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Home My WebLink AboutPermit Electrical 2010-6-30 City Of Springfield 225 Fifth 81. Springfield, OR 97477 Phone: 541-726-3753 v..'; Email: permitcenter@ci.Springfield.or.us..1t.;.J. .j :"'l~:." ,j 1_., -~. ~(;. C/O.!!,7/ Residential Electrical Authorization To Begin Work 69600-BEL-10-00295 Approval Code: 040180 6/30/2010 3:38 pm E.mailed To: c_perkins@ymail.com o New Construction ,':;:'....: ," ',,',', ',-'''''' """, "",,,,^,,^",,,,' ,'_"'W";i:."':,,. ,,':'?,"", ",: '.:~~'~CA TEGQRYOF .C;ONSTRUCTIOllty.'- :$' : c" ' [Z] 1 or 2 family dwelling o Multi-family 0 Commercial D Accessory . .... JOB'SITE INFORMATION AND'l.:OCA tiON"::. A >":; i Job Address: 3265 OREGON AVE City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.no. : Project Name: 10-344 I Kindt Cross Street/directions to job site: Tax mapfparcel no.: 1702313402100 chanage electrical service . "ci.$ITE'CONTAC;:r:" Name: Rite Electric Phone: 541-895-4466 Fax: 541~895-4366 Email: r "..>. 'CONTRACTOFC''..-'Z.:r-' ~ Efec lie. no.: C335 178518 CCBlic. no.; Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 City/State/ZIP: CRESWELL, OR 97426 Phone: 5418954466 Fax: 5418954366 Email: heidi@c-perkins.com Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 55635 Supervising Electrician's Name: SEAN QUINLAN '" t..,:. Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 .1..',.;)\'." -I";< ',~," "I- rl'<1~:;7" . . '.J" 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 ekpires within 180 days if a permit is not obtained. The local buliding department may determine that an Authorization To Begin Wor\( is null and void if it does not meet applicable land use iaws and local ordinances. Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities c~ . Description Services 200 amps or less Branch circuits with service or feeder each circuit ~1~~irfc'~Q~~rmit:Fe9S' Subtotal State surcharge (12% of permit totaf Technology fee (5% of permit total) TOTAL PERMIT FEE / $ S':-> <J-:'V 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 K:VA or larger seperately derived sys D "A", "E", or "1-2" or "1-3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal .-i ., $6.00 $87,00 $10.44 $4.35 $101.79 \AS\:~,q, J ~. ~'Y .~~ Cun20/0 ~ oocf7 I r:$ 7-/-10 h/Y\..- Inspections Phone:.541- 726-3769 This Authorization To Begin Work must be posted at,the job site until replaced by a Permit ,.~ ., ""':l. , -~". r :.;,; ~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00871 . ISSUED: 07/01/2010 APPLIED: 07/01/2010 EXPIRES: 01/01/2011 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line -,' ;. SITE ADDRESS: 3265 OREGON AVE ASSESSOR'S PARCEL NO.: 1702313402100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Change electrical service Owner: Address: KINDT DA VID A & DEBBIE L 3265 OREGON AVE SPRINGFIELD OR 97478 -'!-:,; I CON'FRACTOR INFORMATION I Contractor Type Electrical Contractor RITE ELECTRIC License 178518 BUILDING INFORMA nON i Expiration Date 09/25/201 j Phone 541-895-4466 #'ofUnits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: . Water Type: . R~nge TYjJ~:""" . ,".' Energy Path', Sprinkled Building: 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 I ( REQUIRED PARKING Front yard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: #. Street Trees Rqd:.. Paved Drive Rqd: .%-';fLot Coverage: Total: , Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLfC'IMPROVE]\J~ON' Oregon law requires yout,o . ' . n h .toe Oregon Ulllity follow rules a<S~ltIKYre~eies are set forth Notification ce~t~~~~~~'lr:ffif's~ 952-001- In OA\952-0~y obtain copies of the rules by 0090... au m ter (Note: the telephone calling the cen, Utility Notification number for the Oregon , enter is 1_800-332-2344). NotelWnCE: Tille' nc ~n1T C:W~I FXPIRE IF THE WORK !\UTHORIZED UNDER THIS PERMIT ':OMMENCED OR IS ABANDONED F 1 alu.a.~ion Descri \IV 1 RQ DAY PERIOD, $"per Sqh Square Footage. Descriotion . Type of Construction or multiplier or Bid Amount Value Date Calculated Pa2e 1 of 2 :;\','.. " ., -.,,' Status ~..",......~ Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 't~~~; 'F\:;~. ''lj'''' Total Valne of Project Fees Paid__ - Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less ",) '; "1, ,,-;- ~" Amount Paid;" "'\! 'i. 1 Date Paid $10.44 $4.35 $6.00 $81.00 7/1/10 7/1/10 7/1/10 7/1/10 Total Amount Paid $101.79 1..f,.i~n.ll~1:i~~s.l . ,--_.. " , ~':~'+~}\ "." , -,7'['/ ." CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00871 ISSUED: 07/01/2010 APPLIED: 07/01/2010 EXPIRES: 01/01/2011 VALUE: Receipt Number 3201000000000000356 3201000000000000356 3201000000000000356 3201000000000000356 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. LReouired InsDections ~ . " ~, -, - Rough Eleetric: Prior to Cover ,..." ,.. I' ".\,./,_:\ Final Electric: When all electrical work is,.~orD'phite';' .. , : ,~" ., .~, ,{;.-. . Electric Service: Approval required prior:!o'\'tility company energizing service. By signature, 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 I furtller 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 of any 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 inspectio~~ta;'re't~.9'~~.st,~d'at!,the proper time, that each address is readable from the street, that the permit card is located at the front o'UIiii!pi;oper.ty; 'a~dithe approved set of plans will remain on the site at all times during construction. . ~' ',) i Owner or Contractors Signature ., ,t... , ~ l '" ,",:, ., cPage'2 of2 ,:;i~l~ ." ....- - ". < " ,- l-iJ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone a,.~:[.~lIU>.,.._ ~.. '.... ilki' ; , .... '. .- .-.-.......;,.,... , .," ~ , ~':.,. "" - _';~ ~,~"',,"O."'""., ,"e. City of Springfield Official Receipt Development Services Department Pnblic Works Department RECEIPT #: 3201000000000000356 Date: 07/01/2010 7:34:17AM Job/Journal Number COM20 I 0-00871 COM20 I 0-00871 COM20 I 0-0087] COM201O-00871 Payments: Type of Payment ONLINE CHGS cReceiotl Description . ' Perm Serv/Fdr 200 amps or less._7.-;~: :::,..'ci;-~::- Add, Alter, Extend Clrc Ea Add .:ji3 . j""""'."oI'_' ,.,.;- + ] 2% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 81.00 6.00 10.44 4.35 $101.79 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid NJM ONLINE RITE Online ELECT Payment Total: $101.79 $101.79 ;",.1:' ,,"J' ;S':,i; i1',i. ,.. :.;;:"':ft.. . .-. -~.._- .. ',:.. ....~~. .. .:.fft=."""",\ , -~; . . .::j! r., ~. '.1-I.~l'-. -~..." _,. . _"~~c: . . Page 1 of I 7/1/2010