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Home My WebLink AboutPermit Electrical 2010-7-28 SP~~:G~E?ij ~~ ~OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.oLUS - TYPE OF WORK -- i D New Construction [KI Addition/alteration/replacement CATEGORY OF CONSTRUCTION 00 1 or 2 family dwelling D Multi-family o Commercial D Accessory JOB SITE INFORMATION AND LOCATION I Job Address: 1690 LAV\lNRIDGE AVE City/State/ZIP: SPRINGFIELD, OR 97477 SuiteJbldg.lapt.no.: Project Name: M1Q~294/Bond Cross Street/directions to job site: Tax map/parcel no.: 1703252106500 OESCRIPTION OF WORK , Electrical for HVAC equiptment SITE CONTACT , , Name: Rite Electric Phone: 541-895-4466 Fax: 541-895-4366 Email: CONTRACTOR ! Elee lie. no.: C335 ceB lie. no.: 178518 Business Name: RITE ELECTRIC INe Contact: Address: PO BOX 842 City/State/ZIP: CRES\^JELL, OR 97426 Phone: 541-895-4466 Fax: 541-895-4366 Emai1: heidi@c-per1<ins_com Metro Iic. no.: City lic. no.: Supervising Electrician's lic. no.: 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 pennit will be e-mailed or faxed within one business day, with instructions on how to schedule y?ur inspection. NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. The local building department may detennine that an Authorization To Begin Work i$ null and void if it does not meet applicable land use laws and local ordinances. (!JO./O/{) Residential Electrical Authorization To Begin Work 69600-BEL-10-00351 Approval Code: 108863 7/28/2010 3:09 pm E-mailed To: cyerkins@ymaiLcom PLAN REVIEW Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for all other o Floating buildings D Fire pumps o Commercial-use agricultural buildings D Emergency systems o Installation of a 150 'r<:VA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "A" "E" or "1-2" or "1-3" o Six or more residential units in ' , o Recreational Vehicle P~rks one structure o Health care facilities o Supply voltage for more than 600 supply volts nominal FEE SCHEDULE Description I Qty. I Ea. Total Branch circuits Branch circuits without service or 1 $55.00 $55.00 feeder Branch circuits each additional 1 $6.00 $6.00 circuit without service Electrical Permit Fees Subtotal $61.00 State surcharge (12% of permit $7.32 total) Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 _.~/; ~ (),:~. ~ fJ'~'\O \J-. ~ (2-- ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit &7mZO/{) - O/O/{) /~~CJ /7~ 'j '?J';~\' .-: 1'. ',,\ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01010 ISSUED: 07/29/2010 APPLIED: 07/29/2010 EXPIRES: 01/29/2011 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1690 LA WNRlDGE AVE ASSESSOR'S PARCEL NO.: 1703252106500 . Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Electrical for HV AC equipment Owner: BOND WILLIAM R & JUDY A Address: 1690 LA WNRIDGE AVE SPRINGFIELD OR 97477 1-'(',1' "...... I CON'FRAe'f0R INFORMATION . ,.. ,.,,.. -" Contractor Type Electrical Contractor RITE ELECTRIC License 178518 BUILDING INFORMATION ~ 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 of Structnre Type of He,at: Water Type: Range Type:'" E'nergy' P~tfi:." Sprinkled Biiii'ling: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION,. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved-Drive Rqd: % of Lot Coverage: _u_..' ..... _'..",~"" ~ . ',,,,.;~\,,' . .;. '-'!.' REQUIRED PARKING Total: Handicapped: Compact: -,,-~-_. -~~""-'-- .,., .~. ....".....,. . .. _.~ 1...,., yt:'.r'qir"''' ""'II 'Q Street Improvements: , ,....,,,,,, 11\1. ......,~C" . 'I PUBCIG,IMPROV ".. ,15.; adopted b,Y l:,-, , : ~ ,,' ,il " t' Cent~.r Those;) r .1-=. .,' . . _l Noliflca IOn SIdewalk TYl,e: , , '- <.0\11- . 952 001-uu\u llll'.,.,........ ~, . In OAR ~ '.~_;."> ....,..,.-,\C~ nf Fie \'uies by 0090 You may <Downspouts/Drams:O'nol"e " (l\1ote: me lell::, j I . callmg/~~ f~;~;~gon Utility Notification numbe Center is 1_800-332-2344). Storm Sewer Available: Special Instruction: NOTICE: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK fillTi-InDI7m II Im:p, Ti-Ilr.: PFR IT IS NOT COMMENCED OR IS fJD:l!<WOI\!E[1 eu" , . ',.... I "NY 18Q DAY PFR.I"- . ValuatIOn Des~nPhon I Description Type of Construction $ Per Sq'Ft: , or multiplier ':, Square Footage < ,'or Bid Amount Value Date Calculated Page 1 of 2 Status ,,'l' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01010 ISSUED: 07/29/2010 APPLIED: 07/29/2010 EXPIRES: 01/29/2011 VALUE: "., " Issued ",'''' ,,' '1;; 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line TotaJ VaJue of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid", ',' Date Paid ",' ...'.... $7.32' , $3.05 $55.00 $6.00 7/29/10 7/29/10 7/29/10 7/29/10 Receipt Number 3201000000000000483 320J000000000000483 3201000000000000483 3201000000000000483 Total Amount Paid $71.37 I, phtn ,Re..~i.e..)Vs_ ~ " ' C:'h'w.:~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. Reouired InsDections ~ Rough Electric: Prior to Cover .. .'~! Final Electric: When all electrical work is complete. " By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 structnre without permission of the Commnnity Services Division, Building Safety. 1 fnrther 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 of the property, and the approved set of plans will remain on the site at all times during construction. ,;.LJ:. \:>~ ,.t,.,., ." ' ..' ;J;;,;:i~'i" : 6~":;"\\!;;.~;';'1j;..~ " ;".if:..i;:, 'if"';J-'\ . Owner or Contractors Signature Date ,"' . P.age 2 of 2 , , 225 Fifth, Street Springfield, Oregon 97477 541-726-3759 Phone ~~~~Q~; iii, . JjzJ'..".; . .' ..:'t,."" City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ~.'.~., , I . 3201000000000000483 Date: 07/29/2010 8:33:34AM Job/Journal Number COM2010-01010 COM2010-01010 COM2010-01010 COM2010-01010 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Check Number B~tch N,umber Received By NJM ONLINE . ., . :'~ c:~~;..:..., .;".;~~.J"\,., 'wnn~ . :n'-"f;' "t ';., . .1 . ~' , . ;~;t1ji: ".' .~~ ~:::.:~! . . . ""l'..:j:;..,; , ,:. '~_'.,~ - ~ '~.Li'.6~~i:f .ir!\-i! ; t,' '. '. . Page 1 of 1 Item Total: Authorization Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid RITE Online ELECT Payment Total: $71.37 $71.37 7/29/20] 0