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HomeMy WebLinkAboutPermit Electrical 2010-5-20 City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726.3753 Email: permitcenter@ci.springfield.or.us. ":~~;...:- ., o IO.lJ;5~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00218 , , Approval Code: 242561 5/20/2010 3:53 pm E-mailedTo:c_perkins@ymail.com -':':'~,.~::,"'iff0'2~"'eLA'N!RE\iIE.'\ir:~~"- j. . T..: . j.~.t;~; ... ?J.~~,;' ';. ..-t" f't -:c M. -;: ",,>: 51 ~." ,~,,;r ,.:, 0 New Construction IRI Addition/alteration/replacement , ,r::" c' . ~'#'CATEGORYOFCONSTRl:iciI0N ....,',:.L';.0f ,. . ,"":i.:.,,.: " .... . .', ".' ,",'''s ".:.,,: LRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory , . ':',: ",,jOBsrl'eJNFoRMATICl,,fANin:oci\tiONf,,,,,"," '1:,' Job Address: 2874 6TH 5T CltylState/ZIP: SPRINGFIELD, OR 97477 '. Suite/bldgJapt.no.: Project Name: M10-203 I Leighton Cross Street/directions to job site: Tax map/parcel no.: 1703233411700 """".1:""'d'" , .'"",, :' ~ :"+'0":;:;",' electrical for heat pumg & gas furnace change out -,"'.' .' , , .:t;,,;;:..;:l. .:::. ::.- .,.. ... ;," 's' ,~'\ ~: ,,;.:: ',:i,SIIEicof.JTACJ..1.;: ".,.\. 7....,::.:.:i:}s: Name: Rite Electric " Phone: 541.895-4466 Fax: 541.895.4366 Email: I:. '. ,," - ,-?~~f:>j:+>dCONf~CT6R:l. _ )'0;;_ '. . ,>: ~~.:.fC.<jj - /' .. ,;:~_ '.m.'. ":j Elec lie. no.: C335 CCB lie. no.: 178518 Business Name: RITE ELECTRIC INC Contact: , Address: PO BOX 842 ..... City/State/ZIP: CRESWELL, OR 97426 Phone: 5418954466 Fax: 5418954366 Email: heidi@c-perkins.com Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 55635 1- .. , .' Supervising Electrician's Name: SEAN QUINLAN ". ; !~..\ , .n'~ Number of inspections included in paid services: . ,;.:: Residential Service: 4 :'l';;C.:'~'~,: ,"""<\.< .. 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. 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 D 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 D Health care facilities Description Branch circuits without service or feeder Branch circuits each additional circuit without service glectriC,t!,hPermitt:e'es Subtotal State surcharge {12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ,\ ~~\ Y' '.?::,' $~~ o Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger separately 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 $55.00 $55.00 $600 $6,00 .'t,;.c:; '~'. i,i: $61,00 $7.32 $3,05 $71.37 ~~\o 'b:V ~ ~t NOTE: This Authorization To Begin Work eKpires within 180 days jf a permit is not obtaIned. Corn ;;>0\ 0 - 00(,;5'5 hOt '5'-;;)1-10 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. Inspections Phone: 541.726.3769 This Authorization To Begin W?rk must be po~ted at the job site until replaced by a Permit ~._ _'0 ._. .. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00655 ISSUED: OS/21/2010 APPLIED: OS/21/2010 EXPIRES: 11/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2874 6TH ST ASSESSOR'S PARCEL NO.: 1703233411700 .1(::'~' ~' Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Electrical for heat pump & gas furnace change out Residential Owner: LEIGHTON LOREN R & IRENE C Address: 2874 N 6TH ST 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: "RangeTipe: . -Energy p,iih: Spriukled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: Total: Handicapped: . ," . Compact: . I PUBLIC IMPROVEMENTS ~ ' ." ENTII)N: (1[",," _ '. follow rUl~I<.Iewa I{ TYpe:'" '-"'.1'-"0 "W f NOfjf;cafioo~:~~~~[~ii/6\rdjq~P! 2:.;~,:' i~;i1i~y In OAR 952-001-0010 iit" , lies are set forth 0090. You ma b . rough OAR 952-001. tailing the c~~e~alO copies of the rules by NOTICE: number for the Or~ ~o~:, ~he telephone I PERMIT SHALL EXPIRE ~1i~ ~ Cl-332'2344) AUTHORIZED UNDER THIS PED.~', 'escription . COMMENCED OR IS ABANDO~$"::I1 J:Of\-F"t 1';',: S F t D " 'NY1T' "'f~ t t' YetSq quare ooage escnptlOn!i ":,,pe,o I"tlns rue IOn It" I' B'd A .".t. ~'" I ..... llvLJ. or mu Ip lef or I mount Street Improvements: Storm Sewer Available: Special Instruction: Notes: Value Date Calculated Page I of2 . Status Issued ,.t" Y(' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . -:' ~'., h. , :1>, . :.,~?tal. V~lne of Project '[~;.E~e~'R~idl " Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Pai(h ' ,,"~';~:"!; ;.4'..' Date Paid $7.32 $3.05 $55.00 $6.00 Total Amonnt Paid $71.37 t . ,{c. ',>1 'j I rlan Revi~w,s ~ " 5121/10 5121/10 5121/10 5/21/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00655 ISSUED: OS/21/2010 APPLIED; OS/21/2010 EXPIRES; 11/21/2010 VALUE; Receipt Nnmber 2201000000000000552 2201000000000000552 2201000000000000552 2201000000000000552 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. Reouired InSDections I ':}:~;lfJ' 'j;:,{~.ti'~~"'J'~' ". t, '>>Z~lr"-j "':n"1'ff'I" ." Rongh Electric: Prior to Cover . 'f.'."'" .' '~L.. ' :~ ~j~ .: i.' .t. Final Electric: Wben all electrical work is cO\Hplete. ' , "", By signatnre, 1 state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with tbe 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 withont permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify th~t only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree to ensnre that all reqnired inspections are reqnestedat'the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and. tbe approved set of plans will remain on the site at all times during construction. ' ,j '", ,~, J' " ,,~'~'1 ~,'i;'r.., ~ '0" i "i\'!" '" ,~. Owner or Contractors Signature . '.-"'~' ':!ji~~. t~-ili-t1"i. . ':. "t,.,~ .-"'",' : ~~j1~:t ",t,;X .'d .::.." .. , ~","'''' ...... l;;,~(.~~':' '....._, '.'~Paee 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ....,~~,.,,!',F,'!!,~ii....." WiLl' ' ;.l'- 'J _ .~~. J City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000552 Date: OS/21f201O S:/3:20AM Job/Journal Number COM20 I 0-00655 COM20 I 0-00655 COM20 I 0-00655 COM20 I 0-00655 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add' '''-' ..;t"::" .. + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 55,00 6,00 732 3,05 $71.37 .'I'-)~ , .' - -.-" - 'j""'l. Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm $71.3 7 $71.37 ONLINE rite electric Online Payment Total: ~' }. ; . -; .' ,....; .'J, '_~ \:. ':;:;',~ ~.' , ~. .,', . ,.-J Page I of I 5/21/2010