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HomeMy WebLinkAboutPermit Electrical 2007-3-8 c~ SPR'K,E.LD, .. ZON L-D2- j .J,.~ INITIALS I"r-<"'I ~ 1;'::; DATE .;S-/r- 0-'-, N."':,~~ _ SOURCE NM 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)72&-3753 . FAX: (541)72&-3689 ELECTRICAL PERMIT APPliCATION City Job Number (l ':1 - ex:! '3. 'cl...O , ,". .... ,.'" .. '. -,_., .- L ,.'LOcATIONOFINST.4LLATioN:" ."........;_....,'_.. ........:.:_.o,...'...""'~.,....,;...>.._...;.,.1f'~';.. 5(04 (::,.-QJ;~,.0 \ ~ I L LEGAL DESCRIPTION: \l <03 '3. <-t \.::t... Q~ ~ cr-v JOB DESCRJPTION: ~\Itw II n:t- Permits are non-transferable and expire if work is not stllrted within 180 dllYs of issullnce or if work is Suspended for 180 dllYs. ~~"t'"'''' ,..,-.. .t' l'....";.'.,\;.....c'_''''''',..:"',,., 'Y X'-' 'V"i" "',' . "-:-" .~ ,..--.,,.',..... '~', 7 2. ;CfJNTijAcr(fJJ)~sf;y.iATIQ,N..oNi:i-.': . .'.-. .'.... ..... ^<-'o::....~'" ,-.., '-.''''''Q'''''''' Electrical Contractor U V y V'f ) I 0 YO S Address pobox (pq 7 City W(.j !f'uv;) If Phone]j 7- J,1J.i '-1-7)) 5 Expiration Date I 0 - 0 7 /3 ~ tfLf (, Expiration Dale / 0 - 0 7 Supervisor License Number Constr. Contr. Number ignarur~ ~i:inbct;mll / wnersNam~~~ ~'-.~ Address SCR4 ~~,~ ~'- City ~\}-&------ Phone _ OWNER INSTALLATION The.installlltion is being made on property I own which . AI '...."1(\' 'a' r'..... -I'~I" I't .0\1'11 j~yultd:) you 10 IS not nten e 'lor sa e, ease or rent. . . follow rules adopted oy tne Oregon UtiHy rd>.v.UilifS:signa[{i're:nter. Those rules are set fort in OAR 952-001-0010 through OAR 952-00. 0090. You may ootaln caples aT tne rUles f calling tha center. (Note: the telephone numberforthe Or6gon Utility Notification Inspection~.!f1M'~s r.2t-eZ6~32.2344). . Date ~ - '?;' - Lcro, :j~__;"." ._ 1'~""""" .C-'. ,:..,-. .":. ....,...-, ~.. . "':-"'y""'!':.'-~r<7;',....''''-,i::':;' 3. . COMPLETEFEE SCHEDULE BELOW. .:.'.,/;r,.<,N::"~;..! '_..1:..; ,... '....."..J;,." .}_"..,~ ~.:."''''. -,',"~,...~_\. ~:........ _~'. .....,.:;_~. ':'./<.' -:;..:.;1:, :..0.;,;,:;.. ',,:::;_~~'.t_~,~' ;" ..' .~....-~ ,c. '; ,~>;~~~~. .; ."; ,':,7' ,.?: '-,4.-Jt;~r" ',,: :'~:,' .;":.:;'&>,..: :",:-<~ '-.'" ;-,:;;:,:-<,'\;r'.,'"';<'~:,?) A, ;:New Residen'tial-Single or Multi.Fanlil,: 'per d,,'clling'iulit.", ~"'.. :'L~t. '_i."_":~'M' . ...:0' <,.,,"-......~.. ,',"', .1 -Z" ,c; ,....,,,: .. ,,:~l,. ....' ~, ., ,\1...." ,-_.,."",,''; _ ~ ....,.....,. '" . Service Included I 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 1:;'~;',""'1r(;' ,~:,n.-:;">;, ,....;:~"'-.:?;\.<z ':"';:~":':: :~-:'."':' >::-:;:--F ?' ;:\': .:";>"..~>. ;;'[';'1;< ';~:"~7-'- :"r:r~' B. ~ Se-tvices or:Fe'eders~c- Installation; Alterations or:Reloc"ation:~.,',\:" l.. ~..:..:.-....~.: :_L'{-&.:':"'J.,~:.' - ::t;.i-<:-" c.:..::',~'" ,;;';", ,:../ ...~'.. ... ":;~...x. > : L ,~:;.....;,";~::,- ~~ ..<;'~'.:.: 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN oilS Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. l! el~P?~~R'::~,~E5~~:?n!~4:~.~~ ~~2TI~;,:;:':Z~'~,i:~;~~1:~:f;?~~~~'{~~r!f;}~ Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 VollS see "B" above. D. (,~i?~1~~_Si~~~~@:1~;:\[;rii:,~R/:;':;:~~L2~~:;-~:~~~~?:Zr~:J~X~:,:'... New~"(re'l:n.or Extension Per Panel J One RrR4il, . ($ 43.00 <.f ;:~~~I~~~;=~~t/!XPIRE W TH[$ W.OOK 3 ...GQMMENGE~'~~'fQ'1l~~!.0 ..