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Home My WebLink AboutPermit Electrical 2005-7-1 .v tlVl-JlVVC:". , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPUCATI9fl City Job Numt€J1p?dffV-.S-Cb70 K Date '7-/ -d~-C::; 1. ~LOCATIONOlf:zNSTPT54iW~~1 d:S-g~~"'7;;;;;;i~,d~~.~ LEGAL DESCRIPTION hO~ 3~ /d.. OO[[()O JOB DESCRIPTION tlo.:t ~ - If / Jf , Permits are non-transferable and expire if work is ..- not started within 180 days of issuance or if work is Suspended for 180 days. . ~~~~:~~~..:r..-<}~~f,t;~!~!irI5t';l~~';5':!~.' Jr~v~ 2. ~~iITM,~~'ltX$,~2J..Q~.:R~ B. Electrical Contractor C R:d./J'> E'/;';;&,~, fr, , . Address m . J<?"" //9."1 City C!.../0os, (, 1-::ll- Phone R9.5" Cj{ji,1, Supervisor License Number __2970-};; Expiration Date /tJ-/-C!!':, Conslr. Contr. Number /, <;"9 ~5' /' Expiration Date <;t - /s- CJ :?" Signature of Supervising Electrician ~J~-!~JL.; _ Owners Name BpT'fi " ,In cd .) Address 5$ dt1/J7:;' '" or- City~/(J '" Phone74/-J1f3s OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 3. ~'COMPfb'.iK:FEESCHEDiJU;"'BEEoW~}.W~""",,"\;~'!it~.~~ ~J.aiO~~"""..--..r.w:.;c~....'~a.l.'~Jt:it,:s~~ A. [~~~~1ifi~~gle:1;~M6Itim~~Jl'&:dS~g',l1iii~ pr-:'W:t.1$.<lill.' ....."..~"''"''', ~. ...:ti'.~~a..~~~"",__~ Service Included 1000 sq. ft. or less $106.00 EaclilaillfiilOnal 5b&5);j!rrtli(JfJ requires you to P.9I1iQllltbereolidopted by the Oregon Utility $ 19.00 NE~tifli:"'''jinnEP,ndl~. Those rules are set rorth ac . ManUl,,-ct o.}l;\e..g,t;. irM6ama'if~\lfu- ISeMI:8~}IghOAR952-001. . OFelIde((OU may 0 lain copies of thp. ".'!mtPJI$50.oo . . li~~Ii)!~W-QJ~;.l!?1:~'ele~,~!"i;''-~' .. o.lJ!1!'ffl. ..""~" ~~..' li'U"'t "~"'M~~"''I''''''.R-'I'.' ."""'''10_ . .. 1I~" lltlI1.......uns~e ocalion: ,,,,,v-Center IS" _i. '!\~. ~J44)~~~~ -. '~ . ",- n;i 200 Amps or less $ 63.00 201 Amps to 400 Amps $ i5.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over)OOO AmpsIVolts $375.00 J,-'tnn- Reconnect0rlly $ 50.00 THIS PERMi;;";(1.:,;'-k~''''~-5_ c. ;]J~~p.o.rar:y; ser.Vic~s2o.r.;Ft:~de~ ',~f' ' " ~ ,.~" ~,' ~.U. 'Iv!ENCEO 08 IS ~n~!!r..~/T IS NOT IriStallal1on,A1teral1on or RelocalionD FOR . .vuuMr~tffiOO- 200 Amps or less' $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. . """"~,.~~~::::;:.~'~.... .. . '~"'~ D. t;Brancli'CifcuitS "1l;!;i? :ii '_. "<' -." .,J~-. ;~",:;j -_1#<......... - ."~" ,...,.",-.;".'~ ,'. .' i\:!.' OJ" . . '" ''''...' New Alteration or Extension Per Pane} One Circuit . / Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 L/.? ~ ~ E. f~lli~~llii~6ifs:t(s~~i~~jf~~l~1fJtlii'Zf~~d)~E~~l~b1~~~1 ;..t'_u...<.:;<l:i"~~""""=~"""-:O;J..i~..w.."n"-'<..o'-~,,,,,"~-l~'~':.-c'~^"'~'>.""" ~,...,...~ Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric.Permit Inspection Fee is $45.00 + Surcharges ~i.,z;'l\i=!i<;~'"0l'.l.~.~~, , ';. L/ 9 o-V 4.-!SUBTOTADOEABOVEi'{iJ"f" .~ .:/ -_..'i ~1E~~1.(:'fK:i,.:'.ic4'~SOi(.~~3?,fr,~.~~~' , -3.q3 d ~, CjO (If 57, 33 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FOImslElectrical Pennit Application l-03.doc SITE ADDRESS: 558 JANUS ST Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1703341200800 ATT 1,..,/1 ENTIOi}'y.pE>9Jll~lj:reqcr,~lrs y t PROJECT DESCRIPTION: Install heat pump and air handler ow rules adopted by the 0 au a N02J~~ation Center. Tho."" 