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Home My WebLink AboutPermit Electrical 2010-6-15 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541:726-3753 Email: permilcenler@cLspringfield.or.us (;/(), 77Z Residential Electrical Authorization To Begin Work 69600-BEL-10-00266 Approval Code: 859142 6/15/2010 2:17 pm E-mailedTo:c_perkins@ymail.com f p.~N;ReVIEW ~~:;~~i;.! ';:"J.nG, \7:'/:1 .;,..";.ij.q~ ..=p!.< ~ .',. fIfK' 'f -', ':~',':, ' ; ", - 'I D New Construction [R] Addition/allerationlreplacemenl .'g '2" ,"',':, CAl:EGO,RY;,OF CONpTRU'CTION':,'>~', ,':' ,? _ ,_: o 1 or 2 family dwelling 0 Multi-family [El Commercial 0 Accessory I " " " ~ ': JOaSITE'lNFORMATION AND,LOCATIOr;r. " ~'~, :- Job Address: 1701 CENTENNIAL BLVD City/StatelZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: M10-223 I Elk Lodge Cross Street/directions to job site: Tax map/parcel no.: 1703253404502 r,' '_';~:k,' ,~: , ",,:h,;DE$_C;Rrp.flON:Qf~WORK~' > - ""'-.'''-'.1 J_.-f"'.... - > " -:,i'-;.'<" electric to change out roof tap hvac unit .''''''-''' ;;;;!.Qi1. f~!):'}~r: ,l~~',!'l;;;. , ,fi:'~ '~:,' ",_" ,~'''",''IT'' , ',"',,~~''', "':,~ Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 . Email: r " _ ' ,,' ~. , ,:~: Y~'t;tCONTRAGT,QR' "_C,'( "',,," ".., "',' , Elec lic. no.: C335 CCB lie. no.: 178518' Business Name: RfTE ELECTRIC JNC ',"7'''''''' Contact: :' "c, d ::- '.. Address: PO BOX 842 CitylStatefZIP: CRESVv'ElL, OR 97426 Phone: 5418954466 Fax: 5418954366 Email: heidi@c-perkins.com Metro lie. no.: City Ilc. no.: ,."..:, '-.~r -,.'_..~.:- Supervising Electrician's lie. no.: 5563S :":.;v.;\1.; ;>.J.I~ J.t)' , I -.~"'l' 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-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This AuthorIzation To Begin Work expires within 160 days if a permit Is not obtained. The local building department may determine that an Authorization To Begin Work is n};lJl ~nd void if it does not meet applicable land use laws and local ordinances. >";;-'''''''' Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps al150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pum~s D Emergency systems o Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities o Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three star o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys O "A" "E" or "1~2" or "1-3" , , D Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal " , , , , Branch circuits without service or feeder Branch circuits each additional circuit without service glo,c;trica' '~erriiit'i=ees~- ","Or Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $55 00 $55,00 $6.00 $6,00 $61.00 $7.32 $3.05 $71.37 \>>~,p \s>\.~ ~~ fjOl"7-?- nm ," , Inspeciions Phone: 541,726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit TOTAL PERMIT FEE ~~'b .. "":'~0~ ~.~ , I Gcnvu:> I 0 " , " 0#\S~ /'0 ,'. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00772 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :>!:-:1 . :\" SITE ADDRESS: 1701 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703253404502 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Electric to change ont roof top unit. Owner: ORDER OF ELKS LODGE #2145 Address: 1701 CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR. INFORMATION I 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 1:ype of Heat: }Vater Type: ~ange TYpe: . En'ergy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Froutyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: . Compact:. Street Improvements: .. . I PUBLICIMPROVEMENTS _ . ." ATT~!;Ili\.!;\illllP~lleyllaw requires you to . . follow rules adopted qy the Oregon Utility. NotificiRR.lW~e?,\,!,/D,r:~,I!!,sJ rules are set forth In OAR 952-001-0010 tlirough OAR 952-001- 0090. You may obtain copies 01 the rules by calling the center. (Note: the telephone number for the Oreqon Utilitv Notification enter IS l-eUU-:.J0L-L:344). Storm Sewer Available: SpeciallnstructioiPT!CE: f-ilS PERMIT UTHORIZE SHALL EXPIRE IF THE .nMflnc"n~D UNDER THIS Pr: ,,(,', WORK ,W 180'DA~yUpUEK S ABA~u.IN~n;;~~.."':' , RIOD. ValUanon Descn Notes: Description Tvpe of Construction ,'" '~'." t~ '''', $ Per Sq",'Ft Square Footage or multiplier or Bid Amount Value Date Calculated Paee 1 of 2 -",'-\,-"'. Status Issued "~ f 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ., c,.J;otal-Value of Project . .,l'J-.r' -'.i. .-'__'~" ... , 1;::F~e~ paid-l '~.i ' . Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $7.32 $3.05 $55.00 $6.00 Total Amount Paid $71.37, ~\an Ile~iew~" ~ . :~, Date Paid 6/15/10 6/15/10 6/15/10 ,6/15/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00772 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: Receipt Number 2201000000000000699 2201000000000000699 2201000000000000699 2201000000000000699 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reauired'lnsoections ~ . . .~~~~; ~!~Jr~:;"l Rough Electric: Prior to Cover I~~:*;l .; 1'.:;:;,\\;, ,., Final Electric: Wben all electrical work is c.implete. " By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Spriugfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. ' I further agrce to ensure that all required inspections are requested,at the proper time;that each address is readable from the street, that the permit card is located at the front ofthe property;"andthe approved set of plans will remain on the site at all times during construction. .f'''I''''!; !\ " . ~. .Ji;J~"" ' ,'., , Owner or Contractors Signature t'1~_~';'{ : ;.:;!l2 " Page 2 of 2 il'th, ~ "I'}" h:.; 'i~')' .~ 1 ,e', '\;;.~i3;:< "IJ_IIa'.~"~1l:~T".. .I: . 10, " . '';'''';- Ir}.~~~$" ;~'. . Date " ~~. 225 Fifth Street Spri!1gfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000699 Date: 06/15/2010 3:21:02PM Job/Journal Number COM20 1 0-00772 COM2010-00772 COM2010-00772 COM20 1 0-00772 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid nJill ONLINE rite elect Online Payment Total: $71.3 7 $71.37 ". ..1;, . " ~:' . _ l~;>:~~!, ~~''';. 11-'~k~:l'ii' . j J~~~ ~ "; ~~,~:""', . ;'4""'" j, '~ ..~~'\ ."\. ' l'I''!:O,)).:,. :? ,~;{~~. .', " t#~llr~' t.-;~,n-~1.:. : "N;' f:? ./ cReceintl Page I of I 6/15/2010