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Home My WebLink AboutPermit Electrical 2010-7-1 City Of Springfield 225 Fifth 5t Spring~eld, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us CIO'J72 Residential Electrical Authorization To Begin Work 69600-BEL-10-00297 Approval Code: 207207 7/1/2010 10:32 am D New Construction [Xl Addition/alteratio~freplacement "CA lEGOR'1.6F'CONSTRUCtIO~;"'~::"",,; 00 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory " ~JOa'SITE]NFORMATION AND LOCATION. ',"':" ;. ""'--lb'.. Job Address: 5669 0 5T CityfStatelZIP: SPRINGFIELD, OR 97478 Suitefbldg.lapt.no.: ';~:.::/ .';'.~' ". Project Name: M10-250 I Kuddlemeyer "I: Cross Street/directions to job site: Tax maplparcel no.: 1702331405614 electrical for furnace change out & heat pump exchange I:}..,; , . ;~".,\, :, :.;"SITECONT ACT.. Name: Rite Electric Phone: 541-895-4466 !l ,~, ~ '. ~f .. Fax: 541-895-4366 . Email: - . ...."............,.....~.. ...".... -'. "',' ,j,,~GONT~CTOR".::" Elee lie. no,: C335 CCB lie. no.: 178518 Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 CityfStatefZIP: CRESWELL, OR 97426 ..~...~4" ., ,', ; Phone: 541-895-4466 Fax: 541-895-4366 Email: heidi@e-perkins.com Metro lie. no,: City lie. no.: Supervising Electrician's lie. no.: 5563S Supervising Electrician's Name: SEAN QUINLAN Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services' 2 ;r.' " .:h "" Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business dilY, with instructions on how 10 schedule your inspection. NOTE: This Authorization To Begin Wol1< expires within 180 days if a permit is nol obtained. The local building department may determine that an Authorization To Begin Wol1< is null and void if It does not meet applicable land use laws and local ordinance$. -". E-mailed To: c_perkins@ymaiLcom ~~'" ~.; , . -,"' ,. PLAN,REVIEW ," Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or Jess 10 ground exceeds 14,000 Amps for all other 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 o Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three stor o Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installationofa150KVAor larger seperately derived sys D "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Description Bra'rich.circlntS::~"'4;\ .~:' Branch circuits without service or 'feeder Branch circuits each additional circuit without service Electric~l. i'errni(Fe'es Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE .,~ W ~\/ $55.00 $55,00 $6,00 $6,00 ,'\' $61.00 $7,32 $3,05 $71.37 sY,Q C\.~. ~ ~~ ~ Co/?12eJ/O -mJ7~ 7 - j-- /0 /?/JA- Inspecticins.l"hone:, 541-726-3769 This Authorization To Begin WorK must'b'e posted at the job site until replaced by a Permit i' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00872 ISSUED: 07/01/2010 APPLIED: 07/01120]0 EXPIRES: 01101/20] 1 VALUE: Status Issued <I" SITE ADDRESS: 5669 D ST ASSESSOR'S PARCEL NO,: 1702331405614 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Electrical for fnrnace change-out & heat pump exchange Residential Owner: Address: KIME KRISTY E 5669 D ST SPRINGFIELD OR 97478 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: ,Heigh i',of,s.tructure ;, ",~" t ' '::' "':,> ,.,j-, :"" . , Type of Heat: ."Water Type: Ringe Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st 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 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ~(~ of Lot ~oy~~age: Total: Handicapped: Compact: ,.i', '_." ~ , ou 10 PUBLIC IMPRO\ ;J; I ~dopted'bY the Oregon UtilitYh , Th 1\e rules are set fori Nolifica\1On centP.!'de"'~ltl 'Bfp(;AR 952-00t- in OAR 952-001-cJU,T~ II I Ui~ f the rules by Storm Sewer Available: 0090 You may oDoWilsp1lUts')J5\!ams: hone S 'I I t t' " h ter (Note: the telep pecla ns ruc IOn: callmg t e cen.. Utility Notiiication NOTICE:, . numberf~~:~:i~~~~g~_332_2344), Notes: THIS PERMIT SHAll EXPIRE IF TIj\B;W:9R~;,:,., :, C " I "':., ,. I-\U I t1U L I\J n II I COMMENCED OR IS ABAN Cvlfig':lh~'h Descri tion ANY 1 SO DAY PERIOD, " , Street Improvements: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e] of2 . , Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "I': I' , .,,~~~~:Jr::;:,',;t\}'~i~\:>:' _ . ,} .' c"'Tbtai Vaiu~ of Project . ,,:.,;.,;,:;' ,;,'I'i-;.' 1:'Fees Paid ~ 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 . ~, . ~. \ I"~l.an Reviews i Date Paid 7/1110 7/1110 7/1110 '7/1110 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00872 ISSUED: 07/01/2010 APPLIED: 07/01/2010 EXPIRES: 01/01/2011 VALUE: Receipt Number 3201000000000000360 3201000000000000360 3201000000000000360 3201000000000000360 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. ' , ". ~~~~1~', ,:.:,,:\r )(:~,~., ReguiredIhsoeCtions ~ ~'~~~:~.';;,; ", . , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 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 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 inspections' are requested'at the proper time, that each address is readable from the street, that the permit card is located at the fronCoqhe property;' a~d the approved set of plans will remain on the site at all times during construction. :,~- i'" Owner or Contractors Signature "i ., Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ,~1( ,,; '~', . 3201000000000000360 ~)' . " Date: 07/0112010 I:S4:I3PM 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 Job/Journal Number COM2010-00872 COM20 I 0-00872 COM20 I 0-00872 COM20 I 0-00872 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid nJm ONLINE rite elect Online Payment Total: $71.37 $71.37 \'., "i(!j 'l... . '.<.\:;, IJv{ff, ';::~~'''I " .H ! :>dI' \) . 'r. ,!.:.; :~ ~; f; cReceintl Page I of I 7/1/2010