HomeMy WebLinkAboutPermit Electrical 2007-12-6
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225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PEIJMlT AP~L~ATlON
City Job Number L' F\. \l J::Y\
New Alteration or Extension Per panfl
_ One Circuil \
/' ~~ J n...,. ~ach Additional Circuit or with
O~ N'I! e }l ^ r 11 fq ~ Service or Feeder Permit
Address ~ (\ "1M1 r ; ri. E.
City fu\e" 'i ~ Phone ~t li:fM1
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LEGAL DESCRIPTION: 01..11 nTJ
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JO~ DESCRIPTION: IA )
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Permits are non-transferable an xpire if work is
not started within 180 days of iss nee or if work is
Suspended for 180 days.
2. : CONTRACTOR INSTALLATION ONLY.
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Electrical Contractor -/Vi"nko Cl4f~~
Address 1.0 J 007 /;;1
City /!(;.J G11J Phone '75)"/0 J
Supervisor License Number Y'77o:5
/6) I /0
/S~_3og
Expiration Date
Constr. Contr. Number
ExpirationDate 7-{9- 0/
OWNER INSTALLATION
The il,lsl'\I~H'l'IOO!*,\;..AeIawJf8lljl\llt9s \1\W.~ich
is not iIJtend~91~ I!ldl;pl\1JSo~ tMI.Oregon Utility
! .1;' 0.1 ion Center. Those rules are setforth
oWl/.ers Sign~!'1!J001-001 0 through OAR 952..()01-
Oll' ,ou may obtain copies of the r~les by
,I 9 'he cenler. (NOla: lilt' ''''''tJ"''V''~
I,,,,, ;'UC( 'for the Oregon Utility Notification
Genter is 1-800-332-2344).
Inspection Request: 726-3769
Date
3.
A.
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
B.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
c.
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
D.
$ 48.00
$ 4.00
4'b{fJ
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial ~O.OO
M:"if~~~~~f1)~ffi:~i&t'~F
5fy~T:5m~,l!WS'HALL EXPIRE F THE WO K -~.tft-
^IIT..1.10RIZED UNDER THI~ I T ~ 00
TOTAt ~J.
COMlVifh~~fi:lrlvQ~)~R.i~N'!. 1 e IlApplication 7-07.doc
ANY 180 DAY PERIOD. \ ~ \ \q ,r:fJ
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01059
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 01118/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 995 SUNSET DR
ASSESSOR'S PARCEL NO.: 1703341106202
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp & air handler
Owner: BURGESS RONALD R & RAMONA D
Address: PO BOX 7094
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
TURNBO CARTER ELECTRIC INC
CHITTlM ENTERPRISES I INC
License
156308
47396
Expiration Date
07/14/2009
03/08/2009
Phone
541-607-1556
541-461-2101
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard 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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsfDrains:
Notes:
Paee I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description'
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
];'PPli'. P~irl I
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
Minimum/Adjustment Electrical
Penalty Fee - BWOP Electrical
Amount Paid
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
$10.00
$5.00
$4.00
$48.00
$2.00
$50.00
Total Amount Paid
$200.50
I Plan Reviews I
Date Paid
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
12/6/07
"12/6/07
12/6/07
12/6/07
12/6/07
i2/6/07
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01059
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 01118/2008
VALUE:
Value
Date Calculated
Receipt Numher
3200700000000000484
3200700000000000484
3200700000000000484
3200700000000000484
3200700000000000484
3200700000000000484
3200700000000000484
2200700000000001793
2200700000000001793
2200700000000001793
2200700000000001793
2200700000000001793
2200700000000001793
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,
IRp(ll~
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.
Pace 2 of 3
Status
Issued
CITY OF SPRINlJ.HELD
Building/Combination Permit
PERMIT NO: COM2007-01059
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 01/18/2008
VALUE:
225 Fifth Street, Springtield, 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 herehy 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 Springtield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliauce with ORS 701.005 will he 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 tbe
street, that tbe 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 of3
225 Fifth Street
Springfield,'Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01059
COM2007-0J059
COM2007-01059
COM2007-0 1 059
COM2007-01059
COM2007-01059
Payments:
Type of Payment
CreditCard
. cReceintl
RECEIPT #:
~~'~!J!I!!!'....IlW>""'_"'-_'"'''' ~"...!!IL" ....-'.
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City of Springfield Official Receipt
Development Services Department
Public Works DepartmeDt
2200700000000001793
Date: 12/0612007
Description
. Add; Aller, Extend Circ
Minimum/Adjustment Electrical
Penalty Fee - BWOP Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TURNBO CARTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
llh 62708 Phone
Payment Total:
Page 1 of I
2:38:55PM
Amount Due
48.00
2.00
50.00
5.00
4.00
10.00
$119.00
Amount Paid
$119.00
$119.00
12/6/2007