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Home My WebLink AboutPermit Electrical 2010-7-23 S;~~~N.~._. F.IEL~ .~ . , "~,,. OREGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.ot.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00341 Approval Code: 643740 7/23/2010 12:11 pm E-mailedTo:c.J}erkins@ymail.com o New Construction Job Address: 474 BROOKDALE AVE City/StateJZlP: SPRINGFIELD, OR 97477 SuitefbldgJapLno.: Project Name: M10-286 I Ewing Cross Street/directions to job site: Name: Rite Electric Phone: 541~895-4466 Fax: 541.895-4366 Email: Elec lie. no.: C335 ceB lie. no.: 178518 Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 City/StatelZIP: CRESWELL, OR 97426 Phone: 541-895-4466 Fax: 541-89S-4366 Email: heidi@c-perkins.com ~ :,. '\~:...:.;' Metro Iic. no.: l,\JIVIIVI I Number of inspections inclUdedlT rr.~s~fif\O D. Residential Service: ANY 41 tj M Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your pennlt will be e-malled or faxed wtthln one business day, wfth tnstructiO\1$ on how to schedule your Inspection. NOTE: This Authorization To Begin Wol1l: 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. Ple~8e 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 to ground exceeds 14,000 Amps for all other 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 Subtotal S~te surcharge (12% of penn it total Tedmology fee (5% of permit total) TOTAL PERMIT FEE C\O-6\~\ ~ {!IO.~/ o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation ofa 150 KVAor larger seperately derived sys D "A" "EM or "1-2" or "1-3" , , o Recreational Vehide Parks o Supply voltage for more than 600 supply volts nominal $55.00 $6.00 $6.00 $61.00 $7.32 $3.05 $71.37 ~ 1'25\ \0 . - '~.''''\-, ~ .'0 ATTENTION: Oregon law requires you,t.o follow rules adopted by the orego~~~~~h Notification cen:er'16~~~~ur~~e~:~ 952-001- ~o~~R ~05;~~~ ~~tain copies of the rules by . (Note' the telephone calling the center. Ui'\ity Notification number for the Oregon I Center is 1_800-332-2344).. ~ C\ .vDO.~ ~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Penn it ~~' . ~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00971 ISSUED: 07/22/2010 APPLIED: 07/22/2010 EXPIRES: 01/23/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 474 BROOKDALE AVE ASSESSOR'S PARCEL NO.: 1703224204300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: EWING PATIRCK A & KIMBERLY A Address: 474 BROOKDALE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARSHALLS INC License 178518 25790 BUILDING INFORMATION~ Expiration Date 09/25/2011 12/23/2011 Phone 541-895-4466 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: .,.:'...... Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Street Improvements: INFORMATION ~01\C~~NI\1 S\11\\.\. t~ IS'Ptl'-Wl\\U Frontyard Sethac~'S I't EO l.ll,mtR 1\-1 OO~I:'<~NfAfy Dist: Total: Side I Setback: l\\Jl\10RI2 0 OR IS I\13Ml # Street Trees Rqd: lequi\tlJt"!lf\\a.t~ed: Side 2 Setback: CONlNlHICt;( I'tR\OO. Paved Drive Rqd: ENilOl'l'. Olegon la~ne or!i1lOlP\,\:\i\it'lh Rearyard Setback: N'i "\ 80 0 P; % of Lot CoverlbQ" ules adopted by lules are set 101\ Solar Setbacks: ,. fcil\~w 't'lon centel. Th~SOeUgn OAR 952.-00b'l" tlllCa 0 t..l , les PUBLIC IMPROVE U may obtain(~~te'. ~ne telepno~~n . tnep,entel. . I \\ilit'{ Not\\lCa \ ~~~~~l 101'1h\!'.\~;\~g~~i2.-2.344). CerD7.\J8spoutsmrains: " REQUIRED PARKING Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00971 ISSUED: 07/22/2010 APPLIED: 07/22/2010 EXPIRES: 01123/2011 . VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion ~ Description Tvne of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 12% State Surcbarge + 5% Tecbnology Fee 1st Appliance Heat Pump + 12% State Surcbarge + 5% Tecbnology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 $55.00 $6.00 7/22/10 7/22/10 7/22/10 7/22/10 7/23/10 7/23/10 7/23/10 7123/10 2201000000000000858 2201000000000000858 2201000000000000858 2201000000000000858 2201000000000000871 2201000000000000871 2201000000000000871 2201000000000000871 Total Amount Paid $183.69 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. UeollirelUnsnef'tinns I Rougb Mecbanical: Prior to Cover Final Mecbanical: Wben all mecbanical work is complete. Rougb Electric: Prior to Cover Final Electric: Wben all electrical work is complete. Pa"e 2 00 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00971 ISSUED: 07/22/2010 APPLIED: 07/22/2010 EXPIRES: 01123/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 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 tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance witb 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, tbat tbe permit card is located at tbe front oftbe property, and tbe approved set of plans will remain on tbe site at all times during construction. Owner or Contractors Signature Date Pal!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 #: 2201000000000000871 Date: 07/23/2010 I :48:00PM Job/Journal Number COM20IO-00971 COM20 I 0-00971 COM20 I 0-00971 COM2010-00971 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: . Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid KR ONLINE RITE Online ELECTRIC Payment Total: $71.37 $71.37 :". , ;t ;,~~l~~ft,~' f' ,'rc'" lo_. r' I~ J , ~' ';:. '" '.~\' : cRccciotl Page I of I 7123/20 \ 0