HomeMy WebLinkAboutPermit Electrical 2010-4-5
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City Of Springfield
225 Fifth 81.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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. 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
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Name: Rite Electric
Phone: 541-895-4466
Fax: 541-895-4366
Email:
.; :_~' ~";i'jCONTRACTOR
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Elec lie. no,: C335
178518
CCB lie. no,:
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
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CitylStatelZI .
Phone: 54189
Emall, heidi~mbmENCED OR IS ABANDONED fOR
Met'" lie. no.ANY 180 DAY PERIOO,city lie. no.:'
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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
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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, ' ; +.
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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
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$55.00
$55,00
$6,00
$6.00
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$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).
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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: COM2010-00309
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:
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Notes:
Pa2e 1 o~ 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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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
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Total Amount Paid
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$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.
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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
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,I.:
Date
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 #:
1201000000000000297
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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
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Page 1 of I
Amount Paid
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.3 7
$71.37
4/6/20 I 0