HomeMy WebLinkAboutPermit Electrical 2010-1-6
SP~I~G~~L~
'iif'I'}
, ;'""",
OREGON
City Of Springfield
22'S Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfjeld.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00007
Approval Code: 835915 1/6/2010 2:33 pm
E-mailedTo:c.J)erkins@ymai!.com
Ir...
I 0 New Construction
.' '-~..]
1:~~~~-'TYPE:OF\ijORK~.;t~1:-;;:O'-: :_:---:;;:.~" .,
!Kl Addition/alteration/replacement
II"" CA TEGORy,oE:cQNSTRUCTToN:" ,~:"/?'
100 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
'. ':JOB SITEJNFORMATiON'ANO:Lo.CArioN::D;
I Job Address: 3063 HAYDEN BRIDGE RD
I CitylStatelZIP: SPRINGFIELD, OR 97477
I Suite/bldg.lapt.no.:
Project Name: M09-492 / Barth
Cross Street/directions to job site:
I Tax map/parcel no.: 1702193200204
~"'~i0,:.:.;:"-".JjESC~I"Tr6N OF;WORK('::.'!";;~v::t'..
electrical for hvac equipment
II
~_. ~"
';,-i:..
:SITE:CONT Ac'fYI;:-. "c<: ::'<C~>
'-<.'-
I Name: Rite Electric
I Phone: 541-895-4466 Fax: 541-895-4366
I Email:
. '.,~". '..CONtRACTOR~j,::.:
I Elec Iic. no,: C335
I Business Name: RITE ELECTRIC INC
I Contact:
CCB lic, no.:
178518
Add,",s: P~'l)'tlfl!:, , -...
c;tyJStateJ~';'''E~''''' """"All EXPIRE IF THE WUtll\
-rHl:i FITHlIlH orr .- I" !in:"
Phone, 541~~T<I<lORIZED UNDER T~51;',~~1~~JF:Q "'.
. .l'mn.n~"l:tU Uti I" /-ID"I~E;0{K3 4..
Ematl: hetdl~SJpe;Il.lH~
I /-I1~I'tOU [jAY-t'fRl:)C.,
Metro IIc, n6.:- City lic. no.:
I Supervising Electrician's Ifc, no.: 2970S
I Supervising Electrician's Name: CLYDE I PERKINS
Number of inspections included in paid servicBs:
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 faxed
within one buslnesa day, with inslrucllons on howto schedule your in specllon.
NOTE: This Authorl:zallon To Begin WorK expires within 180 days If a permit Is not obtained,
The Jocal buildIng department may determine that an Authorization To Begin WorK Is null and
void if il does nol meet applicable land use laws and tocal ordinances,
- ~--:1
1,';:"/'-
,"'T.
tq ,/gir
,~, ,
.: .~"LAN-REVIEW
. f' .~ -:,
,'4
Please check all 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
D Hazardous locations
D 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 ofa 150 KVAor
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
> >
o Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
~,.F(~E SCHEOuL~' 0' ,"
l Qty l
Total
:~-\
..,
o Fire pumps
D 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
~i
I Description
ISranc_h:.circUlts !:.~4',
I Branch circuits without service or
feeder.
I Branch circuits each additional
circuit without service
Il=-!ectricai Perfuit.Fees'!~"
I Subtotal
I State surcharge (12% of permit
total)
I Technology.fee (5% of permit total)
I TOTAL PERMIT FEE
E..
-;'. .~~~,7:"'~- -"
,
LCl-IB\~
$55.00
$55,00
$6,00
$6,00
. ''''~... '
$61.00
$7,32
$3.05
$71.37
~
I !lo /10
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
. Notification Center. Those rules are set forth
in OAR 952.001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Nate: the telephone
number for the Oregon Utility NotificaUon
Center is 1-800-332-2344),
\S)Q/
. .. \:y\~~
~L{<
~
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
~
~ ~S;\.,
~ C\~
-iji->
",-"........ .""..".
LIIl' OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01814
ISSUED: 12121/2009
APPLIED: 12/21/2009
EXPIRES: 07/06/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3063 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO,: 1702193200204
Spriugfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: BARTH RONALD L & MICHELLE L
Address: 3049 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
Phone Number: 541-746.2212
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/25/2011
12/2312011
Phone
541-895-4466
541-747-7445
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENTINFORMATION I
NOTICE: ..
Frontyar~~~ffi ..Q,~I)ay Dist: ,
Side I Set J: MIT SHALL EXPIRE IF THE v~l\,et Trees Rqd:
Side 2 Se L : ORIZED UNDER THIS PERMIT IS Mld Drive Rqd:
RearyardqQf~MIiNCED OR IS ABANDONED FOR% of Lot Coverage:
Solar Set~'Jl{s~ 80 DAY PERIOD,
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special I nstruction:
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you.t,o
follow rules adopted by the Oregon Utility
"_"~M+lftft r..n'",. Those rules ate set forth
I PUBLIC IMPROVEMENTS ,in"OAR 952.001-0010througn UAt1 t10",'vvb'
. 0090. You ma}' obtain copies of the ru es y
calIiAltll\l!<iJent'lll'. (Note:. ~he tele~ho~e
, nUlDlllltt\\tl1l~a91(\g9,n Utility Notification
-. Center IS 1'-~0-332-2344).
.,
.,,-'
",T..-
i' L
Notes:
Pa2e 1 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01814
ISSUED: 12121/2009
APPLIED: 12121/2009
EXPIRES: 07/0612010
VALUE: .
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
';r,
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Toial Value of Project
. I Fees Pai~ ,
Fee Description
+ 12% State Surcharge
+ 5% Te.chnology Fee
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$9.48 12/21/09 3200900000000000819
$3,95 12/21/09 3200900000000000819
$79,00 12/21/09 3200900000000000819
$7,32 1/6/10 1201000000000000016
$3.05 1/6/10 1201000000000000016
$55,00 1/6/10 1201000000000000016
$6,00 1/6/10 1201000000000000016
Total Amount Paid
$163,80,.. ,.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
work day.
I R,efl'~ired Insn~ctions ,
Rough Mechauical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
~: i'
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
en y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01814
ISSUED: 12/21/2009
APPLIED: 12121/2009
EXPIRES: 07/06/2010
VALUE:
By siguature, 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 furtber certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Srringfield 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 w.ho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections ~re 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 Contr~ctors Signature
't-!;
J
, ,
'" F
Paee 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1814
COM2009-0 1814
COM2009-0 1814
COM2009-01814
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1201000000000000016
Description
Add, Alter, EXlend Clrc
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01106/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
.j
Page I of I
ONLINE RITE Online
ELECTRIC
Payment Total:
2:58:26PM
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
$71.37
$71.37
1/6/20 I 0