HomeMy WebLinkAboutPermit Electrical 2007-12-6
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PIl:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL JWRMIT -t1ePIKATlON
City Job Number (' ,n -lu\or )
,
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. If'l n CV
8% State Surcharge .' A
NOTICE. 10% Administrative Fee _ \1. ..t
. 5% Technology Fee ~ \
THIS PERMIT SHAll EXPIRE IF THE b2 1><..\
AUTHORIZmgllJM3ER IHIS)~ '0\ 0 .
COMMENCED OR ~A~tJnvD(~iMAi!;Js.,Mi ectnciil e it Application 7-07 doc
ANY 180 DAY PERJOD. AN ONED FOIr"(6~ l 3'5.W
I. itOCAT1QN:Ofi:1.N$~1.1()Niii>ri
L....Z\\:f1TA.~.l1Y1rTQJ7.3.
LE\~n7~rg\1_ 00'600
JO~;;srift~7titsW<' m}AM
Permits a;e Don.transferable and ~xpire if wO~k is
not started within 180 days of issuance or if work is
Suspended for 180 days.
c", ...~' "~":~:;:::!:S:':'~:-::::;::::;::::::;-:-..,:::: <:::~:~::-:<::'~'::":"",":':'7n::\7';::-/::::::
2. ~ CONTRACTOR INSTALLATION Ol\iLY
Electri::1 c~n~~t:r-)~~nbfl C~r+r-
Address ,;J.{)-
City tI~,l/51/f
I~x / J;<;
/
Phone 1?3)~ ~ (j J
Supervisor License Number Lf / rO S
Expiralion Date /(5) / /0
Constr. Contr. Number 15{,.?cf?
Expiration Date 7- / ~ t"J'/
~
Owner ame ~.')4\XL ~~
Address !Jlf::l A . n \Cl-l ~ . E.
City 8?\\1\C\~~ne }Jclt l dtta
OWNER INSTALLATION
TJlm~l'8Wf.~PJ~~DfgWrWb1'lipg&%&qU'fi which
lJoW'd.fffm:s aWop~etl 'b<y'1i\'e 1Q\l&gon Utility
~(l1if!C~tll'J),c.~nter. Those rules are set forth
In .tlJ\:R !iS2:fl'Oi~001 0 through OAR 952-001-
0099. YQY mar ,..h...~in (',....:'ip~ nf thp. rlllp.~ hy
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center 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] Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps/V olts
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
Over 600
D.
$ 55.00
$ 76.00
$110.00
New Alteration or Extension Per panel\
Onecircm~
Each Additional Circuit or with r\
Service or Feeder Permit fA.
$ 48.00
$ 4.00
~~(f)
fb.CY
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01067
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 06/06/2008
VALUE:
SITE ADDRESS: 4524 GLACIER ST
ASSESSOR'S PARCEL NO.: 1802051203800
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Intan heat pump and air handler
Owner: HAWORTH JOSHUA W
Address: 4524 GLACIER ST
SPRINGFIELD OR 97478
TYPE OF USE: Alteration
Residential
.1, CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanieal
Contractor
TURNBO CARTER ELECTRIC INC
CHlTTIM ENTERPRISES IINC
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 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:
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 I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page I of3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
Tvpe of Construction
Total Value of Project
~pp~, ~
Fee Description
-Mechauicallssuance Fee-
+ 10% Admiuistrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Haudliug Unit Up to 10,000
Heat Pump
Miuimum/Adjustmeut Mechauical
+ 100/0 Administrative Fee
+ 5% Techuology Fee
+ 8% State Surcharge
Add, Alter, Extend Grc
Add, Alter, Exteud Grc Ea Add
Penalty Fee - BWOP Electrical
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
$11.20
$5.60
$4.48
$48.00
$8.00
$56.00
7/18/07
7/18/07
7118/07
7/18/07
7/18/07
7/18/07
7/18/07
I Z/6/07
1216/07
1216/07
1216/07
1216/07
12/6/07
Total Amount Paid
$214.78
I Plan Reviews ~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-0I067
ISSUED: 07/1812007
APPLIED: 07/18/2007
EXPIRES: 06/06/2008
VALUE:
Value
Date Calculated
Receipt Number
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
2200700000000001156
220070000000000/791
2200700000000001791
2200700000000001791
2200700000000001791
2200700000000001791
2200700000000001791
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day.
~eoHirecUnsnections I
Rough Mechauical: Prior to Cover
Fiual Mechauical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pace 2 of 3
-7~.-. ..
UA.. .... i
~.
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-0I067
ISSUED: 07/1812007
APPLIED: 07/18/2007
EXPIRES: 06/06/2008
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 witb
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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
541-726-3759 Phone
"". J:Q~:~. i!.'
.IlIIi: I) ,
City of Springfield Official Receipt
Development Services Department
Pnblie Works Department
Job/Journal Number
COM2007-01067
COM2007-01067
COM2007-0 I 067
COM2007-01067
COM2007-01067
COM2007-01067
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001791
Date: 12/06/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Penalty Fee - BWOP Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TURNBO CARTER
Item Total:
{;heck Number Authorization
Received By Batch Number Number How Received
Ilh
289596 Phone
Payment Total:
Page 1 of 1
2:28:07PM
Amount Due
48.00
8.00
56.00
5.60
4.48
11.20
$133.2H
Amount Paid
$133.28
$133.28
12/6/2007