'I~~e~~~n Ut~lity 0090" ~~~"-UU1-0010 througlPhOI1,'l!-r;i~s.i~~ 541-741-8833 . may obtam cop. f calling the center (N '~S 0 the rules by number In, th~ ,,_~ _ ote. the telephone rontr-.. :_ .. -""V_-" e\ullY '...,ollllcation I CONTRACTOR 1NFORMArtoN'i-332~2344). Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: Address: . BETH SMITH 558 JANUS ST SPRINGFIELD OR 97477 Contractor License Expiration Date C PERKINS ELECTRIC 159537 04/15/2008 CHITTlM ENTERPRISES I Il,!C,,: 'H'~c. 47396 03/08/2007 I BUILDINGIINFORMAT-IONI- EXPIRE IF 1 He WUKI\ AUl HUK,Ltu ul~ut:Fl THIS PERMIT is NOT #ofStclU~~':.~ENCED OR IS ABilNDOIIfot\sIf'e':l Heigh~~ry 180 DAY PERiOD. Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: . Sq Ft Other: Sprinkled nla Occupant Load: . Contractor Type Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: R-3 . CITY OF ~l"Kli~ld'l~LD Building/Combination Permit PERMIT NO: COM2005-00708 ISSUED: 07/01/2005 APPLIED: 06/10/2005 EXPIRES: 01101/2006 VALUE: Heating System Residential' Phone 541-895-4466 541-461-2101 VN I DEVELOPMENT INFORMATION' . REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Sidewalk Type: Downs pou tslDrains 1 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative. Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit: PERMIT NO: COM2005-00708 ISSUED: 07/01/2005 APPLIED: 06/1012005 EXPIRES: 01/01/2006 VALUE: I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Total Value of Project Ff'f'~ Paifll Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.90 $3.43 $43.00 $6.00 6/24/05 6/24/05 6/24/05 6/24/05 6/24/05 6/24/05 7/1/05 7/1/05 7/1/05 7/1/05 1200500000000000902 1200500000000000902 1200500000000000902 1200500000000000902 1200500000000000902 1200500000000000902 1200500000000000931 1200500000000000931 1200500000000000931 1200500000000000931 $119.98 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: Wben all electrical work is complete. 2 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY VI< St'KU"ltJFIELD Building/Combination Permit PERMIT NO: COM2005-00708 ISSUED: 07/01/2005 APPLIED: 06110/2005 EXPIRES: 01/01/2006 VALUE: 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 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 wiD 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 stree(that the permit card Is located at the front ofthe property, and the approved set of plans wID remain on the site at all times during constructlolL Owner or Contractors Signature 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 '541-726-3759 Phone Job/Joornal Number q:>M2005-00708 COM2005-00708 COM2005-00708 COM2005-00708 , .. Payments: Type of Payment CreditCard :, .j .; 7/1/2005 . RECEIPT #: B ~ity of Springfield Official Receipt WJevelopment Services Department Public Works Department 1200500000000000931 Date: 07/0112005 Description . Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By C. PERKINS ELECTRIC Item Total: Lheck Number Authorization Received By Batch Number Number How Received njm 128726 Phone Payment Total: I of I 1l:33:06AM Amoout Due 43.00 6.00 3.43 4.90 $57.33 Amount Paid $57.33 $57.33