The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-4-29 ZON :-(J ( INITIALS { 11 Y\ . DATE L-I ~ '2"'7 -UP( SOURCE J'V'.f 5 r '7.-' Date tj-24 -of? 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number ,:" r51) r - () 079 J-. 1. LOCATION OF INSTALLATION:" 3dS 591)' 5r 3. "COMPLET~ 1!:~E SCHEDULEB#WW " A. New Residential..,. Single or Multi-Family per dwelling unit. . Service Included LEGAL DESCRIPTION: ) 7/J:], ,<fr~ / Lf /7 d ro JOB DESCRIPTION 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 /JtJt! ('l!T fill ~ ~v;::i//9(!C. $ 21.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ^. > { ..-' ~i ~ 3! ~ 2 'CQNTRACTOR INSTALLATI(JN ONLY" . 'H'~ i i'~> '..mW Electncal Contractor ~r nbo ~ky-- Address /- O. &~ /~ $55 00 B. Services or Feeders - Installation;' Alterations or Relocation: f 'i >,"^;i > 200 Amps or less $ 70 00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180.00 Over 1000 AmpsNolts $413.00 ReconnectOnlJ..T:r'dTI'_'1 r- (, '" ._.~,~5?0"-,,,~') iUI<1\JV f!.t'\;;"~J?iJ' I "r,., j,,, 1 V' ( : """'\1 C T :S~ . t-.-""~~j""~'.:I1 \'"/" ,J)."",~ ",j .....,.,. ~~-l"t.;. .' emporaIWbuJiI~~twjRrlic~~~n1~1~>0) 'f0i,y~, ii/h, ;;Cp, TMth in UAH 9.2-C01-01;lll 11'- ;;',1 c..,,',p, 2::-':-001- Installation, OOOO".atf(!.QJ cm~~mmItO~I~_'S of the rules by 200 Amps or leS@lImg the center. (Note: th, 5~16(Phone 201 Amps to 4~~_6or the. Oregon Utlllt)!; ti&t1bcatton 401 Amps to 600 Amps enter IS 1-SJv-33Z-2$\~'V.'00 Over 600 Amps or 1000 Volts see "B,," ab?ve D. : Branch Circu,its, " " ~ ~ ii ,,~ , Phone '73 (" :,.2 Jt' )" City {/hA/51:71- Supervisor LIcense Number l.f / ;tiS /0 I /0 Constr. Contr Number J.5fp3c;~ ExpIration Date 7 - / 't - (/ 7' Expiration Date ICIan New Alteration or Extension Per Panel -<i ) 4t'"~ u v- One Circuit I $ itpO Each Additional CIrCUIt Of~3d ^~O U'd ~ ^ ' ~ ServIce or Feeder Perm)t~w 51 'do-nj'J!\~l\"~'i4-,OO UO-1 Q3NOONV' a::P' , ,'L' , o :J U:lflNll U;;l!J!,!:i\/1 l.-, E. "lliWegttIl~~-~f~~t1~'l\!f~~t~;Eacb Inst~lIation _ \l}.\nM 3\-11:H 3'd\dX3 .~,' Purtl.p- ~r lITIgation . ..! ....$ 55.00 SIgn/Outline Lighting $ 55 00 Linllted EnergylResidentml $ 28.00 LimIted Energy/Commercial ..------:-- ""$\50~ Minimum Electric Permit Inspecte~eis $50..~~; Sur€barges 4. SUBTOTALOF ABOVE .. ,.. 1.../)0 0-0 8% State Surcharge d , -6 0 10% AdminIstrative Fee (n 0 V 5% Technology Fee 5. 6(.) JS/o3 < 50 City~!) OWNER INSTALLATION The mstallatlOn IS being made on property I own which IS not intended for sale, lease or rent. Phone Owners SIgnature: Inspection Request: 726-3769 TOTAL Shared Dnve(T )/Buddmg Forms/ElectncaJ PermIt ApplIcatIOn 7-07 doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINlTf11ELD I Building/Combination Permit PERMIT NO: COM2008-00492 ISSUED: 04/29/2008 APPLIED: 04/09/2008 EXPIRES: 10/29/2008 VALUE: SITE ADDRESS: 325 25TH ST ASSESSOR'S PARCEL NO.: 1703361417200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace Owner: BRESHEARS HOLLI A Address: 325 25TH ST SPRINGFIELD OR 97477 Contractor Tvpe Electrical Mechanical Phone Number: 541-484-1278 I CONTRACTOR INFORMATION. Contractor License TURNBO CARTER ELECTRIC INC 156308 BEYMER HEATING & SHEET METAL CO 4483 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vaiIable: Special Instruction: Notes: Expiration Date 07/14/2009 11/14/2008 Phone 541-729-8409 541-688-5004 R-3 # of Stories: Lot Size: Height of Structure Sq llO~itlli~Ma 08 ~ AN'i Type of Heat: HO:l a3NOaN~liJtgpillt}IQ9jON3V'Jt^,!O;\ Water Type: N SI1Ill\lH3d Sm~~:em\ee9ZI80HJJf' Range Type: 10 -'I 3HI q, t,Ga~~eft~f~3~! 81: : Energy Path: }IHOM 3Hl :J 4' t tJRier: .::\ -, 1 1/", Sprinkled Building nla Occupant Load: ':iJ J ~j., ..' VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I ATi!?NTION' ~~~tkla\Yrrilquires you,t,O 1".; " adooted ~the Oregon UtIlity foll_,\1 i I.l,es lJ/lwnSllO ~Rn~~~' e set forth Notification Cemer. \"n f in OAH 952-001-0010 through OAR 952-001- 0090. You may obtain caples of the rules by calling the center. (Note: the tel~pho~e number for the Oregon Utility Notification Center is 1-800-332-2344). Paee 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 + 12% State Surcharge + 5% Technology Fee Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00492 ISSUED: 04/29/2008 APPLIED: 04/09/2008 EXPIRES: 10/29/2008 VALUE: I Valuation Descriotion 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 $7.00 $14.00 $5.00 $24.00 $5.00 $6.00 $2.50 $48.00 $2.00 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000545 2200800000000000545 2200800000000000545 2200800000000000545 2200800000000000545 $147.00 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. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00492 ISSUED: 04/29/2008 APPLIED: 04/09/2008 EXPIRES: 10/29/2008 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 Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00492 COM2008-00492 COM2008-00492 COM2008-00492 COM2008-00492 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000545 Date: 04/29/2008 DescrIption Add, Alter, Extend Clrc MInImum/AdJustment ElectrIcal + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By TURNBO-CARTER Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How ReceIved nJm 513098 In Person Payment Total: Page I of I 10:06:17AM Amount Due 4800 200 250 600 500 $63.50 Amount Paid $63 50 $63.50 4/29/2008