HomeMy WebLinkAboutPermit Electrical 2010-8-3
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield.or.us
D New Construction
IX] Addition/alterationlreplacemenl -
o Multi-family D Commercial
o ~CceS50ry
001 or 2 family dwelling
"^cJOBSrrE INI;ORMATIOr{ANOLOCATION' ''.1/
Job Address: 6928 C 5T
CitylState/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: M10-306 I Bennett
Cross Streetfdirections to job site:
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Tax map/parcel no.:
1702353200201
electrical for ductless heat system & gfci
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Name: Rile Electric
Phone: 541-895-4466
Fax: 541-895-4366
Email:
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Elee lie. no.: C335
CCB lie. no.:
178518
Business Name: RITE ELECTRIC INC
Contact:
Address: PO BOX 842
City/State/ZIP: CRESIJIJELl, OR 97426
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Phone: 541-895-4466
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Fax: 541-895-4366
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Email: heidi@c-perkins.com
Metro lie. no.:
City lie. 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
Upon review and approval by your local jurisdiction, your permit wm 'b~.~,~-mailed
within one business day, with instructions on how to schedule your inspecti~o,~< ~.:"
or "faxed
NOTE; This Authorization To Begin Work expires within 180 days if a permit is nol 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.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00360
Approval Code: 958065 8/3/2010 10:08 am
E-mailedTo:c_perkins@ymail.com
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Please check all that apply: 0 Hazardous locations
iJ A service:or feeder beginning D A service or feeder rated at
at400 Amps where the 600 amps or more
available faull current exceeds 0 Buildings more than three star
10,000 Amps at 150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
0 Fire pumps 0 Commercial-use agricultural
buildings
0 Emergency systems 0 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"
0 Six or more residential units in 0 Recreational Vehicle Parks
one structure
0 Health care facilities 0 Supply voltage for more than
600 supply volts nominal
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Description Qty. I Ea. Total
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Branch circuits without service or 1 $55.00 $55,00
feeder
Branch circuits each additional 1 $600 $6.00
circuit without service
1=lectrical' p,ermifFees'''\t$ 'JJ\.7'. .~cn!' . ' :-~;_.0 ,\
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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01040
ISSUED: 08/0312010
APPLIED: 08/03/2010
EXPIRES: 02/03/201 I
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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SITE ADDRESS: 6928 C ST
ASSESSOR'S PARCEL NO,: 1702353200201
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electrical for ductless heat system & gfci
Owner:
Address:
BENNETT WILLIAM E & JANICE
6928 NORTH C STREET
SPRINGFIELD OR 97477
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Contractor Type
Electrical
Contractor
RITE ELECTRIC
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I CON:TRACTOR INFORMATION ~ '
License
178518
BUILDING INFORMATION.
Expiration Date
09/25/2011
Phone
541-895-4466
# of Units:
Primary Occnpancy 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 Patll:
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 I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#,street Trees Rqd:
Paved Drive Rqd:
',o/~'.",of ~~t ~'~verage:
"'r't".),. '::.~.".'" ,
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Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
SidewalkType:
DownspoutslDrains:
Not!'~' ATTENTION: Oregon law requires youto
NOTICE: DIQ~ HE WORK follow rules adopted by the Oregon Utility
.,I\IU1TI"H'ORIZIVE'D' UN"DER THIS PERMIT I Ilca '502n 001 oo'IO'th'rough OAR 952001
FO Valuation Deseri tioiJl AR 9 . . " I' b-
"OMMENCED OR IS ABANDONED " ..,,';.:" O. You may obtain caples of the ru es y
Inn S S ~J~=the center, (Note: the telephone
"\'.< RQ DA" PFR. . $ Per q.Ft quare """'''g< '<' ,k,n
DescnptlOn . Type of ConstructIOn If r or B'ld ..,,~h=.,for the Or~lI'eUtility NOFllile,-""culated
or mu Ip ler nlllmtM Center is 1-800-332.2344).
Paee 1 of 2
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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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
$71.37 :., ':'
J .'Fees Paid--'
,';.e!an Reviews ~
Date Paid
8/3/10
8/3/10
8/3/10
8/3/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-01040
ISSUED: 08/03/2010
APPLIED: 08/03/2010
EXPIRES: 02/03/2011
VALUE:
Receipt Number
3201000000000000507
3201000000000000507
3201000000000000507
3201000000000000507
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 Reauired.InsDections ~
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Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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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 I 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 structurewithp~tyerniission of the Community Services Division, Building Safety.
I further certify that only contractors and employees;':ho are)" compliance with ORS 701.005 will be used on this project.
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J further agree to ensure that all required inspections afe 'requested at the proper time, that each address is readable from the
street, that the permit card is located at the front oqli(;:'"properti; and the approved set of plans will remain on the site at all
times during construction. ':J~;"~l' . .
Owner or Contractors Signature
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Date
225 Fift" Street
Sprihgfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000507
Date: 08/03/2010
1I:15:00AM
Job/Journal Number
COM2010-01040
COM20 1 0-0 1 040
COM2010-01040
COM20 1 0-0 1 040
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
~ Check Number
"Refeived By 'Batch Number
Item Total:
Authorization
. Number How Received
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
NJM
ONLINE RITE ELEC Online
Payment Total:
$71.37
$71.37
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