HomeMy WebLinkAboutPermit Electrical 2007-6-25 (2)
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ....... ""'" SOURCE ~ ~
ELECTRICAL PERMIT APPLICATION / I I
City Job Number COM7,co7- 00 <t77 Date (0 J5 01
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l.,.LOCAt,ONPF Il"Is,T4LATION;:',:.~ ?:. . I ~~=-;... ~,~ ".._ ,....,LJ~j!!!L,_, _ . '~..:.",;",-~.~~,;C;.,,~
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LEGAL DESCRIPTION:
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Owners Name dAWlE:::\ V~([
b3 t () ts s t- E. ~~l~\!.;-;;;~;;.(~!.r~/f;~~er~,~~~ili_~~p~~;~ r.'~~~'lIai~~;'"
'" j:> r-=- \ Phone -;'l/ t - Z 7 , g Pump or inigation $ 50.00
ATTf=~IT'''~', " Sign/Outline Lighting $ 50'S0 'l',(\?'I'
OWNER INST!\:CLA'FIONn law requires y f Limited Energy/Residential .. ;n,Qy$\2I06: \~ NO\
.,uOIOwrules a.doQlp-;j Q" th." ou 0 .', ..~.r.~:., ,,\. t.I'''' '_n~.r\-
TheTms!~!La..\1.?'),\s,b,S\nlg,mr ad,e on property:!!ownj"f~!cJh LUlllted Ene'.llY./CommerclalS\,\,,'- -, ,,~'y$~45,OO 'CO
, , ddcV~lltl lone- I \ "c9.\'J\\' '\-11'''- ,.-\\~."
IS n(j\ '!)!~~, gJ2"-\jsa e, ease orrent!J es are sef forth ' Minimum Electric P\ermit:lnspectiolilFee Is $45,OOlT~Surcharges
00811 YOll m Ul-0010 through OAR 952-001- ~. --'-..-,,'~, -,'\'\. "~:;,\",o.\l,\:\,l..*,. ~ \'i'f{!>.\)I\\"'. .,' L( ~
ownefJa~l\fJgt~~:~e~~t:'n(NcoPi~S of the rules by 4. :~li{BTOT~;~~~i)J,)~\~ti:~L:~\~? I
n. _'" ,ate. thp tpI",nhn1e 8% Stale SurcJffi'ge . \l.\) \)r>-'j? , , ' ~ 't z..
." '-~C'~~f~:~su;~gO~~3~~ii3~~t~iiC~fion . ~~;~~:~~~~~;~~: Fee ~ ~"'r-
60~
Shared Drive(T:)/Building Forms/Electrical Pennit Application 8-Q6.doc
07003
JOB DESCRIPTION:
A- J.J "]
C\v'" C.IA', h
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended f~r 180 days.
",~ .,.~ . "" :;":'f:"""'l'" ''''.~'~;r--;":_''''~'- ,-_r,,-:',~~.'- .~ .,~"""', '~:.-'
2 P.cONTRAcrOR INSTALLATIONONLY;'
. L' __~. .......~__., ,,- ~. .' 'c.4=:).;l.--,'---".~'. ;;;,.,;,.'f'.;.'1.:~:':;._I" ~.:!~ :..:.,.:......
Electrical Contractor I;~ &~d) (' C/,.."'~~
. ,
. Address rO..A /)x / / 'l..3
City (?~1 ~fJ./
Phone %9.5" 'I t; (, t.-
Supervisor License Number ,).. 'J 7,!) - S
Expiration Date / IJ .- d I - c> 7
Constr. Contr, Number /. 5' '7 . s= '-? ?
Expiration Date 7" - /i: - .0 X'"
Signature of Supervising Electrician
Address
City
Inspection Request: 726-3769
SCANNED
':1-,'-"'-'''' v '..._t'.H""~'~~""__':~"_,~~"'r ..........~"~f':.".:(....,.......;-~~":.'r-'..t' ,', "" ""'""7,--,
A. ;;I"Ie\v,Resid{'!ti.I.,.;~ingle~r Mulli-~a';;i1y:per,'dwel'iJig unit:; '1:
.....__..-_.~..l.."..,"'., '""...:L_~..... _.~_'<o ...... ....--._.~... "'_.._,/C.. ,..-. ,~...'_ .,.'.>._ '.^'. "'_ ~_~......J,._-
, Service Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
$106,00
$ 19,00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
ti";.-~~1~;-.: ;:"":._....;-;i~~'?:;:::::. \.:-':..~7;~ ._~ ~.:..>.~~._-;:-:'-'-_T:,~..,.-.
