HomeMy WebLinkAboutPermit Electrical 2010-6-29
City Of Springfield
225 Fifth Sf.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00288
Approval Code: 030415 612912010 8:12 am
E-mailedTo:c_perkins@ymail.com
I\PLA:N!REVIEW .
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o New Construction lRJ Addition/a!!eratio~/;~;ja~~~~t.:
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I: :i4"rC~LEGORy,pf;;~9NSTRl.JC:r;'('>J'1'
Please check all that apply:
o A service or feeder beginning
al 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
1Kl1 or 2 family dwelling
D Multi-family 0 Commercial
o Accessory
'I ,,::; ~ : "': JOB -SITE'INFORMA TION ANOt:b.CA TION -
Job Address: 1097 S 69TH PL
CityfState/ZIP: SPRINGFIELD, OR 97478
o Fire pumps
o Emergency systems
o Addition ~f a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
Suite/bldg.fapt.no.:
Project Name: M10-244 / Barker
Cross Street/directions to job site:
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Tax map/parcel no.:
1802022308600
electrical for 2 zone ductless heat system & gfci
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Branch circuits each additional
circiJit without service
Name: Rite Electric
Phone: 541-895-4466
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Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
Fax: 541-895-4366
Email:
'~:CONTRA-~TOR0 7k<~
Elec lie. no.: C335
ceB lie. no.:
178518
Business Name: RITE ELECTRIC INC
Contact:
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Address: PO BOX 842
City/State/ZIP: CRESVVELL, OR 97426
Phone:S418954466
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Fax: 5418954366
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Email: heidi@c-perkins.com
Metro lie. no.;
City lie. no.:
Supervising Electrician's lic. no.:
55635
Supervising Electrician's Name:
SEAN QUINLAN
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approvill by your local juriediction, your permit will be e-mailed or faxed
within one business day, with instructions on how to sc~edule your inspection.
o Hazardous locations
D A service or feeder rated at .
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$55.00
$600
$61.00
$7.32
$3.05
$71.37
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NOTE: This Authorb:ation To Begin Work expires within 180 days if a permit is not obtained.
Can 1--<;/0 - Od:?YS
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The local building department mOlY determine that i1n Authorization To BJJgin Work is null and
void jf it does not meet applicable lilnd use laws and local ordinilnces.
Inspections Phone: 541-7~6-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00845
ISSUED: 06/29/2010
APPLIED: 06/29/2010
EXPIRES: 12/29/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1097 S 69TH PL
ASSESSOR'S PARCEL NO.: 1802022308600
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for two zone ductless heat system & gfci
Residential
Owner:
Address:
BARKER STANLEY M & M S
1097 S 69TH PL
SPRINGFIELD OR 97478
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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 Construciion Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure-
Type of Heat:
W,ater Type:
. Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Fl'1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
_ Solar Setbacks:
Overlay Dist:
# StreetTrees Rqd:
Paved Drive Rqd:'
. ~/~:'~~.f Lot' Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
'1'TENTION'IO>i~l!SPouts/fJrli'iNj?S IY1~ti;~Y
A, ,~ d by the Orego
follOW rules adopte rules are set forth
, Notifi.cation cente~,6~~~~U9h OAR 952-001-
I 'n OAR 952-001-0bta'ID copies at the rules bV
,'" ma 0, one
,I~ PEnfvllT SHALL EXPIRE IF T_ ' , . .ca~g the cen r~ on Utility Notification
'JTHORIZED ,UNDER THIS PERMI on DescnptKl er for the 0 _~00.a32-2S44).
OiVIfvlENCED Center \a 1
, .. ".. OR IS ABANDONED rs:mr Sq Ft Square Footage
DeSCrIptIOn 180 D'F~IP",nf-(i;onstructlOn It' I' B'd A Value
<1 f t:hmu. or rou Ip ler or J mount
"II~t:
Street Improvements:
Notes:
Date Calculated
Page I 01'2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00845
ISSUED: 06/29/2010
APPLIED: 06/29/2010
EXPIRES: 12/29/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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, T~tal V~I~e._ofProject
"I ';Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$7.32
$3.05
$55.00
$6.00 '"
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6/29/10
6/29/10
6/29/10
6/29/10
2201000000000000756
2201000000000000756
2201000000000000756
2201000000000000756
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Total Amount Paid
$71.37' ":'" j";,,,
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I . PI~n 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. ' .,
ReQuired InsDections ~
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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 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 Commnnity Services Division, Bnilding Safety,
I fnrther certify that only contractors and employees1Vho.are.i!-, compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all requir~d inspectio~s~~~e f;e.9~.e:sted ~t the proper time, that each address is reudable 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. ._,.:.;.~1.!. " '>1...,1..:' -
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Owner or Contractors Signature
Date
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Paee 2 of 2
225 Fifth Street
Springfield, O~egon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
22010000000000007~6.
Date: 06/29/2010
8:52:43AM
Job/Journal Number
COM20 1 0-00845
COM20 J 0-00845
COM20 1 0-00845 '
COM20 1 0-00845
Description
Add, Alter, Extend Cire . , :.
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Add, Alter, Extend Cire EaAdd '
+ 12% State Surcharge
+ 5% Technology Fee
)T
Amount Due
55.00
6.00
7.32
3.05
$71.37
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Num.ber Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE
RITE Online
ELECT
,Payment Total:
$71.37
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$71.37
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6/29/2010
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