The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-4-9 3. ZON ~\1(. INITIALS Lw. ~ DATE A::'~!'e\ .,; )OURCE .~'W-- y/ (/0 J I I COMPLETE FEE SCHEDULE BEWW 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 L/7o i/U A If V 51 LEGAL DESCRIPTION: A. /70.?351 ( C::> 7 j() 0 JO:Zl~~L ~ Cc. ..r LI.A. (. \ " " i> 2. "CONTRACTOR ~NSTALLATION <?~!' : B. Services or Feeders -lnstalla"~~~~ ,~terations or Relocation: Electrical Contractor C.~{7S~J ;::JgJ' 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 Address /.y' 3 ~ (J.d- k.s e ~/~ 401 Amps to 600 Amps $138 00 . ~,/ -'-. - " :, :~Ir ~~~~t'tbi~~~~~~i~i~Y $180.00 Phone OJ I/- fyo-'1~- ~?,:t-{C~'-VA~erThugo ~ 'Bytttet forth $413.00 :1 C;\]={ %2-00~flfl~~b1ia OAR 952.001- $ 55 00 OC90 You m~ obtaiq copies of the rules by '''' -< '/5" fa,5 r"'<:\.!lmg the bent~\l"W\flf~~~ede~, , ",;>" -' ' " ' ' - ~ number for the Oregon Utility Notifioation EXpIratIOn Date /0, 0/ -- a?O/ 0 CenterIids~9n or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see ':B':, above SIgnature of Supervismg ElectrICian D. Branch Circuits c-'\ :r-., /J New Alteration or Extension Per panel/ ~ C-<.J ,k'org, One CirCUlt $ 48 00 , N OTICe- Eac~ Additional CirCUlt. or WIth ---1\ r " . ServIce or Feeder Penmt Owners Name ~/1G-\.C_ \,:JV-;,C c.l'-THIS PERMJT SHAll EXP'~:t~n Address Lf '7 r- M J4-c ,v yr ~UTHORJl.fP~!frTWM~ftMl' City 51>":-~ Phone ~~~~~NgjD OR r~f\~~DONED FOR sml ~Jl:LIghting ELECTRICAL PERMIT APPLICATION City Job Number CO/N\.? 0 C ~ - c> 0 I ~J? 1. LOCATION OF INSTALLATION: I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City SJ Wo!. / SupervIsor LIcense Number Constr Contr Number )7o/P!3 ExpIration Date 5'6~ OWNER INSTALLA nON The installation IS bemg made on property I own WhICh IS not intended for sale, lease or rent Owners SIgnature: ~ r::JD ~'$J' . In,poet;on~. - 69 ~ ~~ ") ~~ Date New Residential- Si~~le ,or Multi-Family per dwelling unit. Service Included 1000 sq. ft or less Each addItional 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwelling ServIce or Feeder $11 7 00 $ 21.00 $55 00 $ 55 00 $ 76 00 $110 00 $ 4.00 l(g l( included) -Each Installation $ 55 00 $ 55.00 Limited Energy/ResIdential $ 28 00 Limited Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTALOFABOvE >" ",' S-z.. 12% State Surcharge b ?-l( 1 0% AdmmistratIve Fee S" 1..-0 5% TeChn~gy Fee &0 662"0 TOTAL '), .il./()P ~- -- 'J 25 8,'( Shared Dnve(T )/BUlldmg FormslElectncal Permit ApplicatIon 1-08 doc CITY OF SPRINGFI~LD Building/Combination Permit PERMIT NO: COM2008-00138 ISSUED: 04/09/2008 APPLIED: 01130/2008 EXPIRES: 10/09/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 420 MAIN ST ASSESSOR'S PARCEL NO.: 1703353107500 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: BWOP Owner has installed Heat pump, and electrical lines Owner: DUGGER JACK L Address: 420 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION _ Contractor Type Electrical Mechanical License 170183 162838 Contractor CRAFTSMAN ADVANCED HEATING & COOLING LLC BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: A3 Height of Structure Secondary Occupancy Group,:\TTENTION: Oregon tey'plfMIllkM:you.t,o Primary Construction Type follow ruVe'$ adopted bJ'lMQ~9n Utility Secondary Construction TYPIDtlfication Center. Th"~~I~ set~~ # of Bedrooms: in OAR 952.001.0010tI1!Q~(jlj ;952, ..: OO~~;;!~~h~~~~::~~t~~~~~te !i~~1. ~ number for ~ '0 ATION Ceo Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Commercial Expiration Date 05/3012008 01/18/2009 Phone 541-954-7589 541-334-4328 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOT1CE~ fTHEWO~lidewalk Type: THIS PERM1T SHAll m1REpERMlT IS No,ownspoutslDrains: AUTHORIZED UNDER TH'S COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page 1 of3 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 $ Per Sq Ft or multiplier Tvpe of Construction Square Footage or Bid Amount Total Value of Project ~ Fee Description ~Mechanical Issuance Fee~ + 10% Administrative Fee + 10% Administrative Fee + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Heat Pump Minimum/Adjustment Mechanical Penalty Fee - BWOP Electrical Penalty Fee - BWOP Mechanical Amount Paid $20.00 $10.00 $10.40 $6.00 $6.24 $5.00 $5.20 $48.00 $4.00 $14.00 $36.00 $52.00 $50.00 Total Amount Paid $266.84 I Plan Reviews I Date Paid 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00138 ISSUED: 04/09/2008 APPLIED: 01/30/2008 EXPIRES: 10/09/2008 VALUE: Value Date Calculated Receipt Number 1200800000000000327 1200800000000000327 1200800000000000328 1200800000000000327 1200800000000000328 1200800000000000327 1200800000000000328 1200800000000000328 1200800000000000328 1200800000000000327 1200800000000000327 1200800000000000328 1200800000000000327 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. 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. Pal!e 2 of 3 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2008-00138 ISSUED: 04/09/2008 APPLIED: 01/30/2008 EXPIRES: 10/09/2008 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 pertaming 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 3 of 3 . 2)5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00138 COM2008-00138 COM2008-00138 COM2008-00138 COM2008-00 13 8 COM2008-00138 Payments: Type of Payment Check cRecemtl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200800000000000328 Date: 04/09/2008 DescrIptIOn Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Penalty Fee - BWOP Electncal + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee PaId By CRAFTSMAN ELECTRIC Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 1057 In Person Payment Total: Page I of I 10:45:35AM Amount Due 4800 400 5200 520 624 1040 $125.84 Amount Paid $12584 $125.84 4/9/2008