HomeMy WebLinkAboutPermit Electrical 2010-7-8
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~OREGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-72&-3753
Emai!: pennitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00313
Approval Code: 090908 7/812010 11:34 am
E-mailedTo:cJlerkins@ymail.com
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are setlorth
in OAR 952-001-0010 through OAR 952..Q01.
0090. You may obtain copies cif the rutes by
calling the center. (Note: the tele~hon8
number for the Oregon Utility NotificatIon
Center is 1-800-332-2344).
Job Address: 2211 DORNOCH 5T
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
1 0,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
City/State/ZIP: SPRINGFIELD, OR 97477
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
SuitelbldgJaplno.:
Project Name: M1D-263 I Brovm
Cross Street/directions to Job srte:
1703272207502
Phone: 541-895-4466
Subtotal
State surcharge (12% of pennit
totaf
Technology fee (5% of penni!. total)
TOTAL PE;RMIT FEE
Fax: 541-895-4366
Emall:
Elec lie. no.: C335
178518
CCB lic. no.:
Business Name: RITE ELECTRIC INC
t.lD- 9D~
Contact
Address: PO BOX 842
City/StatelZlP: CRESWE~L, OR 97426
Phone: 541-895-4466 Fax: 541-895-4366
-,,1"\ n
I'IIUIIV RK
Email: heidi@c-p?~~. XPIRE IF THE WO
Metro lie. no.' ',LJTHORIZED UNDERclY1l,Sn~ERMI
.".."r~II"ED 00 Ie:
Supervising Electrician's lie.. no:: 1"!5BgS
A'\IY I X" 1-1
Supervising Electrician's Name:
.
Number of inspections Included in paid services:
Residentiaf Service: 4
Reconnect Only: 1
All Other ~ervices: 2
",~Iih <~
~\Y ~~.
Upon review ;!Ind approval by your local JUrisdiction,. your pennlt will be e-malled or f"xed
within one business day, wtth Instructlol1$ on how to schedule your Inspection.
NOTE: This AuttJoriZation To Begin Work expires within 180 days If a pennit is not obtained.
The local building department may detennlne that an AuthoriZation To Begin Work Is null and
void If It does not meet applicable land use laws and local ordinances.
(!/O.908
o Haza~s locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 t<:VA or
larger seperately derived sys
.0 "A", "E", or "1-2" or "1.3"
o Recreational Vehicle Parks
o 'Supply voltage for more than
600 supply volts nominal
$55.00
$6.00
$61.00
$7.32
$3.05
$71.37
l~11~I1D
-,,,-,,,,-',
~D
~~9-
(J\
Inspections Phone: 541-726-3769
This Authorization To Begin Wor!< must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2211 DORNOCH ST
ASSESSOR'S PARCEL NO.: 1703272207502
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00908
ISSUED: 07/08/2010
APPLIED: 07/08/2010
EXPIRES: 01108/2011
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install ductless heat pump
Owner:
Address:
BROWN HAROLD L & PATTI K
2211 DORNOCH ST
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
Phone Number: 541-726-0913
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09125/2011
12/23/2011
Phone
541-895-4466
541-747-7445
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total: ....-..".."....
Handicapped:
Compact:
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setbac,~:OTlCE: % of Lot Coverage:
Solar Setbacks: THIS PERMIT SHALL EXPIRE IF THE WORK
IUTHORIZED UNDER THI EMENTS
COMMENCED OR IS ABA
Street ImprovemA'~th 80 DAY PERIOD.
Storm Sewer Available:
Special Instruction:
Notes:
."
Pa!!e I of3
ATTENTION: Oregon law requires yout.o
the Ore on Utili
Notification Center. Those rules are se 0
In OAR 952-001-001 0 through OAR 952-001-
009~!~\litif1Dt.ltain copies of the rules by
cilYmtt\\l'H:~Rt~r.. (Nole: the telephone
number 1'6r ifie't)r~~'6n Utility Notification
. Center is 1-800-332-2344).
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00908
ISSUED: 07/08/2010
APPLIED: 07/08/2010
EXPIRES: 01108/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion ~
Descriotion
Tvne of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Value
Date Calculated
Total Value of Project
~
Fee Descriotion
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Techuology Fee
1st Appliauce
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$7.32 7/8/1 0 2201000000000000809
$9.48 7/8/10 3201000000000000401
$3.05 7/8/1 0 2201000000000000809
$3.95 7/8/10 3201000000000000401
$79.00 7/8/10 3201000000000000401
$55.00 7/8/10 2201000000000000809
$6.00 7/8/1 0 2201000000000000809
Total Amount Paid
$163.80
I Plan 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.
~e()lIirp.llJn~ne('tions.1
Rough Mechauical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 2 oB
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00908
ISSUED: 07/08/2010
APPLIED: 07/08/2010
EXPIRES: 01108/2011
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
By signature, I state and agree, tbat I have carefully examined tbe completed application and do bereby certify tbat all
information hereon is true and correct, and I furtber certify that any and all work performed sball be done in accordance with
the Ordinances of the City of Springfield and the Laws of tbe State of Oregou pertaining to tb~ work described berein, and
tbat NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building.Safety.
J furtber certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be used on tbis project.
I furtber agree to ensure tbat all required inspections arc requested at the proper time, tbat each address is readable from the
street, that tbe permit card is located at tbe front ofthe property, and the approved set of plans will remain on tbe site at all
times during construction.
Owner or Contractors Signature
Date
Pa!!e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
CitY of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000809
Date: 07/08/2010
11 :4S:32AM
Job/Journal Number
COM20 1 0-00908
COM20 I 0-00908
COM20 I 0-00908
COM20 I 0-00908
Payments:
Type of Payment
ONLINE CHGS
cReceiritl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
'...~.. ;,.,- . \. " .
.."...~~; ''';i,' "r i.
Paid By
ONLINE PERMIT CHGS
:' . ~ _: ;}" t \:, Check Number
1,,"'>;';1" ;"'."'; ,
~,e~e.ived By, Batch Number
iKR ONLINE
'.' ;" , ',~'
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Page I of I
Item Total:
Authorization
Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
RITE Online
ELECTRIC
Payment Total:
$71.37
$71.37
7/8/2010