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Home My WebLink AboutPermit Electrical 2006-4-12 , , . Dale Lr.:>z- Nf\.^ rR~~~-:~~ :~.,;,;~;;,::~~~ ni:li:,,,:rJ','?",'.f ~ "'~li.[~"~ ~:~:~lBfulf~,~!:~~;~....~' .~' y...-l~ - oCf. . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICALRERMIT APPLICATION ,City Job Number \..',5'" 008'W \.; iOCA'TIONOF iNSiALlATiON':-.t,!;:~: ~ '~-(;h~~;~'hl),~'~r;"~,' LEGAL DESCRIPTION \IO~~5.;t1 <m5W ~;tPJP~ Permits are non.transferable and expire if work is .not started within 180 days of issuance or if work is Suspended ror 180 days. 2. ~,silci1l!~tffq,i~IEit160;tr{?Egtlik~~ Eleclrical Contractor C!., RrU<, N 5 E:./&//f,./c. Address PD. 1/93 R.,x Cily {!.;:(t'" ~ W~ J / Phone 1'9.5 - '-/ '/ t. (, Supervisor'LicenseNumber :1'l7tJ- S Expiration Date Jf)- &/- a,7 Constr, Contr, Number /:;; <; J;". ~ 7 Expiration Date t; -IS - ()f? Signature of Supervising Electrician ~r~ R4 Owners Name~ (J C V~\Q:"\Cl.. h . Address~&5( (~b}V1 D1\;/1 ~ CilY~).....,. Phone ~ 1 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. \'~q~~~~#i'4' f~~\~q!f~~Q~~:~~~.9}K~l0l~~~T~~!~~~1 -. 'f..~' ~._.,..,:-...' ,:' ~...~:r~:~''<;'.'-iS':;.:i~P''''~~':{ ....';..,r"[1""":;ft'}.J...-i'.:,..."'~;' ....;.r,;\,~"' ~-:-(~1!:~ A. ;, ~ el~;. ~esid~~ tiaIJ:?SJng~e.'jir,~'~ultk.F~'ini~};.~.per:.~"~':.em n g"il ri.it;..~.:j.:~t ....,... 'c',..",. ~I '_ ,.'.;.. .,,'.. ,,"~~_..,--,>"..,,,,,,,,-..,..~u.,...,.,f... ,',...... ....___"'..."",.. "".~..,.~",,;.._~...'ll.~,,.;.:.;r~ Service Included 1000 sq, It, or less $106.00 Each addilio~~,(I' 5bo~ii~M'Or law re4uII e~ yuu to portion thereof e-eJpted by the Oregon Utiif19,OO h M ' ,pr !;;PH. ~ter, Those rules are set forth Eac . . anUl act u, orne or M"'d' .1"'D':~:I'I!" "S'''','l' through OAR 952-001- o u ar we mg ervlce or F~de;J, Ycu may obtain copieo nf th<> n 11€~5Q:P0 i':""~'~\!}1!;lbP..M.\'if1!jf,*:.{~J91~;;"IP~t~~Jl?pg!9n~;-:t'!t."\""e"";'",~~ B. ",':.~.e!:y~~e~,~~(F e~~e::r$T'i.I_n~J~ IlatH?.!1;. ~l!~,r.~l!~OJ~~ IQr:,J{~~osatlon :::':::W: ~,.i.;>;;.$...;.;;...;~T!'<:.."t~ ,. .'.::t!... '".' "'!.,,,-.,:_~.". ~~._~. ;r,.'.... ~"'''b :';" ,;:. ;;.'" ",',.;...~~~\.<,i.,"~;J:.-...;.+..:, ~'Ij...,}~~';",,,::::" \<:.'" Center is 1-800-332-2344). 200 Amps or less 201 Amps 10 400 Amps 40 I Amps 10 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63,00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 p"'::.'f':l0';. ."i,q-;~~~,o;,~;,;,:&'.'f.::1io/*f;'<~"~f,;"::""~~'m~'~tJD'la,~~t,~~;~~~~i.HS3:'~;;f c. ~+;T em pora rv ~Servlces :~H:'Feeders~.~i~1::d:~}l':'0:;-;.~1~~~:~ue~~~~: '1 :...~,.~,..~~...,I;':'"._ ..",~,..,1""~;>4..-'l/-",,,,",.>-.t;.,",,"1.Z-"OUO---...;'.:E~m:~~~~-,-lt-U;;" ~ Installation, Alteration or Relocation 200 Amps or less 201 Amps 10400 Amps' 40 r Amps to '600 Amps $ 50,00 $ 69,00 $100,00 Over 600 Amps or 1000 Vol Is see "B" above, ,~.;__.' .:::" ';::....;~l.. . .). '. ~.{ ';'/~'~-".>..;':-~/:'''f~1,y::{,,;,~'~;f'::".r';.f':;4',~"'l\1;''i::t::.;\"::.;,~;if':~t~: :~':,;g~;'Jo&: D. > . Branct-i Clrcu 't~:t;;~i:i~i"~Yr;~'{:}fc'r~'~.9t.;f.'f;;~~}.lI:~;'.7r#:;t~::tt~~';ii;.,~i~.~jIj'i:s,{~~,; '. ~,,-._,;,, ._,"~"",..:.--,-"., ,.~...:.u.;.~..~......".-.t':""'~I,'~,..:tI\ :",:,,~,,":!.;'~""i.iS<~~: ,~,~Z;'~f'w, .' New,'-Alteration or Extension Per panell S .'J 1\....... - ~J i?ne,Circ~1 , $ 43,00 ' X' E"'h' "~d.'~ITI"G'"'' - 'h . /, ac Au lllona, trcUII or- Wlt 'E IF 0 ? rs'III,It'h"-F.