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Home My WebLink AboutPermit Electrical 2005-12-22 . LP~- T.lowtng project as SUbtl~ 1af)R'l;mIj);~ . s not requi~ sP~t~.c land u.se :tl ~ B,. SPRING'FIe:L..D L ~. ""':-1':.: 'I !," ,"'(" , ~ ~_ . _~' ,~ I" :i,~' ....~;':I-~ _ _~rl;If~~'t.;:" 225 FIFTH STREET. SPRlNGFIELD, OR 97477 . PH:(541)726-3753 . FAX: <g~n726-3689 1i!J\i;;:F:i~--;~ii:~ ELECTRICAL PERMIT APPLICATION . ","2i.J:~I-~' -- 0 (1 ^ '--' 01'7 J 'I Aulhori~Si~natur. City Job Number .A JmQOO'i -- 'T, . Date ~I ::l.~_/1:6 . I. ,~'~o.(:>{g9~:8{i,y~f~Ll~~~QiT~:;r'.'-;::;; 3. ;Cq~iJ>l;~# F~~~C'ii~gq~~'~~~,g:iyi~~;~t~~~~J~w,t 321 LorJ1o. 1/l"'Y1 . . . 1.. " ,~."'..' : ',..:: '~::.,,' '.r':~"1~~~~;.....::~~ '.... ~~"";n:~,;~t;;~.~.,;~:.!'~~>-;.,X<}';.~'7~;.t~ LEGAL DESCRIPTION A. bS).e.~~':~~_~st~,~~!,i~.~,~?;~l.~~!~gtj~'~~~I,t!~.~~~ l!~')?~;~~~e]_~~~;~~,i!~~~. 1'7 03 .:1"'"7 '':l.LJ- . 00d-00 JOB DESCRIPTION 11dd_4_Lir6W Permits are non...trailsferable and expire if work is not started within 180 days orissuance or if work is Suspended for 180 days: bi'" ." :~"'",;:., :~,;,c.:.:.)'". il:i".'.,:~t~.." '!. \';Or' ".~..:.'.;l/ ';;,',"~':~''I:.',c,:-::" "',,~'" oCONTRAITORINSTALLATION ONLY.;' 2. L'-.!A\~~....t.~.d",'''::::'\l' ;;"lr"':'~~'.;.Y";~.J.,:.;,,;..~......-I;';;::~~::.,.::;;;.3..it::..:;-:'t: Electrical Contractor C!.. @,rV<1 AI) E. lee.lf./c. Address po, //93 p'c>x City et<t<' \ we:.} / Phone f79.5~ ?'9tt Supervisor License Number :197 tJ-S Expiration Date //J- dl- a,7 Constr, Contr. Number /5 '7.!j'. ~ ? Expiration Date lj-/5-()g' Signature of Supervising Electrician (I~ p~ Owners Name \..b1f1iltr- M~ln ~ Address 0;'21 LDC-.!-1avt'Yl City 5pn/1a-f-j'~ Phone 3%~;.9t1..7 J OWNER INSTALLATION The installation is b~ing made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included 1000 sq. ft,.or less $106,00 Each additional 500 sq. ft. or portion thereof $ 19.00 Each~~ Home 3r~ll EXPIRE If lHE WORK MOd~~~.,Pl"\$irSW'llP HJ~ PERMI'T ~~~91 Fi~:::~~,l~9=1l~:~,~:~~~~QQ~~~~~\~'-":""":L';"M'~:;; . B. ,:J~ri;';ao'DA'fPtl\\dlJr\~i'-,~~.~:~.?~.:?J:0J)S~,~~?11.:1;~~ 200 Amps or less $ 63,00. 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 i;;r'l"-'~:~:[; "r~~:<dL""'~;~:1r::'~.fo~?W~..;...~1"t~.f~I~~~ 'i1' :=:~l;t..'t;;'> .?'~"J!~'t: C. trr~~~~O!~~.~;~!r~'s~,~~~J~eed,~rs~t:~~:h't~~\t~;~lt~~~ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 A"lP.filEliQIPAmpsOregon law requlrff1ij&"otio . I' ~.u . Ie" "",,,,,tpd by the uregon Utlfi.y O~~r; 6w,O~mp~ll)r',I?OO ;rOI!, see 'B" 3~0~~, > setJO(lh".. ". '. D "'B-""~fr.;.~t'f""'t @13l).'!lf.-dJ:lR~.f;l~!.l!O\!~~%'5R'x.;oo~"';;~':1:',,'\>\~. liE .' ranc.. ~lrcUl S,'T';'ntl~.:>'j.y,.:~t;J,:"rt-+~.'. .'. ..t':"~~~ttm1 .,. "-"'\r(O'A!i952'OO"l"O&f.\rtft1~'!l\'J'''' . , ., -' .,',."",,:::?,'j New 1JbeJe~i~~8rr~.:':~e!!sjQ!!iRerl~anel of the rules by One Circ~~lIing the center. (Note: tle te$~43:60'e Each Additional Circuitlor,with'on Uti:'>'/ Notification 'Il"lIUel 'VI l' ..... '-"~'=' Q~ $ 300 Service or FeeCler..Permit. 1 800 .......... .")':;'11.,.) . vellt\J1 IS - ......- -- r . .'.',-"'. .>of' .' ."':' . ~ ,n.., >--".' "",."';t'. "",""""" "':'_~...; ':Ii.'I'I': .t,;.@"~'.";:Y"..~~......-\., ......,......."...~ . 0""'-".'..4 E.,. i\ii~c':il:;ne~~.~'(~~~~iceif;~d~"'~ot'iii~lii(j~~Y':::E~~hfrist:ii\;;-tio~"' ~'1l'~ ~~_' .-.... ;....';... 'N \.' :' ._--:.:.:";n. '~.1.;.1;"~-",,'':'"~ '"'.~ ~'""""~"""4' ;>;:~,=-;<""",O;:"'':C: .:-: <'.!.'.-.' h' '"",,~", .....~ 43.00 Cf.CJD Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. tiij~,t?!fXio,F~~~;S~g'c:t.