\.~~.M!T.!s..~OJ,>'i": ',..' E. 1\lis""!lnlll'.o~s ervice'lfeellMlJL\N8~1;C!)R:t;:1I.ch In~t.allatiot(, _"'Ju.".otl.IJA "PERIOD: ,~- ...L.. ...._..~_. .H._<.'.....,__ -, Pump or irrigation $ 50.00 Sign/Outline Lighting. $50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges h" -- :'."'<i"Y."-:.'! '7--~,;;~ '; .,.;~:":: ./ I~. OU 4.. SUB'{OT4,Of.4BO,~ i:~!.!'I':,:'-"':"".'" /'-1 . '8;' ;t~;:'~~;;;~a~~: u., ,'.-'.' ~"'".',,_'.n . $ .Ct? J 10% Administrative Fee -</ , (p 0 5% Technology Fee ;;;). ..:5 0 (jt '- ")'(1- 6 I?' Shared Drive(T:)IBuilding Fonns/EICXlrical Pcnnit Application 8-06.doc TOTAL . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 564 GRANITE PL ASSESSOR'S PARCEL NO.: 1703341209900 Springfield ecITY OF ~rK11~t..J'IELD Building/Combination Permit PERMIT NO: COM2007-00320 ISSUED: 03/08/2007 APPLIED: 03/02/2007 EXPIRES: 09/08/2007 VALUE: TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Replace existing gas furnace and air conditioning unit. Residential Owner: MILLER DAVID L & JUDITH L Address: 9826 GRA VINA CIR EAGLE RIVER AK 99577 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical , Contractor I BURRELL BROS ENTERPRISES INC COMMERCIAL AIR INC License 136446 110075 Expiration Date 08/20/2009 12/18/2007 Phone 541-747-2724 541-461-4821 I BUILDING INFORMATION I # of Units: Primary Occupaucy Group: Secondary Occupaucy Group: Primary Constructiou Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I ..."" "LOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvemeuts: Storm Sewer Available: Special Instruction: NOTICE: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: ATTEN IIUI":Uf8yuIl ,,,.. 'c4u""" yuu ,u follow rules adopted by the Oregon Uti. 'y ~otification Center. Those rules are set f~r! In OAR 952-001-0010 through OAR 952-00 0090. :'fou may obtain copies of the rules \ callmg thQ center. (Note: the telephone number for the Or ogon Utility Notification Center is 1-800-332.2344). . Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbnne 541- 726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Descrintion Tvne of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project F..... tiWIJ Fee Descrintion -Mecbanical Issuance Fee- + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Surcbarge Appliauce Not Listed Furnace - up to 100,000 btu Minimum/Adjustment Mecbanical + 10% Administrative Fee + 5% Tecbnology Fee + 8% State Surcbarge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $10.00 $4.50 $2.25 $3.60 $12.00 $12.00 $21.00 $4.60 $2.30 $3.68 $43.00 $3.00 Total Amouut Paid $121.93 I Plan Reviews I Date Paid 3/2107 3/2/07 3/2107 3/2107 3/2/07 312/07 3/2107 3/8/07 3/8/07 3/8/07 3/8/07 3/8/07 ecITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00320 ISSUED: 03/08/2007 APPLIED: 03/02/2007 EXPIRES: 09/08/2007 VALUE: Value Date Calculated Receipt Number 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 1200700000000000245 1200700000000000245 1200700000000000245 1200700000000000245 1200700000000000245 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. ~rliJ.lrI Tn"nection~.1 Rougb Cas: After line is installed and required testing and capped if not attacbed to an appliance. Rougb Mecbanical: Prior to Cover Final Cas: Wben all gas work is complete. Final Mecbanical: Wben all mecbanical work is complete. Rougb Electric: Prior to Cover Final Electric: Wben all electrical work is complete. Paee 2 of3 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ecITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00320 ISSUED: 03/08/2007 APPLIED: 03/02/2007 EXPIRES: 09/08/2007 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 Pa2e 3 of3 Date . 