;,', J:i:':~~ ~ ", '."1, ,,'# .~ .w .1, ~ ~~'r'l:~,l.~ il ~~ ~ u, -:;,lu:p" i~,~~;:t::~:...,;~,:.:~-~t; ';, : " , 1,!.t1 i I .~ I~ . .~,~.\~! ~;, . j. . ~ . ,. .,1.' : J ~:e,I:..t)1'1;, ~, ~~ " , ,_..~...~;".:..~~~.....:..;.:...,A".~~~., r t:'1il,~~ 1; '\: ..,~ i , ., * ; \t ~;, ',' l' -;: ,-,~.~',~" 1, c';:.. ;",. 'f. ' /. , " .. ~r. ~.~: ' t,~' .. ; , ,';~ f.... " . . .~ ;1 ,~... " ~~:~~; ~, ~ ; l' . . I I " H '... \ t.' , " ~,\ : ~, ," ~ ~, ;.' .i~" Received By KR Check Number Batcl1 Number ONLINE 0;:\ ." 1,1) '~, ~) ',' ,) ,. Page I of I 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