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 PERMITAfPflCATlON
City Job Number (\ -;1. r':X.O Date
Signature ofSupervi in7_
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Name ~ e$~
5?f> t - a~h~e~~~.~g~ss1!~?ll~~f~~~~!"rlt~~~~~>~]~S~r~!t~ilkfi(}n'!
hW.tifll e rule.~tiOn $ 55.00
m'O'A - ough 0 .. .
0090. You may obtaln copies 0 19htmg $ 55.00
OWNER INSTALLATION calling the center. (Note: the~~.gy/Residential $ 28.00
The installation is being made clI_'a: dt\4\ Qlj~n Utility ~~iisl8rgy/Conunercial $ 50.00
is not intended for sale, lease or rent. nter Is 1-80~i~~At Electric Permit Inspection Fee is $50.00 + Surcbarges {t.J
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LEGAL DESCRIPTION:
\"1 (JZ2A \4
JOB DESCRIPTION:
2J ~~~lli~
Permits are Don-transferable a d xpire if work is
not started within 180 days of is ance or if work is
Suspended for 180 days.
2.
Electrical Contractor
7vrnbo Cw-kr
M Ii?
Address /().
City t/tf;&.,c..771
Phone q-?(=- ...z~J
Expiration Date
'-17 ?o~
10 //v
//,1030&,
"/ ~ /'1- 01
Supervisor License Number
Constr. Contr. Number
Expiration Date
o
City
Owners Signature:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
Inspection~~~I;WJJWJER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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
201 Amps to 400 Amps
401 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
Over 600
D.
$ 55.00
$ 76.00
$110.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
4f6.(J)
B.cXJ
\ $ 48.00
'l- $ 4.00
8% State Surcharge
10% Administrative Fee
5% Technology Fee
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00861
ISSUED: 06/12/2007
APPLIED: 06/12/2007
EXPIRES: 12/12/2007
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 538 67TH ST
ASSESSOR'S PARCEL NO.: 1702341403725
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install heat pump and air handler.
Owner: ESSELSTYN PAUL B & THERESA M
Address: 538 N 67TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
TURNBO CARTER ELECTRIC INC
CHlTTlM 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 Strncture
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 Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I 01"3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe 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% Admiuistrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Penalty Fee - BWOP Electrical
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-0086I
ISSUED: 06/12/2007
APPLIED: 06/12/2007
EXPIRES: 12/12/2007
VALUE:
I Valuation De,~criDtion I
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
'Rp:p~, P'1W
Amount Paid
Date Paid
Receipt Number
$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
6/12/07
6/12/07
6/12/07
6/12/07
6/12/07
6/12/07
6/12/07
12/6/07
12/6/07
12/6/07
12/6/07
12/6/07
12/6/07
2200700000000000951
2200700000000000951
2200700000000000951
2200700000000000951
2200700000000000951
2200700000000000951
2200700000000000951
2200700000000001788
2200700000000001788
2200700000000001788
2200700000000001788
2200700000000001788
2200700000000001788
$198.63
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.
~en lIireq.r nf~n~{tinW'
Rougb Mechanical; Prior to Cover
Final Mechanical: Wben all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Se.'Vice: Approval required prior to utility company energizing service.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00861
ISSUED: 06/12/2007
APPLIED: 06/12/2007
EXPIRES: 12/12/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Une
By signatnre, 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 ofany 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 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 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
Paee 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Departmeut
Job/Journal Number
COM2007-0086I
COM2007-00861
COM2007 -00861
COM2007-0086I
COM2007-00861
COM2007-00861
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001788
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:
l.:heck Number Authorization
Received By Batch Number Number How Received
LLH 205956 Phone
Payment Total:
Page 1 of 1
2:12:46PM
Amount Due
48.00
8.00
56.00
5.60
4.48
11.20
$133.28
Amount Paid
$133.28
$133.28
12/6/2007