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Home My WebLink AboutPermit Electrical 2007-10-15 ZON It}~ INITIALS ~ DATE \. J SOURCE U. . . 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number C1 \t~ . , '.- -',,,,: "'.. ..", ," ," " . '" ,,' . :-.. - ",-- 1. LOCA,J;ION OFINSTALIATIO]V: ~'~'~-'"";n ~~Ll-~'~ ~; 'f~ 1~' ~ . .- I LE\afO~TION:\ 'b<'bct) JOB DESCRIPTION: LU~uP ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days.' ~.~, ::~~. "'",,'."~"'~""--'~';~_: I ~~ ,~~",,~~:~':"':~7 :_"<'';'t?:':;:..~':':'S: .~~~,.,; 2. cPOI:ITR.4"9TOl(o/$r#1ATIO~DNL,Y.' ~ _,_ .......-.~.~ .__ '.... ~~,_.-,.~_-;."",u~._''''_.''....~..,'''... .'.",J.",-"..,:_,,_~;,.,.,__,........ .._...~,...., Electrical cmlfrS@H ELF~TRjC ~E~VI['E P.O. BOX 2237 Address EUGENE, OR 9740g City Phone .3 tj.~ (ft:; <i! ( Supervisor License Number ] _~ qcl_<\ Expiration Date 1 () ~ / - /D Constr. Contr. Number IItJ (5 ( <? q -d-~ - oil Expiration Date Date ID -(5 -0") ,,'.-.',' 3. COMPLETE FEE~CHED,ULE BELOW A. ~~~Re~ide~t~al.-'-"~l~gJeco.r M~Iti~h~iJi'p~~~~.~Ii~ng unit: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 ;;--;:;:,~,;::{c~ :c(:-~--"'-7\(':~"'~ :"'_;'::'!:~~~:~)~~:.'~;-:~ ~': :-. . J '__' " .~. " : B. :.se'rvicesor Fee~ers';..:)nstallation;Alteratio'ns or Relocation: .' :...u...~:L:"~I,..;..i~..;;:"',- ".;:-"._:".;'~::...:"_F.-;'-".-:;,;;,,~.,::,<"-~:.~,: - .;......:..:~~--. .'.~ j'.;~.~"..:- ,,~,-~.~.- 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 . ." r; " ',', -.". , -, q , ._~. 'I' ','.," " c.:!e~~~'rarr S~~yi"ces~~~ ..F.eed~r.s Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. t.~~~~~.h,2~~~~~!{:'.:.:~~~,.:..'._-_.q $ 55.00 $ 76.00 $110.00 Signature of Supervising Electrician 7 { ~ ;J () New Alteration or Extension Per Panel . ,:. ~A 1/v1.{/L vL-' CL t V/j ^ / One Circuit ( $ 48.00 C/?('6--0 ~::, N:~lc; ~ ~~~ E.:;~~::;,~~::~:~~:eI.~ot~nei~1e:):::'~ I~U:ion City ~ ../ PhoneCV~..4.. - dJLS3 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 OWNER I TALLATION Limited Energy/Residential $ 28.00 The installation is being made on property I own which Limited Energy/Commercial $ 50.00 is not intendedATreW~~flO~on taw requIres yoU\UJ1irnum Electric Permit Inspection Fee is $50.00 + Surcharges Owners Sifon~w rules adopted by the Oregon Utii-'1;i~~T9!AiQf@ojrE _ .... ... Fti. ~ gnHHflfication Center. Those rules are seHorttl,.,-"""-"'-'-_.- ..,~. "c. C" . '0 OA\R A~'..nnM~01n through OAR 952..c01- 8% State Surcharge 4 (v 0090. You may obtain coplas of therures by 10% Administrati ve Fee tl <S.D oaning the cernel'. (Note: the telephone f~ m"fet:1010gy F ee ~ /4J number for the Oregon Utility Notification.",_; '. I Inspection Request: ~ls 1..e0().332~2344). -, r~~.p1ttMrr SHALL EXPiRE IF THE WORK b...~ q(p AUTtiORIB tm~~F~44lficfSPN&P-pplication 7-07.doc COMMENCED OR is ABANDONED FOR ANY 180 DAY PERiODe .' ,"';-" >~ ,',~.'-'..;.;".' .: '. ':';.: ',:...,;.;;.;.<.~.:;. . ;:-: :~ Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2007-01435 ISSUED: 09/20/2007 APPLIED: 09/20/2007 EXPIRES: 04/21/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 783 MONTVIEW WAY ASSESSOR'S PARCEL NO.: 1703341213800 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Install air handler and heat pump. Owner: MELENDY PATRICK S & LAURIE E Address: 783 MONTVIEW WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE HOME COMFORT HEATING & AIR License 161518 84164 Expiration Date 09/28/2008 06/25/2011 Phone 541-343-1681 541-345-2838 BUILDING INFORMATION I # 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 I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-01435 ISSUED: 09/20/2007 APPLIED: 09/20/2007 EXPIRES: 04/21/2008 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4.00 $9.00 $14.00 $27.00 $5.20 $2.60 $4.16 $48.00 $4.00 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 10/22/07 10/22/07 10/22/07 10/22/07 10/22/07 2200700000000001481 2200700000000001481 2200700000000001481 2200700000000001481 2200700000000001481 2200700000000001481 2200700000000001481 3200700000000000692 3200700000000000692 3200700000000000692 3200700000000000692 3200700000000000692 $145.46 I Plan Reviews ~ 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. UleouireCUnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 2 of 3 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: cOM2007-01435 ISSUED: 09/20/2007 APPLIED: 09/20/2007 EXPIRES: 04121/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I 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 structure 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. Owner or Contractors Signature Date Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-375~ Phone Job/Journal Number COM2007-01435 COM2007-01435 COM2007-01435 COM2007-01435 COM2007-01435 Payments: Type of Payment Check cReceiot 1 RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OREGON ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 3200700000000000692 Date: 10/22/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 21285 By Mail Payment Total: Page 1 of 1 8:38:21AM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid $63.96 $63.96 10/22/2007