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Home My WebLink AboutPermit Electrical 2010-6-29 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield,or_us C/G' <653 Residential Electrical Authorization To Begin Work 69600-BEL-10-00292 Approval Code: 642547 6/29/2010 3:07 pm E-mailedTo:cyerkins@ymail.com Please check-alt that apply: o A service or ieeder beginn-Ing 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 . . CATe:GciRY:QF;~6r;fSTR.UCtIQN.12~;f{:'.-;~ - D Multi~family 0 Commercial - - , JOS'SiTE:iNFORMA TION AND:l:OCA TION Job Addr~ss: 3931 ALCONA ST CityfState/ZIP: SPRINGFIELD. OR 97478 Suitelbldg./apt.no.: Project Name: M10-247 I Shrum Cross Street/directions to job site: Tax map/parcet no.: 1702314401629 electrical for heat pump & gfci & gas furnace change out ~ ;:;~SITE~CpJIjT4Ce: ...-..~... .. Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 Ema\l: :'4 Elec lie. no : C335 178518 CCB lie. no.: Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 City/State/ZIP: CRES'vVELL, OR 97426 Phone: 5418954466 Fax: 5418954366 Email: heidi@c-perkins.com Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 5563$ Supervising Electrician's Name: SEAN QUINLAN Number of inspections included in paid services: Residential Service: 4 . Reconnect Only: 1 All Other Services: 2 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 D Hazardous locations o A service or feeder raled 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 o "A", "E", or "1-2" or "1.3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal . . . '- 'PEE'SC:HEDUl.E -' . -. ~".- '. .... " " Qty. Description '~!~h~tt;~~J~g,~J~; Branch circuits without service or feeder Branch circuits each additional circuit without service , .I~.tl',~' ,;:'~r 'H E.1~ctrl~al PermiU~ee_~\ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE J <t~ :j ..~ ~r9 ..11:'1"';'1;' L.\..;':.: ..._ 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. :':T'~- ..." .'p'::' NOTE: This Auth,orlzation To Begin Wortl; expires within 180 days if a permit Is not obtained. ~WIO Ca/z.-q ( 10 The local building department may determine that an Authorization To Begin Wortl; Is null and void if it does not meet applicable land use laws and local ordinances. Total $55,00 $55,00 $6.00 $6,00 " -:.,,~ .-"<; $61.00 $7.32 $3.05 $71.37 ~~ O. \.\) \ :b Q-- \~~ ~ ro8'S3 nrYL Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,~";i.l{, j ",(. \' ,:,:;; ,', ., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00853 ISSUED: 06/30/2010 APPLIED: 0'6/29/2010 EXPIRES: 12/30/2010 VALUE: ',: ,LJ'l',;, ' -'1',' Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3931 ALCONA ST ASSESSOR'S PARCEL NO.: 1702314401629'" I' ~, . Sp~ingfield TYPE OF WORK: Heating System ,. TYPE OF USE: New PROJECT DESCRIPTION: Electrical for heat pump, gfci & gas fur~ace change out Residential Owner: SHRUM KENNETH D & SANDRA K Address: 3931 ALCONA ST SPRINGFIELD OR 97478 Contractor Type Electrical Contractor RITE ELECTRIC ;:'r < , I CONT-RAe-TOR INFORMATION . .- -;. .~':. \!; ,,'. "'fl ' License 178518 Expiration Date 09/2512011 Phone 541-895-4466 BUILDING INFORMATION. # 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: Range Type: . , Energy Path:, ': "', ~prinkled B~.ilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ Frontyard Set hack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: , :':;Tj! ~~',"--- ,". Street Improvements: PUBL1c::iMP~9.XEMEIl!I!:SI la'I! (e{~~"~;~~U\lllty I , ~, doPWu CJ'l tM ",'" ,."t lorth ,oJ'oIIOW rules a ThOS8 Sj\lewa'K9T'~~b1. I center. I OAR ~." Notilicatl~n 001-001 0 thro'1:l~'\'fIs,P,l/A'M~fjj-~v.s: in OAR 9:02- a obtain COP\8~ e telephone 0090.YOUt:e !enter. (Not\Je't.i~y Notitication calling oregon \ umber lor the. '_800-332-2344). n nter IS I Storm,Sewer Available: "I,'''''''''''''' Spe~iaIInstQ(ction: HIS PERMIT S Note's':THORIZED HALL EXPIRE IF THE Wo '1~Ah""",,__ UNDER THIS PIC RK , q~'VkU UK ABANDON ' " DAY PERIOD, ED FOR Valuation Descri Description Type of Construction $ Per Sq Ft or ,m,uliiplier I. ,Squa,;e Footage .' ,,"ill: Bid Amount Value Date Calculated Page I of2 . . ~~:;~~.~\ ::~j!~' f~:1~"~~' ,.' .," {IF ~\';(i . :- ","':':. j" ~ . ....'. I \:\j t )J'i.~,\--:,~~ . 'i.,,"~a',. . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ";'f. . Total Value of Project Fees Paid ~ . '\" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00853 ISSUED: 06/30/2010 APPLIED: 06/29/2010 EXPIRES: 12/30/2010 VALUE: Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid. ..i ~:/nate Paid . .,i"c;'!,',,< $7.~2 " $3.05 $55.00 $6.00 Total Amount Paid $71.37 I P!ll.n Rev.iews ~, ~:~fK~ .'!<~~~::;~;; . ';:,i'<~",}.~i ','r,'Jf"t ~ ;\ -:',:.1 6/30/10 6/30/10 6/30/10 6/30/10 Receipt Number 2201000000000000766 2201000000000000766 2201000000000000766 2201000000000000766 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 InsDections ~ Rougb Electric: Prior to Cover '", \ Final Electric: When all electrical work is co~p'e,te. )" . " ,.....3-'..':,f_(,;' ;~\ , By signatnre, I state and agree, that I have canifully'examined the completed application and do bereby certify tbat all information bereon is true and correct, and 1 further'certify that any and all work performed sball 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 of any structure without permission of the Community Services Division, Building Safety. 1 fnrther 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 of the property, and the approved set of plans will remain on the site at all times during construction. ':'~~:'~:~'~~;'''~'l'' . . >,{~t~ :tf.~+ :;:i?l~' " ~-,l' ":;:?1~ ..~ rf~~ ' Owner or Contractors Signature Pae" 2 of 2 .1 . ~; i,;;~;, . ... , .' .. ..'~~, ~ .f Date .~..;.q.!":flt.........,.;. wr.t.. ... l ...Ii... .. , ; .,..~,._.-". ,...~. ........ 225 Fifth 'Street. < Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000766 Date: 06/30/2010 7:26:49AM Job/Journal Number COM20J 0-00853 COM20JO-00853 COM2010-00853 COM20 1 0-00853 Payments: Type of Payment . ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 55.00 6.00 7.32 3.05 $71.37 Paid By ONLINE PERMIT CHGS Item Total: ','-l-;' \ Check Number Authorization Re'cei;'ed By Batch Number Number How Received Amount Paid ONLINE rite elect Online Payment Total: $71.37 $71.37 nJrn ; .--t.l, , ~ .Io.,,f.,. I ~. ...,.:",1(. ! . t' ,- 11,' \ ')111, ,,~ ! ~,f~'~' ',:1;:7;-:" ,('(.;., , k Of; \'$,j1;. .1 \,. } ,L~. \....1,(. Page J of J 6/30/2010