HomeMy WebLinkAboutPermit Electrical 2010-3-10
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
o New Construction
IXl Addition/alteration/replacement
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. ",CATEGORHlF CONSTRIJC):19N':: "','-., :;
[Z] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
.., . ,.J()S:STTE'INF.ORI\IIATION AND LOCATION . '.'
Job Address: 6764' D ST
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CityfState/ZIP: SPRINGFIELD, OR 97478
Sulte/bldg.laptno.:
Project Name: M10-144 f Bulan
Cross Street/directions to job site:
Tax map/parcel no.:
1702341402200
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electric furnace change out & heal pump exchange
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.SlrE CONTACT-
Name: Rite Electric
Phone: 541-895-4466
Fax: 541-895-4366
Email:
. CONTRACJO~C: .
Elec lic. no.: C335
eea lie. no.:
178518
Business Name: RITE ELECTRIC INC
Contact;
NOTle~:
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CltylStatefZIP:
Address: PO B
Phone: 541895
ax: 5418954366
Email: heidi@c-perkins.com
Metro lie. no.:
City tic. no,:
Supervising Electrician's lic. no.:
29705
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 instl1Jclions on how to schedule you rlnspectlon.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obt,lIned.
The local building department may determine that an Authorization To Begin Work is null and
void If it does not meet applicable land use laws and local ordinances.
C-\O- 305
Residential Electrical Authorization To Begin Work
69600-BEL-1 0-001 07
Approval Code: 742015 3/10/2010 1:16 pm
E.mailed To: cyerkins@ymail.com
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! - .. i,;.'. ',.'~" ~'P0\N REVIEW ."..... "
Please check all that apply: 0 Hazardous locations
D 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 0 Buildings more than three stor
10,000 Amps al150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
0 Fire pumps 0 Commercial-use agricultural
buildings
0 Emergency systems 0 Installation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A", "E", or "1-2" or "1.3"
0 Six or more residential units in 0 Recreational Vehicle Parks
one structure
0 Health care facilities 0 Supply voltage for more than
600 supply volts nominal
';';;~';~.",~;;..:t.c ,>: EE!:,SCHEDULE' .-;: ~,<~"". ~ ,"; :
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Description I Qty. I Ea. I Total
Branchcclrcuits' ,,(ee,,_'; fe, c """." c c' ':.c . ."7':':-J~' , .. ,
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 1 $6.00 $6.00
circuit without service
E:lectri,c~CPcerm it'Fees co 'c. '.>./ ;L c. .
Subtotal $61.00
State surcharge (12% of permit $7,32
tolan
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE , $71.37
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ATTENTION: Oregon law requires you ~
follow rules adopted by the Oregon UtifiIV
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephona
number for the Oregon Utility Notllicallon
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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-0030S
ISSUED: 03/10/2010
APPLIED: 03/10/2010
EXPIRES: 09/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 6764 D ST
ASSESSOR'S PARCEL NO.: ]70234]402200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence.
Residential
Owner: ASHTON MARY E
Address: 6764 D ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
]785]8
25790
BUILDING INFORMATION I
Expiration Date
09/25/20] I
]2123/20] ]
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 ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENTlNFORMATlON .
NOTICE: . ..' ~'""",,<,,"!,:,".. . .
Frontyardffl@'I1~RM1T SHAll EXPIRE IF THE ~Kay Dist:
Side ] Set~mHORIZEO UNDER THIS PERMIT ISiWif,et~rees Rqd:
S,de 2 Set ~Aw:NCED OR IS ABANDONED FOJfav~dDnve Rqd:
Rearyard :H ill~1t: R 00 . '.. V. of Lot Coverage:
Solar SetiA&~:180 DAY PE I. . .
'.... , ~ .
REQUIRED PARKING
Total:
ATTENTION: Oregon la+.t,ol\imlWcybu to
follow rules adopted by~Pegon Utility
Notification Center. Those rules are set forth
In OAR 952-001-001~thro~gh OAR 952-001.
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS !aliing the center. (Note: the telephone
umberjor thll .oregon Utility Notification
~e'~h'~Y<id JjUllbO-332-2344).
DownspontsfOrains:
, .
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
I Valuation Description ~
Description
$ Per Sq Fl
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
I Fees Pi\.id i
'.i.
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
I st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Amount Paid
$7.32
$11.52
$3.05
$4.80
$79.00
$55.00
$6.00
$17.00
Total Amount Paid
$183.69
I, Plan Reviews I
Date Paid
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/1 0/1 0
3/10/10
3/10/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-0030S
ISSUED: 03/1012010
APPLIED: 03/10/2010
EXPIRES: 09/1012010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000226
1201000000000000218
2201000000000000226
1201000000000000218
1201000000000000218
2201000000000000226
2201000000000000226
1201000000000000218
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.
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I ReQ~ited I';soections ~
Rough Mechanical: Prior to Cover
Final Mechanical: Wheu all mechanical work is complete.
Rough Electric: Prior tu Cover
Final Electric: When all electrical work is complete.
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Paee 2 of 3
225 Fifth Street, Springtield, 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: COM2010-00305
ISSUED: 03/10/2010
APPLIED: 03/10/2010
EXPIRES: 09/10/2010
VALUE:
Status
Issued
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By signatnre, I state and agree, that 1 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 Springtield 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 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
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Pa~e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
if~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000226
Date: 03/10/2010
3:10:05PM
Job/Journal Number
COM20 I 0-00305
COM20 I 0-00305
COM20 I 0-00305
COM20 1 0-00305
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:
$71.37
$71.37
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