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Home My WebLink AboutPermit Electrical 2007-10-24 ... '. ZON W JV INITIALS f-.J t-^ DATE \\ - J_' _ Drl SOURCE ffi..'{> S q/J_ Date (0 - cl r.I -() J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPUCATION City Job Number c,O(A;-... ?..c>O,-O/ S;~,. 'f-' '.,., F . ....~. LEGAL DESCiuP.TION:' , ." , ,". ,.A, 170 "3 Z, ~ i"3'.....,_--04C70~-.-'._'-_. "'Service Included Electrical Contractor 0 f2-e&O,,J l?Lt,.:X tl.lL S~\K 200 Amps or less $ 70.00 , 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $138,00 601 Amps to -~N' 0 $180.00 Over 1000 Amu.~ofuU~$ ~d;;t~ raw r~iBEOOyQ!.l..1o Reconnect ~flcation Center :FJ-Ly me ~51S@Dn llliJitl' on OAR 95 _ _ ' 'V;:)!:t rules are se c, , , n e center. (Note: the tIes y Installation, ~ri\lW~{if1N Jh~arh.1\ Utility N~~Cho~e 200 Amps or less Center IS 1-800_332_2~pOcatlon 201 Amps to 400 Amps $ 76.00 401 Amps to 600 Amps $110.00 Over 600 Amps or 1000 Volts see "B" above. D, 7 /(\ 110 New Alteration or Extension Per Panel K. \. 0 A/Vj(VvV CJ-k' ~ . One Circuit I ( ~ - p _ ~\ / Afu Each Additional Circuit or with J J o-.s t:t' b-f't -L Service or Feeder Permit $ 4,00 Owners Name ~ ~!' f~'f;I.../\o1'/\)fJ5"mf,Wj\6t0~}?'f!Ji.iil.~\:::>':1t'\C:>~'r::j'," Address ~ '"577 \ ~ U E, ii);U;L2r;~1~~~~~~~'t~~t~i!~~~!iO~ City """~~ Phone ~<6<Y ~ l \ 0 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited EnergyIResidential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50,00 + Surcharges 1. ~1~~~1ie~'g~liN~~l~Em(j~) l ~ tfjj"'~'~tft...'-S'~,..:.";.~",,~,,:,,, , JOB DESCRIPTION: .= n~ ox.k, ifworkh not started within 180 days of issuance or if work is Suspended for 180 days,. Address 'roo .3c,;r2 1...3 ., City /::7A(;..bl/t;.- 97l{D4>hone ,\4~ 10~1 Supervisor License Number 13Cld.'s Expiration Date JD- I -(U ConstI'. Contr, Number /&/(.$[0 Expiration Date 9 - ~ '6' '"' 0 ~ Signatur ~ of Supervising Electrician OWNER INSTALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. Owner~n~atur, e: , ~\nH ~CIE: . ~~~H6:J~~ 3~~~~ ~~;~R:i~~~E,~~~~ Inspellt-JIUl ~Jques~P?9S31fiig\BANOONEO FOR I'\jlJY fBu DAY PERIOD. 'J ,'.~.',,, ','. ,"...'..:<,<.. ','" '." ,'; 3, 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 B, $ 48.00 <.{ f~ 4o.U 4, "D r~rl.. , Lf ('t> ~c,l.;t) .:L <.. \) 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL (O~ q 4? Shared Drive(T:)/Building Forms/Electrical Pennit Application 7.07 .doc . ";";":'. ;.:t.;.'_',';';",':';" ~ ;. : ; ";,:: ': ~:~ ; : .; '..' :.: ,~ ;. ; .' . , :. ; '. .: '.j Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1377 R ST ASSESSOR'S PARCEL NO,: 1703252301705 Springfield PROJECT DESCRIPTION: Install Air Handler Owner: EDGAR JOSEPH S TE Address: 4939 HUNTERS GLEN DR EUGENE OR 97405 CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2007-01589 ISSUED: 10/23/2007 APPLIED: 10/23/2007 EXPIRES: 05/02/2008 VALUE: TYPE OF WORK: Heating System TYPE OF USE: New I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE HOME COMFORT HEATING & AIR BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB License 161518 84164 Expiration Date 09/28/2008 06/2512011 n/a 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 I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires you to foll.~w r~les adopted by the Oregon Utility ~otlf'catlOn Center, Those rules are set forth In OAR 952-001-0010 through OAR 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), Notes: Pae:e 1 of 3 Residential Phone 541-343-1681 541-345-2838 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SH AUTHORIZED UN:~ EXPIRE IF THE WO ~K COMMENCED OR IS A~~~ PERMIT IS Nt IT ANY 180 DAY PERIOD, DONED FOR Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01589 ISSUED: 10/23/2007 APPLIED: 10/23/2007 EXPIRES: 05/02/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $20,00 10/23/07 3200700000000000704 + 10% Administrative Fee $5,00 10/23/07 3200700000000000704 + 5% Technology Fee $2,50 10/23/07 3200700000000000704 + 8% State Surcharge $4,00 10/23/07 3200700000000000704 Air Handling Unit Up to 10,000 $9,00 10/23/07 3200700000000000704 Minimum/Adjustment Mechanical $41.00 10/23/07 3200700000000000704 + 10% Administrative Fee $5,20 11/2/07 2200700000000001671 + 5% Technology Fee $2,60 11/2/07 2200700000000001671 + 8% State Surcharge $4,16 11/2/07 2200700000000001671 Add, Alter, Extend Circ $48,00 11/2/07 2200700000000001671 Add, Alter, Extend Circ Ea Add $4,00 11/2/07 2200700000000001671 Total Amount Paid $145.46 I Plan Reviews I 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, ~eolJire~nsnections 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, Pa2e 2 of3 CITY OF SPRINGFIELD I Status Issued Building/Combination Permit PERMIT NO: COM2007-01589 ISSUED: 10/23/2007 APPLIED: 10/23/2007 EXPIRES: 05/02/2008 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 Cont.'actors Signature Date Pae:e 3 of 3 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01589 COM2007-0 1589 COM2007-01589 COM2007-01589 COM2007-01589 Payments: Type of Payment Check cReceint I RECEIPT #: 2200700000000001671 Date: 11/02/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OREGON ELECTRIC SRVC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 21314 In Person Payment Total: Page I of I 1:59:14PM Amount Due 48,00 4.00 2.60 4.16 5.20 $63,96 Amount Paid $63,96 $63.96 11/2/2007