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Home My WebLink AboutPermit Electrical 2005-3-16 , . SPRINOPIELD ; I ~ ' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ej1,' , ELECTRICALPERMITAPPLICATION '~ /"ol),~ ' City Job Number (0/11-\ 7.0'0 r - 0 0 1;./1 Date 3 '/ b /~;f::"o"" ',. ' " -- ' " .",~ ""., \YA . . I. ~Lb,,&TIOFrbF7fNStAf}?iTI~~"*'~ 3. li-eOMPUlj;"'W cNEjj:'~~"'iJi,~,~1i!i!~~~~lflll.1 !.i.:i~.l..:.r';~F""'~'~~;~~~~'~.\..~;~ ~~~~~~~ ._..~~~~~~t~""h)~;j{,,'l'~ ;;).~~ /071 Co It.:- Wof ' ""c> T ' "',', o?;'~ ._, _ ~ . ",' ~~~v..:-6~, "'" ". LEG/egz~~z~ QC>70C A'S~~~!a~~~~{t:'\~~t~ JOB DESCRIPTION 1000 sq. It or less "~"OO .:-"'- "''1: Jl I I Z ,/_ Each additional 500 sq. ft. or ~~ l1nr\ c: ( ./2.<:.'A:(T\ portion thereof '<..'f.s I , Permits are non-transferable and expire if work is Each Manufact'd Home or "'- " " not started within 180 days of issuance or if work is Modular Dwelling Service or S50~ Suspended for 180 days. ' Feeder ~NTRACr"'a'R~~;:rrr;.4TIONt5mJ~ 2. ti~~~I':jIl!'~t~::-n.~'~~~~~.">;.~ .',' Electrical Contractor (! ~d,.uS- EI;";;kI~, ,..z;;:,. '.J,"h"""ri~'.1"~"'II1'.~""~ :'r....r','...."....t,L....'...><:'<~~~......., .._.....".'fi. ...~ltv..,,~"'..,~.., -, B ~S'~' "'='-"'~'F' ""''''iI''='''Fi'''I~~-t''~I'I'~' t>"1;i;~A~l""t'- "t'~~ ,'"' '''R' "I==t"'~-' . "er.vJ,~s;,or ee.. !~~l_~~_,~~~~~~~~y~~~~~,q}~~r~~.n. ~o~:,;, . Phone 5(9.5' 200 Amps or less 201 Amps to 400 Amps " 40 lAmps to 600 Amps - ....~IO" I 601 Amps iO'jlooO"Amp.'tJI' , .....::._ Ov H- 1 reS y: S'S/d,C::1 . Otff~000~,~SlV61@regO Outl"> S375.00 Reconnect Onlye rUles a n Utili'" $ 50.00 , " I l<l} OUI ,~ "/lough re Set t. " , ,l(. ~Th'i~.9.,ii!G[=~'j.~~~<V'="'".Y.'..~':,.n~:JlI ....II,~t., tG<7.t~1"~Jf9~~~~F!i~-[~(Ie~.;::;:;;;i.~~rJ:~~Jt".l: '.:~rU",.s'<~:a CtiO/e.r;o regon II'} e te1ifJhr-. GS by lnstal1@lion'J3i\.1t~ation/' r RelOCation ~v'v'< ";;, 1Cati 200 Amps or lesi344}. 0" 20 I Amps to 400 Amps 401 Amps to 600 Amps S 63.00 S 75.00 SI25,OO SI63,OO Address J'?n , /C,,;., City' c.Rro.<:; {.1~' II //y3 Supervisor License Number ,:1 970-S Expiration Date /cJ-/-~'/, Constr, Contr. Number /. <;'9 <~? S 50.00 S 69.00 SIOO.OO Expiration Date "r - /.5- CJ:?' Over 600 Amps or 1000 Volts see "B" above. . m:.".~'a..1.~~"~.n'(,"'A''l'I.;'',J.lcp.~~"" 1L:i:,~:Y~tll::.7?"'J>!i!;...~i1! D. r~B.!~.~.F,Ij~!!~_~J~f?:li(Ul~~~~~~1t~~,frj..,3i'lJill::j,i~}~;~:~"k-~'!;~'ii:l~ SignaOlre of Supervising Electrician r\ ..."l , New Alteration or Extension Per Panel , rPil"O. .JJ-.,./~A.P'[, "",," ... One Circuit I S 43.00 {f - , , 'fUlleE' , Each Additional Circuit or with Y . , / r I !/:f/(,; "ER^' Service or Feeder Pennit ( S 3,00 J Owners Name f-C" If I ,'( ~ C-IA. VV\) ,,0;'1 'lIT S .j , ' I ~ ., IJRfZE~ ~ I,..::f;-y..p;.~........~ .,;,~,~ ;:;:>>::.::~ ~ .".(0 '", "rlJ.-"'>-~:'t '~(.~ ..... Address /D 7/ Co t! W"/J;if,f.1ENCE'E! llic~l1a'ne~~~~i91s_o/~~er.!,0J.!!'s!!tdl~d),;;&:;E!i.I.,!g\\!l~~!!.1 City s,. P e"'- Phone ANY 7 80 DA ~p~~~~ 4%ga;O~'E~D,1IFT IS NOr" S 50.00 '-nil "1 -" DR Sign/Outline Lighting S 50.00 Limited EnergylResidential S 25,00 Limited EnergyiCommercial S 45,00 I.