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 P,f-RM{l;, APPRCATlON
City Job Number _ l~ f) -\No,-\
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JOB DESCRIPTION:
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Permits are non-transferable an e
not started within 180 days of iss
Suspended for 180 days.
2.
Electrical Contractor "7C('flhn CIA~
Address /0_ /&r;< I!J 9
City cI'~M Phone 93{r;5{JS
Expiration Date
Y'/;?)?
/0 I In
J.5t:,308
Supervisor License Number
Constr. Contr. Number
Expiration Date 7 - / Y ~ tJ 0/
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own~ P\\ ~~ ~ecxP II :
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Ci'\(\~ fId!Phone ~\ i.<.feG
OWNER INST ALLA TlON
The installation is being made on property] own which
is not intelIJ.id,ffdr.-s!!leJ .leasS or rent.
tollow. ' '. VI ~['on 'El\.V ('3 '
/\' ;.;f;_ :.l..." ~.1 ctC':1:::e. " '-JI/ ' ""Quires \I,JU to
OwnerS Slgnatiire:1I Cenrer -' .1e c'recDli U"t
In UAR 9:J -'.0' . j fiC/S2 rule~ r ~ , !III Y
nnM '. ~ J,-OOl/""__e . '".ese,forth
- --v. IUU ma b . -.. VU>,j!' GAR 95
calling the /0 tam Copies of th 2-001-
nUmber for th~n~r. (Nole: the tel:pr~/es by
C"'n . regen Uti/it " " one
Inspection Requesi?f71l6~3g~-332 2Y lvetlf/cation
- 344).
Date
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$]] 7.00
$21.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55.00
B.
200 Amps or less
20] Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN oits
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 or 1000 Volts see "B" above.
$ 55.00
$ 76.00
$110.00
D,
New Alteration or Extension Per Panel \ A rl fY 1
--one Circuit \. $48.00 'ThU-/
Each Additional Circuit or with
Service or Feeder Permit $ 4.00
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'- ;,':
!:1r_Miseellaneous (Service/feeder not included)-Eaeh InstaHation
, ..,
. . r ';f~ or irrigation
" '<.~i~'putline Lighting
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c, (I;imll00'Eilitf~conunercial
'-_J -(7 :-'<:';
Minl~~ledjl~ ;t,>mit Inspection Fe
4. S'tm; ~(/p)Ri/I~ VE
8% s~e s:::?$!}t!p,
10% Administrati~~;,/J' 401>1-
5% Technology Fee 01> O/'
TOTAL 4- D..t ll'\f"\(\ _ ~ tlJ
Shared Drive(T:)fBuilding Fo\rn~~it Application~-67 .doc
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01069
ISSUED: 07/18/2007
APPLIED: 07/18/2007
EXPIRES: 01118/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2892 VILLA WAY
ASSESSOR'S PARCEL NO.: 1703233201600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Intall heat pump and air handler.
Owner:
Address:
BECKETT ALDEN H TE
2892 VILLA WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
TURNBO CARTER ELECTRIC INC
CHITTIM ENTERPRISES I INC
License
156308
47396
Expiration Date
07/14/2009
03/08/2009
Phone
541-607-1556
541-461-2101
r. 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:
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 DEVELOPMENTlNFORMATION I
Front yard Sethack:
Side I Sethack:
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:
Downsponts/Drains:
Notes:
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ,
Descriution
Tvpe of Constrnction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Total Value of Project
Ff'P~.~
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
Minimum/Adjustment Electrical
Penalty Fee - BWOP Electrical
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
$10.00
$5.00
$4.00
$48.00
$2.00
$50.00
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
7/18/07
1217/07
1217107
1217107
1217107
1217107
1217107
Total Amount Paid
$200.50
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01069
ISSUED: 07/1812007
APPLIED: 07/18/2007
EXPIRES: 01118/2008
VALUE:
Value
Date Calculated
Receipt Number
2200700000000001159
2200700000000001159
2200700000000001159
2200700000000001159
2200700000000001159
2200700000000001159
2200700000000001159
2200700000000001795
2200700000000001795
2200700000000001795
2200700000000001795
2200700000000001795
2200700000000001795
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, Rpnllirprlln.'\1~rt~
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 00
-Wi'--
CITY 01' ~t'I:UN(.NELD
Building/Combination Permit
PERMIT NO: COM2007-01069
ISSUED; 07/18/2007
APPLIED; 07/18/2007
EXPIRES: 01/18/2008
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther 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 berein, and
that NO OCCUPANCY will be made of any structure without permission of the Commuuity 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 inspectious 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
a~~Rt'N~J;.'..~.__ "......R ........
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.;.___M__________________,__,_,...._, ,---,--,-' ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth &tl'eet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01069
COM2007-0 I 069
COM2007-01069
COM2007-0] 069
COM2007 -0 I 069
COM2007-01069
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
8:27:52AM
2200700000000001795
Date: 12/07/2007
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Penalty Fee - B WOP Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
48.00
2.00
50.00
5.00
4.00
]0.00 .
$119.00
Paid By
TURNBO CARTER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
IIh
188343 Phone
Payment Total:
$119.00
$119.00
Page I of I
]2/7/2007