HomeMy WebLinkAboutPermit Electrical 2010-8-6
City Of Springfield
225 Fifth $t
Springfield, OR 97477
Phone: 541*726.3753 "-
Email: permitcenter@ci.springfield.or.us. \..i-~~',,,
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.,Residential Electrical Authorization To Begin Work
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:14': . C 69600-BEL-10-00369
(~;' Approval Code: 822114 8/6/2010 3:41 pm
E.mailed To: c_perkins@ymail.com
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D New Construction
IKJ Addition/alteration/replacement
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1 or 2 family dwetling 0 Multi-family 0 Commercial
o Accessory
.' JOB;SITE' INF.ORMA TION AND LOCA tIClN
Job Address: 3530 GAME FARM RD
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.: 22
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Project Name: M10-308 I Wilson
Cross Street/directions to job site:
Tax mapfparcel no.:
1703154003100
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electrical for furnace change oul & heat pump exchange
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Name: Rite Electric
Phone: 541-895-4466
Fax: 541-895-4366
Email:
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Elec lie. no.: C335
cee lie. no.:
178518
Business Name: RITE ELECTRIC INC
Contact:
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Address: PO BOX 842
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City/State/ZIP: CRES\1VELL, OR 97426
Phone: 541-895-4466
F"iu: 541.895-4366
Email: heidi@c-perkins.com
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
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55638
Supervising Electrician's Name:
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SEAN QUINLAN
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Nu~ber ~f insp~~ip~~r.fl,u,~~Jr- p~a,id.;~e!yi.ces:rv requires yOU. t,O"'; ':'
Re.,dent,al Serv,ce'low ru1es adopted by the Oregon Ulility
Reconnect Only:TOl 1 - t f th
All Other servi&,~?tificati'2n Center. I hose rules are se or
in n R Q'i?n01-001 0 throuqh OAR 952.001-
Upon review ancO(aPPfovaYCtiY lyOurj 1O'c";jtCj~I~Sdicliri~~irofJ1 t~e~rtUU1I~ IleY e-mailed
within one business dill/:"with instructions on how tQsfheduJe\lour inSlloctit'n')ne
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. ""~,,~, f", top ()rAnnn I Itilitv Notification .
NOTE: This Authorization.To Begin Work expires withi~ 1~OAay~:i!.!,permit is not e:btained.
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Tho local building department may determine that an Authorization To Begin Work is
void if it does not meet applicable land use laws and local ordinances. ,.
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or faxed
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~,~"\.::!~~";~r/i1..~~tz'~2Et'.~_RLA'N;.REVIEW;~: ".'. ~ . ....... i
Please check all that apply: 0 Hazardous locations
0 A service or feeder beginning 0 A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds 0 Buildings more than three stor
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
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0 Fire pumps 0 Commercial-use agricultural
buildings
0 Emergency systems 0 Installation of a 150 KVA or
0 Addition of a new motor load larger seperately derived sys
of 100 HP or"more 0 "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 Qly. Ea. Total
B.r~,ij.~h~91,~c~Jji:Jr~: ~,~.:;~\:-,,,.~ .. . ~ \;),:,;. ;~.' . ':,' l,.',: i.;.". "
Branch circuits without service or , $55.00 $55.00
feeder
Branch circuits each additional 1 $6,00 $6.00
circuit without service
Electii.c;:aJ~ermJt" Fees' :~'.:-~ ':: ~' " f.t " ''''''-,,,.' 1" :'. . ...:
Subtotal $61,00
State surcharge (12% of permit $7.32
total)
Technology fee (5% of permit total) $3,05
'TOTAL PERMIT FEE $71,37
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COMME~C 1\'1 \,ER'\Q'J.
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Insp~ctlons 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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" '.OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
www.ci.springfield.or.us
permitcenter@ci.springfleld.or.us
LflA'(r.1g~UYPE
Online
RECEIPT NO: 2010000003 RECORD NO: 81 I-SPR20IO-00003 DATE: 08/09/2010 .
U5(SCRIPTION~L~' ,"I\. '~'?jt" "'T<'I"~t",;,':'~;t;i..;;~~_""CCOON:r:,CODE;...;:j".I..;2'::,~~MOQNtDUl:S-___' .. j
Branch circuiIs withouI service or feeder - 1 st circuiI . 224,00000-426102 55.00
Branch circuits without service or feeder - each additional ___~224-00000-426102 _~__ 6.00 _
State of Oregon Surcharge (12% of applicable fees) '. 821-00000-215004 7.32
Technology fee (5% of permit total) 100-00000-425605 3.05
TOTAL DUE: $71.37
-PAYOR. ,CAS~IE";NM,i.,cHADOL_'.;:CQMIVIJ:;J~I.S..::_~'j;--:~;;_ .,'" ; AMOUt:!TPAID
$71.37
I
rite electric
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