{(2f\~r.; ,i):J. frD 3_"l-f < c; . ;;;J.U C,(r). '34- 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonmlElc:ctrical Pennit Applicalion 1.03.doc . . CITY OF ~rKlI'luJ<IELD Building/Combination Permit PERMIT NO: COM2005-01741 ISSUED: 12/20/2005 APPLIED: 12/15/2005 EXPIRES: 0612212006 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 921 LOCRA VEN AVE ASSESSOR'S PARCEL NO.: 1703272400200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: JENNIFER MCEVOY .. Address: 921 LOCRA VEN AVE SPRINGFIELD OR 97477 - 11 'r IMnR\\ "01\C\::, MIl S\"\fl.LL \J.I'\\-\~ERNl!i<\fielI\ld1nher: 541- 1\1\S I'Ot.~1.t.\) \.\~\)t.R 1~~~\)O~t\) rOp. 1\\.\1\"\ '-' ,," nil. IS fl."" t.~NlWI\.\\~': {pj~\uu. I CONTRA<;;iIlORl~ATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC MARSHALLS INC License 159537 25790 Expiration Date 04/1 5/2008 1212312005 Phone 541-895-4466 541-747-7445 BUILDING INFORMA TJON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: ~...c:'" Vt lU ~..... Range Type: on laW req'Sq'Ft Garage/Carport Energy Path:Nl\ON'. Oreg d "'V t\'le csq;Ftdth~'r:t\'l p, 1 p- donte p ..~ c.p.' H)l Sprinkled\BulJdlng:; a ~ In/aSe ru\,Oc-cullarit Load: 10 \Ul' ,- ,......."'tpL \lU . ,-",0. qt>~-uv I I DEVELOPMENT'INF'oiiMNfION-I''''oU~,'''e~ 0\ the rules uy Ct" _...,n ,.. '90 'Iou may uu.-' \N IC'. \",:) te\CPREQUlRED PARKING 00. center. 0 .. '~\Otll\L.G..~\U\1 Overlay Dlst:W'18 lhe. 0 aon 'j'lillV ,. . Total: -. . t"C ,e, ,.,,,,,, # Street Trees'Rqd: 0' '. ',' ~:>,,':'u J. Handicapped: \-... .......1 ~ IS I U"" ' Paved Drive Rqd: '. . - Compact: % of Lot Coverage: Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDralns: Notes: Paee I 00 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 Fe..... + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Total Amount Paid . . \...111: OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01741 ISSUED: 12/20/2005 APPLIED: 12/15/2005 EXPIRES: 06/22/2006 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp(', tIiILI Amount Paid Date Paid Receipt Number 2200500000000001723 2200500000000001723 2200500000000001723 2200500000000001723 2200500000000001723 2200500000000001729 2200500000000001729 2200500000000001729 2200500000000001729 $10.00 $4.50 $3.15 $12.00 $33.00 $5.20 $3.64 $43.00 $9.00 12120105 12120105 12120105 12120/05 12/20/05 12/22/05 12/22/05 12/22/05 12122/05 $123.49 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: When all electrical work is complete. , Pa!!e 2 00 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-01741 ISSUED: 12/20/2005 APPLIED: 12/15/2005 EXPIRES: 06/22/2006 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 carefuUy examined the completed application and do hereby certify that all Information hereon is true and correct, and I further certify that any and aU 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 Contractor~ Signature Date ... Pal!e 3 of3 . 225. Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~~ ~ ~ of Springfield Official Receipt .velopment Services Department Public Works Department , Ii RECEIPT #: 2200500000000001729 Date: 12/22/2005 8:46:08AM Job/Journal Number COM2005-01741 COM2005-01741 COM2005-01741 COM2005-01741 Description Add. Alter, Extend Circ Add. Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By C. PERKINS ELECTRIC INC. Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 325766 In Person Payment Total: Amount Due 43.00 9.00 3.64 5.20 560.84 Payments: , Type of Payment , CreditCard Amount Paid 560,84 560.84 J .~. : ~ .... i~ ' , , . : ;, ;.'!:. I . :l "'" h' 1:\ I ~. 1"". , . , ... ...' 12/22/2005 Page 1 ofl