HomeMy WebLinkAboutPermit Electrical 2010-4-15
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541~726-3753
Email: permitcenler@ci.springfield.or.us
1R]1 or 2 family dwelling
o Multi-family D Commercial
Residential Electrical Authorization To Begin Work
69600-BEL-10-00173
Approval Code: 082294 4/15/2010 9:33 am
.E-mailedTo:sunsetelectric@comcast.net
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,. Please check all that apply: 0 Hazardous locations
0 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 0 Buildings more than three stor
10,000 Amps at 150 Volls or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
0 Fire pumps 0 Commercial-use agricultural
buildings
0 Emergency systems 0 Installation of a 150 KV A or
0 Addition of a new motor load larger seperately derived sys
of 100 HP or more 0 "A", "E", or "1-2" or"I*3"
0 Six or more residential units in 0 Recreational Vehicle Parks
one structure
0 Health care facilities 0 Supply voltage for more than
600 supply volts nominal
.".~ FEESCHEDul'E' i""':t,,,,,,,S,,,'i k,
Description I Qty. I Ea. I Total
13rahch:.cirtuits ~, ~ " ,",' "':' ~ ,Ff':'~; ,:: ..
-
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 3 $6.00 $18.00
circuit without service
.E!!iari~~np~rmi~.F.~~s . " '. , " '" ",,' ,% . . ,
Subtotal $73.00
State surcharge (12% of permit $8.76
total)
Technology fee (5% of permit total) $3.65
TOTAL PERMIT FEE $85.41
D New Construction
...".;~ "GATEtio'f{y"'OF,CO-NS"fRU"CTio'N'f
, ' e. ";" ,jl.',"',JOB.SITE INFORMATION AND LOCATION
Job Address: 3324 RAlEIGHWOOD AVE
City/State/ZIP: SPRINGFIELD, OR 97477
Suitefbldg.lapt.no.:
Project Name: Raleighwood
Cross Street/directions to job site: Game Farm Road to Cardinal Way to
Raleighwood Avenue
Tax map/parcel no.;
170322.1205100
Rewire & update kitchen
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""SITE CONTACT,
5;'-
Name: Brad ROQers
Phone: 541-741-3885
Fax: 503-716-3834
Email:
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Elec lie. no.: 20-518C
CCB lie. no.:
158859
Business Name: SUNSET ELECTRIC INC
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Contact:
Add..,,, 34706 ~~iH~ RD
City/State/ZIP, E~?~~,
" I
Phone: 5417413~~~I\!I1\ J:
Email, BRADROgN9,@1~119'!:m1" PERIOD.
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FOR
Metro lie. no.:
City lie. no.:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Util~y Notification
Center is 1-800-332.2344).
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Supervising Electrician's Iic. no.:
5060S
Supervising Electrician's Name:
ROBERT BRAD ROGERS
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 c-malled or falled
within one business day, with lnstrucllons on howto schedule yourl nspectlon.
NOTE: This Authortzatlon To Begin Work expires within 180 days if a permllls.not o.~tained.
The local building department may determine that an Authorization To Begin Work Is null and
void If It does nol meet applicable land use laws and local ordinances.
Inspections Phone: 541,726,3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00391
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 10/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3324 RALEIGHWOOD AVE
ASSESSOR'S PARCEL NO.: 1703221205100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Tankless water heater and 4 circuits to rewire and update kitchen in residence.
Owner: FAIRCHILD JESS M
Address: 3324 RALEIGHWOOD AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Plumbing
Contractor License
AMBASSADOR PIPING INC 121469
BARNES HIGH TECH PLUMBING INC 83311
BUILDING INFORMATION I
Expiration Date
03/27/2011
02/17/2012
Phone
541-726-5723
541-726-9854
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type: .
. ., Range Type,'
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard SetbJicll'f1 CE: . ,'v'":\":S"-o~~'fiay Dist: Total:
S~de I Setback:THIS PERMIT SHAll EXPIRE IF T/Ill!tW6m(ee,'s RqdATTENTION: Oregon law reb~BB'tb
S.de 2 Setback:A1 JTHORIZED UNDER THIS PERMfI'JgJtRl:\l:e;.Rqd:follow rules adopted by the epe1 \:Jtility
Rearyard Sctb~~J{:V1M ENe ED OR IS ABANDONErrrdit~!..Soyerallf6tification Center. Those rules are set forth
Solar Setbacks:JU1 ':-, ..',..... In OAR 952-001-001 0 through OAR 952-001-
MIV1 n . ,,,. . .
I PUBLIC IMPROVEMEl't'!i~~g the center. (Nota: the telephone
num ar fOI's\H~}~\fl9Rl1,Utility Notification
Cenler IS f-ll()((,S32-2344).
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Fixture
LP Gas Tank & Piping
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Add, Alter, Extend Circ Ea Add
Reversal - Add, Alter, Extend
Reversal - Add, Alter, Extend
Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00391
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 10/15/2010
VALUE:
I Valuation Description ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Date Paid
Receipt Number
Fees Paid _
Amount Paid
$18.48,.". i,'
$7.70.;~ ,
$79.00'~'; ','"
$19.00
$17.00
$39.00
$8.76
$3.65
$55.00
$55.00
$18.00
$18.00
$-55.00
$-18.00
$265.59
I Plan Reviews ~
3/31110
3/31110
. 3/31110
3/3]/10
3/31/10
3/31/10
4/15/10
4/15/10
4/15/10
4/]5/10
4/]5/10
4/]5/10
4/]5/10
4/15/10
]201000000000000283
]201000000000000283
1201000000000000283
1201000000000000283
1201000000000000283
1201000000000000283
]201000000000000348
120]000000000000348
1201000000000000346
. ]201000000000000348
1201000000000000346
1201000000000000348
]201000000000000347
]201000000000000347
To Request an inspection call the 24 hour recording at 726-3769. Ali inspections requested before 7:00
a.m. will be made the same working day, ins'pectiim'srequested after 7:00 a.m. will be made the following
workday. .,<.,,';;,.,
I Re~uired InsDect~
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Paee 2 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO: COM2010-00391
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 10/15/2010
VALUE:
Final Electric: When all electrical work is complete.
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 structnre without permission of the Community 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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Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000348
Date: 04/15/2010
II :25:39AM
Job/Journal Number
COM20 I 0-00391
COM2010-00391
COM2010-00391
COM2010-00391
Payments:
Type of Payment
ONLINE CI.IGS
cRcceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
55.00
18.00
8.76
3.65
$85.41
Item Total:
Check Number Authorization
Received By Batl'h Number Number How Received
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Page I of 1
Amount Paid
ONLINE SUNSET Online
ELECTRIC
Payment Total:
$85.41
$85.4\
4/15/20 I 0