HomeMy WebLinkAboutPermit Electrical 2010-6-11
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~m_., 'OREGON
City Of Springfield
225 Fifth Sl
Springfield, OR 1374n
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.u5
Residential Electrical Authorization To Begin Work
69600-BEL-10-00261
Approval Code: 9.02772 6/11/2010 1 :03 pm
E-mailedTo:cyerkins@ymail.com
ATTENTION: Oregon law requlresyou:to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are let forth
In OAR 952.001-0010 through OAR 952-001-
0090. You may obtain copies 01 the rules br
calling the center. (Note: t,he telef!hone
number for the Oregon Utility NotllicatlOll
Center 18 1-800-332-2344).
Job Address: 2017 BONNIE LN
Please check all that apply:
o 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 974n
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
o Health care facilities
SultelbldgJaptno.:
Project Name: M1Q-229 I Williams
Cross Street/directions to job site:
1703251211100
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
State surcharge (12% of pennit
total
Tedmology fee (5% of permit total)
Elec lie. no.: C335
TOTAL PERMIT FEE
cca lie. no.:
176516
Business Name: RITE ELECTRIC INC
CJ 0-15~
Contact:
Address: PO BOX 842
City/StateJZlP: CRESVVELL, OR 97426
..
Phone: 54189544p
Email: heidi@C-PArr'
Fax: 5418954j~J,r{~'"i'Il;~~'?::0;."'-
MetroHc.n.., COMMENCED OR'
Supe",'sln. Ele~J;::n1~.o"QAY PH~~.
.\'\
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-malled or fllXed
within One business day, with InstnJctlons on how to schedule your Inspection.
\JV'
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NOTE: ThIs Authorizal.lon To Begin Work expires within 180 days If a pennlt Is not obtained.
The local building department may detennlne ltIat an Authorization To Begin Work Is null and
void If h does not meet applicable land use laws and local ordinances.
c/o .'756
D Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three star
D Marinas and boat yards
D Floating buildings
D Commerciaf-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
o Supply voltage for more than
600 supply volts nominal
$6.00
$61.00
$7.32
$3.05
$71.37
kJL \2lllllD
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wt(.~
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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: COM2010-00758
ISSUED: 06111/2010
APPLIED: 06/11/2010
EXPIRES: 12/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2017 BONNIE LN
ASSESSOR'S PARCEL NO.: 1703251211100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for electric furnance change out and heat pump exchange
Residential
Owner: BERRY WILLIAM & JEANETTE M
Address: 2017 BONNIE LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION I
Expiration Date
09/25/2011
Phone
541-895-4466
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Group:
Primary Constrnction Type
Secondary Cunstruction Type:
# of Bedrooms:
# of Stories:
Height ofStructur.
Type of Heat:
'WaterType:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
!.-"
REQUIRED PARKING
Overlay Dist: ATTENTION: Oregon law r9qulftm.~ to
. # Street Trees JfQItlw rule8 adopted by the OrM~Il~:
Paved Drive Rlllblification Center. Those IUles,a};"~.li01~
% of Lot Cove/lill9AR 952-001-0010 through OJS.R"'95z.j ...:
0090 You may obtain copies of the ru es WJ
. Note: the telephone
~HIS PE~MIT SHALL EXPIR;';;';~~itv~~~c IMPROVEMIW~~~~~~~~~~k_234~).
StreeA~IfP,~~1!I:'rJ~NDER THIS PERMIT IS NOT' , SIdewalk Type:
Storr!iLSi;W~!:IH'JI!~I!W1IS ABANDONED FOR DownspoutslDrains:
Spec,il\lJ1n~t5Bcn\1,'I' PERIOD,">';
I DEVELOPMENT INFORMATION ~
Frontya rd Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Seiback:
Solar Setbacks:
Notes:
I Valuation Description I
Description
Tvne of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 on
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M20IO-00758
ISSUED: 06/11/2010
APPLIED: 06/11/2010
EXPIRES: 12/11/2010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 12% State Surcha'1(e
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$7.32 6111110 2201000000000000683
$3.05 6111/10 2201000000000000683
$55.00 6111110 2201000000000000683
$6.00 6111110. 220]000000000000683
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.
UeouirerUnsnect~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the eompleted application and do hereby 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission of the Community 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 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!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 #:
2201000000000000683
Date: 06/1112010
1 :09:44PM
Job/Journal Number
COM20 I 0-00758
COM20 I 0-00758
COM20 I 0-00758
COM2010-00758
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
,
"";:"1'
Amount Due
55.00
6.00
7.32
3.05
$71.37
,:.':1'.,_
Item Total:
C~eck Number Authorization
Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
R~~ei~ed By
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Page] of]
Amount Paid
ONLINE RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
6/1 1/2010