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HomeMy WebLinkAboutPermit Electrical 2010-5-26 /"" . ,~1. ~.~ ~SP~I~~~~LO t...., ~ ~,~' (""~ ;':"'.._ .,:"...0< '"" 'OREGON City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us : """'- .,';,.;. "<: 0 " 'TYPE OF WORK . '';' ~-_.. ,. .. ! ~~. . ".", 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 ....,,- 0 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 .. i-- " o . .... " . 'DESG~IPfr6NOF;WORK' ~t.:.~- . . ,c;- - , .. 0 - d',<. electrical for furnace & heat pump exchanges " . ~'. SITE CONTACT . ,., . Name: Rite Electric Phone: 541.895-4466 Fax: 541-895-4366 Email: , > CQNTRACTOR' . ", " I , Elec lie, no.: C335 CCB lie. no.: 178518 - 'o' .. '" .. .. 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', :'!': ....... Supervising Electrician's lie. no.: 55635 , 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 w 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 .,~~~ ~~~ ~\D ~.~?- ~~ Wmf2D)D -- (jJ.O'f:3 5--- b(p -- \,0 n fA 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 , ~. '.~ 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: .' .:....... I 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 Wlr:Srl~~~I~1 . ". . ,..".... _I ',', , ',' .. J; ~.... , .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ..i ;';l:~ d t, . .':' . I' ..'::'1. ._. "\~ 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 $71.37_ ' I plan Reviews ~ Date Paid 5/26/10 5/26/10 -5/26/10 5/26/10 .' ". CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00683 ISSUED: OS/26/2010 APPLIED: OS/26/2010 EXPIRES: 11126/2010 VALUE: Receipt Number 2201000000000000583 2201000000000000583 2201000000000000583 2201000000000000583 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. "-"' ,....- ... ' ni~i .'~,~~,:." .....".,~- --~""'~ ,.. ., . .. " Reauired.JnsDect~ ,~;" '. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with tbe Ordinances of the City of Springfield and the Law,S of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commuuity Services Division, Building Safety. I further certify that only contractors aud employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requ~sied at the proper time, that each address is readable from the street, that the permit card is located at the froofor the propertY, and the approved set of plans will remain on the site at all times during construction. ' Owner or Contractors Signature '-..... :ki .':', ",".! ~,~'~" . dU:"$' t:~.1t, , I~tt.'! h ,,", 0, Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .n:~a.~....BLOlf't4.. :.'. Wit.-.. .. "". .,,' .......' --....'''.'..........'''''.,...,. 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 , ",'I ., ~:;;1 ~~~ . 'i 1;,,'; "'f'1i.- ',:; ~,( '. ..- .~,':'j];f..~ "y... 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