22S Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00320 COM2007-00320 COM2007-00320 COM2007-00320 COM2007-00320 Payments: Type of Payment CreditCard cReceintl . ..,......~,.._-~~' ! ~.""<.'.'-'; J . ....,'................. .......... '- Cjalf Springfield Official Receipt ~opment Services Department Public Works Department RECEIPT #: 1200700000000000245 Date: 03/08/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 4864m In Person Payment Total: Page I of I IO:53:19AM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 3/9/2007 'IIrT~'~~~~' . r . -,' - ':... '. . _<. ...... .. J .....,,~,'J' . . CITY OF ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2007-00320 ISSUED: 03/02/2007 APPLIED: 03/02/2007 EXPIRES: 09/0212007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 564 GRANITE PL ASSESSOR'S PARCEL NO,: 1703341209900 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Replace existing gas fnrnace and air conditioning unit, Residential Owner: .MILLER DAVID L & JUDITH L Address: 9826 GRAVINA CIR EAGLE RIVER AK 99577 I \.-VI' I KACTOR INFORMATION' Contractor Type Mechanical Contractor COMMERCIAL AIR INC License 110075 Expiration Date 12/18/2007 Phone 541-461-4821 BUILDING INFORMATION' # 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: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRIl"Rd'lI'.,LD Building/Combination Permit PERMIT NO: COM2007-00320 ISSUED: 03/02/2007 APPLIED: 03/02/2007 EXPIRES: 09/0212007 VALUE: Total Value of Project F....s Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Appliance Not Listed Furnace - up to 100,000 htu Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $2.25 $3.60 $12.00 $12.00 $21.00 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2107 3/2107 Receipt Numher 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 2200700000000000288 Total Amount Paid $65.35 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~tionsl Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of2 , . City of Springfield .eChaniCa! Authorization To Begin w. E-mailedTo:ed@commair.biz Receipt # EC509056 312120079:55:10AM ii.. . t."~..."'..~.'...".~'..."'.'..'..'. ......... '.. .;..,-;,."..,;l. .. _c" ~.' ,., Check on .latu. of permit By Phone: (541)726-3753 or Email: permitcenter@ci..pringfield.or.u. 1'."il;W''''li!;C''''''''''~.ii'lii~'''~'"ffiE'OiiWORK~<''~'''11;r~-~~~"",~~. ,1I.,~..,..",",~~~~"~'t~i~_'-<>.;,",""",,~-,,,~~__-,,-,~,<~-<1'J?~~~"'.<-:'$"~.fu.~,*.~~ 10 New'construction IKJ Additionlahentionlreplacement 1i'J&!i:~~'%9.~@Q~V:Cl:t~~j[l,ic:filf!:l~",~al~~~t 11Xl1 or 2 family ~~~Uing 0 Mlllti~fllrnily 0 Accessory Building 1 1~'~;:~:'';'~~JOi3'SITETNFORMAroWAND'COCA''Opj'''~-~~ ~~,~...-~.~w1J.-".^",._""..~_,,,.....,_,.,.;,,,,..,",,_~...,,,.,,..~,,,~._~,,",,.,,,,~,~.....,,,,,.,~~~g;~~~~l jJob no.: 27546 -!Job addrCS.'i: S64 GRANITE PL J ICilylSl.,crLIP, SPRINGFIELD, OR 97477-3665 I ISuitclbldg.lapt.no.: J I "'ojM o""e' RASPINI ) ero!." street/directions to job site: I Subdivision: I Lot no.: ITa:l map/parcel no.: 1703341209900 1~~{~~~~:.g~~.