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. ":~~;...:-
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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
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0 New Construction IRI Addition/alteration/replacement
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LRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 2874 6TH 5T
CltylState/ZIP: SPRINGFIELD, OR 97477
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Suite/bldgJapt.no.:
Project Name: M10-203 I Leighton
Cross Street/directions to job site:
Tax map/parcel no.: 1703233411700
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electrical for heat pumg & gas furnace change out
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Name: Rite Electric "
Phone: 541.895-4466 Fax: 541.895.4366
Email:
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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
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Supervising Electrician's Name: SEAN QUINLAN ". ; !~..\ ,
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Number of inspections included in paid services: . ,;.::
Residential Service: 4 :'l';;C.:'~'~,: ,"""<\.< ..
Reconnect Only: 1 "
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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
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$~~
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
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$61,00
$7.32
$3,05
$71.37
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NOTE: This Authorization To Begin Work eKpires within 180 days jf a permit is not obtaIned.
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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
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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
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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:.,~?tal. V~lne of Project
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Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Pai(h '
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Date Paid
$7.32
$3.05
$55.00
$6.00
Total Amonnt Paid
$71.37
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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
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Rongh Electric: Prior to Cover . 'f.'."'" .' '~L.. '
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Final Electric: Wben all electrical work is cO\Hplete. ' ,
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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 '",
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Owner or Contractors Signature
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'.'~Paee 2 of2
Date
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 #:
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' '''-'
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+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
55,00
6,00
732
3,05
$71.37
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
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$71.3 7
$71.37
ONLINE rite electric Online
Payment Total:
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Page I of I
5/21/2010