HomeMy WebLinkAboutPermit Electrical 2006-12-13
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.CITY OF ~rlOr~uFIELD
Building/Combination Permit
PERMIT NO: COM2006-01598
ISSUED: 12/13/2006
APPLIED: 12/13/2006
EXPIRES: 06/13/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3727 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802061204308
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 3 circuits for heat pump.
Owner: GLORIA MAE ROA T REVOCABLE LIVING TR
Address: 3727 DOUGLAS DR
SPRINGFIELD OR 97478
NOTICE: Phone Number: 541-736-1120
THIS PERMIT SHALL EXPIRE IF THE WORK
A;';7;;C~t;;:~~ U;'4~~~ -'-11':' ~~1;1Vl1-~;0 ;1~1
Contractor Type
Electrical
Contractor
C PERKINS ELECTRIC INC
I CONTRACTOR INFORMATlOllll\"I1ENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
License Expiration Date
159537 04/15/2008
Phone
541-895-4466
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: ATTENTION:UrfSli1Ft''ifl'iI'PiOli~t:l::. yOu 10
Water Type: follow rules adop'Sq1F.llB'a's~ii'tgon Utility
Range Type: Notification CenterSqlBb'Gllfil'ge/Ciii'jiori>t forti
Energy Path: in OAR 952-Q01-0CSqlEfi(!)th:st':OAR 952-001
Sprinkled Building090. Youq.(~ay obto.~CUPll,DiEIsoaa!he rules b..\
.0 ._ i"'_._ 11..1.-_10._1__1.-___-
.1."l.n..'~- ....... __'U_" ,. ..-.-. ....- '-.-r""-"-
I DEVELOPMENT INFORMAJ1lONI,'-the Oregon Utility Notification
Center is 1-800-3~~~<!~"D PARKING
Overlay Dist: . Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsmrains:
Notes:
I Valuation Descriotion ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value lj)~te Calculated
\'d,\ 161 O(p
N1'\A .
M0-..p~1 r-J1
Pa2e 1 of2
.
.L11 i OF ~rKll~lJ..IELD
Building/Combination Permit
PERMIT NO: COM2006-01598
ISSUED: 12/13/2006
APPLIED: 12/13/2006
EXPIRES: 06/13/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Va\ue of Project
L.Fpps P'IW
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$4.90 12/13/06 1200600000000001750
$2.45 12/13/06 1200600000000001750
$3.92 12/13/06 1200600000000001750
$43.00 12/13/06 1200600000000001750
$6.00 12/13/06 1200600000000001750
Total Amount Paid
$60.27
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.
I Rpouirpd I~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 1 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 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
Pa2e 2 of2
r/
.City of Springfield
4!tctrical Authorization To Begin Work.
E-mailedTo:stacitay@hotmail.com
Receipt # RC507010
12/13/20069:07:10 AM
Check on statns of permit:
Contact: http://www.ci.springfield.or.us/dsdIBuildinglindex.htm
TYPE OF WORK
IIXlI or 2 family dwelling
D Multi-family
D Commercial! Industrial
FEE SCHEDULE
Description I Qty. I Ea. Total
Residential SINGLE- OR multi-family dwelling unit. Iucludes
attacbed garage
1,000 sq. n. or less
Ea. add] 500 sq. ft. or portion
- Limited energy, residential
(with above sa. ft,)
- Limited energy, multifamily
residential (with above sa. ft)
Senlces OR f<<ders installation, alteration, AND/OR rtlocation
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
TEMPORARY services OR feeders installation, alteration.
AND/OR relocation
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
Branch cirtuits - NEW, alteration, OR extension, per panel
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits $43.00
without service or feeder fee,
first branch circuit:
each addl branch circuit 2 $3.00
$43,001
$6,00
I 0 New construction
lliJ Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
I JOB SITE INFORMATION AND LOCATION
IJobno.: IJob.dd.....: 3727 DOUGLAS DR
I City/S..te/ZIP: SPRINGFIELD. OR 97478-6589
\ Suitelbldg.lapt.no.:
l Project name:
Cross streeUdirectlons to job slle:
I Subdivision:
ITax map/parcel no.:
I Lot no,:
1802061204308
DESCRIPTION OF WORK
3 circ heat pump, auto took mechanical
SITE CONTACT
I Name: gloria roat
IPbone: (541)736-1120 I Fox:
IEm.n:
I CONTRACTOR
lEI. lie, no,: 20-521C ICCB Iie,no,: 159537
I Business Name: C PERKINS ELECfRIC INC
Contact:
IAddre,,: PO BOX 1193
ICilylSt..e/ZIP: CRESWELL OR 97426
I Phone: 5418954466 I Fax: 5418954366
j Emall: stacitay@hotmail.com
I Metro Iic no.: I City lic 00.:
I Supen'lsing electrician's Iic. no.: 2970S
[Supervising electrician's name: CLYDE I PERKINS
Mistellaneous
I Service reconnect only
I Each manufactured or modular
dwelling. service and/or feeder
Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I
I
I
I
. City Of Springfield
I
Subtotal $49.00 I
Minimum Fee $45.00 I
State Surchar~ (8% of~nnit fee) $3.92 I
Ci~ Of Springfield fees. $7.35 I
TOTAL PERMIT FEE $60.27 I
10010 Local Admin Fee; 5% Local Technology Fee
ELECTRICAL PERMIT FEES
Upon review and approval by your local jurisdiction, your
pennlt will be e-malled or faxed within one business day,
with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180
days If a pennlt Is not obtained.
The local building department may dotennlne that an
Authorization To Begin Work Is null and void If It does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
r
225 Fiftll Street
Springfield, Oregon 97477
54i-726-3759' Phone
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CAof Springfield Official Receipt
.Iopment Services Department
Public Works Department
RECEIPT #:
1200600000000001750
Date: 12/13/2006
11:40:55AM
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
43,00
6,00
2.45
3,92
4,90
$60.27
Job/Journal Number
COM2006-0 1598
COM2006-0 1598
COM2006-0 1598
COM2006-01598
COM2006-01598
Description
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE C Perkins Online
Electric
Payment Total:
$60,27
$60.27
cReceint 1
Page 1 of 1
12/13/2006