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HomeMy WebLinkAboutPermit Electrical 2007-12-6 '.. ZON i D tL-- INITIALS ~ DATE 1 '.2...-1"-(7 \. SOURCE .i..l,.. A.....-1 ~ r \.l:>~ 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