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Home My WebLink AboutPermit Electrical 2010-6-4 St:~::;L~ ~~~. ~OREGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00246 Approval Code: 030708 6/412010 12:35 pm E-mailed To: c"per1<ins@ymaiLcom Job Address: 1506 MENLO LOOP 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 City/StateJZlP: SPRINGFIELD, OR 97477 D 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 D Health care facilities SuitelbldgJapt.no.: Project Name: M10-216 I Taylor Cross Street/directions to Job site: Tax map/parcel no.: 1703273300500 C,IO.723 D 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 Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1-2" or "1_3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Total NOTICE: ,~'~i~6~~z~~ 3~;~~ ~XPIRE IF THE WORK COMMENCED OR IS AB HIS PERMIT /S NOT ANY 180 DAY PERIOD. ANDONED FOR electrical for I'!lini split & GFCI Branch circuits without service or feeder Branch circuits each additional circuit without service Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE Emall: Elec lie. no.: C335 eeB lie. no.: 178518 Business Name: RITE ELECTRIC INC CJD-1'02:> Contact: Add....' PO 'lll1/lW rules adopted by the Oregon Utility CitylStatelZl , Q, ~ ose ru es are se 0 Metro lie. no.: Center is 1-80o.$ica:M4). 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 ~~ ~..c.--,~ ~V'. Upon review and approval by your local jurisdiction, your pennlt will be e-maiJed or faxed within one business day, with Instructions on howto schedule your Inspection. NOTE: Thh; Authoriution To Begin Work expires within 180 days If a pennit is not obtained. The local building department may determine 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 \(L V ILlllO \\S>Q;: .\~ W'^ctr ~" v.; Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the jOb site until replaced by a Pennit CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: C0M2010-00723 ISSUED: 06/04/2010 APPLIED: 06/04/2010 EXPIRES: 12/04/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1506 Menlo Lp ASSESSOR'S PARCEL NO.: 1703273300500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Electrical for mini split heating system and GFCI Residential Owner: TA YLOR PHYLLIS ANN TE Address: 1506 MENLO LOOP 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 Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: ~inkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: uires follow ru as a opte y e I Notification Center. Those rule in OAR 952-001-0010 through OAR 952-001- FrontyardQOOilac'Ulu may obtain copies of the rUl8@l.lay Dist: Side 1 Setha4!l1\!ling the center. (Note:. ~he tel~phO~treet Trees Rqd: Side 2 Setb:ll!lBlber for the Oregon Utility NOtlflca~cd Drive Rqd: Rearyard Setback: Center i8 1-800-332-2344). % of Lot Coverage: Solar Setbacks: nla ENT INFORMATION REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS ~ Sidewalk Type: . ~~~I~~~ff~~~ltt~fiIRE IF THE W~RK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I Valuation Description I Notes: Description Tvne of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 on Status Issued 225 Fiftb Street, Sprinl(field, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees tiWI.I Fee Descriotion + 12% State Surcbarge + 5% Tecbnology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $7.32 $3.05 $55.00 $6.00 6/4/10 6/4/10 6/4/10 6/4/10 Total Amount Paid $71.37 I Piau Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M20IO-00723 ISSUED: 06/04/2010 APPLIED: 06/04/2010 EXPIRES: 12/04/2010 VALUE: Receipt Number 1201000000000000613 1201000000000000613 1201000000000000613 1201000000000000613 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...1eouire~nsnections ~ Roul(b Electric: Prior to Cover Final Electric: Wben all electrical work is complete. By signature, I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance with the Ordinances ofthe City of Springfield and tbe Laws of the State of Oregon pertaining to the work described berein, and tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees wbo 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 tbe site at all times during construction. Owner or Contractors Sil(nature Pal!e 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000613 Date: 06/04/2010 1:2S:IlPM Job/Journal Number COM20 I 0-00723 COM2010-00723 COM20 I 0-00723 COM20 I 0-00723 Payments: Type of Payment ONLINE CHGS cReceintl Item Total: Check Number Authorization Received 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 KR ./;~ ,,,:':"-f f';' ''''. ,:..~(.. , .,"1 j .l" Page 1 of r .:t'-\- '. Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid ONLINE RITE Online ELECTRIC Payment Total: $71.3 7 $71.37 , 6/4/20 I 0