HomeMy WebLinkAboutPermit Electrical 2010-2-2
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o New Construction
City Of Springfield
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
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IK) Addition/alteration/replacement
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1 or 2 family dwelling 0 Multi-family [X] Commercial 0 Accessory
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Job Address: 126 28TH 5T
_:jOB SITE iNFORMA 'nON'I,N'o LOC'A TiotJ.c,
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City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
ProjectName:M10*115I PumpSlation
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Cross Street/directions to Job site:
Tax map/parcel no.:
replace service
Name; Rile Electric
Phone: 541.895-4466
Email;
Elee lie. no.: C335
1703364100300
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Fax: 541-895-4366
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CCB IIc. no.:
176516
Business Name: RITE ELECTRIC rNC
Contact:
Address: PO BOX 842
City/State/ZIP: CRESWELL, OR 97426
Fax: 5418954366
Phone: 5418954466
Email: heidi@c-perklns.com
Metro IIc. no,:
Supervising Electrician's Ifc. no.:
I Supervising Electrician's Name:
City lic. no.:
29705
CLYDE I PERKINS
Number of inspections included in paid servIces:
Residential Service: 4
Reconnect On,ly: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your permit will be o-malled or faxed
within one business day, with instructions on how to schedule your Inspection.
NOTE: This A.uthorization To Begin Work expires within 180 days if a permit Is nol obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if [t doGS not meet applicable land use Jaws and local ordinances.
C/IO'I{o
Commercial Electrical Authorization To Begin Work
69600-BE L-1 0-00052
Approval Code: 855654 2/2/2010 10:24 am
E,mailed To: c_perkins@ymaiLcom
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Please check ail that apply: 0 Hazardous locations
o A service or feeder beginning 0 A service or feeder rated at
at400 Amps where the 600 amps or more
available fault current exceeds 0 Buildings more than three star
10,000 Amps at150 Valls or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA 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
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;;*et FEEsci:!.ED.Ut~,
I Description I Qty. I
IS"l!rvic_es~orfe~~ers~~'~ ~~., ~ ;~ - e'i/
I Services 200 amps or less I
II3~a<<i1ch:cir~ui~~ ......:.., 0._ _ 1\~'''''i.-./''~
I. Branch circuits with service or I 3
feeder each circuit
IEI.ectric"'al~PermifF:e9s~?:"~'"c~~?;~~~1'? ~y ;.:1'
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
<. .')"'.;1
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I
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$61,00 I
."1
~ ~. .',1
$18.00
Ea.
Total
$81~00",l
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$6.00 I
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$99.00
$11.88
$4.95
$115.63
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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
&P-AINOl;llirL:D, __I
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM201O-00140
ISSUED: 02102/2010
APPLIED: 02/02/2010
EXPIRES: 08/02/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541,726,3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 126 28TH ST
ASSESSOR'S PARCEL NO.: 1703364100300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Replace service
Owner: DANNEN JOINT TRUST
Address, 2096 MUSKET
EUGENE OR 97408
Contractor Type
Electrical
Contractor
RITE ELECTRIC
I CON:~CTOR INFORMATION I
License
178518
BUILDING INFORMATION I
Expiration Date
09/25/201 I
Phone
54 I -895-4466
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Oth...:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
_ ' '. I PUBLIC'IMPROVEMENTS I
, Ulre.' ,. .
Street Imp/i:'tf!!lml!lN: Oregon law re6reg~~UliIiIY Sidew~lk.Type:
I"~oadopled by Ihe I forlh
Storm Se~~~K~~D'C:enler. Those rules are se 001- DownspoutslDrains:
Special Id\I~Q~-o01_0010IhrOugh OAR 95~' by
In 6Aifgo bt 'n copies oflhe ru es , .
Notes: 0090. You may 0 at Nole: Ihe te\e~ho~e 'OOltl3d AVO 0" fl.,.
caI\1~~_tt~ ~~~:~~on UliliIY,~~lihca\lOn HOl Q3NOONV8V SI_~~_ o,,3~~~~~~~~:,
...If : - Centef i81.110\J'o)o)""...~ .\. =' .1.lVHljQ ;)In.l. (J]JI'~' J~~,~~. '-".
I Valuation Descri' 3Hl ll3tlldX3 llVHS IlV\ltl3d SIH,l
, :3::l110N
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee ] of 2
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00140
ISSUED: 02/02/2010
APPLIED: 02i02/2010
EXPIRES: 08/02/2010
VALUE:
~;;;'':.
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
Total Value of Project
F~~s P~id J
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$11.88
$4.95
$18.00
$81.00
2/2/10
2/2/10
2/2/10
2/2/10
3201000000000000035
3201000000000000035
3201000000000000035
3201000000000000035
Total Amount Paid
$115,83
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,eouired Insnectinns I
Electric Service: Approval required prior to u'tility company energizing service.
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 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 of the 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 thelproperty, and the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
Paee 2 of 2
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2010,00140
COM20 I 0-00 140
COM2010,OOl40
COM2010-00140
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
Date: 02/02/2010
II :30:02AM
3201000000000000035
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
81.00
18,00
11.88
4.95
$115.83
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
rite elect Online
Payment Total:
$115.83
$115.83
njm
ONLINE
il.ili. 'Or:
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