HomeMy WebLinkAboutPermit Electrical 2010-5-18
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfietd.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00212
Approval Code: 021509 5/18/2010 8:37 am
E-mailedTo:c_perkins@ymail.com
PLAN REVIEW
D New Construction
I
1Zl1'or 2 family dwelling
D Multi-family D Commercial
o Accessory
Please check all that apply:
D 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
JOB SITE INFOR.MATiON'ANDtQCATfof.J
Job Address: 739 S 4TH ST
City/State/ZIP: SPRINGFIELD, OR 97477
o Fire pumps
D 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
Suite/bldg.lapt.no. :
Project Name: M10-194/ Baxter
Cross Street'directions to job site:
F '[i';'
Tax map/parcel no.:
1703353404800
Description
,if
electrical for hvac
to replace minor label # ELS231767
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
~~le~ctrlc,alI"e i'OJ if Fees
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
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.,SiTECONTAP.::r-:
Name: Rite Electric
Phone: 541-895-4466
Fax: 541-895-4366
Email:
t\
178518 -
TOTAL PERMIT FEE
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Elee lie. no.: C335
cce lie. no.:
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
CityfState/ZIP: CRESVVELL, OR 97426
Phone: 5418954466
Fax: 5418954366
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Email: heidi@c-perkins.cam
Metro Iic. no.:
City lic. 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 jurisdiction, your permit will be e-mailed or faxed
wllhin one business day, with instructions on how to schedule your inspection.
o Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
O "AU "E" or "1-2" or "1-3"
, .
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
Qty.
$55 00
$55.00
$6.00
$6.00
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$61,00
$7.32
$3.05
$71.37
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is ~ot obtained.
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The local building department may determine that an Authorization To Begin Worll is null and
void if it does not 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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00609
ISSUED: 05/14/2010
APPLIED: 05/14/2010
EXPIRES: 11/1712010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 739 S 4TH ST
ASSESSOR'S PARCEL NO.: 1703353404800
Springfield TYPE OF WORK: Heating System.
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence.
Owner: EBELING JOHN
Address: 1301 LINCOLN ST
EUGENE OR 97401
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I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/2512011
12/23/20] I
Phone
541-895-4466
541-747-7445
# 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 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:
II/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
'.o/~ of Lot Coverage:
..:.~"'''=:'~'''\
Total:
Handicapped:
Compact:
Street Improvements: '~~~.
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION: Ore on law re uir
PUBLIC IMPROVEME IN ru es a, opte by the Oregon Utility
atlon Center. Those rules are set forth
In OAR 95;Soo,~ll<I O'!fprough OAR 952-001-
0090. You may obtai~o~~pies of the rules by
, calling ttM'mHI\IlP.u'(N'61~!~~:e telephone
r number for the Oregon Utility Notification
Center is 1-800-332-2344),
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Page 1 013
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ~
Descriotion
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~
Fee Descriotion
+ 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
Date Paid
I'. ;-:
$9.48 .,.'
$3.95; .
$79.00"
$7.32 '
$3.05
$55.00
$6.00
5/14/10
5/14/1 0
5/14/10
5/18/10
5/18/10
5/18/10
5/18/10
Total Amount Paid
$163.80
Plan Reviews I
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00609
ISSUED: 05/14/2010
APPLIED: 05/14/2010
EXPIRES: 11/17/2010
VALUE:
Value
Date Calculated
Receipt Number
1201000000000000451
1201000000000000451
1201000000000000451
3201000000000000209
3201000000000000209
3201000000000000209
3201000000000000209
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.
l...1eollirerunsnections I
Rough Mechanical: Prior to Cover
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Final Mechanical: Wben all mechanical work is co~plete.
Rough Electric: Prior to Cover .
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Final Electric: When all electrical work is complete.
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Pa!!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2010-00609
ISSUED: 05/14/2010
APPLIED: 05/14/2010
EXPIRES: 11/17/2010
VALUE:
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 furtber 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, alld
that NO OCCUPANCY will be made of any structure 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 IIsed on this project.
1 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
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Paee 3 of 3
Date
225 Fifth Street
Spri!1gfield" Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000209
Date: 05/18/2010
10:00:00AM
Job/Journal Number
COM20 I 0-00609
COM20 1 0-00609
COM20 1 0-00609
COM20 I 0-00609
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
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Item Total:
Amount Due
55,00
6,00
732
3,05
$71.37
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By' Batch Number Number How Received
Amount Paid
NJM
ONLINE
RITE Online
ELECT
Payment Total:
$7137
$71.37
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