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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 (! /{J. 8.'15 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 . " ,,-<,,. ,",':.......- o New Construction lRJ Addition/a!!eratio~/;~;ja~~~~t.: ".',-", . ,.JI" 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: .' ,. ./~, '.," Tax map/parcel no.: 1802022308600 electrical for 2 zone ductless heat system & gfci '--:.' Branch circuits each additional circiJit without service Name: Rite Electric Phone: 541-895-4466 xr~~:: 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: ~ . Address: PO BOX 842 City/State/ZIP: CRESVVELL, OR 97426 Phone:S418954466 .~ A~~ ",-'\ ' ~\Y 0 . O\\\i Fax: 5418954366 ". 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 , j';,f (ti~.'t .L~:-.:., . ~~~;'?:::f'; ,.. y,;' ,,1.:,. 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 ~v '[.\.\D ~?Q{2- ~ NOTE: This Authorb:ation To Begin Work expires within 180 days if a permit is not obtained. Can 1--<;/0 - Od:?YS ~ /at? //0 /J/?"-- / 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 .- .~. .! ...",.. ; ~1.' ," 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 ~, ' .. ~" ,." i!~J;L~ :.' 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 i'., :i:Sn. !.;.~t '.'I.\'f: I ~, , . f ;':'h" '"~1 l~, ,i'\' : J;:,J.h ' !-~l ;,,';' , " ';',,:i' .1,:, 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 ';" , 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 '" . ,;~~'Ii' 6/29/10 6/29/10 6/29/10 6/29/10 2201000000000000756 2201000000000000756 2201000000000000756 2201000000000000756 ,,' , Total Amount Paid $71.37' ":'" j";,,, "'..11.. !' 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 ~ i 1;~' :::;-~;': , . , > 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..:' - , ft~'- Owner or Contractors Signature Date , ' '.ii' ",; ','v"J ~~t~\ I I , '~I f Paee 2 of 2 225 Fifth Street Springfield, O~egon 97477 541-726-3759 Phone ~~; 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 . , :. ,- t' 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 . "1,'-~,.,':'~ ""i't"" ~ :~~, $ . $71.37 !. , ' :j" , ~ H' !,1/, ,. "r:, ,\~ir: ,.; ,,;~;p: '\~;~ .:~(~ .-..::,..- : J.. . .~"I...t ',' r. . I." I~: ,', I ",.':,- cReceintl '~'f ~ 1~;, ,'I,.:J~' Pa~~ 1 '6;.'1' " 6/29/2010 j':l-