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Home My WebLink AboutPermit Electrical 2010-5-26 City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541-726-3753 EmaiL permitcenter@ci.springfield.or.us C/()'f//:Ja- Residential Electrical Authorization To Begin Work 69600-BEL-10-00227 Approval Code: 227233 5/26/2010 12:12 pm E-mailedTo:c_perkins@ymail.com 'PLAN,REVIEW ' , , , ,0 o New Construction IX] Addition/alteration/replacement Please check all that apply: o A service or feeder beginning al 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less 10 ground exceeds 14,000 Amps for all other "'~iY~; 'CATEG'oR'rOFCONSJRU,CtlbN~' ;..' [g] 1 or 2 family dwelling D~~.~es;?;'~:' o Multi-family 0 Commercial JOB;SIl:E:iNFORMA TION AND'trOG", TioN Job Address: 5855 THURSTON RD City/State/ZIP: SPRINGFIELD, OR 97478 D Fire pumps o Emergency systems o Addition of a new molor load of 100 HP or more D Six or more residential units in one structure D Health care facilities Suite/bldg./apt.no.: Project Name: M10-209 I Smith Cross Street/directions to job sIte: Tax mapfparcel no.: 1702342200211 D Hazardous locations D A seNice or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "A" "E" or "1-2" or "1-3" , , o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Description electrical for ductless heat system & switch for fan Branch circuits without service or feeder Branch circuits each additional circuit without service E;lectrlcaLP'Eml)it)::fil'9S "\ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE SITE\CO,NT A'fT,' ;:;"'''''''' Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 Email: ~:;';C':"::"-";,':':,'''''\--'''' , ' f,~ ~, ~ i ,""cQNT~<;i9R""" . Elec lie. no.: C335 178518 .1) ~ CCB lie. no.: Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 CltyfState/ZIP: CRES\^JELL, OR 97426 .\Q~ ~0' ~~rv Phone: 5418954466 Fax: 5418954366 Emall: heidi@c-perkins.com Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 5563S Supervising Electrician's Name: SEAN QUINLAN Number of inspections Included tn paid services: Residential Service: 4 Reconnect Only: 1 All Other Services' 2 Upon review and approval by your local jurisdiction, your permit will ~.e,"!-m~a~~e~ .,?r ,taxe~ within one business day, with instructions on how to schedule your inspection. ;'~'.:.' '."' -,.' . . :~~f:: '!.;?i, j 7 NOTE: This Authorization To Begin Work expiros within 180 days if a permit is no(obta;~ed.:;;::~~:i-:": r,;;'. The local building department may determine that an Authorization To B~.9!_n. Work is null and void if it does not meet applicable land use laws and local ordinances. CcmZe>JO &--20-/0 - $55.00 $55,00 $6,00 $6.00 '. $61.00 $7.32 $3,05 $71.37 ~.\\) ~.~ ~ oCftz<{,2 nrn 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 . ;~l'~" i ';~:,- ': ,;:r~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00682 ISSUED: OS/26/2010 APPLIED: OS/26/2010 EXPIRES: 11/26/2010 VALUE: Status Issued " .'. . SITE ADDRESS: 5855 THURSTON RD ASSESSOR'S PARCEL NO,: 1702342200211 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Electrical for dnctless heat system and switch for fan, Residential Owner: SMITH GARY A & JOYCE M Address: 90532 HILL RD SPRINGFIELD OR 97478 I"CONTRACTOR INFORMATION I 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: lIe!ght:of,Structure ',Type olHeat: , ~ater Type: ~~a~rige TY'iie: 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: n/a I DEVELOPMENT INFORMATION I Front yard Sethack: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd:, % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Sidewalk Type: Storm Sewer Available: ATTENTION: Dow'1\'sP~uisiD;:;;i~s:<; youto Special Instruction: follow rules adopted by the vregon Utility '; OTICE,' Notification Center. Those rules are set forth Notes: . In OAR 952-001-0010 through OAR 952-001- '~!r~.~~R.~/T SHALL EXPIRE ' " ',.:> ,oq90" You may obtain copi~S of the rules by r)~1;W'EN'tED 01 t THIS PERl\fTLlli:Nc;))- ,...' ' ,numbelfor the Oregon Utility Notification 'I" " R IS ABANDONE~libn DeSCriptIOn I;enter is 1-800-332-2344), \ I RQ DAY PERIOD :'., , , ',$ Per Sq Ft Square Footage DescnptlOn Type of ConstructIOn It' I' B'd A t Value Date Calculated or mu .p ler or I moun , , Paee I of 2 "I, Status Issued .., ~'" "., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00682 ISSUED: OS/26/2010 APPLIED: OS/26/2010 EXPIRES: 11/26/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;c'TotaINalue of Project . ,~~.t:; "';;r~, .;'1";', ;,,>< ",. '., . ,~lFee~ Faid ~ .,l' ., Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Numher $7.32 5/26/10 2201000000000000581 $3.05 5/26/10 2201000000000000581 $55.00 5/26/10 2201000000000000581 $6.00 5/26/10 2201000000000000581 Total Amount Paid $71.37 ~I,an Reyie\Vs, ~ -,,' 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 Reoliired:InsDect~ "~....:.% d!o<;o; "'~41. ~, ,::.ar~~ " ~t.',!.l'~': Rough Electric: Prior to Cover n1,~_~~'.'}'. 'Pli"-'l:. Final Electric: When all electrical work is co;;'plete. 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 he 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 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 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;'aitd the approved set of plans will remain on the site at all times during construction. . . l,:r- :';:"" . ~. ii,' , !'l .... Owner or Contractors Signature Date -., , --. .ff);}' .'~~:t i':~"U..l:: '. t .; .'.:.;.""'~- ::n';;t.t T,ltf.t,I't,'" 'j~" !:l... . . :'.f',>,,<l. ..;.",,:... ',~~,'"'. i~"r.~:; Page 2 of2 225 Fifth Street Springfield, ,Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000581 Date: 05f2612010 2:17:16PM Job/Journal Number COM20 I 0-00682 COM20 I 0-00682 COM20 I 0-00682 COM20 I 0-00682 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55,00 6,00 7,32 3,05 $71.37 Payments: Type of Payment ONLINE CHGS Amount Paid NJM ONLINE RITE Online ELECT Payment Total: $71.37 $71.37 ';1,,,;w~ . . .:L '~~'"'''' . '!'.~r::;}f;!. ,<:~~,\;_t~..'ji~ .,-",_.- -- ., '.:1 J;:" ::-"<-'1: .<,,'ll~-;\~r'~, ':.i'.k~rr ;f<~,':o\";'~" 'I, .., l' .~, \ri!' " ',c.~~~;~' ;.;-;~ ; :'::1 ", cReceintl Page I of I 5/26/20 I 0