HomeMy WebLinkAboutPermit Electrical 2010-2-11
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City Of Springf;eld
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00066
Approval Code: 208122 2/11/2010 2:07 pm
E-~ailed To: c_perkins@ymail.com
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IRJ Addition/alteration/replacement
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I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
If. / 0'JUE'~.;'-!'.;'J:OB:SrTE~NF6Rril.6;TION'ANb;LCiCAff(fN\l#', ,;.' ,
I Job Address: 2328 LOCH DR
I City/StatelZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no,:
I Project Name: M1Q-128 I Ellis
I Coo", StoeeUd;,eet;ons to inb s;te'
I Tax map/parcel no,: 1703251100500
electrical for lwac equipment
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I Name: Rite Electric
I Phone: 541-895-4466
I Email:
Fax:' 541-895-4366
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Elec lie. no,: C335
CCB lie, no.:
178518
Business Name: RITE ELECTRIC INC
I Contact:
I Address: PO BOX 842
I City/State/ZIP: CRESWELL, OR 97426
I Phone: 5418954466 fill"" Fax: 5418954366
I NOTHh-. .
Em.;1 he;d;@fjF'f\~Ob~I'IJ.~IT ~U~'..LE."DIQJ: 11= THE WORK
I Metoo He nnALJTHORIZED UNDER m19'PERMIT IS NOT
I S,pe"';s;ogE}'ef:tMMi:~I~D OR !S7(ABANDONED FOR"
I S'peov;s;ng EI~:(dJJ;W.J,U;\Y t'tlil,l,J!J'P'ERKINS
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurfsdiction, your pennlt will be e-maited or faxed
wilhln one business day, with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 days If a pennit Is not obtaIned.
The local building department may determine thai an Authorization To Begin Work Is null and
void If It does nol meet applicable limd 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
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
D Heallhcarefacilities
I Description
1 Branch circuits without seNice or
feeder
I Branch circuits each additional
circuit without service
I Subtotal
1 State surcharge (12% of permit
total)
) Technology fee (5% of permitto~al)
I TOTAL PERMIT FEE
CIO-IQt-
:0 Hazardous locations
o A service or feeder rated at
600 amps or more
;'0 Buildings more than three star
o Marinas and boat yards
:0 Floating'buildings
'0 Commercial-use agricultural
buildings
o Installation of a 150 'r0/A or
larger seperately derived sys
O "An "En or"I-2"or"I-3"
, .
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Qty.
E..
$55.00
$55.00
$6.00
$6,00
'.t:
;,~
$61.00
$7,32
$3,05
$71.37
CJD-:\C-1L k"tL
2-/11/10
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AnEN11ON: OregOn law requires yau Ie
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952~1~10 through OAR 952-001.
0090. You may obtain copies of the rules bv
calling the center. (Note: the telephone
number for the Oregon Utility Nolillcatlon
Center is 1-800-332-2344).
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Inspections Phone: 541-726-3769
This Aut~orization To Begin Work must be posted at the job site until replaced by a permit
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00192
ISSUED: 02/11/2010
APPLIED: 02/11/2010
EXPIRES: 08/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726..3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2328 LOCH DR
ASSESSOR'S PARCEL NO.: 1703251100500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 2 Circuits for hvac equipment
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Owner: FERN H ELLIS REVOCABLE LIVING TRUST
Address: 2328 LOCH DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION 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 Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
LotSize:
Sq Ft I,~t Floor:
Sq Ft 2pd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~nt Load:,
n/a
I DEVELOPMENT INFORMATIO!" I
REQUIRED PARKING
Frontyard Setback: 'OVerlay DiSl:
Side I Setback: '# Street Trees Rqd:.
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: , _
'~{}T1"r! '.,:' ,;;".:'~'~ , ATTl=tJTInN':'(.)r~nnnlrAW,rP.t1uJ'M\ynlJ.~tr
THIS PE-RMIT SHAll EXPIRH ~JlI!lWIltROVEMENTS I toll.ow rules adopted by the Oregon Utility
'Street Impro'l'elnlOORIZED UNDER T1ilS F'l:hl~(I' .b nvl ~~=~:;:;~~~r~eu~~e~:~e:;~~O~~
Storm Sewer .QP.MM\t:ICED OR IS ABANDONED FOR 009\\....~\lll.-m~.9Il.1ll1I1popies of the rules by
Special InstruN~:180 DAY PERIOD. camng ffiii,cenler. '(Note:. ~etel~~ho~ll
. number forthe Oregon Utility Notification
Center is 1 iaOO'332-2344).
Total:
Handicapped:
. Compact:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
",',1:
., .Paee I of 2
Status
Issued
CITY OF SPRINtJ"'I!.LD
Building/Combination Permit
PERMIT NO: COM2010-00192
ISSUED: 02/11/2010
APPLIED: 02/11/2010
EXPIRES: 08/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726..3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Total Amount Paid
$7.32
$3.05
$55.00
$6.00
$71.37 ',.
2111110
'2111110
2111110
2/11/10
Receipt Number
1201000000000000122
1201000000000000122
1201000000000000122
1201000000000000122
Fee. Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend C;rc
Add, Alter, Extend Circ Ea Add
Amonnt Paid
Date Paid
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, inspections requested after 7:00 a.m. will: be made the following
work day. '
R,~qlJi~e~ Tn~ne.ctions I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 furtber 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 siructure'>>;ithout permission o(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.
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
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00 192
COM20 I 0-00 192
COM20 1 0-00 192
COM2010-00192
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
, t~;.
1201000000000000122
Description
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
+ 12% Slate Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
.Date: 02/11/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page 1 of 1
ONLINE RITE Online
ELECTRIC
Payment Total:
2:39:16PM
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
$71.37
$71.37
2/1112010