B. ,'Services or lieede~~'-: Install~lIon, Alterallonsor Relocation:'
L" ....~.;""'.....~..:.....::.-.:.....,_,.,;;;..z..~.~.__.:.~.....,... _ ~_,-,-~:_~~.l.'"-:""'_' _0:'-4-".........._
$50,00
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
,60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125,00
$163,00
$375.00
$ 50.00
~-~";T"""""'--'"'" ..._-,.--'......-.--,- _,_,..,'L' _~~-_"': _-::-~.-_ _...~._'.,.
C. ~~ TC!nporaQ; ~erVice~"~f Feeder~>>'.,- },' :"/, ;~J,\:,!~\:. ".....~~ ~'i ,.I,.i
,,,\ ...,.' --. .,.....^- .-.-- -. . ..._,,- -.---"..--. .. - """- ,.,",._.,.~...."..:_...,....~, ~""~'-' -""'\..,,, -'-_....
Installation, Alteration or Relocation
200 Amps or less $ 50,00
201 Amps to 400 Amps ' . ~()9,OO
401 Amps to 600 Amps $100,00
Over 600 Amps or 1000 Volts see "B" above.c.... .
~.-- .---;- -.-~-\'i::_:..-, ~-::-~:--:- ':,-- ~.-.....~_.,
D. ;M~!l!"J~~~~ S~"~~~~~::...~-:{_~ . .~." ~~.~t~:l~~~1:~~..~~:.. <~#
New Alteration o.r Extension Per Panel / . -. '..,
One Circuit J 43.00
Each Additional Circuit or with ? " .." ,
Service or Feeder Permit t),OO
L(J
~-,
TOTAL
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRIN\Jl'lJ<,LD
Building/Combination Permit
PERMIT NO: COM2007-00877
ISSUED: 06/15/2007
APPLIED: 06/15/2007
EXPIRES: 12/22/2007
VALUE:
SITE ADDRESS: 601 EDGEMONT WAY
ASSESSOR'S PARCEL NO.: 1703341307003
Springfield
TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump and air handler.
TYPE OF USE: Alteration
Residential
Owner: YARNALL JAMES E & JACQUELINE Z
Address: 632 W D ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor
C PERKINS ELECTRIC INC
EUGENE HEATING & COOLING
License
159537
149452
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I BUILDING INFORMATION I
~\J\\~
# of Stories: ~ ,\\'t. ~\J'
Height.9~~tt.rctnr~\, \':l
{'~: T~l!e'of'Heat: \''t.\\ t\J1\.
.:\\)\\v ~"\' 'Wat~r.\l:Yi>"i,\~I"\J\\'t.\l
1 0'(::,,1" R'>''' I\..T - ,~~v
,\\\':l' 1'C.\l angel<.:.y'p.!,,'
-:i\\\J\\\ Energy'Path:
1'-\l ,,,^'C.~C.\:Sp;inJle~IBuilding: n/a
,,(\\\1\\'\\\ _ ("\ ~, "
1'-~11 DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-746-2298
Expiration Date
04/15/2008
10/22/2007
Phone
541-895-4466
541-726-7654
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
ATTENTION: Oregon law requires Sili~~lk Type:
follow rules adopted by the Oregon Utility .
'f' ' C t r Those rules are D.!.'~nspoutslDrams:
Notllcatlon en e, - .-"
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332 2344).
Pa~e I of 3
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00877
ISSUED: 06/15/2007
APPLIED: 06/15/2007
EXPIRES: 12/22/2007
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion J
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
F'pp<. PIi.IIJ
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
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$4.90
$2.45
$3.92
$43.00
$6.00
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/25/07
6/25/07
6/25/07
6/25/07
6/25/07
Total Amount Paid
$125.62
I Plan Reviews I
Value
Date Calculated
Receipt Number
2200700000000000961
2200700000000000961
2200700000000000961
2200700000000000961
2200700000000000961
2200700000000000961
2200700000000000961
1200700000000000816
1200700000000000816
1200700000000000816
1200700000000000816
1200700000000000816
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.
, l?P'\IIJrprlln~,ne('tions 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
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00877
ISSUED: 06/15/2007
APPLIED: 06/15/2007
EXPIRES: 12/22/2007
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 herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he 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 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 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
Page 3 of 3
225 Fiftb Street
, .
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2007-00877
COM2007-00877
COM2007-00877
COM2007-00877
COM2007-00877
Payments:
Type of Payment
CreditCard
cReceinll
RECEIPT #:
if~
.. of Springfield Official Receipt
l'rvelopment Services Department
Public Works Department
1200700000000000816
Date: 06/25/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
C PERKINS ELECTRIC
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
djb 012256 In Person
Payment Total:
Page I ofl
10:49:39AM
Amount Due
43,00
6.00
2.45
3.92
4,90
$60.27
Amount Paid
$60.27
$60.27
6/25/2007