HomeMy WebLinkAboutPermit Electrical 2009-12-15
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Ir..~:,. '-.."OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726.3753
Email: permitcenter@cLspringfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-09-00286
Approval Code: 786184 12/15/2009 819 am
E-mailedTo:cJ)erkins@ymail.com
; '1"':: P.t'AN REVIEW'{\'.:" ",::-, , ',I
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I 0 New Construction lR] Addition/alteration/replacement
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,
::;CATEGORy,OF'CONSl:RUCTIOR"f'
o Multi-family
o Commercial
o Accessory
1 or2 family dwelling
,;", '," 'JOB SIr-I': INFORMATIONAND'tocATi6N~J~';;:,<' "r:"J
Job Address: 5752 A ST
City/State/ZIP: SPRINGFIELD, OR 97478
I Suitelbldg./aptno.:
I Project Name: M09-487 I Crampton
I C'OSS Stree"d;"ctions to job sri.:
I Tax map/parcel no.: 1702334100400
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electrical for hvac
.
I Name: Rite Electric
I Phone: 541-895-4466
I Email:
I'..". '
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J Elec lIc. no.: C335
I Business Name: RITE ELECTRIC INC
I Contact:
I Address: PO BOX 842
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C;tyISt,teIZlP, CR~Vi~L~E~~!i1' C:I-lAII EXPIRE If THE W~~K
Phon., 541895446~'1 ;~HnRliED UNDEfj;\,,1if1\&;.Hf.R~111 I., ,wl
I Em';!: he;d;@c'P"kl@:Sq~1ENCED OR IS ~l:lAI~UUt~t:[; fJI1
I Metro IIc, no,' F'! 180 UAY I"ttiltj/y'hc, no,'
Fax: 541-895-4366
_ ~,,;.'';;CONTRACTOR;:....-'': .~~.'
- ..~ ,'-
CCB IIc. no.:
178518
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Supervising Electrician's lie. no.:
2970S
Supervising Electrician's Name:
CL YOE 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 Jurildlctlon, your permit will be e-mailed or faxed
within one business day, with Instructions on howto Ichedulcyourl nlpc.ctlon.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work Is null and
void if it docl not mcet applicable land ule laws and localordinan eel.
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 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 more residential units in
one structure
o Health care facilities
(,q./1&7
o Hazardous locations
o A seNice or fe~der 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 KVA or
larger seperately derived sys
o "A", "E", or"I-2" or"I-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Description
:-: ~~.'" ~;;";;- ,~;"i"t, 'C. .i'EE:SCJ1~j)ulE
Total
, '
.....:"
I Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Electrical, ~9rmit;F..~"es"~
I Subtotal
I State surcharge (12% of permit
lotal)
I Technology fee (5% 01 permit total)
I TOTAL PERMIT FEE
Qty,
Ee,
C~- \\ LQ5
,
"~
$55.00
$55,00
$6,00
$6,00 [
I
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... :..
$61.00
$7.32
$3,05 I
$71,37 I
'?-\L \ 2. "'S \ CC1
"".....
ATTENT10N: Oregon law requires you to
follow roles adopted by the Oregon UtilItJ
Notificatlon Center. Those rules are set fartb
In OAR 952~1~10 through OAR 952-G01-
0090. You may obtain copies of the ruIe8'"
calling the center. (Note: the telephone
number for the Oregon Utility No~
Center Is 1-800-332-2344).
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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 ~rK1NGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I765
ISSUED: 12/11/2009
APPLIED: 12/11/2009
EXPIRES: 06/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5752 A ST ,
ASSESSOR'S PARCEL NO,: 1702334100400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pnmp & Air Handler
Owner: CRAMPTON MARK A & NATALIE I
Address: 5752 A ST
SPRINGFIELD OR 97478
Phone Nnmber: 541-914-2977
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE' ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/25/2011
12/23/2011
Phone
54 J -895-4466
541-747-7445
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Gar~ge/Carport
Sq Ft Other:
Occupant Load:
nla
I DE~ELOPMENT INFORMATION I
,q," 'f." .. ,......_,.,~-, ';";-REQUIRED PARKING
Front yard Set"flffl:nCE: ~?IRC 'fi8;iO~st;, Total:
Side I Setback: \-I\S PERM\1 S\:IjI,\.'- 1\-11S PER~1; t Trees Rqd: Handicapped:
Side 2 Setback: 1 \-IORI2EO UNDER I\NDONEI).~ rive Rqd: A1TENTION: OregonWM\lJIres you to
Rearyard SetbaeM'!! NGED OR IS jl,B %01' ~?t ~overage: follow roles adopted by the Oregon Utility
Solar Setbacks: GOMME D"" PERIOD. , '," N tificatlonCenter. Those Nles are set forth
. ~"I,'19.n t'\l 0 _ I Il.- _."'''~I''II "n4~
I PUBLIC IMPROVEMENTS '~o\:t;;';;b~i~ ;;Pie~ Oftite Nles by
, caUilllJ~~t (Note:, the tel~phon8
number for the 'Oregon Utility Notification
D0"0U'll8tlllPtlifDlll-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of 3
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Status
Issued
CITY OF ~n<.1NGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01765
ISSUED: 12/11/2009
APPLIED: 12/11/2009
EXPIRES: 06/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 I -726-3769 Inspection Line
I Valuation Descriotion I'
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F~e. Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Numher
$11.52
$4,80
$79,00 ,," ., I,
$17.00
$7,32
$3,05
$55.00
$6.00
12/11/09
12/11/09
12/11/09
12/11/09
12/15/09
12/15/09
12/15/09
12/15/09
3200900000000000804
3200900000000000804
3200900000000000804
3200900000000000804
2200900000000001382
2200900000000001382
2200900000000001382
2200900000000001382
Total Amount Paid
$183,69
I 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.
I Reouired 1n.n~ction'l
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,
Paee 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: COM2009-01765
ISSUED: 12/1112009
APPLIED: 12/11/2009
EXPIRES: 06/15/2010
VALUE:
By signature, I state and agree, that 1 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 strncture 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 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
.'c,.
"
Page 3 of 3
Date
n5 Fifth Street
Springfield, Oregon 97477
54'} - 726-3759 P,hone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000001382
Date: 12/15/2009
8:44:10AM
Job/Journal Number
COM2009-0 1765
COM2009-0 1765
COM2009-0 1765
COM2009-0 1765
Description
Add, Alter, Extend Citc
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Paid By'
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
cR~ceiotl
Page 1 of 1
12115/2009