HomeMy WebLinkAboutPermit Electrical 2010-7-1
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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
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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:
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Tax map/parcel no.:
1702353200900
Description
install 2 new ground rods
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. 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' .
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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
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Fax: 541-895-4366
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Email: heidi@c-perkins.com
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Metro lie. no.:
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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
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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.
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NOTE: This Authorization To Bogin Work expires within 180 days if a permit is not obtained.
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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
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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
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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
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"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 ,-
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Notes:
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'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
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Status
Issued
225 Fifth Street, Springtield, OR
54t-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
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...~ ~T;'t~1 'yalue of Project
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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
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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.
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LRediiired lilsoections ~
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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
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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
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Paid By
ONLINE PERMIT CHGS
. ..;i:( ,',!: Check Number
Rec,~~:ved ~Y. Batch Number
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ONLINE
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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