HomeMy WebLinkAboutPermit Electrical 2010-4-9
SPRINGFIELD
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541.726-3753
Email: permitcenter@ci.springfield.or.us
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D New Construction (i'J Add ilion/allerati on/rep lacemenl
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(i'J 1 or2 family dwelling D Multi-family D Commercial D Accessory
I:. l"Oi"fltJOB,SITEINFORMA.'tIPN AND L.OCAIION,;c/ .'. 'I }J
Job Address: 1946 LOMONO AVE
CityfState/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
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Project Name: M1Q-177 I Richards , ,,,
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Cross Street/directions to job site: '-1\' v'~
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Tax map/parcel no.: 1703251200800
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electrical for heat pump wI handler & GFCl
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Name: Rite Electric "
Phone: 541-895-4466 Fax: 541-895-4366 , .
Email:
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Elec lic. no.: C335 cce Iic, no.: 178518
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842 . :~,C ."
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City/StatelZIP: CRESWELL, OR 97426
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Phone: 5418954466 Fax: 5418954366
Email: heidi@c~perkins.com
Metro lic. no.: City lie. no.:
Supervising ElectricIan's I!c. 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-mailed or 'faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorilation 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 applicable land use laws and local ordinances.
C. 10 - LH'l
Residential Electrical Authorization To Begin Work
69600-BEL-10-00158
Approval Code: 631299 4/9/2010 10:24 am
E-mailedTo:c_perkins@ymail.com
"",'C">'.',. ." ,fCRLAN"'REVIEWz, -'" ;. ;" , ,,;,;
;. -.,.-." "'-r Please check all that apply: D 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 D Buildings more than three star
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
D Fire pumps D Commercial-use agricultural
buildings
D Emergency systems D 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"
D Six or more residential units in D Recreational Vehicle Parks
one structure
D Health care facilities D Supply voltage for more than
600 supply volts nominal
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Description ~ Qly. Ea. I Total
erahch"circuits ,\0' 0,,, ., '. "~I
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 2 $6.00 $12.00
circuit without service
f=Ject~ic.ai:p'er'Olj'fFees <'..":, '1;,,:, .; ': . '".,... .. ,-,.,,,".
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Subtotal $6700
Slate surcharge (12% of permit $8,04
totall
Technology fee (5% of permit total) $3.35
TOTAL PERMIT FEE $78.39
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Inspections Phone: 541-726-3769
This Authorization To Begin Work rnu,st 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: COM2010-00447
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 10/0912010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1946 LOMOND AVE
ASSESSOR'S PARCEL NO,: 1703251200800
"Springfield TYPE OF WORK: Heating System
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TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for heat pump w/air handler & GFCI
Residential
Owner: RICHARDS JA Y R & ANN L
Address: 1946 LOMOND AVE
SPRINGFIELD OR 97477
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 P~lh: "
Sprin.kleil;Building:
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
N01\CE: PIRE IF lHE WORK
t~yrENTION: Oregon law requires you to 1\-\IS PERM\1 SHf\.L~ 'fH\S PERMIi \S NOT
o ,ow r~les adopted b the Ore ^' IT\~nRIIEO UNOE EO FOR
I ' ose rules 'c' OMMENCE
nOAR952-001-0010throughO FMlitU . n Descri ANY '80 Of\.Y PER\OD.
0090., You may obtain copies of t e ru es I
" calling the center, (Noje: the t~~ , Square Footage
DescnptlOnnUmbEf~ (I,{~e>>!;I(r!lMtl9nll'ty N""''''''''':...i.l:' , I>, ,', 'B'd A
' . ':::t Ii u'l:lll~er,'-~, I r l, 'or I mount
Center IS 1-800-332-2344). .,'",;;,:S .,'~,!,
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Notes:
Value
Date Calculated
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Page I of2
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: COM2010-00447
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 10/09/2010
VALUE:
Status
Issued
Total Valne of Project
Fees Paid I
" ,
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
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Amonnt Paid ,,-..
$8.04' it"
$3.35" ,
$55.00
$12.00
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Oate Paid
Receipt Number
.1,!
4/9/10
4/9/10
4/9/10
4/9/10
3201000000000000136
3201000000000000136
3201000000000000136
3201000000000000136
Total Amount Paid
$78.39
I Plan Reviews ~
To Request an inspection call the 24 hourre:cording 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.
I Reouired Inspections.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete:.
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By signatnre, 1 state and agree, that I have carefullyexamined 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 structnre without permission of the Commnnity 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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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 #:
3201000000000000136
Date: 04/09/2010
IO:45:10AM
Job/Journal Number
COM2010-00447
COM2010-00447
COM20 1 0-00447
COM20 1 0-00447
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
.,
Amount Due
55.00
12.00
8.04
3.35
$78.39
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE
RITE Online
ELECT
Payment Total:
$78.39
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$78.39
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4/9/2010