HomeMy WebLinkAboutPermit Electrical 2008-4-11
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:heidi@c-perkms.com
Receipt # EC528541
4/10/20082:24:40 PM
~~
FEES~HEDULE
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@ci.springfield.or.us
'.:rYPE OF WORK'~ ~
, ," ~ <"I >>' I'
Ii] AddItIOn/alteratIOn/replacement
I
"
Descrlphon I Qty. I Ea I Total
Residcntial[;S!NGLE- OR mulh-fannly dwelling unit Uicludes
~(,lhached ga'rag~dIII1521>1'\\<< I' ~ ,,. '1'';:,111\1<,/" ' 11 1<<1, ~ ~ ~-'i,,-m,' '! II"
'1"1,", ,,0 "I'" <<"I" ) " '
o New constructIon
'~" ;, ,; 'x,,, 9Af'EGbRY;,9~}~ONSTRUqI!ON
[Xl 1 or 2 famIly dwellmg 0 MultI-famIly 0 Commercl3l / Industna!
, ""1'1", ' HLd"Hi~,':I9B,S'rrE'INf'ORII(I~~I~N AND.~QPMioNM"'Hi\'H -
I Job no A08-036 I Job address 624 S 72ND ST
I City/State/ZIP. SPRINGFIELD, OR 97478-7426
I SUlte/bldg /apt.no..
I Project name
Cross street/directIOns to Job site.
1,000 sq ft or less
I Ea add! 500 sq ft or portIOn
I 1II%I<<1,~ 'E '.
,~~Ited,' n!rgy,,,, , .,"'" ;
I-LImIted energy, resldentl3l
(wIth above sq ft)
I-LImIted energy, multlfamlly
resldentl3l (WIth above sq ft)
I-LimIted energy, commercIal
(WIth above sq ft)
I - Stand-alone lImIted energy,
reSIdentIal
I - Stand-alone lImIted energy,
multI-famIly
- Stand-alone lImIted energy,
commercIal
Services OR ~ft:derslinstalIat~?!1' alteration, AND/OR relocation
'I II" I"
I SubdiVISion'
jLot no,
I
I
Tax map/parcel no' 1802022105800
I' ", , "" , '1';DESCRWTioN OF WORK,
electnc for heat pump w/ handler, sWItch & GFCI
200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
l'EMPORARY selJ,\ces OR f~der:~, lD~tallliiJon', alter:atlOn,' ',I '
'A+'lDI9R,relocatjdn::'~ <<"' f k:t~:, ,~t(I~I)1
"t"
I
I
I
,,' I
'"
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
I Branch cIrcnits - NEW; "alteratIOn; OR: ~xteDsion, pc{panel
I 'S",. '1103 I ",1'.'1"
A Fee for branch CIrcuits WIth
servIce or feeder fee, each
branch cIrcuIt
B Fee for branch CIrcuits
WIthout servIce or feeder fee,
first branch CIrCUIt,
I each addl branch CIrCUIt
I " '
\~Ij~ttl~~~~~~
I ServIce reconnect only
I Each manufactured or modular
dwellmg, servIce and/or feeder
I Pump or lITIgatIOn CIrcle
I SIgn or outlme Iightmg
SIgnal clrcUlt(s) or IImlted-
energy panel, alteratIon, or
extens IOn
XI''' SrrEJCONTACT I
I",,,"
I Name. heldl I
I Phone (541) 895-4466 IFax I
IEma11 I
I ;f,K ,I' CONTRACTOR 'II "" ", I
~ l' 'I ~ iI' 'I,ll ,", <1"111,,' ,1'"""
lEI. hc no' C335 I CCB hc. no 178518
I Busmess Name. RITE ELECTRIC INC
I Contact, HeIdI
IAddress; PO BOX 842
I CIty/State/ZIP CRESWELL OR 97426
I Phone. (541 )8954466 I Fax (541 )8954366
I EmaIl, heldl@c-perkms com
I Metro hc no' I CIty IIc no'
I Supervlsmg electriCIan's hc no 2970S
I Supervlsmg electriCIan's name' CLYDE I PERKINS
$48 00
$48 00
$8001
I
I
I
$400
2
, \;,
Vt, \,
not offered onlme at thIS JUrIsdictIOn
m,' ,"" ,
- -ELECTRICAL PERMIT FEES
, <<, j<, ~
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
Subtotal $56 00 "
State Surcharge (12% of pennIt fee) $672
Ir ~ CIty OfSpnngfield fees' $840 I
II TOTAL PERMIT FEE I $71 12 I
City Sp~gfield 10% Local Admm Fee, 5% Local Technology Fee
~&),?iff aassaJO;~-l
I JrS:
j(j-//- />0: SSaJOHd arva
5/;~ - ~ (U) re:#l.d~lI
ThIS AuthOrizatIon To Begin Work mUlt be postea at rneJuu\Jle ~~ by a PermIt
utfr6s ,r -- WD. (<-/ _
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained
The local building department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet apphcable land use laws and local ordinances
f!, v ,J.
~u- {i\ (1l~1
5\u / \\ ,~~\t
~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00410
ISSUED: 03/26/2008
APPLIED: 03/26/2008
EXPIRES: 09/26/2008
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 624 S 72ND ST
ASSESSOR'S PARCEL NO.: 1802022105800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump Installation
Owner: SUCHANEK DAVID W & BARBARA
Address: 624 72ND ST
SPRINGFIELD OR 97478
Phone Number: 541-741-3464
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
EUGENE HEATING & COOLING
License
149452
Expiration Date
10/22/2009
Phone
541-726-7654
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
SprinkJed Building
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
JUDT'Uf."r::..
Storm :sewer.A:Wlilable:
Specian~slffc]wN!IT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
.\U\' 100 DAY rEnlOD.
I PUBLIC IMPROVEMENTS I
ATTEmfa'A~"d~~n law requires you.t,o
folloWB~~~?a\Ws~he Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the tel~~ho~e
t ll' "-e--I'" Iltilit" t..lntlflSshan
nUIIIlJt:lIIV1 .'" _, ~ "'-' . l
I I c ter is 1-800-332-2344).
Valuation Description en
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00410
ISSUED: 03/26/2008
APPLIED: 03/26/2008
EXPIRES: 09/26/2008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.00 3/26/08 3200800000000000192
$5.00 3/26/08 3200800000000000192
$6.00 3/26/08 3200800000000000192
$2.50 3/26/08 3200800000000000192
$9.00 3/26/08 3200800000000000192
$14.00 3/26/08 3200800000000000192
$27.00 3/26/08 3200800000000000192
$5.60 4/11/08 2200800000000000445
$6.72 4/11/08 2200800000000000445
$2.80 4/11/08 2200800000000000445
$48.00 4/11/08 2200800000000000445
$8.00 4/11/08 2200800000000000445
$154.62
Plan Reviews I
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.
~eouiredJnsDections ,
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.
Pa!:!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00410
ISSUED: 03/26/2008
APPLIED: 03/26/2008
EXPIRES: 09/26/2008
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 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
Paee 3 of 3
225 Fi{th Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00410
COM2008-0041O
COM2008-00410
COM2008-00410
COM2008-00410
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000445
Date: 04/11/2008
DeSCrIption
Add, Alter, Extend Ctrc
Add, Alter, Extend Orc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmistrative Fee
PaId By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorIzatIOn
ReceIved By Batch Number Number How Received
NJM
ONLINE
RITE Onlme
ELECT
Payment Total:
Page 1 of 1
9:24:21AM
Amount Due
4800
800
280
672
560
$71.12
Amount PaId
$71 12
$71.12
4/11/2008