HomeMy WebLinkAboutPermit Electrical 2010-3-30
City 01 Springfield
225 Fifth 81.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@cLspringfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00128
Approval Code: 085181 3/30/2010 12:27 pm
E~mailed To: c_perkins@ymail.com
,~ F. F~ ~ 'PtANREVIEW
- --"'TYPE OFWORK-"':
,.,:<;"1.
o New Construction
IKl Addition/alteration/replacement
!I.'CATEGORY'O"'CONSTRUCTION',,,.;_
lXJ 1 or 2 family dwelling
D.'.Acces~ory
D Multi-family D Commercial
i'.' '. ~,FJOB'SITE.INFORMATION-AND-lOCATibNc.--~'.t l'N- ,__
Job Address: 2328 LOCH DR
City/State/ZIP: SPRINGFIELD, OR 97477
Suitelbldg./apt.no.:
Project Name: M10-128 I Ellis
Cross Street/directions to job site:
Tax map/parcel no.:
1703251100500
circuit for electric air cleaner
PLEASE ADD TO PERMIT # CQM2010-00192
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Name: Rite Electric
J:r-,t.-" :3",
Phone: 541-895-4466
Fax: 541-8954366
Email:
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,CONTRACTOR
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Elec lic. no.: C335
CCB Iic. no.:
178518
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Business Name: RITE ELECTRIC INC
Contact:
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Address: PO BOX 842
CityJState~ LL, OR 97426
Phone, 54;~9,iS'6PERMIT SHAll EXWU1E4U;,;Ii
Em.'" heidi@\OTr!efQBhZliD UNDER
City lic. no.:
Supervising Electrician's lic. no.:
2970S
Supervising Electrician's Name:
CLYDE 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 permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expIres within 180 days If II permit is not obtained.
The local building department may determine that an Authorization To ~B~gin ~Work, Is...null and
void If it does not meet applicable land use laws lI!ld local ordinllnces. .1 J ". . ~
.7'--
Please check all that apply:
D A service or feeder beginning
at 400 Amps where Ihe
available fault current exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14,000 Amps for all other
D Fire pumps
D Emergency systems
D Addition of a new molor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
~ \(J - \CO-
D Hazardous locations
D A service orfeeder raled at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger separately derived sys
O "A" "E" or "1-2" or "1-3"
, ,
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
,,-, -;: :.' 4-"'FEE SCHEDULE - ,
Qty,
Branch circuits without service or
feeder
'i lV1iscell,u~eouS'e' "'- ,,'~;'
Balance of permit fees
~Iecir(cal P~rmjt-Fees:
Subtotal
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
CIO - \9(:)
Total
-":.-
'-"-''''
$55,00
$3.00
,,,~
$56.00
$6.96
$2.90
$67.86
ICtL 3) 30 I 10
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-001 0 through OAR 952.Q01.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
numbel for the Oregon Utility Notification
Center is 1-800-332-2344).
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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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00192
ISSUED: 02/11/2010
APPLIED: 02/11/2010
EXPIRES: 09/1712010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2328 LOCH DR
ASSESSOR'S PARCEL NO.: 1703251100500
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical and mechanical for heat pump and air handler for residence.
Residential
Owner: FERN H ELLIS REVOCABLE LIVING TRUST.
Address: 2328 LOCH DR
SPRINGFIELD OR 97477
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
541-895-4466
541-747-7445
# 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
NOTICE', I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard SetJHJ!? PERMIT SHAll EXPIRE IF T~lO(9.M;st: Total:
Side I SetbackfffiiHoRIZED UNDER THIS PERM'11K>>P1':ees Rqd: ATTENTION: OregdJI"adll!lllllll1msyau~
Side 2 Setback~OMMENCED DR IS ABANDONEDIl'tliii Drive Rqd: follow rules adopteā¬~lMtOregon UtImv
Rearyard Setblltl<Y 180 DAY PERIOD. % of Lot Coverage: Notification Center. Those rules are settcmilil
Solar Setbacks: In OAR 952-o01-001~ thro~gh OAR 952-01)1.
I PUBLIC IMPROVEMENTS ~
calling the center. (Note: the telephone
nUrJ1ber for the Oregon Utility Notificatioo
s.dewe\!<nTtf6'1!l1-800-332-234,\).
Street Improvements:
Storm Sewer Available:
Special Instruction:
......~_ ...I'."~L... .
::..~~1 --. ~~ ~', r.' ~.-
Downspouts/Drains:
Notes:
. "";~;;."\
Page ,I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
.541-726-3676 Fax
541-726-3769 Inspection Line
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I Valu'ation Description I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
$7.32
$3.05
$55.00
$6.00
$11.52
$4.80
$79.00
$17.00 '.:::'
$6.96.;'. ,. ".
$2.90.. .,
$58.00-" .'
Total Amount Paid
$251.55
I Plan Reviews ~
Date Paid
2/II110
2/II110
2/II110
2/11/10
2/16/10
2/16/10
2/16/10
2/16/10
3/30/10
3/30/10
3/30/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00192
ISSUED: 02/11/2010
APPLIED: 02/11/2010
EXPIRES: 09/17/2010
VALUE:
Value
Date Calculated
Receipt Numher
1201000000000000122
1201000000000000122
]201000000000000122
1201000000000000122
1201000000000000138
1201000000000000138
1201000000000000138
120/000000000000138
2201000000000000293
2201000000000000293
2201000000000000293
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. ", .
. L Reouired Inspections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work .'i~ compiete.
. .'". _."
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Paee 2 01'3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00192
ISSUED: 02/11/2010
APPLIED: 02/11/2010
EXPIRES: 09/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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, ",ho ~rejin 'compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections'.re requested at the proper time, that each address is readable from the
street, that the permit card is located at the front o(th~ property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
8J:Qm;LOIC
1Iir- .
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000293
Date: 03/30/2010
2:31:16PM
Job/Journal Number
COM20 I 0-00 192
COM20 I 0-00 192
COM20 1 0-00192
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
+ ] 2% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
,! ':. . ~ \."
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
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.;,i.
. .
Page 1 of I
Amount Paid
ONLINE RlTE Online
ELECTRIC
Payment Total:
$67.86
$67.86
3/30/20 I 0