HomeMy WebLinkAboutPermit Electrical 2007-12-6
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INlTIALS i M
DATE \.4,. (/1 .0.
SOURCE V-~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726.3689
ELECTRICAL PWiMIT ~..JPP!ON
City Job Number lV~_ 'JJ..IL.LP Date
Owner ame \).Q\ i'lYl. ~~
Address \.cr\ rz- rt\ \. ~ 1- S"t-
one \.6Jo. ~-n \
ATT ION Oregon law requires you to SlgnlOuthne LIghtmg $ 55 00
OWNER 1,t!l'lwLi1IIlM"JIlopted by the Oregon Utility Lumted EnergylResldenllal $ 28 00
Notification Center Those r41es are ~~ forth
The mstall'lWl!lA'F/'Sw'rnl'f!b1'/1 B"{ffl'il&'ghmff~~~OOl- LIrDlted,EnergY/Commercml $ 50 00
IS not mtenOOll(j>r 'i'Cl&M~Ol5f.ffif copies of the rules bfhDl,?'~~E~eQ.7ile6:nllt ~nsp_e".t~0I~.~~~~5-" ~o + Surcharges
calling the center (Note the telephone 4 SVBJtlIpAifij~L' ~I_ 00
Owners SlgrmHflber for the Oregon Utility Not,flcatlon ' , .t\lJt~!mJZED UN' EXPIRE IF THt VilUHK ~.
CAntAr..JL1-Rnn.::l::l?'m!l). 8% ~~~ffilli\.lili~ DER THIS PERMIT (S ~ _ 4f">
~~~~~AA-fiMe{ ~:gDABANDONED FOR "NUT l~. W-
TOTAL -t~cQ ~pQ
Shared Dnve(T )/Butldmg Fonns/Electncal Permit ApplicatIOn 7-07 doc
,o\:Q9.... \~?,. ~~
- ~~-^4~ ,.~---=e-""'-----,-~~~ ~-~-~ ~
I 'LqCATION OF INST,ALLATION: ..
Co11:.~ "''Zi~f=-S<<~-'' ..'-
LEGAL DESCRlPTIONA ~OO
\r'\rfL1f?-ft""'C ~ N
Jt~~XR1vits JixtW f&
Permits are non-transferable aldLXPJre Ifw~rk IS
not started wilhm 180 days of I~:nce or If work IS
Suspended for 180 days
2 ~ CONT~iji:O~ iNSTALiATIOjr'ONLl'~ -
ElectrIcal Contractor 7C( nhD ~
Address /0 &?< /#9
CIty t/h,u.E17f Phone '9 '3 r -;:z j tJ~
SupervIsor License Number ~ / /0.5
1(9 I /L;)
15/,308"
ExpiratIOn Date 7 ~ / l/~ O?
ExpIratIon Dale
Constr Contr Number
CIty
InspectIOn Request 726-3769
3 ~COMPLETE'iiiisCHl,;'DULE BELOW
\ ~ M__~ ~~'" '-' '- ~M~~_~~ _
r ~, - ~"P
A 'New Resldenbal- Single or Mulh-Family per dwelli~g umt.
, ~ --~-~~~ ~~--~""
Service Included
1 000 sq It or less
Each addItIonal 500 sq It or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg Service or
Feeder
$11700
$2100
$55 00
~ ~r--~~~~~ - ~~ ~ ~-~~ ,~;
B ServIces or Feeders - Installation, AltenitIou's or Relocahon
~~ ,~ "-
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1 000 Amps
Over 1000 AmpsNolts
Reconnect Only
S 70 00
$ 83 00
$13800
$18000
S413 00
$ 55 00
C ,T!'."~!:'ll:rServlces or Feeders
'I"
, '"
~ ~'-!
Installahon, Alterahon or RelocatIOn
200 Amps or less
20 I Amps to 400 Amps
40 I Amps 10 600 Amps
S 55 00
$ 76 00
$1l0 00
Ov~r 600 Amps or ~O~O Volts see "B" above
D, Branch Clrcmts
<~ - -~~
New AlteratIOn or ExtenSIOn Per Panel
One CIrCUIt l
Each AddItIOnal CIrcUli or WIth I)
ServIce or Feeder PermIt _ -t.
