HomeMy WebLinkAboutPermit Electrical 2010-4-5
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00145
Approval Code: 226044 41512010 2:30 pm
E-mailedTo:c_perkins@ymail.com
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City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726.3753
Email: permitcenter@ci.springfield.or.us
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o New Construction
IRJ Addition/alteration/replacement
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[Zl1 or 2 family dwelling D Multi-family 0 Commercial 0 Accessory
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JOB'SITE INFORMATION AND tOCATION
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Job Address: 1306 PLEASANT 5T
City/State/liP: SPRINGFIELD, OR 97477
Sulte/bldg./apt.no. :
Project Name: 10.137 { Craig
Cross Street/directions to job site:
Tax map/parcel no.:
1703253205500
service change
SITE (;ONIAC.J :;,~
Name: Rite Electric
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Phone: 541-895-4466
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Fax: 541-895-4366
Email:
,'CONTRACTOR:
Elec lie. no.: C335
CCB lie. no.:
178518
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
CityfState/ZIP: CRESI/'v'ELL, OR 97426
Phone: 5418954466
Fax: 5418954366
Email: heidi@c-perkins.com
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. 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.malled or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 160 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if it does not meet appllcable land use laws and local ordinances.
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available faull current exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14,000 Amps for aft other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
Services 200 amps or less
Branch circuits with service or
feeder each circuit
~le,ctri~~Ip~rRj'I~;Fee~{
Subtotal
State surcharge (12% of permit
total
TechnOlogy fee (5% of permit total)
TOTAL PERMIT FEE
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o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
, ,
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$6.00
.:.,
$8700
$10.44
$05
$101.79
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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
""V I I t-' b
;',UTHORIZED UNDER THIS P
COMMENCED OR IS ABANDO~ED ~O~
Description ANY WQeQ;'~.RJiR-litfjon perlt.q I' t
. or mu Ip lef
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1306 PLEASANT ST
ASSESSOR'S PARCEL NO.: 1703253205500
PROJECT DESCRIPTION: Service Change
Owner: CRAIG MARY ANNE
Address: 1306 PLEASANT ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
RITE ELECTRIC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback: ,
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00426
ISSUED: 04/05/2010
APPLIED: 04/05/2010
EXPIRES: 10/05/2010
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION ~
, "
License
178518
BUiiDING INFORMATION I
Expiration Date
09/25/2011
Phone
541-895-4466
# of Stories:
Height ot' Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLlCIMPROVEMENTS ~ I w requireS yout~
. Ore.\),on a SI. gon UtllI,y
f>,TTEN110 . do~!!I.f~lll'\'f j~~~are set lorth
tollOW r~lesc~nteb 1\,ose IU ~~~52-001.
Notilicat'o~ 001-00f6'{Iffll\R.\l1' 01 ~he rules bY
In OAR 95 - a obtain copIes e telephone
0090.. '(o~:e ~entel. tNot~~i;~y Notilication
calling 1 the Oregon 22344).
alaI. _ 0-33-
e
".
Square Footage
, or Bid Amount
Valne
Date Calculated
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Pa2e I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00426
ISSUED: 04/05/2010
APPLIED: 04/05/2010
EXPIRES: 10/05/2010
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LYees paidJ.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid Receipt Number
$10.44 4/5/]0 3201000000000000125
$4.35 4/5/10 3201000000000000125
$6.00 4/5/10 3201000000000000125
$81.00 4/5/10 3201000000000000125
Total Amount Paid
$101.79
I.:f,.!ltn l!eyjew~ ~
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.
Reauired Insuections I
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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Electric Service: Approval required prior to utility company energizing service.
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 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 strncture witbout permission of the Community Services Division, Building Safety.
I furtber 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..re requ~sted at the proper time, that each address is readable from the
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street, that the permit card is located at the front of tlie property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2
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 #:
3201000000000000125
Date: 04/05/2010
2:33:30PM
Job/Journal Number
COM20 1 0-00426
COM20 1 0-00426
COM20 1 0-00426
COM20 1 0-00426
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
6.00
10.44
4.35
$101.79
Amount Paid
NJM
ONLINE
RITE Online
ELECT
Payment Total:
$101.79
$101.79
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