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Home My WebLink AboutPermit Electrical 2008-4-15 3. ZON I , ., INITIALS ~ t&!:. DATE ~. \~ .O~ .,, SOURCE >>~~ l{J~ f c I ( COMPLETE FEE SCHEDULE BEWW ,c 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COMZooB -- 00 )00 2 CONTRACTOR INSTALlATION ONLY B. Services or Feeders - ~nstallation, Alterations or Relocation: E'lectncal co~tractor ;:::'1):: ;;:&.{./;/~/ i~ J 200 Amps or less ^^'" J' $ 70 00 "'l~ e- If; 7/ 201 Amps to 400 Amps $ 83 00 Address &::;"0 S:;, U.;..-- f/.; u../ 401 Amps to 600 Amps $13 8 00 - . ~... \ t' l !1 4frV -~~,",.2--- 601 Amps to 1000 Amps $18000 City (}f//:.)../tY'1/10/1 ilL Phone 7V / .... ;;t~i Over 1000 AmpsNolts $413.00 I I Reconnect Only $ 55 00 PC'l/ ATTENT'ON'~" ' ", ' , Supervisor License Number 30 1 S fallow rules alff SfaB~Wl"~tJi:1U'eeders !'JOtltlcation Cenf~te: oy the Oregon Utility Expiration Date I'c, r ,#'1 {} ~n OAR 952-00 1-dtJ;l)tnFr~td"~JmOAeJffti88tcfD"'location vu~u. You may o~~r~ gJ R 952-001_ $ 55.00 calling the cen~.l' ~ ~~~'es by $ 76.00 nUmber for the () e. <trrlnl:l~pnone Cent . ~fflOOiltPJttbtyqQ_ation $110.00 er IS 1-800-332-234.:1\ Over 600 Affi')rs 011'1000 V olts ,~~~ ,"B" above. D. Branch Circuits " r:'::" A ~ " < Pump or irrigation $ 55 00 Slgn/Outlme Lighting $ 55 00 OWNER INSTALLATION LImited Energy/Residential $ 28.00 The installatIOn IS being made on property I own which LimIted Energy/Commercial $ 50.00 is not mtended for sale, lease or rent. NOTf~nimum Electric Permit Inspection Fee is $50.00 + Surcharges THIS PEflMJ~~W~I~~O~f(" 7tf AUTHORIZEDtliJNa6a ibWLimMIT IS NOT If Zi!> COMMENCED<6QASnA~~ FOR yf'D ANY 180 DA't5~logy Fee I.{ '?D 117.3B 1. ,~ LOCATION OF INSTALLATION: ;Od-, 7 ~llt(~J fJ. ' LEGAL DESCRIPTION , 7DZ3SZZ Dt.{oco JOB DESCRIPTION: c4~ ~ "Ev-f-eM ~/ ~i -f~ G( c ~ IS 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. Constr. Contr Number .R 7 J--{)~ Expiration Date J1!4./?- :J<.>/ () SIgnature of Supervismg E~~an ~~ t...-r-- -..., , Owners Name ~"fI Address ? ,,- ~ City 5f+'J 7J I/;~) t5'~( ~ frM'V-<r>v 1r..J. Phone 2c.;~ - :;<;.-117 Owners Signature: Inspection Request: 726-3769 Date A. New Residential- Single or Multi-Family per dwelling unit. VbW~~ "''' , Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $117.00 $ 21.00 $55.00 New Alteration or Extension Per Panel One CirCUIt Each Additional Circuit or with Service or Feeder Permit $ 48 00 ,fi- $ 4.00 J-ft~ E. Mis~~lIaneous (Service/feede~ not included) -Each InstaUation TOTAL Shared Dnve(T )lButldmg FormslElectncaJ Penmt ApplicatIOn 1-08 doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00500 ISSUED: 04/10/2008 APPLIED: 04/10/2008 EXPIRES: 10/15/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7027 THURSTON RD ASSESSOR'S PARCEL NO.: 1702352204000 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Heat pump and air handler installation. TYPE OF USE: New Residential Owner: DILWORTH GUY F & PATRICIA A Address: 7027 THURSTON RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION. Contractor Type Electrical Mechanical Contractor K & K ELECTRIC INC MARSHALLS INC License 87202 25790 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: oU to ATTENTION: Oregol$~i\\Jt~MB~~'U\llity n/a ,,__ ^rI("\f"\torl hV the 'Orag _ N~'~rtl~~t~~~ Q~~Vmi~PM~ION I in OARy952-0~Y'-~bt~i~I~;Pies 01 the rules by 0090. ou m llW-etbt,ttmsw1ephone calling the center. "'~ r. t..I tilication number for the ore~~Mttlilt':1~~qu; Center is 1-iQg~J1Moe"lU)'d: % of Lot Coverage: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-747-2587 Expiration Date 04/30/2008 12/23/2009 Phone 541-741-2663 541-747-7445 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: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHAll EXPIRE fF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Pal!:e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction 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 Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00500 ISSUED: 04/10/2008 APPLIED: 04/10/2008 EXPIRES: 10/15/2008 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $20.00 $5.00 $6.00 $2.50 $9.00 $14.00 $27.00 $9.40 $11.28 $4.70 $24.00 $70.00 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 4/10/08 4/15/08 4/15/08 4/15/08 4/15/08 4/15/08 2200800000000000434 2200800000000000434 2200800000000000434 2200800000000000434 2200800000000000434 2200800000000000434 2200800000000000434 1200800000000000351 1200800000000000351 1200800000000000351 1200800000000000351 1200800000000000351 $202.88 I 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. lJeouirerUnsnections. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pal.!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00500 ISSUED: 04/10/2008 APPLIED: 04/10/2008 EXPIRES: 10/15/2008 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 Pal!e 3 of 3 225 Fifth Street Springfi~ld., Oregon 97477 541-7~6~3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00500 COM2008-00500 COM2008-00500 COM2008-00500 COM2008-00500 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000351 Date: 04/15/2008 DescrIption Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By K&K ELECTRIC Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How ReceIved dJb 010161 In Person Payment Total: Page I of I 9:41:04AM Amount Due 7000 2400 470 1128 940 $119.38 Amount Paid $11938 $119.38 4/15/2008