HomeMy WebLinkAboutPermit Electrical 2007-5-29
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115 FIFTH STREIT. SPRINGFIELD, OR 97477 . PH:(541)7l6-3753 . VAX, (541)7l6-368,/!{};:;,:,:",,~i/:t ~: : ~ ~\
ELECTRICAL PEIIM..II' APPUCATION
City Job Number l'} I. ~ Date S -~Si - 0,
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JOB DESCRIPTION: 1000 sq. ft, or less S106,00
Each additional 500 sq. ft. or
portion thereof
09/11/06 MaN 10:50
FAX 5417263669
.
CITY OF SPRINGFIELD
raJ 004
..
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E. ;<;~ill;'ne;,uii\S~AAeli~efn'~lliicllid'~j;Eacb In;t.alJi.tlori.,
'i", : .:-. . .,,: "".'-.:' '~".. ,.... '.:."." ........ ., '. .,. .l"~ .. .::'.' ".""
Pump or irrigation S 50,00
Sign/Outline Lighting S 50.00
Limited EnergylResidential S 25,00
Limited Energy/Commercial S 45.00
Minimum Electric Permit In.pectlon Fee iJ 545.0Q + Surcharge.
. 4':~R~f8t~:~~R:0E,.~)h;,\;.)J:;:i;1,.. ~ q 4IQ
6% State Surcharge J _ ~;:)ol
. NOTlCE,IO%AdminlstrativeFeei, l.J,.....,
'5% Technology Fee .'. :A ~
THIS PERMI~S~ALL EXPIRE IF THE WORK i . ~ 'S-i
AU TH 0 R I li:<D 6I\s'il.'i.&1D?i~C(r])I!!~4~'r.'j~lN'rrr Per nil Application 1-06,doe
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
~'-'t.I-- Cl....cuv:. 0 .,. 00 ~
Permltl are non.tranierable and e.plre it work Is
not .tarted wltbln 180 day. 01 issuaDce or II work i.!
Su.pended tor 160 day..
2.
.... . .'. , . " ':. ;..,.... ,",' v~'.' '.
CONTRAcTOR INST.AUATION,.ONLY
Electrical ContracaREGQN ELECTRIC SERVICC
P.O. BOX 2237
EUGE~~, UK ~(m
Phone ~'-La, - (b'ir(
Address
City
Supervisor License Number J~:>' ~ , '\
. ~
Expiration Date 10 - I - () J
Constr. Contr: Number J I.n I:s. , <;(
Expiration Date q - .::J.. 9; -lJ7
e of Supervising Electrician
t1 J2(J/J, /
"
Owners Name
Addr<j\ lot~
City ~~,
~ '
OWNER INSTALLATION
The installation i. being made on property I own which
is not intended for sale, lease or rent.
ATTEN'CWfeb~ign!)Url:law requires you 10
follow rI "F!~ :ldooted bv the Oreaon Utility
Nolification Center, Those rules,are set forth
in OAR 9$2-001-0010 through OAR 952"001-
0090. YOlrnTp~liO\\JR~quffiP726.3769te rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332 2344).
$ 19.00
Each Manufact'd Homo or
Modular Dwelling Service or
Feeder
. .~._.. .''-..'-.. ,"....... ".., . ..' ....... "r-." '''''~''.''.'.'' r :r." -. . .. .
B.s.rvi~~ ~~j'eea~ri j;'jiiitalliiti6I,;'AiterotloM or Relo~otlon:
..... :.... .;.!.... .",. "-'" ..... :. ......,. .. .
S50,00
200 Amps or Ie"
201 Amp. to 400 Amp.
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
, N
S63,00 (~~
oS 75.00
:SI25,OO
$163',00
sm,oo
is 50,00
c. ;f~~~~ry;sm;i~#t~!f.f~@i;;fBJL:;~j;:'~/ '
Insta~18tlon, Alteration or Relocation
200 Amp's iii less
20\ Amp. to 400 Amp.
401 Amps to 600 Amps
,S 50.00
S 69,00
S 100,00
Over 600 Am~s or 1000 Yolts see "B" above, :
D. ; ::lff,*~~~ifr{~,i~:~~:."::::~W~~>~:!.:j.;:AiJiN~~f$~:,;?ft*.:~,l-".:
New Alteration or ExtensioD Per Panel
One Circuit
Each Additional Circuit or with
Service or. Fecder Pennit
S 43,00
S 3.00
{,.,-
~
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 613 HARLOW RD
ASSESSOR'S PARCEL NO.: 1703271202600
Springfield
PROJECT DESCRIPTION: Install air handler and heat pump.
Owner: CAMERON CHRISTOPHER J
Address: 613 HARLOW RD
SPRINGFIELD OR 97477
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00505
ISSUED: 04/06/2007
APPLIED: 04/06/2007
EXPIRES: 11109/2007 .
VALUE:
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
COMFORT FLOW
License
161518
460
Expiration Date
09/28/2008
06/27/2007
Phone
541-343-1681
541-726-0 I 00
BUILDING INFORMA nON I
# 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:
Spri~kled Building:
nla
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
, Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Paee I of3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriolion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
\<,pp<. P1i4.l
Fee Description
-Mechauicallssuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to tO,OOO
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State 'Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$6.90
$3.45
$5.52
$6.00
$63.00
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
4/6/07
6/4/07
6/4/07
6/4/07
6/4/07
6/4/07
Total Amount Paid
S150.22
I Plan Reviews I
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00505
ISSUED: 04/06/2007
APPLIED: 04/06/2007
EXPIRES: '11/09/2007
VALUE:
,I
i
Value
Date Calculated
Receipt Number
2200700000000000495
2200700000000000495
2200700000000000495
2200700000000000495
2200700000000000495
2200700000000000495
2200700000000000495
2200700000000000895
2200700000000000895
2200700000000000895
, 2200700000000000895
2200700000000000895
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.
UeouiredJnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00505
ISSUED: 04/06/2007
APPLIED: 04/06/2007
EXPIRES: IlI09/2007
VALUE: ,
Status
Issued
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
Pa2e 3 of3
.~
.f Springfield Official Receipt
Development Services Department
Publie Works Department
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Pbone
Job/Journal Number
COM2007-00505
COM2007-00505
COM2007-00505
COM2007-00505
COM2007-00505
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000000895
Date: 06/04/2007
9:46:01 AM
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
63,00
6,00
3.45
5.52
6.90
$1l4.87
Paid By
OREGON ELECTRIC SERV
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
IIh
By Mail
Payment Total:
$84.87
$84.117
20824
Page I of I
6/4/2007