() <7 7c., 7 t' OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent Inspection Request: 726-3769 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. flsmrroTAi:;OEABOVE~,,*~(~,w1~;~it:tj' / ~~~,~~~~,{l;;~~i1t'.;J"""-'!f...~.:-(;~it-':,-~t~~~~!5.I-\;1 L/b .,. Z <: 7% State Surcharge .J 10% Administrative Fee l(60 ~3 82. TOTAL Owners Signature: Shared Drivc(T:)IBuitding Forms/Electrical Pennit Application 1..o3.doc . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1071 COLE WAY ASSESSOR'S PARCEL NO.: 1802052400700 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00277 ISSUED: 03/16/2005 APPLIED: 03/09/2005 EXPIRES: 09/16/2005 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler I CONTRACTOR INFORMATION I , ' ,,' " , N requires you to Contractor ".. ~ Ltceitse1e OrE}p.il1Y~j".9 Date C PERKINS ELECTRIC INC . ,: "159537e rules are ~~hl~1.fIp8 BUILDING INFORMATIONI"u~gn UAR 952-001. lples of the rul b ' . :' r:rJ,lter. (Note: the telE' ,as .y # of Stones., Jr lht! Ore on U ' , .';Ot_str;e. Height of Structure, 9 t'lily Notlsq<Rtcqt Floor: Type ofHe~i; ..~, ,~ 1-800'332-2344).Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: ; Owner: KEVIN SCHMIDT Address: 1071 COLE WAY SPRINGFIELD OR 97478 Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone Number: 541-747-1494 Phone 541-895-4466 R-3 VN , DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: 1\1~~I:"toE # Street Trees,Rqd: : Handicapped: Paved DriveRqd;)ERM/T SHALL E Compact: % of Lot Gl!!erl':gJ'l!1ZEO UNO XP/RE IF THE WORK COMMENCFn nR ,~R, ~~/~!,_ERMIT IS NOT I PUBLIC IMPROVEMENTS'I' PERIOO,- ".~v"cu rUH Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 . . CITY OF :srKlNGFIELD Building/Combination Permit PERMIT NO: COM2005-00277 ISSUED: 03/1612005 APPLIED: 03/0912005 EXPIRES: 09/1612005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.~ tiWU Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 3/16/05 3/16/05 3/16/05 3/16/05 Receipt Number 1200500000000000335 1200500000000000335 1200500000000000335 1200500000000000335 Total Amount Paid $53.82 I Plan Reviews , 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 Rp.nuirp.d ~ 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. 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 descrihed herein, and that NO OCCUPANCY will be made of any structure without permission ofthe 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 5~""726~3759 Phone r Job/Journal Number c()M2005,00277 COM2005-00277 COM2005-00277 COM2005-00277 Payments: Type of Payment CreditCard 3/16/2005 . RECEIPT #: ~UIGl'I"'" , WJi"""'-','- -, -...'~' ~. :' ;,'.~ : .~? i -.. - ._.~ *.. ...-.". ,'-:' .., ..." . Jiii.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000335 Date: 03/16/2005 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By C PERKINS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 027756 In Person Payment Total: Page 1 of! 1:42:07PM Amount Due 3,22 4.60 43.00 3.00 $53.82 Amount Paid $53.82 $53.82 . . CITY OF ~rKll'l',d'II!.LD Building/Combination Permit PERMIT NO: COM2005-00277 ISSUED: 03/18/2005 APPLIED: 03/09/2005 EXPIRES: 09/18/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1071 COLE WAY