HomeMy WebLinkAboutPermit Electrical 2010-7-8
(3/ () .tltJ3
Residential Electrical Authorization To Begin Work
69600-BEL-10-00315
Approval Code: 424918 7/8/2010 3:12 pm
E-mailedTo:c_perkins@ymail.com
:'::,~;;,),; ~ 'J5i:A:NREVIEW :.
~1r" ;:-
, ",
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@cLspringfield.or.us
:;},i1,::)';
o New Construction
[K] Addition/alteration/replacement
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 Valls or
less to ground exceeds
14,000 Amps for all other
.
fl:
1ZJ 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
I'.
,
JOBISITE'INFORMA liON 'AND,LOC" TION't:..
~:'.,;
"j
.'
Job Address: 380 25TH 5T
CltyfState/ZIP: SPRINGFIELD, OR 97477
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
Suite/bldg.lapt.na.:
Project Name: M10-257 I Lewellen
Cross Street/directions to Job site:
Tax maplparc~1 no.:
1703361416300
Description
~ra'rTh~:CircuitS,;L~~"..
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
~ject~ica.I"Per~itF~~s:,i:.' " ~':'
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
Name: Rite Electric
Phone: 541~895.4466
Fax: 541-895-4366
Email:
<.
FC
.-'" ;,~",~:,t_j
Elec lie. no.: C335
178518
TOTAL PERMIT FEE
CCB lie. no.:
Business Name: RITE ELECTRIC INC
Contact
Address: PO BOX 842
City/State/ZIP: CRESItVELL, OR 97426
Phone: 541-895-4466
Fax: 541-895-4366
. ..c.o~
~0'
~():~
Email: heidi@c-perkins.com
Metro Iic. no.:
City lie. no.:
Supervising Electrician's Iic. no.:
. :> .Y"~
55635
Supervising Electrician's Name:
SEAN QUINLAN
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local jurisdiction, your perTllit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. .
, ,",.
_... ,. .
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
Qty.
Ea.
$55.00
$55.00
$6.00
$6.00
">\. 'rr:;;.4
" '
" :-......
$61.00
$732
$3.05
$71.37
~{J
'1-~V
~
The local building department may determine that an Authorization To Begi~ 'Work is null- ~a~'ci
void if it does not meet applicable land use laws and local ordinances. .. .. .'._. .., .
(}yy(kJ/ b _ 00905 7-J-':'/D fin<-
Inspections Phone: 541-726-3769
This Authorization To Be9in Work 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: 380 25TH ST
ASSESSOR'S PARCEL NO.: 1703361416300
. ..t~:\;i1t.
.~-~ .
"".:;,t;,L '\.1 ,.,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00903
ISSUED: 07/07/2010
APPLIED: 07/07/2010
EXPIRES: 0110812011
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: LEWELLEN HARVEY E & MAMIE B
Address: 380 N 25TH ST
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION ~
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 ~
, ,#:~f S,to.r.ies: ' ,
Height of Structure
Type of Heat:
':.wiiter Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
09/25/2011
12/23/2011
Phone
541-895-4466
541-747-7445
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
#'Street Trees Rqd:
Paved Drive Rqd:
:_~~ (?f'Lot ~?v;ra'ge:
I PUBLIC IMPROVEMENTS.
. /0';;:( .\t\~~.
1-1'i: I :' ) I !, \' ~: r I
"!\-p i' ~'i t: t.
'::st",~l
'OTlCE:
PIS PERMIT SHALL EXPIRE IF THE WORK
'fHORIZED UNDER THIS PERMIT IS NOT
MMENCED OR IS ABANDONED FOR
!i 180 DAY PERIOD.
Page I of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
ATTE~DbQ~;p'rimS'/j)rMiis:requires you to
follow rUles aUopted by the Oregon Utility
~otification Center, Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
':1 ',I' I't' !(::,I
CITY OF SPRINGFIELD
Building/Combination Permit
'.f~ ~ ,
Status
Issued
r>\',b I
PERMIT NO: COM2010-00903
ISSUED: 07/07/2010
APPLIED: 07/07/2010
EXPIRES: 01/0812011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
{-i,1',f"'" (:.\..;
Vahi'3tioii'oescri
Description
Tvpe of Construction
'r
$ Per SqFt ,
or mnlt'iplier
"{,, "Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$11.52
d'
$4.80:,,: "
$79:0O'f" ,
$17.(W"" '
$7.32
$3.05
$55.00
$6.00
'~:
7/7/10
7/7/10
7/7/10
7/7/10
7/9/10
7/9/10
7/9/10
7/9/10
1201000000000000803
1201000000000000803
1201000000000000803
1201000000000000803
3201000000000000407
3201000000000000407
3201000000000000407
3201000000000000407
.' \.;(l: :
.'..
,
,.'..1'
Total Amount Paid
$183.69 ':,.
" , " '."'" .~..'..
I Ye.(~n'!R~Yie,ws,r:~
,-J' .'. ;,;1.
. ~-H ,j'
1/-:'1,1
, ,
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.
l...f.eouiredJn'snections ~
, '
, ,
,
Rough Mechanical: Prior to Cover ",' ' . ' " '<: ..
Final Mechanical: When all mechanicallworR'is' complete, '
" ,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
",""-,\-,~,,'-....,,.' ,
"':Ji~,,),;ffi1is~i'~,:~.' I'~ ,;~I-,
.~:.c:..4.'it..., ".~.. .
.r~'~il~ ;;!
'..;.,
Paee 2 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
',;,' -:-1) ;~1!,
.;
y
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00903
ISSUED: 07/07/2010
APPLIED: 07/07/2010
EXPIRES: 01108/2011
VALUE:
By signatnre, 1 state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther 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 strnctnre without permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employeeswho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectiori~Wre'r~g;;~;ted:at iheproper time, that each address is readable from the
street, that the permit card is located at the front of.:i~"~ipr'oj\-~~'&, and the approved set of plans will remain on the site at all
times during construction. . '~~.~~ ~.
Owner or Contractors Signature
.'-~ ",l~',3'~.
.r
'y, ~,~.I I ,: ,.' '.., .
\~~'l\t~ jT;i:KY",' ,. , .. , '
.\ .
,..',:.;.; ;i
~. ~'l)
"';-'0' "".
j ~~..'"
',;,~'i~;t,' ';JA,:' r{7' t;~
Paee'3 of 3
. ,.1,
Date
'i
'.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000407
Date: 07/0912010
7:35:13AM
Job/Journal Number
COM20 I 0-00903
COM20 1 0-00903
COM20 1 0-00903
COM20 I 0-00903
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
55.00
6.00
7.32
3.05
$71.37
Paid By
ONLINE PERMIT CHGS
Item Total:
Check.Number Authorization
Rec_~ived By Batch Number Number How Received
Amount Paid
!ljrii
. :",~\"
,_'li,,_
;. ;\"'.-'
",';:.'l:(,
'ONLINE
rite elect Online
Payment Total:
$71.37
$71.37
'f t~,'
*"..').
.'~\~. 'I
..'
,
"j
; ",.j' d_~ :
"",:-,,..'
"1-, "
.l~. ~
njl'l:j' "1
...~.;~.,~~, i;.
.....~r
..'
~' !. J
'.....,,
.,
".,il,
. ',.,~
,'"
pj!iJ -~ .
:~' .;)i '''::.
'''~-I',
. .;;"\,~ -
. Page 1 of 1 ' .
7/9/20 J 0