HomeMy WebLinkAboutPermit Electrical 2010-5-24
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
~/(j,h~5
Residential Electrical Authorization To Begin Work
69600-BEL-10-00224
Approval Code: 514241 5/24/2010 1:18 pm
E-mailedTo:ben@ritewayelectric.net
D New Construction
lKI Addition/alteration/replacement
.<CA TEC;ORY OJ:;CONSTR(.iCTlbN~'c~"
... ..... . ..... ... . ................................... <
[Z] 1 or 2 family dwelling
D Multi-family 0 Commercial
D Accessory
r
. d . JOBS/TE INFORMA TjON AltrJLOCATlON
Job Address: 2283 20TH $T
CityfState/Z1P: SPRINGFIELD, OR 97477
Suite/bldgJapt.no.:
Project Name: MOORE
Cross Street/directions to job site:
Tax mapfparcel no.:
1703251205200
Please check all that apply:
o A service-or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
NEW HEATING AND AIR CONDITIONING SYSTEM
"; "';f":
.".. ~:slfE;CONTAC.r'; . ,~"
Name: BEN FEARS
Phone: 541-926-0504
Fax: 541-926-2656
Email:
':~CONTRACtOR',
.. ._. -'-' '. ... ~
."
i:-7'~~
Elec Iic. no.: 22-77C
ceB lic. no.:
40077
Business Name: RITE WAY ELECTRIC INC
Contact:
Address: 2904 THREE LAKES RD SE
City/State/ZIP: ALBANY, OR 97322
Phone: 5419260504
Fax: 5419262656
Email:
Metro Iic. no.:
City Iic, no.:
Surmrvislng Electrician's lie. no,;
32495
Supervising Electrician's Name:
EMERSON SMOKER, SR
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
,-:::u.
Upon review and approval by your local jurisdiction, your pennit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expire$ within 160 days if a permit is nol obtained.
The local building depanment may determine that an Authorization To Begin Work is null and
void jf it does not meet applicable land use laws and local ordinances.
~'':;;:~,E~ SCHEDUL!':-
Qty.
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
el~'~fr!catP9rmit F.e_e5,_;'~~
Subtotal
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
.
. .
. $0
CaY\'2DIO
(5 -d Lf--)O
$55.00
$55.00
2
$6.00
$12.00
~i< iZ,-\1
$67.00
$8,04
$3.35
$78,39
~o
t/~~
~
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Inspections Phon~: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by .. Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00665
ISSUED: OS/24/2010
APPLIED: OS/24/2010
EXPIRES: 11/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54[-726-3676 Fax
541-726-3769 [nspeetion Line
S[TE ADDRESS: 2283 20TH ST
ASSESSOR'S PARCEL NO.: 1703251205200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCR[PTION: New heating and air conditioning system.
Owner: MOORE MANUEL L & DELORES A
Address: 2283 20TH ST
SPRINGFIELD OR 97477
I CONTRACTOR [NFORMATlON I
Contractor Type
Electrical
Contractor
RITE WAY ELECTR[C [NC
License
40077
Expiration Date
10/13/2010
Phone
(541) 926-0504
BUILDING [NFORMATlON I
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/n
I DEVELOPMENT [NFORMATlON I
Frontyard Setback:
Side 1 Setback:
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 [MPRO~f~~~: Oregon la .
. . . adoDt"'" w requires you to
Street Improvements. NotIfication C r.'fflfe~~!lgon UI'/'t
In OAR enter. Those r I II Y
Storm SeweoTIl"\!.ll>le: 0090 952-o01'00l~IIN1Bij~78~R.~!'lt forth
Special [n~1ructi1l'rf!' ..' You may obtaIn co . 952-001_
J Rft; PERMIT SHALL EXPIRE IF THE WORK calling the center. (Not.et~ of the rules by
Notes: AUTHORIZED UNDER THIS PERMIT IS;NGT"" ,;:,lIUmber for the Oregon ~ji/ity' e ~e'e,!hone
COMMENCED 0 'n ;" ': c, Center Ia 1-8 _ ol/tical/on
ANY 180 DAY PERIOD.
I V alu'~t;on Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
'f.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00665
ISSUED: OS/24/2010
APPLIED: OS/24/2010
EXPIRES: 11/24/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, "
; "I, ~..'.,
L(I/ '. .
"', ,Total.V alue of Project
.-,1 .
I Fees Paid ,
Fee Description
I
,+ 12% State Surcharge
'+ 5% Technology Fee
IAdd, Alter, Extend Circ
IAdd, Alter, Extend Circ Ea Add
I Total Amount Paid
Amount Paid
Date Paid
Receipt Number
$8.04
$3.35
$55.00
$12.00
5124110
5124110
,5124110
. 5124/10
2201000000000000564
2201000000000000564
2201000000000000564
2201000000000000564
$78.39
I Plan Reviews ~
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 -1i1sDections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examiued 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 sball be 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 permissio'n 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 uscd on this project.
I further agree to ensure that all required inspections 'are requesied at the proper time, that each address is readable from the
street, that the permit card is located at the fr6i1fon~e property, and the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
'J'
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I '.Jf ..",...'
" . .;'~.'.:..,',
'::.{'i4i-,}:'
Paee 2 of2
225 .Fi[UJ Street
Springfield, Oregon 97477
541-726-3759 Phone
iiif~
City of Springfield Official Receipt
Development Serviees Department
Publie Works Department
RECEIPT #:
2201000000000000564
Date: OS/24/2010
I :55:44PM
Job/Journal Number-
COM20 I 0-00665
COM20 I 0-00665
COM2010-00665
COM20 1 0-00665
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
Description
Add, Alter, Extend Circ '. ,",."
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
55.00
12.00
8.04
3.35
$78.39
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
ONLINE
rite way Online
elect
Payment Total:
$78.39
$78.39
, r
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