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Home My WebLink AboutPermit Electrical 2005-8-17 LD2- . ~ ojac~{~Si?e~oWing os n n r~'N!'f8flecifi~.r~~.tn v 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54i)726-M.~ng ~~~ ~ ELECTRI9f!L P1J...RM1T APPliCATION r//<o' ~~""""'" >Aj .... :'";~:=:;;.::::. 3 t@fr;ifi;:"-1J:J:::~~ !..:a~'~~ ,f. (_j t.~~~~~~~-iT~: - ~",", ."",I~.3r' ~~'=:..'~~"~_~~~~ .' ~,,1 ~~~~i~~~;:r ~~~ 18 DESC~ 101iii1qNtil.grtbsPregon law requires you. ~$106.00 . rI . ~ L Eiicllradditibilaf-500lS\j)(ft.l:ljrthe VIl"\:jV" U..I", . . V\ (L:T pprtion<tlicreo'Lenter. Those rules are set for#\9.00 ~ I :~ (")~5?-OD1-00l 0 through U1\n :lO"-UU1~ Permits are non-transferable and expire if work is ~acli ~fac1 (I ~~'U.9.R'Cooies of the rules by " not started within 180 days of issuance or if work is M6'dQI. txJJiifXgq;e~l~!lr.t . th telephonS$50 00 S d d' 180 d . F-"",lImg the center. 11"0 e. e . uspen e .or ays. . """er n UtiliW Notification ?CO'm"RAcro'RriNST;rf~TION'ONl;~ B. &_J~~Giatl~4ffimti~;t,"tR1~.g;ii8t:';i! 2. ~~~N~'_~"~":-"'':-~~~''''''''~~ ,_. ,.,.__X~.'7"f1S1'-- ' ~;"!'b''''~~''N';.J.'nU';;~~~~f~'{,j~,,",1''''''''''4''''~l'''~~ ' ElectricalContractor C!. ~.u,F/,.,~.J;;:",. 200 Amps or less $63.00 201 Amps to 400 Amps $ 75.00 Address 0J . t<.,x 1/9.1' 401 Amps to 600 Amps $125.00 601 Amp's to~IOOO:Amps $163.00 . City C!..RLo.s.(,]r, I L Phone R9.5' CJY'd-i, Overl()(i~/~~~~1tST SHALL EXPIRE IF$jt5:~o'OKI\ Reconne'i\&PI~JRIZED UNDER THIS PERs150.00 I\u I ~::':::.~,,:..::~:. 'J;.~~i~~,~2,.;~.,P'~~~Q. ..~L. .F~'!i'.'.':'I:l."k'~'I-~1 Supervisor License Number .2 9 70- S C. ''f_emp!!r.~:ry,s.V:n.c,~.~f.JK~~.!!m,,'''' .A.1j\;;'~l~~ .;:t:f,'(;\:N.$;~ Expiration Date /c-/-cJ/., Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Constr. Contr. Number /, <;""9 ~5"7 Expiration Date '7'-/.5-- .0 I?' Over 600 Amps or 1000 Volts see "B" above. D. ~B ~"""Ii'~c'""~""!"''lllli'''')''''.,r;::'~13!:j'jl'.;!AV''i!'.';!i>Pi!i'.'''''''''P",'''~/;'~ . 1i..",.J'~I}S.,,~:JX~~~J!S:~tj~~~';~~~f'T"16~i'!tS!.>:~,:;';t~~~~'~:t.:~,;i. r. New Alteration or Extension Per Pane) ~. '.Ii .') One Circuit / $ 43.00p Each Additional Circuit or with Service or Feeder Pennit $ 3.00 Signature of Supervising Electrician (PL~ U' -,R. g"" ;, r ~6 Ij./Z.S il,<5I_ Phon6:?{) - 9fdJ/ ~::r~';~~.f;t;(''i''''k~'lf.t '1!"'~~>;4;,'it;.""':.1. 'i.~;~ -~. -'~~':\"~-'\'.-'r~'::,.'-V "'i':! E. ~.~!!]!~i~!t~t(~t.tz~L!~~~e,f~:9!i,~f!P",d.~2):'~-.:~~~~!~~J!~~~ The installation is being made on ~.v~_..1 I own which is not intended for sale, lease or rent. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Inspection Request: 726-3769 Minimum Electrie Permit Inspection Fee is $45.00 + Surcharges . ~""""''''''''''.'''''''''''''''''"''''"'''''''''~~.'.\\I ..~.. '~'fII..". .;J r:P 4. l'fSUBTOTAVOEABOVEit ",. ;iJi ....' . ~Y~~~~,r..J:~~\#.>~~,,<-""~-!'>1.* -..,,' ...ii. . 5'~h. -;:) 7% State Surcharge N5. U 10% Administrative Fee d ,/2:> hi 5 c:. TOTAL Shared Drive(T:)lBuilding Fonnsl'Elec~C;]1 Pennit AP~:f:l14J3tfoc::, Owners Signature: 225 Fifth Street Springfi\!ld, Oregon 97477 54.1-726-3759 Phone . 8!'~'AI"~~.FI~' _'.__....'.... Ilk ., I _ .