-"""lp. -71-'" II' Ti,E W$lf3'00 -2> . coeriMe 0" ,eou~I.,$'l'1\ THIS PEHMIT I ~ '" .~!,FN,CW ,0 R'I'SAR ^,Mri'cf1,r;"'i"'k~"NQh,,..,;. ,,;;'''',',',~.-!!!''>;' E'\N\1~I.\fJ:~.II~~,~.?'Pi:(~~b'&~:'l[f~d~~,~'1~~f.~~~,?2.i;~.~~,~.l",~t~ !'~~~,~n;~ Pump or irrigation Sign/Dulline 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. ~S.Y~i~?ttL,~F~?~'~!~,;V~;~;f~@t<;!;:~: 11 p u0 @% Stale Surcharge ' ,.2, . (0 f' 10% Administrati ve Fee (j..;. {(J 0 TOTAL ~ '5 LJ~j 9( , Shared Drive{T:)/Building FonnslElectrical Penllit Application I~03.doc . -~~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00800 ISSUED: 04/13/2006 APPLIED: 06/24/2005 EXPIRES: 10/13/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line PROJECT DESCRIPTION: Install heat pnmp and air handler Springfield TYPE'OF W9RK:IHeating,SystefuYOU to . . k,~ :l~JPtE:d by the Oregon Utility 1~~~u~F-.:~~!8(, T!'!~~c rules are set Resiilential in OAR 952-001.0010 through OAR 952-001- "',..,..." \I....." n"\"\/ nnt::lin r.nnies of the rules by - - - - I'"~ '.. tl-o. -tQle~hoJ"lO calling the centEPhone'lNumlier:' ,~41-484-6467 number for the Oregon Utility NotificatIOn Center is 1-800-332-2344). SITE ADDRESS: 2288 GREENBRIAR ST ASSESSOR'S PARCEL NO.: 1703252100500 Owner: Address: WESLEY DEJONGH 2288 GREENBRIAR DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHITTIM ENTERPRISES IINC License 47396 Expiration Date 03/08/2007 Phone 541-461-2101 BUILDING INFORMATION I VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: , ' Sq Ft Basement: . d a:: ." Pi: Sq Ft Garage/Carport i, -RMIT ~qIF~l9ther:Rf' IF ',Ul tl'.liaiZED l<:>.cs~p,ayi'L~aa, THE WORK r:n^~^,c",,"~ - - ' llill'tRMIT I~ ""T I DEVELOPMENT INFORMA'fIONIJI' OAY PER;~;tlANDONED FOR .- , . REQUIRED PARKING # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R.3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descrilltion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00800 ISSUED: 04/13/2006 APPLIED: 06/24/2005 EXPIRES: 10/13/2006 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726.3769 Inspection Line Total Value of Project Fee.s tIilU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.68 $43.00 $3.00 6/24/05 6/24/05 6/24/05 6/24/05 6/24/05 6/24/05 4/13/06 4113/06 4/13/06 4/13/06 Receipt Number 1200500000000000903 1200500000000000903 1200500000000000903 1200500000000000903 1200500000000000903 1200500000000000903 2200600000000000458 2200600000000000458 2200600000000000458 2200600000000000458 Total Amount Paid $116.93 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, I RenuirerllnsDeC~ions I Rougb Mecbanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that 1 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 perm,ission 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 2 of2 225 fift" Street Springfield, Oregon 97477 541-726-3759 Phone . ~ ~ ~. <aof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2005-00800 COM2005-00800 C,OM2005-00800 cOM2005-00800 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200600000000000458 Date: 04/13/2006 Description Add, Alter, Extend circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By C, PERKINS ELECTRIC Item Total: l:'heck Number Authorization Received By Batch Number Number How Received njm 120736 120736 In Person Payment Total: Page I of I 8:22:30AM Amount Due 43,00 3,00 3,68 4,60 $54,28 Amount Paid $54,28 $54.28 4/13/2006