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Home My WebLink AboutPermit Electrical 2010-4-14 City Of Springfield 225 Fifth 51 Springfield. OR 97477 Phone: 541~726-3753 Email: permitcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00170 Approval Code: 984112 4/14/2010 9:11 am E-mailedTo:cyerkins@ymail.com :Pl!AN REViEW"":':',:-,,,:;;::;: ' tlO-L[loO ~ ~ ~ ~tV ATTENTION: Oregon law requiresyou,~ follow rules adopted by the Oregon Utlii1y Notification Center. Those rules are set fotUI In OAR 952-001-0010 through OAR 952-0~ 0090. You may obtain copies of the rules bJ calling the center. (Note: the tele~ho~e number for the Oregon Utility NotlficatlQO Center is 1_800-332-2344). D New Construction IRJ Addition/alteration/replacement 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 , "':CATEG,oRY OF;CONSTRUCTION ........:~y.->;:._i. . ." , ~b""""""'~.f"'~'.'1':; " [R] 1 or 2 family dwelling D Multi-family Dcommercial D AccessorY JOB SitE IlifF'oFiMATION AND LOCATION;,,'" Job Address: 6513 EST City/State/ZIP: SPRINGFIELD, OR 97478 o Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in , one structure o Health care facilities Suitelbldg.lapt.no.: Project Name: 10-247 I LeBeau Cross Street/directions to job site: Tax mapfparcel no.: 1702341300319 change panel Description ~^~iYj~e^sorte13d~rs Services 200 amps or less ~!ectrjcal 'Permit Fees:' Subtotal State surcharge (12% of permit total TechnOlogy fee (5% of permit total) "SITE CONTACT ' Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 Emair: TOTAL PERMIT FEE ",,'w,,:'""<< C.ONTRACTOR" e'.":Y", 178518 ;~:_ Elec lie. no.: C335 CCB lie. no.: Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 City/StatefZIP: CRESWELL, OR PhO"'5418~~;r 97426 -;'-;:'.\k:~,::'j'~'" RI{ RMIT IS NOT IS ABA\'IDGNED Fa SUP'''';';'9 E ffi';"\'3&t!lA-Y PEmon. Email:heidi@ t'\ Metro lie. no.: 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 180 days if a permit Is n~t ~9~~Lned,..;; .~~__;. .. The local building department may determine that an Authorization To BC91~1:"Wort Is' null -and void if it c10es not meet applicable land use laws and local ordlnanccs. ,-. C-lo-4lcO D 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 o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperalely derived sys D "A", "E", or "1-2" or"I-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal $81.00 $9.72 $4,05 $94.77 y.~\ q--\O ~~<?-P t><:' ~Q/ ~tj \Y Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 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: COM2010-00460 ISSUED: 04/14/2010 APPLIED: 04/14/2010 EXPIRES: 10/1412010 VALUE: Status Issued d., SITE ADDRESS: 6513 E ST ASSESSOR'S PARCEL NO.: 1702341300319 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Change out electrical panel in residence Owner: LEBEAU DA VlD L Address: 6513 E ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor RITE ELECTRIC License 178518 BUILDING INFORMATION I Expiration Date 09/25/20 II 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 H!,at: . Water :Type: ',.RiiIlge Tfpe: Eiiergy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Front yard Setback:.",<~"_,,.,p.~erlay Dist: ATTENTION: Oregon 'NiJl:quires Y~i~:' Side I SetbackNOTICE:" ''';W''ltiHi~~t Trees R(ld: follow rules adopted l:il'Jliaifi~lRfg~et forth Side 2 SetbackfHIS PERMIT SHAll EXPIRE IF THiWORKve Rqd: Notification Center. Th~~e'O~R 952-001- Rearyard SetbAtffHORIZED UNDER THIS PERMIT"llnl@:1t:overage: In OAR 952-~1-~~t~~nth;~Pies of the rules by Solar SetbacksCOMMENCED OR IS ABANDONED FOR ',. 0090. You m ~nter. Note: the tele~ho~e ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS ~ number for the. r1e-8g000" 332 2344) I Centerl6 - - . Sidewalk Type: I DEVELOPMENT INFORMATION ~. Street Improvements: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I V alUlii;~nJ)~~criPtion I Description Type of Construction $ Per 8'1 Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I 01'2 ',", . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00460 ISSUED: 04/14/2010 APPLIED: 04/14/2010 EXPIRES: 10/14/2010 VALUE: 225 Fifth Street, Sprillgfield, OR 541-726-3753 Pholle 541-726-3676 Fax 541-726-37691I1spectioll Lille , ..'.... . ,... . .:~':~:;:;~' ,.~. .~r: "_ ...rotaIValue of Project I ",~~,f . , F~es Paid I Fee Description + 12% State Surcharge + 5% Techllology Fee Perm Serv/Fdr 200 amps or less Amoullt Paid Date Paid Receipt Number $9.72 $4.05 $81.00 4/14/10 4/14/10 4/14/10 1201000000000000341 1201000000000000341 1201000000000000341 Total Amount Paid $94.77 Plan Reviews I 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. I Reuuired.lusDections I J..', ;,', ",';'. Electric Service: Approval required prior to'Jianity cri'm'pany energizing service. "', \ ~( By sigllature, 1 state alld agree, that I have carefully examiued the completed application and do hereby certify that all information hereon is true a~d correct, and I further certify that any and all work performed shall be done in accordance with the Ordillallces of the City of Springfield and the Laws of the State of Oregoll pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildillg Safety. I further certify that only COli tractors and employees who are ill compliallce with ORS 701.005 will be used 011 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 ~,I . Pa2e 2 012 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone aJ~ccoccc~:c~ ccccccc cCco Wtcc Cc , "', +, cc~c coc .,.~ '-, ,...;.....,......,;'..."-.......+..' - City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000341 Date: 04/14/2010 9:26:45AM Job/Journal Number COM20 1 0-00460 COM20 1 0-00460 COM20 1 0-00460 Payments: Type of Payment ONLINE CHGS cReceintl Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS '..", ,1l', 'j;.;. Check Number Received By .. Batch Number c ..KR ONLINE ,," ~_., '-- ... '": :';:' '," " ,,,,'j ': 'L .^t',l . y~' Page I of I Item Total: Authorization Number How Received Amount Due 81.00 9.72 4.05 $94.77 Amount Paid RITE Online ELECTRIC Payment Total: $94.77 $94.77 4/14/20 I 0