HomeMy WebLinkAboutPermit Electrical 2007-12-6
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INITIALS ~
DATE 1 '.2...-1"-(7 \.
SOURCE .i..l,.. A.....-1 ~
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225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL P~1T APPLlCATlON
City Job Number l '~fV.- ~ \~ Date
Xt.....-Alteration or Extension Per Panel
~ One Circuit \
/- /, f'I Each Additional Crrcuit or with
owner~a~ \J.l('~ 1R _ V\ (t~ eIt/' se:~_e or Feeder permit... _ $ 4.0~
Ad:~e s Q ?) \" (^~ fs\ E. i Miseella.f~Ii)I1'~iee/f~lW,J1o~~_lW-atjon
" r -'{ _ -- ----- eTHIS PERMIT tlliA","'t7':~~~NllT IS N{j'f
Ci nMRflrlhone ]11n~ Pump or irri'A'8WORIZEO UNDEfl T M~D~Ne\9q:OR
~ SignfOutline~'Jffi'\~NCED OR IS ~B $ 55.00
OWNER INST ALLA TION Limited EnerllX4If.e~@~tlAY PERlUu. $ 28.00
The insta~1 D'.N,nQr~~~rlIDl!JC'ilIJ~!!'~O Limited Energy/Commercial
is not int "tbl ~iili~1 ;RYtlii! Ore~ro'ri.Ut]llty .. .. .
o Ilcatlon Center. ose rules are set forth MInImum ElectrIC Permit InspectIOn
Owners si;Q"Q/Mt952-001-0010through OAR 952-001- 4.
LltHm~' You may obtain copies of the rules by
~::I'j::g t~1.: ::Ollter. (Note: tho t~lcphone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
I. ~if~\?i~'~~~[~mt
LEG\l(''1.~\L
JO\ DE~Ci;~~ /
OlOJJ)
~(7
Permits are non-transferable a
not started within 180 days of is
Suspended for 180 days.
2.
Electrical Contractor Nrnbo ~~
Address ./0. /Z-/ / R '?
City clb/J.El7J~ Phone 9~-j'"'::2\tJ S
Supervisor License Number
tf7705
/0 / /0
/510303'
Expiration Date
Constr. Contr. Number
Expiration Date "7 -It; - cJ9'
Inspection Request: 726-3769
3.
A.
Service Included
1000 sq. ft. or less
Each addilional 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
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
401 Amps to 600 Amps
Over 600 or 1000 Volts see "B" above.
D.
$ 55.00
$ 76.00
$110.00
$ 48.00
~~
Surcharges
~~
8% State Surcharge ~ ill
10% Administrative Fee \ r ). ~
5% Technology Fee ~
TOTAL Shared Drive(T:)/Building F!~a1~ APPliC~;~
\\C\pv
-~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 281 65TH ST
ASSESSOR'S PARCEL NO.: 1702344202900
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00913
ISSUED: 07/2612007
APPLIED: 07/2012006
EXPIRES: 06/06/2008
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: MICKIE PUTZIER
Address: 281 N 65TH ST
SPRINGFIELD OR 97478
TYPE OF USE: New
Residential
Phone Number: 541-726-4880
I. CONTRACTOR INFORMATION J
Contractor Type
Electrical
Mechanical
Contractor
TURNBO CARTER ELECTRIC INC
CHITTlM ENTERPRISES IINC
License
156308
47396
Expiration Date
07/14/2009
03/08/2009
Phone
541-607-1556
541-461-2101
BUILDING INFORMA TlO~'
# 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:
VN
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'
Frontyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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:
Pa2e I 01'3
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 Descriotion I
Descriotion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Air Haudling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Cire
Penalty Fee - BWOP Electrical
Renew Electrical Permit
Amount Paid
Date Paid
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
$10.00
$5.00
$4.00
$48.00
$50.00
$2.00
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
7/26/06
12/7/07
12/7/07
12/7/07
12/7/07
12/7/07
12/7/07
Total Amount Paid
$182.10
I Plan Reviews ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00913
ISSUED: 07/26/2007
APPLIED: 07/20/2006
EXPIRES: 06/06/2008
VALUE:
Value
Date Calculated
Receipt Number
2200600000000001050
2200600000000001050
2200600000000001050
2200600000000001050
2200600000000001050
2200600000000001050
2200700000000001797
2200700000000001797
2200700000000001797
2200700000000001797
2200700000000001797
2200700000000001797
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 "RPfl_ In~,nprtionlo; 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.
Paee 2 of 3
. ~1ll!:NQ"Il!lu:l
~WIi:
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00913
ISSUED: 07/26/2007
APPLIED: 07120/2006
EXPIRES: 06/06/2008
VALUE:
Status
Issued
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 !:rue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 tbe permit card is located at the frout of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 3 of 3
. 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~#4
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2006-00913
COM2006-00913
COM2006-00913
COM2006-00913
COM2006-00913
COM2006-00913
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
2200700000000001797
Date: 12/07/2007
Description
Add, Alter, Extend Circ
Renew Electrical Permit
Penalty Fee - BWOP Electrical
+ 5% Technology Fee
+ 10% Administrative Fee
+ 8% State Surcharge
Paid By
TURNBO CARTER
Item Total;
Check Number Authorization
Received By Batch Number Number How Received
lIh 6804 Phone
Payment Total:
Page I of I
8:37:10AM
Amount Due
48.00
2.00
50.00
5.00
10.00
4.00
$119.00
Amount Paid
$119.00
$119.00
12/7/2007