HomeMy WebLinkAboutPermit Electrical 2009-12-21
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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
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OR~GON
City Of Springfield
225 Fifth 51 .
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci,springfleld.oLus
I D New Construction
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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
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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
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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
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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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:
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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
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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
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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
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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
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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:
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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