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HomeMy WebLinkAboutPermit Electrical 2010-2-23 SPRINGFIElD ~".L\..~,^", '. l", . &J . ~ " ""'" "( ",,-,'01 ,', ,',. ~ :-.'\. 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;,- ." 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 .,! cRcccintl Page 1 of I 2/23/20 I 0