~~I~1ig~lQ,~~!~'~~~~5~ REPLACE E..'{lSTING GAS FURNACE AND AIR CONDmONING UNIT lilRil1~;ig~"'~!1()!,,""~~~""'''''SiTE'CONi'ACt~'''tllii;1il'J~-''''~'''-:'''''''J ~"",~,~M~&Hf.ii'''"'.",:<tk~",<t1;~~\'r,''T~"~.4c,,,,,~.~~,=~,L,~,4l;g~~~.m.~~~r~ I Name: CYRENA RASPINJ IPhooe, (S41) 747-9301 IF.., I Ema;l, I 1.~;'"-P';:;#'W.;.~~,~ccjNiRActC)R'\.F~~~~ '....,~~~ '" ',,,~~,....~.b',_..~_,~=-,,,,,,,,-,,,,,,,, .,;;~..,~:.~_,._,,____~,._. W:'$.....I IceD lic.no.: 110075 J IBu,;oa,N""., COMMERCIALAlRINC J I Contact: Ed Peirce J . IAdd"'" '665 IRVING RD ) ICitylSlaterL.lP: EUGENE, OR 974022479 IPhone: 5414614821 !Fu: 5414616104 IEmail: cd@commair.biz I Metro IIc no.: ICity licoo.: Upon review and approval by your local jurisdiction, your permit will be e.mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. 1~'W~~--~~FEE"YSCHEi5ljCE~~~;~,!,?"i.io;<~"'1~ ~~a;~~~$i_,,,,..+.,_..,_,,.,^~,",-->,,,,~,~~ . ~~~~-tJ.~'t'.,,:..g;: lo..a;ption I Qty. I Eo. I Total - IfH...lligl~ii"g~pll..a:;~'~~~iL~~~'-";;:"~ ~~"""'~-,~,-~;',~-=, .=..-_.,,-~~~~~""''''"''_,~:: ' ~"!t~,;::f""w~'l'i I Fom=- np to 100,000 BTIJ I! $12.001 $12.001 I Fom"", , ahovelOO,Ooo BTIJ 1 I I Electric Fwnace not offered online at this jurisdiction I I Duct alterations and additions I I I Gas heater units/In-wall, in- I I ducl. susoended. ctcJ I Ven~ flue, liner for ahove I I I AUConwtio"", 11 $12.001 $12.001 Illoa'Pump I 1 I I Air Handler Inot offered online at this jurisdiction ! 1&i~~:f.""j'b'i>'n;~g'FpP!i~~~~~~~~1 I W.lcrhoa'", 1 I I G.. fireplace/wert/'tove . I I I G.. log/log ligh.... 1 I I G.. clothe. dryer I I I G.. ,tove/,anll" I I I Pool or 'po h,,"", kiln. I I I Wood/pell'" ,tove/wert I I Wood forepla", I I Chi~eylJiner/fluclvent w/o I I aDp.hance ~VirOliltre;iiaf~~~:1M?1;Nai~~~~j Range hood I 1 Clotho dry'" exh>... I Single-duct exhausl (bathrooms, I toilet compartmwts. utility rooms) Altic/crawlspace fans '.F"."I'''.''.''.~'__!!fic'''''''''''~d'''~'''''''''~''''~''''~''''''_'''1 ~!,)~l~,l~.1l3i~~~"t~~W~~~~~~~~~~ uptofl1'5t4outlets(enterQty::)) I I 1 I each additional outlet I 1~~l:~M~~BAt!f~~~:K@:rr:Z@!i~~~i~~ I Snhtobl I $24.00 I Minimwn fee used instead ofSuhtotal S4~.OO I I StateS~c(8%ofpermilfee) $3.6O! I CityOfS1?~~eldfees.1 $16.751 I TOTAL PERMIT FEE I S6S.3S I . City Of Springfield 10% Local Admin Fee; 5% Local Technology Fcc; $ 10 Issuance Fee This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 22~ Fifth Street StJringfield, Oregon 97477 541-726-3759 Phone ONLINE CHGS ONLINE PERMIT CHGS Job/Journal Number COM2007-00320 COM2007-00320 COM2007-00320 COM2007-00320 COM2007-00320 COM2007-00320 COM2007-00320 Payments: Type of Payment cReceint I iftR' . r.:.:....~......-._..._. ':' Wit. ~. \ ",.". >,. _~ .-e ~of Springfield Official Receipt _Iopment Services Department Public Works Department RECEIPT #: 2200700000000000288 Date: 03/02/2007 11 :09:00AM Description Furnace - up to 100,000 btu Appliance Not Listed Minimum/Adjustment Mechanical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Amount Due 12.00 12.00 21.00 2.25 3.60 4.50 10.00 $65.35 Paid By Item Total: L'heck Number Authorization Received By Batch Number Number How Received Amount Paid ddk ONLINE Commercial Online Air inc Payment Total: $65.35 $65.35 Page I of I 3/2/2007