HomeMy WebLinkAboutPermit Electrical 2010-6-9
City 01 Springfield
225 Fifth 8t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
q'.'f 0/0'738
Residential Electrical Authorization To Begin Work
69600-BEL-10-00251
Approval Code: 924961 6/9/2010 10:11 am
E-mailed To: c_perkins@ymaiLcom
IKl Addition/alteration/replacement
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o Multi-family 0 Commercial
D Accessory
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.JOBSITEINi=ORMA T10N.AIIll:):LOC.t\. TION-"
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Job Address: 1440 B 8T
CityfState/ZIP: SPRINGFIELD, OR 97477
Suitefbldg.laptno.:
Project Name: M10-224 I Rountain
Cross Street/directions to job site:
Tax map/parcel no.:
1703362~11900
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Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available f~lUlt current exceeds
10,000 Amps al150 Volls 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
D Health care facilities
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Total
electrical doe ductless heat system & gfci
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Name: Rite Electric
Phone: 541-895-4466
Fax: 541-895-4366
Email:
; ;~'CONTRACTOR,,_"
Erec lie. no : C335
CCB lie. no.:
178518
Business Name: RITE ELECTRIC INC
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Contact.:
Address: PO BOX 842
City/State/ZIP: CRESWELL, OR 97426
Phone: 5418954466
Fax: 5418954366
Email: heidi@c-perkins.com
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Metro lie. 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
Description
Sr'arfc"h:drc(iits"
Branch circuits without service or
feeder
Branch circuits each additional
circuit without'service
gleCCiriCaf'P,e."tmit:Fe'es<.f?"41;~ ~:f-.
Subtotal
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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Upon review and approval by your local jurisdiction, your permit will be e.mailed or faxed , ,
within one business day, with instructions on how to schedule your inspection. ; cP n"1 2..0' D
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not o,?tained. "'" 'f'" ~'_ O'j _ dOl 0
The local building department may determine that an Authorization To !=1.e.g~n .}'Vork i~ null and
void if it does not meet applicable land use laws and local ordinances.
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger,seperately derived sys
O "An "E" or "1-2" or "1-3"
, ,
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
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$55.00
$6,00
$61.00
$732
$3,05
$71.37
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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 Permit
Status
Issued
CITY'OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00738
ISSUED: 06/09/2010
APPLIED: 06/0912010
EXPIRES: 12/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1440 B ST
ASSESSOR'S PARCEL NO.: 1703362311900
; 'l, 'Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: DINSMORE-FOUNTAIN DONNA L
Address: 1440 B ST
SPRINGFIELD OR 97477
Phone Number: 541-345-1569
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARS HALLS INC
License
178518
25790
Expiration Date
09/25/2011
12/23/2011
Phone
541.895.4466
541-747-7445
. I BUILDING INFORMATION 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: .
Rangeryi!~':' .
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Energy Path:
Sprinkled Building:
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side fl~F.~; Paved Drive Rqd: Compact:
Rearyard Set %~k: % of Lot Cove~ENTION' Oregon law . t
' ''1,~ t>~ iV/IT SHALL EX ,. requires you 0
Sola~,~~tMfR!7r: II r" T PIR.E IF THE WORK '., . follpw,rules adopted by the Oregon Utii'
pMMENCED OR IS' ABA'I~DONED Fa IC IMPRO\1ilMil!\I"l1;ts '.00;:0010 through OARe~~-OO1.
Stre~t\lXn1~Qvrn1tnPsfRIOD. I'" ou may !ilRlMIlPIf~9f the rules by
ca m9 the center. (Note: lhe telephone
Storin Sewer Available: number for theD:il~QJgjltrmlfication
Special Instruction: Center is 1-800-332-2344).
I DEVELOPMENT INFORMATION I
Notes:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
D"escription
Tv pc of Construction
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
Total Amount Paid
I,
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I Valuation DescriDtion I
$ Per Sq .Ft
or multiPlier' .
('" .
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";.. .;
.',x10tal Value of Project
Square Footage
or Bid Amount
~
Amount Paid
Date Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00738
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
Value
Date Calculated
$7.32
$9.48
$3.05
$3.95
$79.00 '
$55.00
$6.00
6/9/10
6/9/10
'6/9/10
~/9110
6/9/10
6/9/10
6/9/10
Receipt Number
2201000000000000663
2201000000000000662
2201000000000000663
2201000000000000662
2201000000000000662
2201000000000000663
2201000000000000663
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To Request an inspection call the 24 hour recording'lit 726-3769. All inspections requested before 7:00
'" - .
a.m. will be made the same working day, inspection's'requested after 7:00 a.m. will be made the following
work day. .....
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$163.80
I Plan Reviews I
: 1:
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UeCluiredJnsnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is complete.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00738
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Commnnity Services Division, Building Safety.
I further certify 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 reqnired inspections are reque~ted 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
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Page 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000663
Date: 06/09/2010
IO:26:IIAM
Job/Journal Number
COM2010-00738
COM2010-00738
COM2010-00738
COM2010-00738
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Item Tota):
Amount Due
55.00
6.00
7.32
3.05
$71.37
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
Check Numher
Rece,i.ie~ !lY, . Batch Number
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P,iige I of I
Authorization
Number How Received
Amount Paid
RITE Online
ELECTRIC
Payment Total:
$71.3 7
$71.37
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6/9/20 I 0