HomeMy WebLinkAboutPermit Electrical 2010-2-23
SPRINGFIElD
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:-.'\. OREGON
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726.3753
Ernail: permilcenter@ci.springfield.or.us
TYPE ,OF WORK - n
- ,
0 New Construction IRl Addition/allerationtr'eplacement
CATEGORY OF CONSTRUCTION
[R] 1 or 2 family dwelling 0 Multi-family o Commercial o Accessory
" .' JOB SITE INFORMATION AND lOCATION
Job Address: 973 S 37TH PL
CitylStatelZIP: SPRINGFIELD. OR 97478
Suitefbldg./aptno.:
Project Name: M10-135 I Vanderhoust
Cross StreetJdlrections to job site:
Tax mapfparcel no.: 1802061312500
" .. ' .. ~ ' " ~ DESCRIPTION OF WORK.. "
electrical for ductless heat system & GFCI
I. . .';--: SITE CONTACT; ","", .
,
Name: Rile Electric
, .
Phone: 541-895-4466 Fax: 541-895-4366 . '1;,-
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Ernai1: ..,
I " CONTRACTOR
Elee lie. no.: C335 eee lie. no.: 178518
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
City/State/ZIP: CRESVVELl, OR 97426
Phone: 5418954466 Fax: 54.18~~~~~~I.'tli;~'~;'):':J.-I'
Email: heidi@~ll.n'P etUAt . 11- IHI! ORK
Metro lie. no. ~'I ;~I-I'n'i:;;;'~'n ~Nnl ISnflERMIi IS \\lOT !.
Sup.<vlslng EI'rof:lMENSED OR<lS!#IBANDONED roR '.;'; " ,
Sup.<vlslng E,;,M;bY..-blllJ,,.QAY RIlRlfillkRKINS .,
Number of inspections included In paid services:
Residential Service: 4
Reconnect Only: 1
All Other SeNices: 2
C./ () ~ ;>:38'
Residential Electrical Authorization To Begin Work
69600.BEL-10-00082
Approval Code: 444979 2/23/2010 1:24 pm
E-mailedTo:c.....Perkins@ymail.com
PLAN REVIEW' . '
Please check all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three star
10,000 Amps at 150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps lor all other o Floating buildings
o Fire pumps o Commercial-use agricultural
buildings
o Emergency systems o Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A", "E", or "1-2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health care lacilities o Supply voltage lor more than
600 supply volts nominal
, :." FEE SCHEDULE ,
Description Oty. Ea. I Total
Branch-circuits, ,., " . "
, ,
Branch circuits without seNice or 1 $55.00 $55.00
leeder
Branch circuits each additional 1 $6.00 $6.00
circuit without service
Electrical' Permit Fees " '. "
Subtotal $61.00
State surcharge {12% of permit $7.32
total}
Technology fee (5% of permit tolal) $3.05
TOTAL PERMIT FEE $71.37
r\O~ ~3o
21r~1 ID
~
ATTENTION: Oregon law requlrQo yau Qo)
C:IIlow MQQ adopted by the Oregon UlllIiV
Notification Center, Those rules ere set fortiil
fit OAR 952~1~10 through OAR 952~1.
C09O. You may obtain copies or the rules bv
\ll8Iling the center, (Note: the te/ephono
~ for the Oregon Utility No~
Center 10 HlOO-332-2344).
void If It does nol meet applicable land use laws and local ordlnancea.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Pending
PERMIT NO: COM2010-00238
ISSUED:
APPLIED: 02123/2010
EXPIRES: 08/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 973 S 37TH PL
ASSESSOR'S PARCEL NO.: 1802061312500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for new ductless heat pump system & GFCI in residence.
Residential
Owner: VANDERHORST GLORIA J
Address: 973 37 PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON ~
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFOIiMA 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 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 Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA nON ~
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:
~\ .::-.~'::<:,.:;;'tY;""\;~'-'::-,-;::'k,';'~"',':!',: :'.". .
" .I....r..,.,.KlIIiWfill IL ' re on w req reg you
THIS PERMIT SHAll EXPIR~oVEMENTS "".ow ~'es adopted by the Oregon UtIlity
Street ImprovelPl'/Il1@:RIZED UNDER THIS PERMIT IS NOT'. NOlific!ll~eThose rules are set forth
rmm~~rCED OR IS ABANDONED fOR" In OAR 952-001-0010t~rough OAR 952.001-
Storm Sewer )\Vll)laD'lt!~,. ,',.: ___ 0090., 'lmfml!f~liI'l!ijpies of the rules by
SpCClallnstr~Hdn~ 80 DAY PERIOD. ' . . ::,;~. calling the center. (Note: the telephone
r number for the Oregon Utility Notification
Notes: Center 181-800-332-2344).
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Value
Date Calculated
Pa~e I of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2010-00238
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02123/2010
08/23/2010
.1 I,'
Total Value of Project
l Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Tcchnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$7,32 2/23/10 1201000000000000170
$3.05 2/23/10 1201000000000000170
$55,00 2/23/10 1201000000000000170
$6.00 2/23/10 1201000000000000170
Total Amount Paid
$71.37
I Plan Reviews ~
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. . ,
. ,
[Jeouired InsDect~
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 conect, 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 the property, and the approved set of plans will remain on the site at all
times during construction. '
Owner or Contractors Signature
Date
.! Of
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
54] -726-3759 Phone
~~
City of Springfield Official Receipt
Development Scrvices Department
Public Works Dcpartment
RECEIPT #:
]20]000000000000]70
Datc: 02/2312010
2:59: 19PM
Job/Journal Number
COM20 I 0-0023 8
COM20 I 0-00238
COM2010-00238
COM20 I 0-00238
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
"
Amount Due
55,00
6,00
7,32
3,05
$71.37
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
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