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HomeMy WebLinkAboutPermit Electrical 2010-7-1 tlrJ1S71: Residential Electrical Authorization To Begin Work 69600-BEL-10-00296 Approval Code: 199902 7/1/2010 10:28 am E.mailed To: c_perkins@ymail.com ',r ~l.Al',U'lEVIEW ,Con~/o -Clog?y 7-- / -/0 /7 n"'-. City Of Springfield 225 Fifth 8t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfiefd.or.us D New Construction Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less 10 ground exceeds 14,000 Amps fOf all other 00 1 or 2 family dwelling o Multi-family D Commercial o Accessory '; '""J.OB SITl~ INFORMATION );ND L:OCATION' Job Address: 358 69TH PL CltylStatefZIP: SPRINGFIELD, OR 97478 o Fire pumps D Emergency systems o Addition of a new molor load of 100 HP or more D Six or more residential units in one structure .' D Health care facilities Suitefbldg./apt.no.: Project Name: M10-251 I Danner Cross Street/directions to job site: "J)O.i\ . i.::L(1l.,,~~; ,. Tax map/parcel no.: 1702353200900 Description install 2 new ground rods ,''"">.-'., ?'" . SITE[CONrACr.::-":" Branch circuits without service or feeder N!tsc~liane()lJs Balance of permit fees i;lectl'iqaJ'P9hfjitFees'\ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 Email: CONTRACTOR' . . ;"'1' Elec Iic. no.: C335 cee Iic. no.: 178518 Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 CltyfStatefZIP: CRESWELL. OR 97426 Phone: 541-895--4466 . .h,~(C <L:::::..:'.. Fax: 541-895-4366 i,"\ Email: heidi@c-perkins.com ro,j( ~ ~rv'? Metro lie. no.: '. . ~:;-:' . . City lic. no.: Supervising Electrician's Iic. no,: 55635 Supervising Electrician's Name: SEAN QUINlAN Number of inspections Included in paid services: Residential Service. 4 Reconnect Only: 1 AI! Other Services: 2 I:. Upon review and approval by your local jurisdiction, your permit will be e-mailed o~~, i~~ed within one business day, with instructions on how to schedule your inspection. , . ... NOTE: This Authorization To Bogin Work expires within 180 days if a permit is not obtained. .'~,,, . The local bUilding department may determine that an Authorization To Begin Work is null and void if it docs not meet applicable tand use laws and local ordinances. 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 o Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply volls nominal $58.00 $6,96 $2.90 $67.86 ~IP ", ~Q/ ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit r,i.iQl'\ . .}L".!L~~: .;:' ,,. ~~I~t"<!,p'I~'~" .. . . ,t :r 4.,' . 1 ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ ',,~.:..t .:"1.: .'. ; ,:'f~" ~:. . \'o'~ ''1'; ..~:.~'';: ; ."1 :', ~ . ~J ,~". " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00874 ISSUED: 07/01/2010 APPLIED: 07/01/2010 EXPIRES: 01/01/2011 VALUE: Status Issued SITE ADDRESS: 358 69TH PL ASSESSOR'S PARCEL NO.: 1702353200900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residentilll PROJECT DESCRIPTION: Instllll two ground rods Owner: DANNEN GAIL A TE Address: 1950 LAKEVIEW DR EUGENE OR 97408 :1' ",':"1.': " ,~ " . . I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor RITE ELECTRIC License 178518 BUILDING INFORMATION I Expiration Date 09/25/2011 Phone 541-895-4466 # of Units: Primary Occupancy Group: Secondllry Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: #'of Sto'ries: . ~ d, '" '"" ~ ", " , Heighiof,Structure :\."... . I'~' - , . ., ,. "l)pe of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I sl 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: . ,. .'YO:,of Lot Coverllge: Total: Handicapped: Compact: Street Improvements: Storm Sewer AVllilable: Special Instruction: law requires youto T ~1TIoN: Oregon ". _ ,"" ,ron Utility I PUBLIC IMPROVE:N'fIS'I,les aClopl"Th';;S~ r~\es are set tor on Center. hOAR 952-001- ''''~_. ()1 f,'. thrOUq in OAR 952.0'S1~wn\~M~f0S 01 the rules by 0090. You m~ obta dlltslJ)' l.lM'slelephOne calling the t:'l!ni.\!W 'on utilitY Notllicatlon number lor the. 0~eg800_332-2344). center IS ,- '- Notes: '. . I; t ' ! , ~ . ,,' . "!.:~'1~ .... 'i(.:' .. ; ~vr.:. 'is PERMIT SHALL EXPIRE IF f-}la\rMlti\\n Descri JTrlORIZED UNDER THIS PERM Descriptio:;' M M E ~i1VlitJof)i3Jfsfl<ll'ti~~O N E ~ flS~~q I~t "NY 180 DAY PERIOD. or mUfhp ler Sqnare Footllge or Bid Amount Value Dale Calculated Pa2e I of 2 ',,:>-' Status Issued 225 Fifth Street, Springtield, OR 54t-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line '. 1~' t .f; \foe_ -,i ,. ...~ ~T;'t~1 'yalue of Project "'~-''',''>'!, "; \",...-,~ '. ". I . Fees PairU Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid $6.96 $2.90 $55.00 $3.00 Total Amount Paid $67.86 .... i. , '~- :". 1 i. I'lan Revie~s I Date Paid 7/1/10 7/1/10 7/1/10 '7/1/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00874 ISSUED: 07/01/2010 APPLIED: 07/01/2010 EXPIRES: 01/01/2011 VALUE: Receipt Nnmber 3201000000000000361 3201000000000000361 3201000000000000361 3201000000000000361 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. ',-; ~r,' . 't' LRediiired lilsoections ~ '.'.t..;.~..' - . Rongh Electric: Prior to Cover Final Electric: Wben all electrical work is complete. By signature, I state and agree, that I have carefnlly 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 descrihed 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 arerequested at the proper time, that each address is readable from the street, that the permit card is located at the front;o(Uie phiperty; and the approved set of plans will remain on the site at all times during construction. . . .' Owner or Contractors Signature 'J" .., 'I. Paee 2 01'2 Date 225 Fifth Street , ' Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000361 Date: 07/01/2010 I :54:43PM Job/Journal Number COM20 10-00874 COM20 1 0-00874 COM201O-00874 COM20 10-00874 Payments: Type of ~ayment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee "t Paid By ONLINE PERMIT CHGS . ..;i:( ,',!: Check Number Rec,~~:ved ~Y. Batch Number ""njm "---' '''-:hrt . L'H', ONLINE ., >,,: "," ' 'I': ',::T,"~~~,::~i',',; ;; ,; " >~,'.,.:iS' , "~~l , t .. ."""".. ~ . "-'\""'-'-" .,,\- 'iJ J,: ,';r " (.f.:,,;. Page 1 of 1 Item Total: Authorization Number How Received Amount Due 55.00 3.00 6.96 2.90 $67.86 Amount Paid rite elect Online Paymeni Total: $67.86 $67.86 711/2010