HomeMy WebLinkAboutPermit Electrical 2010-6-10
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~OREGON
City Of Springfield
225 Fifth St
Springfield, OR 974n
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00259
Approval Code: 736368 6/10/2010 3:28 pm
E-mailedTo:cyer1<ins@ymail.com
D Accessory
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
1D,000 Amps at 150 VoJts Dr
less to ground exceeds
14,000 Amps for all other
Job Address: 729 71ST,ST
City/State/ZlP: SPRINGFIELD, OR 97478
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
Suite1bldgJaptno.:
Project Name: M1o-225 I Smith
Cross Street/directions to job site:
Phone: 541.8954466
State surcharge (12% of permit
total
Tecl'1nology fee (5% of permit total)
Elec lie. no.: C335
TOTAL PERMIT FEE
CCB Iic. no.:
178518
CiO'7r;3
D Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
o Installationofa150KVAor
larger seperately derived sys
o "A", "En, or "1-2" or nl_3n
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$55.00
$6.00
$6.00
$61.00
$7.32
$3.05
$71.37
Business Name: RITE ELECTRIC INC
CJO~1~3-(g [11110 ~
ArrENTlON: Oregon law requlree yau to
follow rutes adopted by the Oregon UllIIIy
Notification Center. Those rules are set forth
In OAR 952-001-0010 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 is 1-800-332-2344).
Contact:
Address: PO BOX 842
City/State1ZlP: CRESWELL, OR 97426
.'.
Phone: 5418954466
Fa~:,!?:4.18954366 _,.
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Email: heidi
PiMlT IS NOT
Sup...;s;ng ~.~ t!!6 OR ISsAtANDONED FOR '.
supe..;s;ngMW;c1a\lif~ PEtllllgaulNLAN
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services:' 2
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Upon review and approval by YOllr local Jurisdiction, your penntl will be e-malled or faxed
within one business day, wtth Instructions on howto schedule your Inspection.
NOTE: This Authorization To Begin Wortl: expires within 180 days If. permit Is nol obtained.
The local buildi-?9 department may determine thai an Authorization To Begin Wortl: is null and
void If it doea not meet applicable land use laM and local ordinances.
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19'\.1c ,ID
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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: COM2010-00753
ISSUED: 12/10/2010
APPLIED: 06/10/2010
EXPIRES: 12/10/2010
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 729 71ST ST
ASSESSOR'S PARCEL NO.: 1702352405703
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install beat pump and air bandler
Owner: SMITH MARTIN D & JUDY K
Address: 729 N 71ST ST
SPRINGFIELD OR 97478
Pbone Number: 541-746-5369
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mecbanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION ~
Expiration Date
09/25/2011
12/2312011
Phone
541-895-4466
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Otber:.
Occupant Load:
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION .
AI rENTION: Oreg<Rlf~r_llIlYmlJ~
follow rules adopted by the Oregon1ffifrtY
Overlay Dist: Notification Center. if~1! rules are set forth
# Street Trees Rqd: In OAR 952-001-001 ~~~R 952-001-
.I'aved Drive Rqd: 0090. You may obtalPQJ\}~:of the rules by
% of Lot Coverage: calling the center. (Note: the telephone
number for the Oregon Utility Notification
..._~. ~ " -::l0_"
NOT :. ......... 1 ~ENTS
THIS PERMIT SHAll ~ . ~
Street Improvement~'UTHORIZEO UNDER THIS pJ~
A ABANDONED fOR .
Storm Sewer Availa~'fflJIMENCED OR IS.
Special Instruction: ANY 180 DAY PERIOD.
Sidewalk Type:
DownspoutslDrains:
Notes:
'.":- '; ;"
n ~
Pal!e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
TVDe of Construction
Fee Descrintion
+ 12% Stale Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00753
ISSUED: 12/10/2010
APPLIED: 06/10/2010
EXPIRES: 12/10/2010
VALUE:
I Valuation DescriDt~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number ,
$11.52 6/10/10 2201000000000000673
$4.80 6/10/10 2201000000000000673
$79.00 6/1 0/10 2201000000000000673
$17.00 6/10/10 2201000000000000673
$7.32 6/11110 3201000000000000295
$3.05 6/11110 3201000000000000295
$55.00 6/11/10 3201000000000000295
$6.00 6/11110 3201000000000000295
$183.69
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.
I Reollired In~nections ~
Rough Mechanical: Prior to Covcr
Final Electric: When all electrical work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Pa!!e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00753
ISSUED: 12/10/2010
APPLIED: 06/10/2010
EXPIRES: 12/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By sil(nature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildinl( 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 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
Paee30f3
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 #:
3201000000000000295
Date: 06/11/2010
9:26:07AM
Job/Journal Number
COM20 I 0-00753
COM20 I 0-00753
COM2010-00753
COM20 1 0-00753
Description
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
f;~l "?'''::
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
-..~,~~' .:.;_-:.:~ "E1':'Check 'Number
~~.~ei~ed By:, Batch Number
KR ONLINE
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Page 1 of 1
Item Total:
A mount Due
55.00
6.00
7.32
3.05
$71.37
Authorization
. Number How Received
Amount Paid
RITE Online
ELECTRIC
Payment Total:
$71.3 7
$71.37
6/1112010