HomeMy WebLinkAboutPermit Electrical 2010-3-11
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Ernail: permitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-1 0-001 09
Approval Code: 252285 3/1112010 3:28 pm
E-mailedTo:c....perkins@ymai1.com
Job Address: 465 72ND ST
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available tauJt current exceeds
10,000 Amps at 1S0Votts or
less to ground exceeds
14,000 Amps for all other
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
D Marinas and boat yards
o Floating buildings
D' Commercial-use agricultural
buildings
D tnstallationofa150t<:VAor
larger seperatety derived sys
O "A" "E" or "1-2" or "1~3"
. .
D Recreational Vehide Parks
o Supply voltage for more than
600 supply volts nominal
00 1 or 2 family dwening 0 Multi-family
City/State1ZIP: SPRINGFIELD, OR 97478
D Fire pumps
D Emergency systems
D Addition of a new motor load .
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
~uite1bldgJapt.no.:
Project Name: M1G-147/Hastrulid
Cross street/directions to job site:
$6.00
$6.00
Name: Rite Electric
$61.00
$7.32
Phone: 541~895-4466
Elee lie. no.: C335
cce lie. no.:
178518
State surcharge (12% of permit
total
Technology fee (5% of pennit total)
TOTAL PERMIT FEE
$3.05
$71.37
Business Name: RITE ELECTRIC INC
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Contact
Address: PO BOX 842
City/State1ZIP: CRESWELL, OR 97426
.,
,
Phone: 5418954466
Fax: 5418954366
Email: heid
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m
Metro lie. no.:
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
ATTENllON: Oregon Jaw requIre, you to
follow rules adopted by Ihe Oregon Utility
Notification Center. Those rules are set forth
kl OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the tele~hone
llUIIlber for the Oregon Utility Notification
_ "'Wl~ · H,OO-332-2344,
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Supervisinsr,
Supe"'is;ng\~lp]!tnF8@s8A\&'PER~'DlE 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 Jurisdiction, your permtl will be e-mailed or faxed
within one business day, with instructions on how to sclIedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 dilYs If a permtlls not obtained.
The Ioc::al building department may determine that an Authorization To begin Work Is null and
void tr tI does not meet appllcilble land !.Ise laws and local ordinances.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00291
ISSUED: 03/09/2010
APPLIED: 03/08/2010
EXPIRES: 09/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 465 72ND ST
ASSESSOR'S PARCEL NO.: 1702353105500
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence.
Residential
Owner: HUSTRULlD GLENN N & ANN L
Address: 465 N 72ND ST
SPRINGFIELD OR 97478
Phone Number: 541-726-0791
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION ~
Expiration Date
09/25/2011
12/23/2011
Phone
54 I -895-4466
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
. W,i'ler'Ty'pe:
"'Rauge Wile:
Energy Path:
Spriukled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
"REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: '0" :,'';'.',''''' # Street Trees Rqd: Handicapped:
Side 2 Setbackcioc. EW~ed Drive Rqd: ATTENTION: OregolI:la\tIl~lres you to
Rearya",,~;!iYll~ S1-l~'-'- EXPIRE If 11-1 ti(jff Lot Coverage: follow rules adopted bylhe Oregon Utirlty
Solar se!11~~~ERMIT . ER THIS PERMIT IS " .' ' ' . . . Notification Center. Those rules are set fortll
';~MMENCED OR IS ,., I PUBLIC IMPROVEMENTS ~ 0090. You may obtain copies of the rules I:!J
I., n ^~ PERIOD. I calling the center. (Note: the telephone
Street Impl'o.vemj;M~!' nu~r1tIl<ffi~egonUlility Notification
Storm Sewer Available: Dowl(s111,tmsifJ~:i~q9-332-2344).
Special Instruction:
Notes:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
+ 12% State Surcharge
+ 5% Techuology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
I Valuation Description ~
$ Per S9Ft ..'. .Square Footage
or multiplier or Bid Amount
Total Value of Project
Fees Paid ~
Amount Paid
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00291
ISSUED: 03/0912010
APPLIED: 03/0812010
EXPIRES: 09/1212010
VALUE:
Value
Date Calculated
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
3/9/10
3/9/10
3/9/10
3/9/10
3/12/10
3/12110
3/12110
3/12/10
Receipt Number
3201000000000000081
3201000000000000081
3201000000000000081
3201000000000000081
2201000000000000238
2201000000000000238
2201000000000000238
2201000000000000238
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.
$183.69
Plan Reviews ~
':.,i'i ','
.1"',
T
L ReQuired InsDections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00291
ISSUED: 03/09/2010
APPLIED: 03/08/2010
EXPIRES: 09/12/2010
VALUE:
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 ofthe City of Springtield 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
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Page 3 on
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000238
Date: 03/12/2010
II:07:3IAM
Job/Journal Number
COM20 I 0-00291
COM20 I 0-00291
COM20 I 0-0.0291
COM20 I 0-00291
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.3 7
$71.37
cReceintl
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