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Home My WebLink AboutPermit Electrical 2010-7-28 , . SP~:i.~. ~E~ ~~ ~OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: pennitcenter@ci.springfield.or.us - TYPE OF WORK o New Construction [Xl Addition/alteration/replacement CATEGORY OF CONSTRUCTION IKI 1 or 2 family dwelling 0 Multi-family D Commercial o Accessory JOB SITE INFORMATION ANO LOCATION I Job Address: 373 WOODLANE DR City/State/ZIP: SPRINGFIELD, OR 97477 SuitefbldgJaplno.: Project Name: M10.296/Surmier Cross Street/directions to job site: Tax map/parcel no.: 1703262103602 DESCRIPTION OF WORK , electrical for HVAC equipment SITE CONTACT Name: Rite Electric Phone: 541-8954466 Fax: 541-895..-4366 Emai1: CONTRACTOR Elec lie. no.: C335 CCB lie. no.: 178518 Business Name: RITE ELECTRIC INC Contact: Address: PO BOX 842 City/State/ZIP: CRESWELL, OR 97426 Phone: 541-895-4466 Fax: 541-895-4366 Email: heidi@c-perkins.com Metro Iic. no.: Crty Iic. 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 Bogin Work expires within 180 days If a permit is not obtained. The local building department may detennlno that an Authorization To Bogin Work is null and void if it does not meet applicable land use laws and local ordinances. {lIO,IOOg Residential Electrical Authorization To Begin Work 69600-BEL"10-00352 Approval Code: 134234 7/28/2010 3:29 pm E-mailedTo:cJlerkins@ymail.com PLAN REVIEW j Please check ail 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 0 Fire pumps D Commercial-use agricultural buildings 0 Emergency systems D Installation of a 150 KVA or D Addition of a new motor load larger seperately derived sys of 100 HP or more o "A", "E", or "1-2" or "1-3" D Six or more residential units in D Recreational Vehicle Parks one structure o Health care facilities o Supply voltage for more than 600 supply volts nominal FEE SCHEDULE Description I QIy. I Ea. I 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 pennit $7.32 totall Tedmology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 .~ ~ !\.~~ S/~, ~ ~f0 .,~~ ~'Y~ ~~ / . Inspections Phone: 541-726-3769 This Authorization To.Begin Work must be posted at the job site until replaced by a Pennit Co/7r2(y (;) ~ 0/ ddcY '/-:;:f?-/'O /J~ ,r,' ; .., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-0I008 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 541-726-37691nspection Line SITE ADDRESS: 373 WOODLANE DR ASSESSOR'S PARCEL NO.: 1703262103602 Springlicld TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Electrical for HV AC eqnipment Owner: SURMEIER HENRY W & S A Address: 373 WOODLANE DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor RITE ELECTRIC License . . 178518. Bu"iLDING'INFORMA TION , 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 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: \ I DEVELOPMENT INFORMATION ~ n/a REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC_IMPR~VEMENTS ~ Street Improvements: "j~. Sidewalk Type: Storm Sewer Available: Special Instruction: ..,,<, . ATTENTlmP''C':l]~v~~!~\'?~~~~:res you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth '.fOT . in OAR 952-001-0010 through OAR 952-001- .. ,fCE. 0090. You ma obtain co' ies of the rules b 1111::' PERMIT SHALL EXP HI' I!' T i= \ "oR . g the center. ( ate: the telephone /iUTHORIZED UNDeR THI" Val a 'onI\Deshi tWm er for the Oregon Utility Notification COMMENCED OR ~ , ~ . ~~:::.' _ u 'w, . Center is 1-800-332-2344). Af;i\!.' ~ 'f Q tr t"S ABAN$lBer;Sq FuR : Square Footage ..,pe Q; pnsuc IOn, , . '. Value . - \l I L..lllVU. or multIplIer or Bid Amount Date Calculated Notes: Description ..' .'" ".' .' ..~ , , <' .~, Paee I of2 "."t;;:", -~ "'., ." ....... '. CITY OF SPRINGFIELD Ilk:: i .""':..~ I Building/Combination Permit I Status Issued PERMIT NO: COM20IO-01008 225 Fifth Street, Springfield, OR ISSUED: 07/29/2010 :.l!..:.i,.",~, ":,/ll.:'ll'!I;',,-;.; APPLIED: 07/29/2010 541-726.3753 Phone , EXPIRES: 01/29/2011 541-726-3676 Fax 541-726-3769 Inspection Line '-,"',': .. -'" VALUE: Total Valne of Project L Fees Paid _ Fee Description Amonnt Paid Da.te Paid Receipt Number , + 12% State Surcharge $7.32 .. 7/29/10 3201000000000000481 . . .. .. + 5% Technology Fee $3.05 7/29/10 3201000000000000481 Add, Alter, Extend Circ $55.00 '. 7/29/10 3201000000000000481 Add, Alter, Extend Circ Ea Add $6.00 7/29/10 3201000000000000481 Total Amount Paid $71.37 I Plan Reviews ~ ., ~::';~": '~':...,':k:\:--" To Request an inspection call the 24 hour n~cording,l,It 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. LReauired InsDect~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully exami~ed the' completed application and do hereby certify that all information hereon is true and correct, and I f~~t~er'certify that any and all work performed shall be done in accordance with the Ordinances of tbe City of Springfield and the'Laws of the State of Oregon pertaining to the work described herein, and tbat NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety. I further 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. : .~.:'.~~l .:~, "l~ .'~ Owner or Contractors Signature ""4'~' ,~~..,,' Date ,.;',~~:n.! 1.7,'.1 ';-;"!" Paee 2 of 2 _Ji..,,'... . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone $~~ '* City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000481 Date: 07/29/2010 8:15:17AM Job/Journal Number COM20] 0-0] 008 COM2010-01008 COM20 I 0-0 I 008 COM20 I 0-0] 008 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 55.00 6.00 7.32 3.05 $71.37 Item Total; Check Number Authorization Received By Batch Number Number How Received Amount Paid NJM ONLINE RITE ELEC Online Payment Total: $71.3 7 $71.37 . 'i-'~~'l -:":. "',"~j' .' ;:n/:' ..,>,.' '.,'0.'; ~.:: "F;.:,': .,';~~~~ ( ;. Page I of I 7/29/20 I 0