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HomeMy WebLinkAboutPermit Electrical 2010-4-5 Q.\()- 3Cfl City Of Springfield 225 Fifth 81. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us '~.., l '; ":"". ' . Residential Electrical ,Authorization To Begin Work 69600-BEL-10-00146 Approval Code: 279154 4/5/2010 3:01 pm E-mailedTo:c_perkins@ymai1.com ";TYPEOFWORK" ';r;r~i"... D New Construction IX] Addition/alteration/replacement ;' CATEGORY,OF,CONSTRUqrION'w,:,;.,.", ~ 00 1 or 2 family dwelling D M\Jlti-family 0 Commercial o Accessory , ' ' :' "JOB SrrEINFORMA TION'AND, LO:CA TION,;;, Job Address: 1922 INLAND WAY City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: Project Name: M10-143 I White Cross Street/directions to job site: Tax map/parcel no.: 1803023306900 for hvac equipment to replace minor label #ELS-231737 2SlTECONTACT l" ',.,- ,', "1'.' Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 Email: .; :_~' ~";i'jCONTRACTOR [. Elec lie. no,: C335 178518 CCB lie. no,: Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 .-", '''-:~_>''~''<io,,:.~t . ". ,......" . CitylStatelZI . Phone: 54189 Emall, heidi~mbmENCED OR IS ABANDONED fOR Met'" lie. no.ANY 180 DAY PERIOO,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 " , .:t',,;. ....( Upon review and approval by your local jurlscllctlon, your permit will be e-maUed 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 pennit is not obtained. The local building department may determine that an Author1zatlon To Begin Work is nutl and voldtf It does not meet applicable land use laws and local ordinances. PkANREVIEW, ' ; +. ". Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all 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 o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 'r0/A or larger seperately derived sys D "A", "E", or"I-2" or "1-3" D Recreational Vehicle Parks ,0 Supply voltage for more than 600 supply volts nominal .-' c, 7"'.'4:FEE ~C'f!EDUkE.:.. Description Qty. Branch circuits without service or feeder Branch circuits each additional circuit without service ~iec:iHcal<~ermit'Fe~s';;'~,-" Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ~\O-3D~ $55.00 $55,00 $6,00 $6.00 ;-,<" ~ , $61.00 $7.32 $3.05 $71.37 ~ L\ILP 10 ATTENTION: Oregon Jaw requires you Q@ ioIlow rules sdopted by the Oregon UtIIIit? L\lotiflcation Center. Those rules ere Ilat ~ In OAR 952.001.0010 through OAR ll52-OO1D . 0090. You may obtatn copies of the Ntes bi7 calling the center. (Note: the telephone Ill!lmber for the Oregon Utility N~ Center is 1-800-332-2344). \ ~~"Q \,]V "'\.. ~.~~ ~& Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit , t.OJ~~\j\V)\\ \;\Y I\~ (\.'& Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00309 ISSUED: 03/11/2010 APPLIED: 03/11/2010 EXPIRES: 10/0512010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1922 INLAND WAY ASSESSOR'S PARCEL NO.: 1803023306900 Springfield TYPE OF WORK: Heating System TYPE OF VSE: New Residenlial PROJECT DESCRIPTION: Electrical and mechanical for new heating system in residence. Also electrical is 10 replace minor label #ELS-321737 Owner: WHITE MAYNARD E Address: 1922 INLAND WAY SPRINGFIELD OR 97477 Phone Number: 541-747-9201 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARS HALLS INC ., License 178518 25790 Expiration Date 09/25/2011 12/23/2011 Phone 541-895-4466 541-747-7445 BUILDING INFORMATION ~ # of Vnits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: _ Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a NOTICE' .. ~:) DEVELOPMENT INFORMATION . THIS PERMIT SHALL EXPIRE IFTHE~i!" .. ." ATTENTION: Orego~fa~Vl~~r,J;.A~li>>G Front yard ~O'1'ffllRIZE I'l~ ~ist: follow rules adopteClbY.the Oregon Utility Side 1 SetbJivJMENCE~ UONDER THIS PERMIT I$~ t Irees Rqd: Notification Center. TtleDlI~ set forth Side 2 Setb' . R IS ABANDONED FOQvecj.D'r;ve Rqd: In OAR 952-o01-00100lM0p@llOAR952-OO1. Rearyard Ycil~O DAY PERIOD.....", % of-riot Coverage: 0090. You may obtain copies of the ruleD by Solar Sethacks: calling the center. (Note:. '.he tele~hon. I PUBLIC IMPROVEMENTS ~ Center Is 1-(l00-332-2344). Street Improvements: Storm Sewer Available: Speciallnstroction: ,l Sidewalk Type: Downspouts/Drains: ,~,:"'....,. "'~'. ."',, ' , .'1 ";;;.J'i,'J'U" '.,,; Notes: Pa2e 1 o~ 3 .,'- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ""","",', .~:!~' 'N,,,;'" I Valuation Description I Description $ Per Sq Ft or mnltiplier Type of Construction Square Footage or Bid Amount Total Value of Project Fees Paid _ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $9.48 $3.95 $79.00 $7.32 $3.05 $55.00 $6.00 '._j".- Total Amount Paid .~ '.0- .", $163.80.." " I Plan Reviews ~ 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. >. ...: " Date Paid 3111110 3/11/]0 3/11110 4/6/10 4/6/10 4/6/10 4/6/10 Pa2e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00309 ISSUED: 03/11/2010 APPLIED: 03/11/2010 EXPIRES: 10/05/2010 VALUE: Value Date Calculated Receipt Number 2201000000000000234 2201000000000000234 2201000000000000234 1201000000000000297 1201000000000000297 1201000000000000297 1201000000000000297 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00309 ISSUED: 03/11/2010 APPLIED: 03/11/2010 EXPIRES: 10/05/2010 VALUE: By signature, 1 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 structurewithout.permission of the Community Servkes Division, Building Safety. I further certify that only contractors and employees who are'in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all reqnired 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 , ~:~' I' H:~, 1,,~,. ~,. . :11'1. ,..,(.';",1 I'i "C' Y .." I; ".. . 'Paee 3 of 3 ,I.: Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 8'1.'''_Q'~C~,-~ii,:,'''"'',...' ..:..... ~' - ~, ~ ""..'.', -- ,> , ~ " ~'. .. .. ..,. ..:,..",:,",.._._...~--_...,.;: City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000297 ;, :~r ': ~j Date: 04/06/2010 9:22:I3AM Job/Journal Number COM20 I 0-00309 COM20 J 0-00309 COM20 I 0-00309 COM20 I 0-00309 Payments: Type of Payment ONLINE CHGS cRecciotl Description Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add' + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 55,00 6,00 7.32 3.05 $71.37 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ~ .' .. 'ti\; :l ;. ; ~ :!._' " .t('f: !. ;, ~j. .. ~:, Page 1 of I Amount Paid ONLINE RITE Online ELECTRIC Payment Total: $71.3 7 $71.37 4/6/20 I 0