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Home My WebLink AboutPermit Electrical 2010-3-29 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.us l;~ .;"A." ';r,f EZ)YPE10~,i'lVQB1<:'.i:;:~ ,:~,';i;~,d' ';" .,; ';Fi;: 0 New Construction 0 Add ition/alleration/replacemenl , ~ ','i:i',i, " lCA IEGORY OF CONSTRUCTION; i'i(,', " , 0 1 or 2 family dwelling 0 Multi-family 0 Commercial D. Accessory " .:;'1 ~. "I !,; /"= "P, "JOB SiTE'INFORMA 'noN'ANDl.OCAtloN,,,;, c ::;;~~!"- I , Job Address: 6513 EST . " City/State/ZIP: SPRINGFIELD, OR 97478 Suitelbldg.fapt.no. : Project Name: M10-163 I LeBleau i Cross Street/dIrections to job site: Tax map/parcel no.: 1702341300319 1t"":""',,'Fi,l' ","FiG,,;" : i:>'ESCRI~'l:fO'NO~YYQRK~5,'>;1;;r.;,'Fi;"t' >''''.:::'''' electrical for electric furnace change out, heat pump exchange & gfci :i,.' . ,I'e. SITE CONTACT'::;::' " , ", e' d+., " , " <- Name: Rile Electric Phone: 541-895-4466 Fax: 541-895-4366 Email: r"" " """ ',,1 .CONT~<::TOR:' ~ . ".c",' :~(;;lf ~:';~':gf,"':'.l ,- n?! , 1" Elec lie. no.: C335 CCB lie. no.: 178518 " Business Name: RITE ELECTRIC INC ... Contact: Address: PO BOX 842 CltyfState/Z1P: CRESWELL, OR 97426 Phone: 5418954466 Fax: 5418954366 Email: heidi@c-perkins.com Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 29708 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 penni! will be a-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 a permit is not o1i;;i~\cr....'L'~!!i.' : '. 'l.:.\.l. :~.. ;'1 . The local building department may determine that an Authorization To ~~e_~~n _ ~ork is null and void if it does nol meet applicable land use laws and local ordinances. C-IO- ~-r~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00125 Approval Code: 113042 3/29/2010 8;41 am E.mailed To: c_perkins@ymail.com e'".:;-',\\1 " .. 'PLANREViEVV. . ,- ,;; , , 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 0 Buildings more than three stor 10,000 Amps at 150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for 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 facilities o Supply voltage for more than 600 supply volts nominal '.'.<'",- . .. "..".. .- ',"'C" . .~ ...... i '. '--;~':':'., .,;;;;"'" " \,.- ' 'FEE.::;gI;lEDULE ";'" . , Description I QIy. I Ea. Total B(imCh ' ",;,t.' 'y' Branch circuits without service or 1 $55 00 $55.00 feeder Branch circuits each additional 2 $6,00 $12,00 circuit without service Electrical"Pennit Fees,.:".,: ',:,," , ':,,c" .~ ,.", Subtotal $67,00 State surcharge (12% of permit $8.04 totall Technology fee (5% of permit total) $3.35 TOTAL PERMIT FEE $78.39 ~ - ~<X ,\ Y' (0' ~O/~ \~b:'O ~. S'Q.{).- ~~ UorY\tol 0 ~ VO~ '3~ z-q..- 2.u ,0 NM 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: COM2010-00373 ISSUED: 03/29/2010 APPLIED: 03/29/2010 EXPIRES: 09/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6513 E ST ASSESSOR'S PARCEL NO.: 1702341300319 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Electric furnace change out, heat pump exchange and gfci. Residential Owner: LEBEAU DA VlD L Address: 6513 E ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor RITE ELECTRIC License 178518 BUILDING INFORMATION ~ 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 Basemellt: Sq Ft Garage/Carport Sq Ft Other: Occllpant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . "'OVerlaY-Hist: .. . #, Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: ATTENTION: Orego!il~.!I!,1iP!'I'!Pi!Qs yout,o follow rules adoptedl9pW;il:Clregon Utll1ty Notification Center. Those rules are set forth In OAR 952-001-001 ~ through OAR 952-001- caliing the center. (Note: the teleph9.~e n.ArJW,\l)e Oregon Utility NotificatiOn t:1l'hMq~: 1-800-332-2344). . Downspouts/Drains: I PUBLIC IMPROVEMENTS ~ Street Improvemellts: Storm Sewer Available: Speciallllstruction: '1, Notes: ~ . ~ Description Type of Construction $ Per Sq Ft or multiplier Valuation DescW'iJdlf MIT SHALL EXPIRE IF THE WORK ED UNDER THIS PERMIT IS NOT C~~l'1E~eI!l'POR IS ABAN1il@IlJED FOR Date Calculated Af?JV I bttl3'.ltIf"PERIOD. Paee I of 2 ,-".,......... ,iYt'. 'i~~'" ;-'" ..~ \:1 .., '';.1\'j: ;1.~- 1~:' ;';.'fC " CITY OF SPRINGFIELD Building/Combination Permit !) " ,. Status Issued PERMIT NO: COM2010-00373 ISSUED: 03/29/2010 APPLIED: 03/29/2010 EXPIRES: 09/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $8.04 $3.35 , $55.00 $12.0Q...>.':J.. c,' 3/29/10 3/29/10 3/29/10 . 3/29110 3201000000000000103 3201000000000000103 3201000000000000103 3201000000000000103 "i' Total Amouut Paid $78.39: , 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. " Rea'uired InsDections ~ Rough Mechanical: Prior to Cover Final Mechanical: Wben all mechanical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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\vith~ut'p'ermission of the Community Services Division, Building Safety. 1 further certify that only contractors and employe!s who are in compliance with ORS 701.005 will be used on this project. 1 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 ", ,,' Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000103 Date: 03/29/2010 9:12:42AM Job/Journal Number COM2010-00373 COM2010-00373 COM2010-00373 COM2010-00373 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Check Number ,"j,,",', :. ,I., Rec'eh;ed By'; Batch Number .njm ONLINE ,. :r:';{fi , ' ~. . .- 'l'l.', n';p ','" :~.'t!\ I?' '.1""'': Page I of I Item Total: Authorization Number How Received Amount Due 55.00 12.00 8,04 3.35 $78,39 Amount Paid rite elect Online Payment Total: $78.39 $78.39 3/29/2010