Loading...
HomeMy WebLinkAboutPermit Electrical 2010-7-28 SPA~N.... ~~E:ii li~ ~OREGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us -- - -- -- I 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 .~ ~#-~\ t() ~~to ~}Q f)~'"a~ . ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Co//'/ZO/() - ()/(J// 7/d-9/ ?U /J,rr--/ 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 rt,'-i. I,',;; " Ii ~.;~ :'d .;'...,' " ~. ". , ' '..J",t, ,Ii f~'~ :~~ :~:-2' 'j",". :':!" 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.';:::" . 0>: . -r '. ~ ' . '<- ' 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. ., '. " ~ Reouired Insoections ~ Rough Electric: Prior to Cover '. " ; /fj,J 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';.~" : .., .., . . ,f."" ,.- Owner or Contractors Signature Oi_"rji' i ", 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 ,. . l;',l'~.~ ,: .~~ '''[..;J\;J'j'', <''11 ~'Ji . \ '",,'. .~~~,1 ':~\t..;:.. , ,. . ..." cReceintl Page I of I 7/29/20 I 0