HomeMy WebLinkAboutPermit Electrical 2010-5-26
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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.,';,.;. "<: 0 " 'TYPE OF WORK . '';' ~-_.. ,. ..
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0 New Construction (K) Addition/alterationfreplacement
I '" .... CAfEGORVOi" CONSTRUCTION~ ;'" '. .
lRl 1 or 2 family dwelling 0 MulU.family 0 Commercial o Accessory
. JOB SITE INFORMA TioNAND LOCATION < " ,6 ,
Job Address: 2394 MAlA lOOP
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CIty/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: M10-210 I Davidson
Cross Street/directions to job site:
Tax map/parcel no.: 1703251403600
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electrical for furnace & heat pump exchanges "
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SITE CONTACT .
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Name: Rite Electric
Phone: 541.895-4466 Fax: 541-895-4366
Email:
, > CQNTRACTOR' . ", "
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Elec lie, no.: C335 CCB lie. no.: 178518 - 'o'
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Business Name: RITE ELECTRIC INC ".
Contact:
Address: PO BOX 842
CityIState/ZIP: CRESlNEll, OR 97426
Phone: 5418954466 Fax: 5418954366
Emall: heidi@c-perkins.com '.:
Metro lic. no.: City lie. no.: ~,1~~.'~ : ..~1', :'!':
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Supervising Electrician's lie. no.: 55635
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Supervising Electrician's Name: SEAN QUINLAN
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 e.malled or faxod
within one business day, with Instructions on how to schedule your Inspection.
NOTE: This Authorilation To Begin Work oxpires within 180 days If a permit Is not obtained.
The local building department may dotermino that an Authorllation To Beg~f! Work is null and
yold if it does not meet applicable land use laws and local ordinances.
{!./O. iP83
Residential Electrical Authorization To Begin Work
69600-BEL-10-00228
Approval Code: 232767 5/26/2010 12:15 pm
E-mailedTo:c_perkins@ymail.com
, .: ,'; "." 0 PLAN: REVIEW " : "
Please check all that apply: D Hazardous locations
D A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds D Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
0 Fire pumps D Commercial-use agricultural
buildings
0 Emergency systems D Instailation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A", "E", or "1-2" or "1-3"
D Six or more residential units in D Recreational Vehicle Parks
one structure
D Health care facilities o Supply voltage for more than
600 supply volts nominal
L" ~ ~-~ - h FEE SCHEDULE .. ,,': I
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Description Qty, I Ea, I Total
Bianch,~~~.~"uits " , " " . .
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 1 $600 $6.00
cirCUit without service
Electrical,!:,ermit Fe~s . . , .
Subtotal $61.00
State surcharge (12% of permit $7,32
total)
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71,37
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00683
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/26/2010
VALUE:
Status
Issued
SITE ADDRESS: 2394 Maia Lp
ASSESSOR'S PARCEL NO.: 1703251403600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electric for furnace and heat pump exchanges
Residential
Owner: DA VISON JANICE MARIE
Address: 2394 MAlA LOOP
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
RITE WAY ELECTRIC INC 40077
BUILDING INFORMATION i
Expiration Date
10/1312010
Phone
(541) 926-0504
# 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 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Driv.e Rqd:..
% of Lot Coverage:
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REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
"!'}TiCE: . u!WOR-Ii.
nHt: P~R /1 SHALL EXPIRE IF TH~, ....' .... ,. ,:
AUTHORIZED UNDER 1
COMMENCED OR IS ABAN
ANY 180 DAY PERIOD.
Type of Construction
au to
I PUBLIC IMPROVEMENTS ~.tnow rules Bdopted by the Oregon t; rth
...... r Those rules are se 0
NOti~~10thrOUgh OAR 952-001-
In O~ 952""""t~n !i<Opies 01 the rules by
O(l9O';'enlQ-....... (Note' the telephone
calling the cen~r. gon uiility Notiiication
IilUmberc~~~~IS ~~00-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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"\~ T;otal,Y~I,ue of Project
I Fees Paid i
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00..
Total Amount Paid
$71.37_ '
I plan Reviews ~
Date Paid
5/26/10
5/26/10
-5/26/10
5/26/10
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00683
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11126/2010
VALUE:
Receipt Number
2201000000000000583
2201000000000000583
2201000000000000583
2201000000000000583
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. "-"' ,....- ... '
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Reauired.JnsDect~
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Rough Electric: Prior to Cover
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
tbe Ordinances of the City of Springfield and the Law,S 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 Commuuity Services Division, Building Safety.
I further certify that only contractors aud 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 requ~sied at the proper time, that each address is readable from the
street, that the permit card is located at the froofor 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 2 of 2
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 #:
2201000000000000583
2:19:38PM
Date: OS/26/2010
Job/Journal Number
COM20 1 0-00683
COM20J 0-00683
COM20 1 0-00683
COM20 1 0-00683
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Description
Add; Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee . .'
Paid By
ONLINE PERMIT CHGS
Amount Paid
NJM
ONLINE
$71.37
RITE Online
ELECT
Payment Total:
$71.37
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