HomeMy WebLinkAboutPermit Electrical 2009-12-9
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permilce.nter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600.BEL.09.00276
Approval Code: 500992 12/9/2009 10:52 am
E-mailedTo:c_perkins@ymail.com
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Ii .~t.. ., ~~.~~:;:j~,,:?Tl~:;~TYP.Ej5F:;WORK~yF~';~~~~;.;~7/,~::;:'\..::f"">'';"'c.'1'
I 0 New Construction IKJ Additionfalteration/replacement
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I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory
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,JOSSITE IN~6RMATIONAND'LOCATION
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Job Address: 399B JASPER RD
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldgJaplno.:
I Project Nama: Irving
I em.. S,..,Ud;..cHo", '0 job .;,,,
I Tax map/parcel no.: 1802061410400
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replace existing service to house
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I Name: Rite Electric
I Phone: 541-895-4466
I Email:
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",...;.;;.SITE~CONTACT!ZL' '
Fax: 541.895.4366
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':;;:CONTRACTOR' "';"'I~"-:'<'"
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Elec lic.llo: C335
CCB Iic. no,:
178518
Business Name: RITE ELECTRIC JNC
Contact:
Address: PO BOX 842
City/State/ZIP: CRESWEll. OR 97426
Phone: 541695.fllOTI CE: _.,.. F~; 5~189~4~~TP.t: \'lLQRK
. .. I HIS "'''KIVIII i:lnMLL LX, m~ W ,-
Em"': heldl@c,.,.,""".cbITl' ~ , n["D TWIt:: Di=RMIT IS NOT
AUTllJfHLGl ~JN.. E.. "
Met,o I;c, no.: rrmMCMf'i=n OR IS 'A'B~N'e10NED FOR
S,pe",;,;n9 Ele'A~'Y"'1 B{)nt}AY p~D.
Supervising Electrician's Name:
CLYDE I PERKINS
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 permit will be e-malled or laxed
within one buslne511 day, with Instructions on howto sthedule your In spectlon.
NOTE: This Authorization To Begin Work expires within 180 days II a pcrmlt Is not obtalncd,
" ,
The local building department may determine that an Authorization To Begin, WorX Is null
void if itdoc5 not meet appllcablc land use laws Ind 10calordinanccI,
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Please check all that apply:
o A service or feeder beginning
at400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
less to ground exceeds
14,000 Amps for all other
'tr- 1177
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 'r0/A or
larger seperately derived sys
O "A" "En or "1-2" or "1-3"
, .
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
, :~L~J:tit~r.;~
.FEEI~CHEDULEi': ' ,
I Qty. J Ea,
Total
<I
I
.1
$81.00
$81,00
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
I Description
IS~r:vlc"<'es:odeed'e,,-s~~:'::E; ~::'~~~-5"
I Services 200 amps or less
I~Yanct1;'circuit's. rt::~;;:~: '.1,i~ ~;-1~'<"
I Branch circuits with service or
feeder each circuit
IElfct~lcal:Per!BJfE~~~: :"F..
I Subtotal
I State slJrcnarge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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$6,00
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$87,00
$10.44
$4.35
$101.791
CC1- 1/55 k.f2- 12!CJ!Cfl
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-OOH101 0 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 .. HI00-332-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01755
ISSUED: 12/09/2009
APPLIED: 12/09/2009
EXPIRES: 06/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE AnDRESS: 3998 ,JASPER RD
ASSESSOR'S PARCEL NO,: 1802061410400
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace existing service to residence,
Owner: IRVIN WILLARD J & WILDA NADINE
Address: 3998 ,JASI'ER RD
SPRINGFIELD OR 97478
I CON!RACT~R INFORMATlO~ .
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION'
Expiration Date
09/25/2011
Phone
541-895-4466
# 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:
Sprinkled Building:
Lot Size:
Sq Ft I st 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 I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: ATTENTION: Oregoft'llWfequlres you to
Rearyard Set&MUICE: . E'~~overage: follow rules adopted by the Oregon Utility
Solar SetbackIH~? PERMIT ~~~LL EX~~R~~~~~T Ie:. NOT ~o!ific:a!i~~ ~enter. Th,ose rt!le,;; ~re set fo~
t\UIIIUltlLL..LJ J,L.,.E1TII._. u,...,,,,r,u....""""'3+-eEttS......._tJ.._.,FliSE8:-\
COMMENCED OR IS ABAND~t()II\\1PROVEMENTS' 0090., You may obtain copies of the rules by
Street ImprovANVnl>80 DAY PERIOD. cl!!\\\l~h~ lfq,(\W. (Note:. ~e tel~~hon8 ,
numfjer for tWOregon Ulility NotIfIcation
Storm Sewer A vailahle: DowQqllllmAI:h'bi9ilD-332-2344).
Special Instruction:
I DEVELOPMENT INFORMATION,'
Notes:
." "".~
I V aluati~n Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I 01'2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01755
ISSUED: 12/09/2009
APPLIED: 12/09/2009
EXPIRES: 06/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pai~ I
~ee Description
+ I 2 (Yo State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$10.44
$4.35
$6,00
$81.00
12/9/09
12/9/09
12/9/09
12/9/09
1200900000000001319
1200900000000001319
1200900000000001319
1200900000000001319
Total Amount Paid
$101.79
Plan Reviews ,
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.
Relluirerl Insnections I
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informatiun hereulI is true and corrcct, and I further certify th~lt ,lnY 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 further agree to ensure that all rC(luired 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.
Ovmer Of Contractors Signature
Date
Page 2 01'2
225 Fifth Street
Sptingfield, Oregon 97477
541-726-3759 l)hone
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Job/Journlll Number
COM2009-0 1755
COM2009-01755
COM2009-0 1755
COM2009-0 1755
Payments:
Type of Payment
ONLINE CHGS
cRcccintJ
RECEIPT #:
1200900000000001319
Description
Perm Serv/Fdr 200 amps,or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fcc
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/09/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
, Page 1 of I
ONLINE RITE Online
ELECTRIC
Payment Total:
II :03:45AM
Amount Due
81.00
6.00
4.35
10.44
$101.79
Amount Paid
$101.79
$101.79
12/9/2009