HomeMy WebLinkAboutPermit Electrical 2010-6-7
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Emai!: permitcenter@ci.springfield.OLUS
C-1(J.729
Residential Electrical Authorization To Begin Work
69600-BEL-10-00250
Approval Code: 910260 61712010 4:40 pm
E-mailedTo:cJjerkins@ymail.com
o Multi-family
Job Address: 1697 LAWNRIDGE AVE
CityJStateJZIP: SPRINGFIELD, OR 97477
SuiteJbldgJaplno.:
Project Name: M1D-220 I Fryback
Cross street/directions to job site:
Phone: 541-895-4466
Fax: 541-895-4366
Email:
Elec lie. no.: C335
ceB lie. no.:
178518
Business Name: RITE ELECTRIC INC
Contact
Address: PO BOX 842
.;,,,....
T HAll ~WJi,
Emall, he;di rn1"l~RliilED UNDER
Metro nc. n<{;OMMENCE COy nc. no.'
Supervising
5563$
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 fued
within one business day, with InstnJctlons on howto schedule your inspection.
NOTE: This Authorization To Begin Wol1l: expires within 180 days If II pennit Is not obtained.
The local building department may detennine that an Authorization To Begin Work Is null and
void If it does not meet applicable land Ulie laws and local ordinances.
Please check all 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 Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
D Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation ofa 150'KVA or
larger seperatety derived sys
D "An, "Eft, or ftl_2ft or "1-3"
o Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
Total
$55.00
$55,00
$6.00
$6.00
$61.00
$7.32
$3.05
$71.37
C\O-1~ ~ \.0('(;110
ATTENTION: Oregon law requires you to
foll.ow r~les adopted by the Oregon Utility
Noliflcatlon Center. Those rules are set forth
In OAR 952-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center 18 1-800-332-2344).
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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 Pennit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00729
ISSUED: 06/08/2010
APPLIED: 06/07/2010
EXPIRES: 12/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1697 LA WNRlDGE AVE
ASSESSOR'S PARCEL NO.: 1703252104800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for ductless heat system and GFCI
Residential
Owner:
Address:
FRYBACK JAMES H & JANET L
1697 LAWNRIDGE AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
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:
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:
nla
I DEVELOPMENT INFORMATION ~
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:
e uires you to
E PU ROVE MEN W rules ~dopted by the IOreg~~et forth
NOlIe : ,",miRE 'f' f~,J;:!!nt!lr, Those ru es ar 1-
Street Imprb\:~!Ile~\!RM\T S1-\r..ll t:^r oMIT IS NOT Nottlca I ~i'_\!f01'''ltffrough OAR 952-00
lHI~ NDER 11-\\S PEn R In OAR 9 . ies of the rules by
Storm Sewer/,~"'M~ezED U ANDONED fO 0090. YODOlWl\pffili!J1b't~WS'the telephone
Speciallnstrt';~wrnlENCED OR IS r..B calling the center, .~~ ~iility Notification
Notes: ANY 180 DAY PERIOD. number6~~:~:i~~~00_332-2344), .
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2 .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M20IO-00729
ISSUED: 06/08/2010
APPLIED: 06/07/2010
EXPIRES: 12/08/2010
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee DescriDtion
+ 12% State Surcbarge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$7.32 6/8/10 2201000000000000654
$3.05 6/8/10 2201000000000000654
$55.00 6/8/10 2201000000000000654
$6.00 6/8/10 2201000000000000654
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.
l..Reo II iretU nsnec\iau.Li
Rougb Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
By signature, I state and agree, tbat J bave carefully examined tbe completed application and do bereby certify tbat 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 oftbe City of Springfield and tbe Laws oftbe State of Oregon pertaining to tbe work described berein, and
tbat NO OCCUPANCY will be made of any structnre witbout permission oftbe Community Services Division, Building Safety.
J furtber certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project.
J further agree to ensure that all required inspections are requested at the proper time, tbat eacb address is readable from tbe
street, tbat the permit card is located at tbe front ofthe property, and the approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000654
Date: 06/08/2010
12:47:42PM
Job/Journal Number
COM20 1 0-00729
COM20 I 0-00729
COM20 I 0-00729
COM20 I 0-00729
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
55.00
6.00
7.32
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
3.05
$71.37
Amount Paid
KR
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
,
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I.ll/"
cReceinl I
Page I of I
6/8/2010