HomeMy WebLinkAboutPermit Electrical 2010-6-4
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.LOREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Emai!: pennitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00245
Approval Code: 020334 6/412010 .12:29 pm
E-mailed To: cJler1<ins@ymaiLcom
Please c.heck aU that apply:
D 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 Commercial
o Accessory
Job Address: 573 S 51ST PL
City/StatelZlP: SPRINGFIELD, OR 97478
o Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
SuitelbldgJaplno.:
Project Name: M10-21S Ileatlewood
Cross Street/directions to job site:
Tax map/parcel no.:
1802042101100
C/6.726
o Hazardous locations
D 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 Installationofa150't0lAor
larger seperately derived sys
O "A" "EA or "1-2" or "1-3"
, ,
D Recreational Vehide Parks
D Supply voltage for more than
600 supply volts nominal
~~ ~
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o Cf.' E \1' i\-lE \NORK
N \ PERMI'T S\-II'\LL ;.x~~ PERMI'T \S N01(}J\
Q'!ly;\,\-IOR\7.ED UNRD~: liB IINDONED fOR
COMMENCED 0
~NY 1f.\0 OilY PER\OO.
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Fax: 541-895-4366
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
tlO-I[&D
Fax: 5418954366
Emall: heidi@c-perkins.com
Metro Iic. no.:
City lie. no.:
Supervising Electrician's lie. no.:
5563S
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 pennlt will be e-rnailed
within on~ busln~.ss day, with Instructions on howto schedule your Inspection.
NOTE: This Authorization To B~gln Work expires wfthln 180 day. if a p~nnit is not obtained.
The local building department may det~nnlne that an Authorization To Begin Work Is null and
void if It does not meet applicable land use laws and loCal ordinances.
$55.00
$55.00
$6.00
$6.00
$61.00
$7.32
$3.05
$71.37
~ lp ILl /to
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Penn it
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00nO
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/04/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR 0
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 573 S 51ST PL
ASSESSOR'S PARCEL NO.: 1802042101100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for fnrnace & heat pump change outs
Owner: LEATHERWOOD JERRY L
Address: 573 S 51ST PL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Tvpe
Electrical
License
178518
BUILDING INFORMATION ~
Contractor
RITE ELECTRIC
# of Units: # of Stories:
Primary Occupancy Group: 0 es 'IOU to Height of Structure
o ' \eQUII "tOr'"
Secondary ccup~'l5reG'iI'up:N 0 egon v I h, Type of Heat:
Prima!:f\G.oiI~(~~ti8e?l:~D.tb'/ tne I ~ ale set 10nh Water Type:
Seco~~~(1iiiI.t\:?tMltl'o1\jr)lile {\e OP.R 952-001- Range Type:
# of ~onis,?n ~ -OO~ 0 th{Oug j the lules bY Energy Path:
In Oi'-R 952-0~,/ obtain COP\~~h~ te\ephO~e Sprinkled Building: nla
~G^Q YoU m . Sf tNote. l1s.ifir.at\On
~a\ling t~~l ~;~'Olego~ ~~~i344)j DEVELOPMENT INFORMATION .
l\I.Hnbel centel is 1-80 -
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar,setbacks:
I PUBLIC IMPROVEMENTS ~
Residential
Expiration Date
09/25/2011
Phone
541-895-4466
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Valuation
Description
$ Per Sq Ft
or multiplier
TVDe of Construction
Paee I of2
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00720
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/04/2010
VALUE:
225 Fifth Street, Sprin!:field, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. Total Value of Project
l..J:w.J:iWU
Fee Description
+ 12% State Surchar!:e
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$7.32 6/4/10 1201000000000000611
$3.05 6/4/10 1201000000000000611
$55.00 6/4/10 1201000000000000611
$6.00 6/4/10 1201000000000000611
Total Amount Paid
$71.37
I Plan Reviews I
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.
~eouire~nsnections I
Rou!:h Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By si!:nature, I state and a!:ree, that I have carefully examined the completed application and do hereby certiry that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe 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 ofthe Community Services Division, Building Safety.
I further certiry 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, and the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
Pa!!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
'.!
. '.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000611
Date: 06/04/2010
1 :23:35PM
Job/Journal Number
COM20 I 0-00720
COM20 I 0-00720
COM20 I 0-00720
COM20 I 0-00720
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Total:
Check Number Authorization
Rec,eived By Batch Number Number How Received
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Page I of I
Amount Due
55,00
6,00
7.32
3,05
$71.37
Amount Paid
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
. ,
6/4/20 I 0