HomeMy WebLinkAboutPermit Electrical 2010-8-3
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00359
Approval Code: 943183 8/3/2010 9:59 am
E-mailedTo:c_perkins@ymail.com
o New Construction
IKl Addition/alterationlreplacement
Please check all that apply:
o 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
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.i.:ATEGOR;(O~;CONST~l.ICTi<i"! ",ir'i~~':. ~r~,;,:; " I
1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
t", JQB'SITEINFORMA T10Nf,A.ND LOCATION'.::.~
Job Address: 1272 PARKER ST
City/~tate/ZIP: SPRINGFIELD, OR 97477
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
Suite/bldg./apt.no.:
Project Name: P10-113 / Mills
Cross Street/directions to job site:
Tax map/parcel no.: 1703264415700
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electrical for ductless heat system & pl.ug
Description
i3r~nch dr~'iiiJ{:
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
g~~4trical;~efmifFee~~.'.-.
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
D 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
D Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volls nominal
$55.00 $S5 00
$6.00 $6,00
$61,00
$7.32
$305
$71.37
Phone: 541~895-4466
Fax: 541-895.4366
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Name: Rite Electric
Email:
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"CON:rRACTO~~L
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Elec Iic. no.: C335
178518
CCB lic. no.:
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
City/State/ZIP: CRESV\lELL, OR 97426
Phone: 541 ~B95-4466
Fax: 541-895-4366
Email: heidi@c-perkins.com
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Metro Iic. no.:
City lic. no.:
Supervising Electrician's lic. no.:
5563S
Supervising Electrician's Name:
SEAN QUINLAN
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approval by your local Jurisdiction, your permit wlll':.be-ecmailed .or faxed
within one business day, with instructions on how to schedule your inspection. ..
NOTE: This Authorization To Begin Work expires within 180 days 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 usa taws and local ordinances.
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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
Com,V;J/CJ - ())C1..5, (p
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01036
ISSUED: 08/0212010
APPLIED: 08/0212010
EXPIRES: 08/03/2011
VALUE:
Status
Iss u ed
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SITE ADDRESS: 1272 PARKER ST
ASSESSOR'S PARCEL NO.: 1703264415700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install mini-split
Owner: MILLS SHERRI L
Address: 1272 PARKER ST
SPRINGFIELD OR 97477
I CON'fRAGT0R'INFORMATlON ~
Contractor Type
Electrical
Mechanical
Contractor License
RITE ELECTRIC 178518
PACIFIC AIR COMFORT INC 39237
BUILDING INFORMATION ~
Expiration Date
09/25/2011
03/2512012
Phone
54 I -895-4466
541-672-9510
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
H~ight.of S~ructure
Type of Heat:
-WO'ierType:' .
"'R'.:nge Typ'e:"
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 ~
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyan:l Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0'0. ~f, (ot~?ver..ge;'
:.,.;"if~:'\~J" :"i': I "'J ~
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
MnT'f't;. RK
Storm Sewer AVliihtble: ALL EXPIRE IF THE WO
Special I nsiruc1ilili',M IT SH THIS PERMIT \5 NOT
. UTHORIZED UNDER 0 FOR
Notes: 'i,HV1ENCED OR IS ABANDONE.
~ on DAY PERIOD. ii,'. .; ... :'.,
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I PUBLIC IMPROVEMEgNTION' , .'
. Oregon law requires you to
to .ow rule;Sid~Wai"ltyj:ie!1e Oregon Utility
!'lotltlcatlon Center. Those rI!les are set forth
In OAR 952-1A91"9~I1~...\~{I?Ii~W~AR 952-001-
0090.. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
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Paee I of3
-itf t ',", CITY OF SPRINGFIELD
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! ", Building/Combination Permit
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Status Iss u ed .'-~"'" . PERMIT NO: COM2010-01036
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225 Fifth Street, Springfield, OR ISSUED: 08/0212010
541-726,,3753 Phone APPLIED: 08/02/2010
541-726-3676 Fax EXPIRES: 08/0312011
541-726-3769 Inspection Line VALUE:
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Valu'iltiilll Description
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$ Per,~{Ft . . ~.; , ., Square Footage
Description Tvpe of Construction ~, ~.. Value Date Calculated
or muli,iplier or Bid Amount
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $9.48 8/2/10 3201000000000000504
+ 5% Technology Fee $3.95:, , 8/2/10 3201000000000000504
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I st Appliance $79;00:::,'"' " ';. ",..-,~,)' ,', 8/2/10 3201000000000000504
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+ 12% State Surcharge $7.32. 8/3/10 3201000000000000506
+ 5% Technology Fee $3.05 8/3/10 3201000000000000506
Add, Alter, Extend Circ $55.00 8/3/10 3201000000000000506
Add, Alter, Extend Circ Ea Add $6.00 8/3/10 3201000000000000506
Total Amount Paid $163.80
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PJ:i!1 ,R.~views
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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.
l....jeollireCUnsnections I
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Rough Mechanical: Prior to Cover
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Final Mechanical: ' .
When all mechanical work is complete. :.:..
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Rough Electric: Prior to Cover ' :, ..I~;I).;'..'l.. 'r
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Final Electric: When all electrical work is complete.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01036
ISSUED: 08/0212010
APPLIED: 08/02/2010
EXPIRES: 08/0312011
VALUE:
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 employees who are in compliance with ORS 701.005 will be used on this project.
1 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 oftit!"property, and the approved set of plans will remain on the site at all
times during construction. t ;,:~\: '.:. ,!'
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Owner or Contractor~ Signature
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Date
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225 Fif.tnStreet
Spri~gfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000506
Date: 08/03/2010
IO:48:42AM
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Amount Due
55.00
6.00
7.32
3.05
$71.37
Job/Journal Number
COM20 1 0-0 1 036
COM20 I 0-0 I 036
COM20 I 0-0 1 036
COM20 I 0-0 1 036
Description
Add, Alter, Extend Circ """,'
Add, Alter, Extend Circ Ea Add,::;.;;:,
+ 12% State Surcharge ".. :'c'
+ 5% Technology Fee Y'
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Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE
RITE Online
ELECT
Payment Total:
$71.3 7
$71.37
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