S 48 00
4P>~
~,d)
$ 400
E t, 1\11sc~II~~~ous (Servlce/feeder not mcluded) -E..:'~h !nstaliahon
Pump or IITlgatIon
$ 55 00
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2006-00926
ISSUED. 12/14/2007
APPLIED: 07/24/2006
EXPIRES 06/14/2008
VALUE,
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 672 51ST ST
ASSESSOR'S PARCEL NO 1702332400800
Sprmgfield TYPE OF WORK Healing System
TYPE OF USE
New
ResldentlJI
PROJECT DESCR[PTION Install heat pump and air handler
Owner, VELMA PETERSON
Address 672 51ST ST
SPRINGFIELD OR 97478
Phone Number 541-746-3771
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechamcal
Contractor
TURNBO CARTER ELECTRIC INC
CHITTIM ENTERPRISES I INC
License
156308
47396
ExpiratIOn Date
07/14/2009
03/08/2009
Phone
541-607-1556
54[.46[-2101
BUILDING INFORMATION I
# of Umts
PrImary Occupancy Group
Secondary Occupancy GI oup
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
VN
# of StOlles
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
SprInkled BuJldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
OCCUpJut Load
R-3
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
PJved Dllve Rqd
% ot Lot Cover Jge
TotJI
HJndlcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer Available
SpecmllnstructlOn
SIdewalk Type
Downspouts/Drams
Notes
Pa~e I of 3
Status
Issued
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIRe
DescriptIOn
TVJle of ConstructIOn
Fee Description
-Mechamcal Issuance Fee-
+ 10% Admlmstrallve Fee
+ 8% State Surcharge
Air Handhng Umt Up to 10,000
Heat Pump
Mlmmum/AdJustment Mechamcal
+ 10% AdmmlStratlve Fee
+ 5% Technology Fee
+ 8% Stdte Surcharge
Add, Alter, Exteud CIrC
Add, Alter, Extend Circ Ea Add
+ 10% AdmmlStrallve 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 ~1"K1NGFIELD .
Building/Combination Permit
PERMIT NO: COM2006-00926
ISSUED' 12/1412007
APPLIED, 07/2412006
EXPIRES: 06/14/2008
VALUE:
I, ValuatIOn Descnotlon I
$ Per Sq Ft
or mulllphel
Squdl e Footage
01 BId Amount
Value
Date Calculated
Total Value of Project
Fpp. p,,~ I
Amount Paid
Date PaId
Receipt Numbel
$10 00
$450
$360
S800
S12 00
$25 00
$520
S260
$416
$43 00
S900
$11 20
$560
$448
S48 00
$800
S56 00
7/26/06
7/26/06
7/26/06
7/26/06
712 6/06
7/26/06
4/9107
4/9/07
4/9/07
4/9/07
4/9/07
12114/07
12114107
12/14107
12/14/07
12/14/07
12/14/07
2200600000000001053
2200600000000001053
2200600000000001053
2200600000000001053
2200600000000001053
2200600000000001053
2200700000000000500
2200700000000000500
2200700000000000500
2200700000000000500
2200700000000000500
2200700000000001840
2200700000000001840
2200700000000001840
2200700000000001840
2200700000000001840
2200700000000001840
S260 34
I Plan ReViews ,
To Request an mspectlOn call the 24 hour recordmg at 726-3769, All mspectlOns requested before 7 00
a.m. wtll be made the same workmg day, inspectIOns requested after 7 00 a m will be made the followmg
work day
I I?r'1l"rp~pptl"'\'\1
Rough Mechamcdl P, lOr to Cover
Fmal Mechamcal When all mechamcal work IS complete
Rough ElectrIC PrIor to Cover
Pa~e 2 of3
~iii ~,.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00926
ISSUED. 12/14/2007
APPLIED' 07/24/2006
EXPIRES 06/14/2008
VALUE.
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 FdX
541-726-3769 InspectIOn Lme
Fmal ElectrIc Wheu all electrIcal work IS complete
By Signature, I state and agree, that I have carefully eXdmmed the completed apphcatlOn and do he. eby certify that all
mformatlOn hereon IS true and correct, dnd I fUI ther certify that dny and all work performed shall be done m dCCO. dance wIth
the Ordmances 01 the City of SprIngfield aud the Laws of the Stdte of Oregon pertalUmg to the work descllbed hel em, dnd
that NO OCCUPANCY will be made of dny structure wIthout permiSSIon ot the CommuDlty Services DIVISIOn, BUlldmg Sdfety
I furtber certIfy that only contractors and employees who are m comphance wIth ORS 701 005 will be used on thIS ploJect
I furthe, agree to ensure that all reqUired mspectlOns al e ,equested at the proper time, that each addl ess IS reddable h om the
street, that the permit card IS located at the f. ont of the property, and the approved set of plans willI emam 011 the SIte at all
times durlOg constructIOn
Owner or Contractors Signature
Date
P d~e 3 of 3
225 Fifth Street
Sprmgfield, Oregon 97477
54]-726-3759 Phone
~:
City of Sprmgfield Official Receipt
Development Services Department
Pubhc Works Department
Job/Journal Number
COM2006-00926
COM2006-00926
COM2006.00926
COM2006-00926
COM2006-00926
COM2006-00926
Payments
Type of Payment
Cred,lCard
cRecemtl
RECEIPT #:
220070000000000]840
Date, 12/14/2007
DescriptIOn
Add, Aller, Extend CIfC
Add, Alter, Extend CIfC Ea Add
Penalty Fee - BWOP Electflcal
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% AdmIDlStratlve Fee
Paid By
TURNBO CARTER
Item Total
Check Number AuthOrization
Received By Batch Number Number How ReceIVed
Ilh 432560 Phone
Payment Total
Page I of 1
84437AM
Amount Due
4800
800
5600
560
448
1120
$13328
Amount Paid
$133 28
Sl3328
12/14/2007