~. .,i .... .._~ . . c, ~ity of Springfield Official Receipt .evelopment Services Department Public Works Department Job/Journal Number COM2005-0 1 099 COM2005-0 1 099 COM2005-0 1 099 COM2005-0 1 099 Payments: Type of Payment CreditCard ,1 1 , " " .. f 8/1712005 RECEIPT #: 2200500000000001112 Date: 08/17/2005 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Item Total: Paid By C. PERKINS INC Check Number Authorization Received By Batcb Number Number How Received 2279 222796 In Person Payment Total: Page I of 1 9:44:35AM Amount Due 43.00 2.00 3.15 4.50 $52.65 Amount Paid $52.65 . I $52.65 . . . Lu l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01099 ISSUED: 08/17/2005 APPLIED: 08/15/2005 EXPIRES: 02/17/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2329 DORNOCH ST ASSESSOR'S PARCEL NO.: 1703272207608 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install Gas Furnace and AlC A'riEf.f~6W: '(Mgonll!lw requIres you t!}esidential follow rules adopted by the Oregon Utility .,_...:.e:__..:__ "'.......4_.. Th....""'" ...1.0.00".0. eof fnrth , Owner: Address: PETERS CHARLES N & WENDY E 2329 DORNOCH ST SPRINGFIELD OR 97477 In OAR 952-001-o01l1'l/o~A 9!SltlMll-9671 0090. You may obtain copies of the rules by calling the center. (Note: the telephone " numoer tur Ult:= Ult1YVII Utility t~U"lhVUU""... I CONTRACTOR INFORMATIONl,Jr is 1-800-332-2344). Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC JAMES HEATING License 159537 Expiration Date 04/15/2008 Phone 541.895-4466 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: ,. # of Bedrooms: BUILDING INFORMATION' # of Stories: ~~GTlCE: Lot Size: Height ofStructurelJlS PERMIT SHAL~qlI<:!il.~\!!'\<<1o~:.1E WORK. Type of Heat: AUTHORIZED UNOES!rF,t'2nd.Floo~l:r IS NOT . " , IhJ I LnlVI Water Type: COMMENCED OR I~S~}l~~.~~Fmt;,'!\:mQ Range Type: ANY 180 OAY PERII~'~ Ft Garage/Carport Energy Path: Sq"Ft Other: Sprinkled Building: nla Occupant Load: .1. I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer A vaUable: Special Instruction: Sidewalk Type: DownspoutslDralns: . Notes: ) Pal!elof3 , 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 + 7% State Surcharge Air Handling Unit Up to 10,000 Furnace. up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Minimum/Adjustment Electrical Total Amount Paid . . CITY 01' ~rIUr\(ut<l~LD Building/Combination Permit PERMIT NO: COM2005-01099 ISSUED: 08/17/2005 APPLIED: 08/1512005 EXPIRES: 02/17/2006 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project )?pp< P~\lLI Amount Paid Date Paid 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/17/05 8/17/05 8/17/05 8/17/05 Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $4.00 $21.00 $4.50 $3.15 $43.00 $2.00 1200500000000001191 1200500000000001191 1200500000000001191 1200500000000001191 1200500000000001191 1200500000000001191 1200500000000001191 2200500000000001112 2200500000000001112 2200500000000001112 2200500000000001112 $115.30 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~rprt Tn(',nection~ I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 00 . . CITY OF ~r1Ul'ild<l~LD Status Issued Building/Combination Permit PERMIT NO: COM2005-01099 ISSUED: 08/1712005 APPLIED: 08/1512005 EXPIRES: 02/17/2006 VALUE: 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 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 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 the permit card Is located at the front of the property, and the approved set of plans will remain on the site at ail times during construction. Owner or Contractors Signature Date Paee30f3