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Home My WebLink AboutPermit Mechanical 2010-1-21 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line " CITY OF SPKlj~lj1'lJ!,LD Building/Combination Permit PERMIT NO: COM2010-00091 ISSUED: 01/21/2010 APPLIED: 01/21/2010 EXPIRES: 07/21/2010 VALUE: Status Issued SITE ADDRESS: 5253 FORSYTHIA DR ASSESSOR'S PARCEL NO,; 1802042105100 Springfield TYPE OF WORK: Healing System TYPE OF USE: New PROJECT DESCRIPTION: 2 circnits for heat pump and air handler in residence. Residenlial Owner: STURGIS RICHARD D & ALlSA A Address: 5253 FORSYTHIA DR SPRINGFIELD OR 97478 \ I ,CONTRACTOR INFORMATION I Contractor Type Electrical Contractor RITE ELECTRIC License 178518 BUILDING INFORMA nON I 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 Slruclure Type of Heal: Water Type: Range Type: Energy Palh: Sprinkled Building: Lot Size: Sq Fi IsI Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq FI Other: Occupanl Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard S~ro~CE: Overlay Dist: S~de I Selba~~IS PERMIT SHALL EXPIRE IF TH1rti~~Trees Rqd: SIde 2 Setback'j H nve Rqd: Rearyard Set\Jalk,oRIZED UNDER THIS PERMIT I Coverage: Solar SetbackQMMENCED OR IS ABANDONED FOR ^ r..IV -Ion n ^" OCOlnn Total: Handicapped: ATTENTION: Oregon 1t1'll~\l:es you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in ()!lFl ef'2-nn1-n,Q1 0 throuah OAR 952..001- I PUBLIC IMPROVEMENT~90. You may obtain copies of the rules by , - lcalling the center. (Note: the telephone numl:liiJll\JI'o(lke~p&!gon Utility Notification D Center is 1-800-332-2344). ownspoufslDrams: Street Improvements: Storm Sewer Available: Speciallnslruclion: Noles: ~;.l ; ....~~.~."'.. ..~ , , I Valuation Descriotion I Description Type of Construction $ Per Sq FI or multiplier Square Footage or Bid Amounl Value Date Calculated , Paee I of 2 Status Issued' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeetion Line Fee Description + 12% State Sureharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $7.32 $3.05 $55.00 $6.00 Total Amount Paid $71.37 Total,Value of Project Ff~,~ P?id I I Plan Reviews I Date Paid 1/21/10 1/21/10 1/21/10 1/21/10 CITY OF SPRI1'H,J1' IJ<.LD Building/Combination Permit PERMIT NO: COM20IO-00091 ISSUED: 01121/2010 APPLIED: 01/21/2010 EXPIRES: 07/21/2010 VALUE: Receipt Number 1201000000000000065 1201000000000000065 1201000000000000065 1201000000000000065 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 Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed allplication and do hereby certify that all information hereon is true and correct, and 1 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 of the Community Services Division, Building Safety, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 tbe front of/he property, and the approved set of plans will remain on the site at all times during construction. r Owner or Contractors Signature o ) " ,10 Paee 2 01'2 Date SPRINGFIELD. '.'H.,\ 0, ,-', ,,,. .'C( C~. '-~'''', ORE'GON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Emait: permitcenler@ci,springfield,or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00035 Approval Code: 228928 1/21/2010 11:38 am E-mailedTo:c-perkins@ymail.com IKl Addition/alteration/replacement Ir' I [R] 1 or 2 family dwelling o Multi.family 0 Cornmerclal o Accessory '" ':Jcii3'SIi'EJNFORM...i'IONANi:5'EO'C~TibN; <>l \'l\'t :;It;,('~?; I Job Address:S253 FORSYTHIA DR I City/StatefZlP: SPRINGFIELD, OR 97478 I Suite/bldg./apt.no.: I PrOject Name: A10-109 ( Standoh I C'oss S"eeUd;'ecUons to Job s;te, I Tax maplparcel no.: 1802042105100 .7 ~~~10E~.~:81RTKiN;QE~OBk11t~~?~.G1~~~;~ ...&~ ~~ f4' ~~pu",,~ t? f\'\,0- ~, -- I Name: Rite Electric I Phone: 541-895-4466 I Email: Fax: 541.895-4366 I Elec lie. no.: C335 CCBllc. no.: 178518 I Business Name: RITE ELECTRIC INC I Contact: I Addres~: PO BOX 842 I C;ty'Stat'fi'flTHl!'!'LL, OR 97426 ' ' ""'"'' I Phone' 5:r,W84~ERMIT SHALL EXP1RIH189T+mWORK I Em.;, h.t\I@!.\;Lil!;\JlJW UNDER THIS PERMIT IS NOT I ' l)JiviivicivCcu un I,) "\I'1I"UMi~t:u run ' , Met'o hC,.r~lY 1 gg 0 ^:v: P R ,,,, City .c, no,' ',,' I :-11' "E 10.... " . Supervising Electrician's lie, no.: 2970S I 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-mailed or faxed within one business day, with InstruCllons on how to schedule yourl nspectlon. 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 II does not meet applicable land use laws and local ordinances. I Description I Qty. I l~r,~h'~tl~jtc""uiJ~:~';',;'?7iTIV;~~:1~5/:~',::~ I Branch circuits without service or feeder laranch circuits each additional Circuit without service I E,I(h~trlc:a I: Eerifi Iff~e_e~~'::r r Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Please check; alt 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 gro'und exceeds 14,000 Amps for all other o 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 @lo-Q) k-,{L 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 KVA or larger seperately derived sys O "A" "E" or "1~2" or "1.3" , , o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal ::-~:~"'''',';'''!I I ,2,1 Total $55,00 $55,00 I $6.00 I $6.00 I I \J 201 ]JO $61,00 I $7.321 $3,05 I $71.37 I ATTENTION: Oregon law requires you to fonow rules adopted by the Oregon Utility Notification Center. Those rules are set fortll In OAR 952-001-0010 through OAR 952-001- 0090, You may obtaln copies of the rutes by calling the center. (Note: the telephone number for the Oregon Utility Notlficatioft Center 181~D-332-2344). ."]:;:;''";!,?t'".~. ' Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00091 COM20 I 0-00091 COM20 I 0-00091 COM201 0-0009 1 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1201000000000000065 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Check Number Ric,~,.*ed By ';~ . Batch Number .kr 1;".,' j'(;i: .. ~.~:, ~ ,i . ':"'.~ " Page 1 of I City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/21/2010 Item Total: Authorization Number How Received ONLINE Rite Electric Online Payment Total: 11 :47:07AM Amount Due 55,00 6,00 7,32 3,05 $71.37 Amount Paid $71.3 7 $71.37 1/21/2010