HomeMy WebLinkAboutPermit Electrical 2010-1-6
SPRINGfiELD
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: .permitcenter@ci.springfield.or.us
o New Construction
- IRJ Addition/alteration/replacement
[R] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
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I Job Address: 1691 W QUINAl T $T
I CitylStatelZIP: SPRINGFIELD, OR 97477
I Sliite/bldg.lapt.no.:
Project Name: M09-331 I Blankenship
Cross Street/directions to job site:
Tax map/parcel no.:
1703273200126
electrical for sub panel. Done on minor label #ELS20B194
I Name: Rile Electri~
I Phone; 541-895-4466
Fax;.541-895-4366
Ernail:
I Elee lie, no,: C335
I Business Name: RITE,ELECTRIC INC
I Contact:
1''''-1'--
I Add,es" PO BO~ ll11 III:;
.r'lj" rr""'f "',... .
I ... U .~, 1,,(, vntlLL CAntlt-1r I Ht VVUtll\
City/State/ZIP, C'Iffi'n'lh fl~zftf~
. ,l'H.'[n TI :ffi-r::r.PJ.~:;- 1::1 fW:;-
I Phone 5418954o@(JMMENCED OR 1s"'lfl:fal~ft1~I=O Fno
EmaU' h';d;@,.~N,Y,j,80 DAY PERIOD.
CCB lie. no.:
178518
Metro lie. no.:
I Supervising Electrician's lie, no.:
I Supervising Elect~ician's Name:
City lie. no,:
2970S
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 Jurlsdh;;tlon, your permit will be e-mailed or faxed
within one business day, with Instrucllons on how to schedulC yourinspectio n.
NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained:
The local buildIng department may detennlne that an Autholizatlon To Begin Work Is null and
vola I' it does not meet applicable land use law~ and local ordinances,
G IO.l~
Residential 'Electrical Authorization To Begin Work
69600-BEL-10-00006
Approval Code: 831107 1/6/2010 2:29 pm
E-mailedTo:c_perkins@ymail.com
Please check all that apply:
o A service or feeder:beginning
at400 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
D Buildings more than lhreestor
D Marin~s and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 Kl/A or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3'.'
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
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
I Description
Qty,
Ea,
~4
I Serv'lces200 amps or less J l $81.00 I $81,00
1t:I~Cfrical;~E{rm if Fees~i;~172nJ.4?1~-i_,~:J;tt~:tr:'::4 ,;':~>:j ;;;c:; ~':\
I Subtotal $81.00
I St~te surcharge (12% of permit $9,72
total)
I Technology fee (5% of permit total) $4.05
I TOTAL PERMIT FEE $94.77
OD-~0 ~ \((;IID
.
ATTENTION: Oregon Jaw requires you to
follow rules adopted by the Oregon UtIlity
Notification Center. Those rules are set forth
In OAR 952.()()1.()()10through OAR 952.()()1.
0090. You may obtaIn copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility NotifICatIon
Center 1111-800-332-2344).
~
~ ~ Co~\. -sfl/<.
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\}vol.
Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00028
ISSUED: 01106/2010
APPLIED: 01106/2010
EXPIRES: 07/0612010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1693 W QUINALT ST
ASSESSOR'S PARCEL NO.: 1703.273200126
. Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Eleetrical for sub-panel- done on minor label #ELS208194
Residential
Owner: BLANKENSHIP JAMES D
Address: 1693 W QUINAL l' ST
SPRINGFIELD OR 97477
I C.ONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
~UlLDING INFORMATION'
Expiration Date
09/25/20 II
Phone
541-895-4466
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustruction 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 2ud Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
n/a~
I DE':ELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION: Oregon l8W'lbquIres you 10
follow rules adopted b1}'n!li~ UtIlity
Notification Center. ThdSelJU/Ware set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
"'('lli....1...'i' ,..~~':'r {M':'t'U"ol1g tQlgp~eR!
I PUBLIC IMPROVEMENTStumber for the Oregon Utility Notlficallon
. . . Center Is 1-800-332-2344),
Sidewalk Type:
~IOTlCE:
F~ontyard:~~,~bi'S~;MIT SHALL EXPIRE IF THE WQr,'ij;lay Dist:
SIde I Set~~~~iORIZED UND #'~et Trees Rqd:
Side 2 Setback' ER THIS PERMIT IS ~Qkd Drive Rqd:
Rearyard'S~wWfIf:lCED OR IS ABANDONED FOR% of Lot Coverage:
Solar Set'~~lksl:BO DAY PERIOD. .
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descrilltion I
. III I
Description' Type of Construction
$ Pel' Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
'-
Paee I of2
;':'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 120/.State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Total Amount Paid
Amount Paid
$9.72
$4,05
$81.00
$94.77
".
Total Value of Project
Fees Paid I
. .
. .
I Plan Reviews I
Date Paid
1/6/10
1/6/10
1/6/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00028
ISSUED: 01106/2010
APPLIED: 01/0612010
EXPIRES: 07/061201(}
VALUE:
Receipt Number
1201000000000000015
1201000000000000015
1201000000000000015
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.~Il'~~red In.sne,ctio~s I
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that 1 have carefully examined the comph;ted application and do hereby certify tbat 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 coutractors aud 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
Paee 2 of 2
Date
225 Fifth Strcet
Springfield, Orcgon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00028
COM20 I 0-00028
COM20 I 0-00028
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
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-.. '
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,."'...-....,..;,.,...'....;. -. .,;" .. ...;
1201000000000000015
Description
Penn Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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
KR
,
Jt\ I: ,.
.'
<t.
Page I of I
ONLINE RlTE Online
ELECTRlC
Payment Total:
2:51 :42PM
Amount Due
81.00
9,72
4.05
$94,77
Amount Paid
$94.77
$94,77
1/6/2010