HomeMy WebLinkAboutPermit Electrical 2010-7-28
SPA~N.... ~~E:ii
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~OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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TYPE OF WORK
D New Construction [Xl Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
IKI 1 or 2 family dwelling D Multi-family o Commercial o Accessory
JOB SITE INFORMATION AND LOCATION i
Job Address: 422 S 49TH PL
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldgJaplno.:
Project Name: M 1 O~293/Kelly
Cross Street/directions to job site:
Tax map/parcel no.: 1702324400400
DESCRIPTION OF WORK I
Electrical for HVAC and equiptment
SITE C.ONTACT
Name: Rite Electric
Phone: 541-895-4466 Fax: 541-895-4366
Email:
CONTRACTOR :
:
Elee lie. no.: C335 cee lie. no.: 178518
Business Name: RITE ELECTRIC tNe
ContaCt:
Address: PO BOX 842
City/State/ZIP: CRESV\lELL, OR 97426
Phone: 541-895-4466 Fax: 541-895-4366
EmaiJ; heidi@c-perkins.com
Metro Iic. no.: City lie. 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 permit 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 dilys If a permit is not obtained.
The local building department may determine that an Authorization To Begin Work Is null and
void If it does not meet applicable land use laws and local ordinances.
C/O./O/I
Residential Electrical Authorization To Begin Work
69600-BEL-10-00350
Approval Code: 096316 7/28/2010 3:00 pm
E-mailed To: cJlerkins@ymaiLcom
PLAN REVIEW I
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 D Buildings more than three star
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 o Installation of a 150 KVA or
o Addillon of a new motor load larger seperately derived sys
of 100 HP or more D "A" "E" or "1-2" or "1-3"
o Six or more residential units in ' ,
o Recreational Vehicle Parks
one structure
o Health care facilities D Supply voltage for more than
600 supply volts nominal
FEE SCHEDULE
Description I QIy. J Ea. J 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
totall
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71.37
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-01011
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/2912011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 422 S 49TH PL
ASSESSOR'S PARCEL NO.: 1702324400400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electrical for HV AC equipment
Owner: KELLY DARLENE LOUISE
Address: 38505 UPPER CAMP CREEK RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
RITE ELECTRIC
License
178518
BUILDING INFORMATION ~
Expiration Date
09/2512011
Phone
541-895-4466
# 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
. Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: .
# Streei Tiees Rqd:
'Paved'Ddve Rqd:
. ",!,~ of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~, " O'Af'on 'qW reqdrf'S youto
'" ,.- ;TION,. , '~; ~ L,., 'I)e Oregon Utility.
follow rule~Sldewalk.Type., I 0 are set lorth,
, '" -t' n renter. Those IU e;:: 2001-
NOllllca 10 Downs(!Outl/prains:AR 95 -
in OAR 952-uu I-vbt, ~~'~opies olthe rules by
0090. You may cj al Note: the telephone
calling the cen~r. (on Utility Notilicatlon
'" ,"" ,number Jor theiS ~~~00-332-2344).
., l'
No'tes:
I V el,ulition Description I
"OiICE: !\LL EXPIRE IF '" Nr\1
D . t' U\S pfn'2M\lf~en ~t'"'' PER~I1e~%q'Ft Square Footage
escnp Ion D ".voe 0 Q ftI\l 10DI rr,.R . .
_Ul\10RIIED \J ~ '- ~B!\NDO\\o.!l)D;tillipher or Bid Amount
:'OMMEN~~~ ~~~~D,
r,NY '\ 80
Value
Date Calculated
Page 1 of 2
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Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
).:.Fees Paid f'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$7137.';:::"
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I ,J.~Jl)n R~views ~
Date Paid
7/29/10
7/29/10
7/29/10
7/29/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01011
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01129/2011
VALUE:
Receipt Number
3201000000000000484
3201000000000000484
3201000000000000484
3201000000000000484
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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Reouired Insoections ~
Rough Electric: Prior to Cover
'. "
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Final Electric: . When all electrical work is complete.
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 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 structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and cmployees,,,,.hoare,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 propertime, that eacb address is readable from the
street, that the permit card is located at the front of.1tlj;"prop-e'riy,' and the approved set of plans will remain on the site at all
... ~)L'l . .\\', ,
times dUring constructIOn. J;~(:i';.~" : .., .., . .
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Owner or Contractors Signature
Oi_"rji'
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Pa!!e 2 of2
I~, il
Date
225 F'ifdi Street
SpringfieJd, Oregon 97477
541-726-3759 Phone
8=A~a.~_
~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000484
Date: 07/29/2010
8:45:27AM
Job/Journal Number
COM2010-01011
COM2010-01011
COM2010-01011
COM2010-01011
Description
Add, Alter, Extend Cuc
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
,
Item Total:
Amount Due
55.00
6.00
7.32
3.05
$71.37
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
R~.~eived By Batch Number Number How Received
Amount Paid
NJM
ONLINE
RITE Online
ELECT
Payment Total:
$71.3 7
$71.37
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