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Home My WebLink AboutPermit Electrical 2009-12-21 Cq. tlqq Residential Electrical Authorization To Begin Work 69600-BEL-09-00300 Approval Code: 469087 12/21/2009 1:30 pm E-mailedTo:c_perkins@ymail.com ":;'~\il S;~I~~~~~o,' " I~ +;.;.."'- OR~GON City Of Springfield 225 Fifth 51 . Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci,springfleld.oLus I D New Construction I,';, " I [Z] 1 or 2 family dwelling IR] Addition/alteration/replacement o Multi-family o Commercial o Accessory Job Address: 3832 JASPER RD CityfState/ZIP: SPRIN'GFIELD, OR 97478 Suite/bldg.fapt.no.: Project Name: AQ9-416 { yahn Cross Street/directions to job site: Tax map/parcel no.: 1802061412400 electrical for hvac equipment .' ,l Name: Rile Electric Phone: 541-895-4466 Fax: 541.895-4366 Email: I elec lie. no.: C335 Business Name: RITE ELECTRIC INC eee lie. no.: 178518 Contact: I Address: PO BOX 842 CitylStatefZIP: CRESWELL, OR 97426 Phone: 5418954466 Fax; 5418954366 Email: heidi@c-perkins.com I Metro Iic. no.: I Supervising E-Iectrician's Iic. no.: I Supervising Electrician's Name: City lic, no.: 29705 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 within one business day, with instructions on how to schedule your inspection. be\ ~.mail~d or faxed NOTE: This Authorizatfon 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 does nol meel applicable land use laws and local ordinances. Please check all that apply: o 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 D Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities o Hazardous locations o A service or feeder rated at 600 ar:nps 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 D :'A", "E", or "1.2" or "1.3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal I Description Total Branch circuits without service or feeder ,I Branch circuits each additional circuit Without service I Qty, Eo, $55,00 $55.00 $6.00 $6.00 ~<,.;-+<l. ~ $61.00 $7.32 $3.05 $71 ,37 " dO ~~~ \ ~ 0'-' S,'- ~.~ uyY\'2.w0 -on q~ nrn \o-/8.ll o~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE ~Q-'OC\. \~.~~ ~\}~. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01799 ISSUED: 12/17/2009 APPLIED: .i2/16/2009 EXPIRES: 12/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3832 JASPER RD ASSESSOR'S PARCEL NO.: 1802061412400 Springtield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Two-zone mini-split Owner: HAWKINS PENNY J Address: 3832 JASPER RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date, Phone 10/22/2011 541-726-7654 BUILDING INFORMATION ~ # 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 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: '~\. . I PUBLIC IMPROVEMENTS ~ A~r6Ir~~6R'UJw requires yoU to fonow ",~pta6tb,,\he: Oregon Utility Notlllcatlon Center. Those rules are set forth In OAR 952.001-0010 through OAR 952-001- Notes: 0090. You may obtain copies of the rules by "nTI I'C. _ .. ...,1 oaIl1ng the center. (Note: \he telephone ",~"- IT SHAll EXPIKt Ir trr \.:\{~\ ~""'''''UI ..,.....'..\jUll vumy ",uum.'U1UII ,I\S PER~ ER THIS PERMUT;&.~QTion DescriDtion Center 18 1-800-332-2344). Inl"'JI/t:O UNO , ' : :':,~:'r.' "0' OR IS ABANDONED rurl '.": , , :' '!.l'! ,C J ,$ Per SqFt Square Footage DescnptlOn . TYl,e of:Gon"'ructlOn I' I' B'd A' Value Date Calculated . :: r Lt \lULl. or mu tip ler or I mount Street Improvements: Storm Sewer Available: Speciallnstruetion: Pa2e I of 3 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-01799 ISSUED: 12/17/2009 APPLIED; 12/16/2009 EXPIRES: 12/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~Ft'I'~ P1W ''- ." j.- Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend C;rc Ea Add Amount Paid Date Paid, $13.56 $5.65 $79.00 $17.00 $17.00 $7,32 $3.05 $55,00 $6.00 12/17/09 12/17/09 12/17/09 12/17/09 12/17/09 12/21/09 12/21/09 12/21/09 12/21/09 Receipt Number 3200900000000000811 3200900000000000811 3200900000000000811 3200900000000000811 3200900000000000811 2200900000000001413 2200900000000001413 220090000000000]413 2200900000000001413 Total Amount Paid $203,58 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, insp~ction,s requested after 7:00 a.m. will be made the following k d I,.",;!! . >.,' wor ay. , ":, "," I?r,rrl,;r'rrll'lsnections. 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. ~Page 2 of 3 -"'.j 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: COM2009-01799 ISSUED: 12/17/2009 APPLIED: 12/16/2009 EXPIRES: 12/21/2010 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 ofthe 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 ~. 'i. Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 I 799 COM2009-0 1799 COM2009-0 \799 COM2009-0 1799 Payments: Type of Payment ONLINE CHGS cReceil1tl ~."'r~~"!~!_'.."" ifiJ..,.,..-,~,,' ',.'.,:.'. ~', >>~~ '1 .". ' ,'-. ,. '- '<"'>,~, ..."" ' .....~., City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #:' 2200900000000001413 Date: 12/21/2009 Description Add, Alter, Extend Circ Add, Alter, Exten'd Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Numb,er Number How Received nJm ONLINE rite elect Online Payment Total: .".:! ", Page I of I ' 1:51:53PM Amount Due 55,00 6,00 3,05 7,32 $71.37 Amount Paid $71.37 $71.37 12/2 1/2009