HomeMy WebLinkAboutPermit Electrical 2010-7-6
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541~726-3753
Email: permitcenter@cLspringfield.or.us
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IXJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 557 B ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: M10-252 I Spfld Dental lab
Cross Street/directions to Job site:
Tax map/parcel no.:
1703353190005
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change out electric furnace & new heal pump
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Name: Rite Electric
Phone: 541.895-4466
Fax: 541-895-4366
Email:
Elec Iic. no.: C335
CCB Iic. no.:
178518
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
CltyfState/ZIP: CRESWELL, OR 97426
Phone: 541-895-4466
Fax: 541-895-4366
Email: heidi@c-perklnsocom
Metro IIc. no.:
City IIc. no.:
Supervi ng Electrician's IIc. no.:
55635
SEAN QUINLAN
Number of inspections included in paid services:
Residential S~rvice: . 4
Reconnect Only> 1
All Other Services: 2
Ipon review and approval by your local jurisdiction, your ponnit will be o-malled or faxed
lithin one business day, with Instructions on how to schedule your inspection.
IOTE: ThIs Authorization To BegIn Work expires within 180 days if a pennit is not obtained.
ne local building department may determine that an AuthorizatIon To Bogi~ Work is null. ~n~
old If It does not meet applicable land use laws and local ordinances.
(J/ () . 8"11
Or. .
Residential Electrical Authorization To Begin Work
69600-BEL-10-00305
Approval Code: 464680 7/6/2010 12:18 pm
E.mailed To: cyerkin5@ymail.com
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:' .. ,; e~~~-.:'~ -if;;zt,~~~'t;~~C:ANiREVIEWkS.,.JV~ij:Z~fl~:d':);J!7-,,~g;~j
Please check all that apply: D Hazardous locations
D A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds D Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
D Fire pumps D Commercial-use agricultural
buildings
D Emergency systems D Installation of a 150 KVA or
D Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A", "E", or "1-2" or "1-3"
D Six or more residential units in D Recreational Vehicle Parks
one structure
D Health care facilities D Supply voltage for more than
600 supply volts nominal
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DescriptIon Qly. Ea, Total
B~'n~~:C.irc~i~~1~trJ..~~'GB~'~t~~},tl~~~~~}Xfj:~;,:~
Branch circuits without service or 1 $55,00 $55,00
feeder
Branch circuits each additional 1 $6.00 $6.00
circuit without service
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Subtotal $61,00
State surcharge (12% of permit $7.32
total)
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71,37
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Inspections Phone: 641.726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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: COM2010-00891
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/06/2011
VALUE:
Status
Issued
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SITE ADDRESS: 557 B St
ASSESSOR'S PARCEL NO.: 1703353190000
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Change ont electric furnace and new heat pump
Residential
Owner: SPRINGFIELD DENTAL ARTS INV
Address: 444 B ST
SPRINGFIELD OR 97477
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:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
. Height,ofStructure
.Type of. Heat:
.,..Water Type:
. Range 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:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd:. ,Handicapped:eJ'J to
Paved Drive Rqd: ATTENTION: Oregon "C~r:;p~~t:~~I~ Utility
follow rules adopt'ad by ",c '......" ' ".'
,o~~ ofL,o~ ~?verage: Notification Center. Those rules are ~S:31 t,Otth
.,. a, ..i . ' OAR 952-001 -001 0 through O,~~ ,,~~~~o 1.
. 11090 ou may '0'
I PUBLIC IMPROVEMENTS ~ cali in 1he center. (Note: the telephone
numS~ewfintlltRf.s.gon Utility Notification
Center is 1-800-332-2344).
Downspouts/Drains:
Street Improvements:
Storm Sewer AJ~igr(.fE:
Special Instructl,;''',) PERMIT SHALL E .
~1U THOR!ZED UNO XPIRE IF THE Wo
Notes: . .~M[VIEIVCED 0 ER ~HIS PERMII'I's ~!<,
'/1 PI] r: ^" ~_R IS ADANOnMi:nJ.,,, JilO.T:..." i,'
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Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
" t'.""
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,i"TotaI'Vah,'e'of Project
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I""Fees PltUQ
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00891
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/06/2011
VALUE:
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 7/6/10 3201000000000000387
$3.05 7/6/10 3201000000000000387
$55.00 7/6/10 3201000000000000387
$6.00 7/6/10 3201000000000000387
,
Total Amount Paid
$71.37
1,~,eIl!n Revi~.y;,s I
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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~e~'~i~ed.~'snections I
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Rough Electric: Prior to Cover
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Final Electric: When all electrical work is complete.
By signature, 1 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 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 front oftliecpi'gper(y; and the approved set of plans will remain on the site at all
times during construction. ~ "~i~,';:':~ . " ~i ". .
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Owner or Contractors Signature
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Page 2 of2
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
32010000P0000000387
Date: 07/06/2010
12:30:48PM
Job/Journal Number
COM20 I 0-00891
COM20 I 0-00891
COM20 1 0-00891
COM2010-00891
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
Description . ~ .
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount ()ue
55.00
6.00
7.32
3.05
$71.37
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
RITE Online
ELECT
Payment Total:
NJM
ONLINE
$71.37
$71.37
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7/6/2010