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HomeMy WebLinkAboutPermit Electrical 2007-12-6 ZON U) {2-- INITIAL~. DATE . oCT1 SOURCE n.-. 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54t)726-3689 ELECTRICAL PkIJ.M"I;{AJ:Pk!CATlON City Job Number l'J t...U ~O 1. i LOCATIONOFINSTAT.T.ATION: . 3. \oq'?i)-\5~-~eE---- - LEGAL DESCRIPTION: \1rrL~~ DAW JOB DESCRIPTION: Z> 0~ "'~tum \s~ 't\V lftl~ - , Permits are non. transferable n expire if work is not started within 180 days of' uanee or if work is Suspended for 180 days. 2. j CONTRACTORINSTALLATI9NONLY' L.e.. __ ___ . .~_. '__' . . e___._. Electrical Contractor }"V rrJao c: A('~ Bc,t< /99 Phone &J3 J -;J-.( tP r- /00 Address City / / &z?17)- L/?7o 5 /(1;) 7YO Constr. Contr. Number j ~'t.3o;P> Expiration Date 7 - / Lj - tJ '7 ""_o"o~/ . ~7'~ own~\jJmL~ \-\n~crtt Address \nct~: ~ j- - - hon~ln.~ Supervisor License Number Expiration Date City OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. J.,TTEtfTlON: Oregon law requIres you to Owners f'd~g~"f6ies adopted by the Oregon Utility "I<:'ti!i,..~tinn r."nlPr. Those rules are s.et forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note:. t.he tel~~ho~e Inspecti'l1lJ.R.!llI!\eS~ ~6l!Jon Utility Notification Center is 1-800-332-2344). Dale 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 601 Amps to 1000 Amps Over 1000 AmpsN 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 One Circuit I $ 48.00 ---- Each Additional Circuit or with n Service or Feeder Permit I" $ 4.00 4PJ~ fly, aJ E. pum~.l.~tion $ 55.00 Si~~A r~ting $ 55.00 Li1Vte~a~iResidential $ 28.00 4A.;:,'(-I- ,/?/":;'If},. u~tei!~J;'J'~OC~ercial $ 50.00 . Mini_ID~II\IFJ.lfj!~4e~~~cti~~~~~iS$5~.~0~~urChargeS < l~~Ji~!!,mrm, ~~ 10% AdlnInIstratIveFee /:/O"z" i9-01' 'f' It-1 \ \ . 5% Technology Fee 'f'O" IS' V-9"," ~.\ c() TOTAL D..~:rMO;' ~pO Sh=dDrive~.)ffiUiiding~~~~Pli~;':W ~~;';4N lilt. 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: COM2007-00823 ISSUED: 06/07/2007 APPLIED: 06/06/2007 EXPIRES: OS/29/2008 VALUE: SITE ADDRESS: 6930 D ST ASSESSOR'S PARCEL NO.: 1702352306900 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install Heat Pump & Air Handler Owner: Address: HOGGATT VERNIS E & ROBERTA R 6930 D ST SPRINGFIELD OR 97478 TYPE OF USE: New Residential Phone Number: 541-726-8087 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 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 Sethack: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I 'Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid AmQunt Total Value of Project L.F~p. ~lW 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, Exteud Circ Ea Add Penalty Fee - BWOP Electrical Amount Paid Date Paid $10.00 $4.50 $2.25 $3.60 $8.00 $12.00 $25.00 $11.20 $5.60 $4.48 $48.00 $8.00 $56.00 617107 617107 617107 617107 617107 617107 617107 1217107 1217107 1217107 1217107 1217107 1217107 Total Amount Paid $198.63 [ Plan Reviews I CITY OF SPRINt.>f<lELD Building/Combination Permit PERMIT NO: COM2007-00823 ISSUED: 06/07/2007 APPLIED: 06/06/2007 EXPIRES: OS/29/2008 VALUE: Value Date Calculated Receipt Number 3200700000000000373 3200700000000000373 3200700000000000373 3200700000000000373 3200700000000000373 3200700000000000373 3200700000000000373 2200700000000001798 2200700000000001798 '2200700000000001798 2200700000000001798 2200700000000001798 2200700000000001798 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. I R~I,lIIjrprl In<r~Ftions 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 2 013 ~'~'''''''''iIi. -'.. . WIL. '.. ......... Status Issued CITY OF SPRINGl'lELD Building/Combination Permit PERMIT NO: COM2007-00823 ISSUED: 06/07/2007 APPLIED: 06/06/2007 EXPIRES: OS/29/2008 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 herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with 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 "_..r.-Rl'~1II QFl,,,,,,...,. iiij.." ...... l' .~ ci_ c' !!II .....c.c.._._.. _' , .. " - . . _,. .. ,"'f.'''' .. ,'" City of Springfield Official Receipt Development Services Department Public Works Department 225.Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00823 COM2007-00823 COM2007-00823 COM2007-00823 COM2007c00823 COM2007-00823 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001798 8:40:50AM Date: 12/07/2007 Description Add, Alter, Extend Circ Add, Alter. Exlend Circ Ea Add Penalty Fee - BWOP Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 48.00 8.00 56.00 5.60 4.48 11.20 $133.28 Paid By TURNBO CARTER Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid llh 353913 Phone Payment Total: $133.28 $133.28 Page 1 of I 12/7/2007