ASSESSOR'S PARCEL NO.: 1802052400700 Springfield TYPE OF ~ORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: KEVIN SCHMIDT Address: 1071 COLE WAY SPRINGFIELD OR 97478 Phone Number: 541-747.1494 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC CHITTIM ENTERPRISES I INC License 159537 47396 Expiration Date 04/15/2008 03/08/2007 Phone 541-895-4466 541-461-2101 I BUlLDIN-. mruKI,IATION, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # o~ StorifutmoN: Oregon flIW ~.J,au to HeIght ~.ifm;;'N\8s dopted by the cltlllf6"~fJOf'r: Type o~iW eea tar. Those Nki!~ll~ flm: Wate~s:ation n hit ,: Rangelll~ 952-001-0010 thlOUQ f1 ftfarport Energ)OO:M\, You may obtain copies ~ '~' . Sprlnkle<tBUIJlg~ centet. dJ'1Iote:.~ n e d: ,'lI:I,..-....6{'\.""'nnllt,)lit't 0 Ilea , DEVELOPME;ii.iNFClIRMAllUiJNllI.......2-2344). .; REQUIRED PARKING r R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I MOIICE'. Sldewalk,Type:\F THE WORK RMIT S\-\fl.LL t^~,,,c T THIS PE 'DownspoutSIDrains':IT IS NO AUTHORIZED UOI~Ru~S'ABANDONEO FOR COMMENCED fl.NY 160 Dfl.Y PERIOD, Notes: Paee 1 of3 . . \...11 r' OF ~rK1r~ljJ<l~LJJ' Building/Combination Permit PERMIT NO: COM2005-00277 ISSUED: 03/18/2005 APPLIED: 03/09/2005 EXPIRES: 09/18/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I , , Description Tvpe of Construction $ Per Sq Ft or multiplier Square' Footage or Bid Amount Value Date Calculated Total Value of Project l..Fpp< PIi!U Fee Description Amount Paid Date Paid Receipt Numher + 10% Administrative Fee $4.60 3/16/05 1200500000000000335 + 7% State Surcharge $3.22 3/16/05 1200500000000000335 Add, Alter, Extend Circ $43.00 3/16/05 1200500000000000335 Add, Alter, Extend Circ Ea Add $3.00 3/16/05 1200500000000000335 -Mechanical Issuance Fee- S10.00 3/18/05 1200500000000000346 + 10% Administrative Fee $4,50 3/18/05 1200500000000000346 + 7% Slate Surcharge $3,15 3118/05 1200500000000000346 Air Handling Unit Up to 10,000 $8.00 3/18/05 1200500000000000346 Heal Pump $12,00 3118/05 1200500000000000346 Minimum/Adjustment Mechanical $25.00 3/18/05 1200500000000000346 Total Amount Paid .$116.47 I Plan Reviews , 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. ~e(1l1irerUn~ne('tion!lii 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 00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00277 ISSUED: 03/18/2005 APPLIED: 03/09/2005 EXPIRES: 09/18/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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. *:. A, 2tJA,Q~..- 3-12>-OS- ~ner or Contractors Signature Date " ...., -: Paee 3 00 225 Fifth Street . Springfield, Oregon 97477 54J~726-3759 Phone Job/Journal Number COM2005-00277 COM2005-00277 COM2005-00277 COM2005-00277 COM2005-00277 COM2005-00277 Payments: Type of Payment Check " 3/18/2005 . B In' of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200500000000000346 Date: 03/18/2005 11:23:30AM Description + 7% Slate Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimwnl Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Paid By JAMES HEATING Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 1343 In Person Payment Total: $62.65 $62.65 Amount Paid Page 1 of I