The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-9-20 SPRIN~D ZON I _~_ JJ ,d(," ~ INITIALS ~r--- f "'." ~. 1J DATE '1-2.t - 01'" . ,",,,1',,,,' ~ . SOURCE ~ t:J /2::;5 Jh~6 , / ;t',.'f~""'-,l:",~~ \ .,:3~_' ......",.~--....'-" '<l.~l,\~~""" ',..:l.....'" ,-~';;-""'''':'"'':<''''''-? ).;::;:u,,:.~;~,:.r~r',!;;1.<!,~,>;_r 3. t'!,c()MPLl}!l}nJE.$.c,HEDU1.E BFiLO,H~:, ',.i~):!~ ':.,:~'i.::'::<'jW:;!'; .:.;....Ioo."'....'):!>,""'" ,~_~_.....,':t~'"'...:./""""""'t... -:t_ ...._..."->;u.-...................w:::.d:l.--.;..oL........,...,,"'...'1&:..............I. .:.M.....;l:..<::5 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CilyJobNumber C-OIII^-'dqJ(/7 - O/d;),.o i..:t.,.:",;-t!I.~~~..! ,~_tt,," ~~p",,,,,,,,,,,~'fj... -;- i.....:;...,-.th'l ""-'-r:-'ll! -~, "''''r::;.''>!-~~- I. {LOCATION.OFJNSTALt:ATliJN:?i',~~'i;~t:!; . :'::{>":t ~j, ','" 0'0'.' ...~.~." .' ~,':.;. ~~" .._'.,;,:t,...._~,.,.~.. 4:0..:,;:.......),. ..-,.J ".' '~.,., ii(~-- .----H-A-e:Jt~T-- u./ LEGAL DESCRIPTION: J '--/ n.? .:B 'VA/ () / 60 U JOB DESCRIPTION: 7 L,rCM.rh ~. HeM- t.t+\/ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is . Suspended for 180 days, t-~'\',;.j.\'~"11~~~':!!f':'~~...;ii'.. =" _""r,,,,,~r.~~';f,:.tf~'"ilt:.:t.'~,~~~t,~~~,~ f'CONTRACTOR'INSTALIATIONONL1;!.t 2. tt;.~.1#>;h';;,'Elt!-'J~:;:"':Ji'l:.~'Z;::i(!:~~V<dr-~ :':;";..:.I;ili"~?clir;'::,~~~ t!..A~f(,"! ~ f'i",p/-uc.. //93 Electrical Contractor Address PD 971/;1.1" "!<.,")'x. City ~/!.P~ " 1..--1 ( (1, '-/).~ Phone ''f?'95' - "",Y'tt, Supervisor License Number ,2 '77()- S Expiration Date /0- 0/- 0 7 Conslr. Conte. Number /-5'165 7 Expiration Dale .y - IS - /;7'7 Signature of Supervising Electrician (llJl, flJI~ . , L Owners Name \--.n~ ok. I & -l.P A Addre~~r) rtJI1 JLJ/eh r ./..."J Cir& t! ~ Phon~l y-r-3<=1S I OWN~~INST ALLA nON The installation is being made on property I own which is nol intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date ~- ._<....~:~.~.,..c;.-:-!~.?."J1'li ~:-7~:,.;'ly~ '''',~-1..,J; ."'"., ".;-5' '..<.:.;ll~~-'~.:'_:-J.:;).~\.,.~''X~...)i;:'~:'~~ !:~1\:;} A,:,~ c\v, R,e~ideIj tiar~~!ngle'<i': M ulti'F a\i!i!Y' p~r :~~elliifguhii; '77<' ~, . <,:.t._.. '~"i_'''''''.:..o. ""~'c.;.. .,-I'..~..~..:.A_ ~.,_"."",-,-,_""""-,,.,~..-.....-_'\r:;"'....~_',,""-.':'::'L:_~ Service Included 1000 sq. ft. or less Each additiomil 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 t1~~~~WM:r-;".7-;7;~~ft~':1'"~;;~~~~~~:,:nt~:~"'~:!:_;i;~~ .~<;~~t:;'~:~yr;'~J B. ,.. Servlcfmi'1illllill@",Tni;taUatiori,'A1terationsor Relocalion: !t" ,...""'''~r()!I?w.~i1j~.Ja~;~~~~'~'awre4;B:rifsY~~'';'~''''-'-~#..t,:~' 200 Am~lifrqesson Center r y the Or~tili~}' 201 ^IYa~~F400.~l-ooio'itu;;e rUles .s/'1ii$\9t f;.... 40 I Amps 90 <YoOt!\'ilIllo/ obtain "uugn O~S1mo.o.O;';~' .601 AnrD~~YtilruMIJ.?nf'pgnler. (N;~~~~ or t~f6s~dos hI .urn. er..ror1h 0 --, ..'...6"'-..... . Over 1000 AmPCeIOIl'S'e regon I 'Will N ~'?7"!Ooe Reconnect Only enter;s 1-800_?:'~ !_ ~150'.~lion ~"''<.-'~). . c. ~TJilipora~~Sef,vic-e;~~or/FefdJf~..~~~~i~t~r~,lr~1~'t~>;;i;~If,H lt0~""i'):'~~~~i....:.ii..i..j.f~'~;'~...;:"-,,~.~,,,-~,,;,'" ,. ,~.,. .,".~.. .. ,. ...~',h,,~. !::!~~..;...! Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 A4ll0~~:"mps Over @1~rf"ll:[orl\oog.V~lts see "B" above. .. ,'e' ~ . nm,k HAbt'EXH!Bc"/F '~7'X,~, "",n """""F-' D~~~~~~:~,}t~D~!:~r~g;",%'~,: Each Additional Circuif"OfWi'rh Service or Feeder Permit I $ 3,00 $ 50.00 $ 69.00 $100.00 "1 - ~':;frt.l l.~f ~z.~~~"'ft'J~~':\'t*:j;~ -~~~E~:~'1'2(~~) :rr;:;'i:>;:~--:'.7"l-"':.,?~' ':o;~~;;:':':;t:-1' E. ",M1Scellaneous'(SerVlce/feeder.not mcluded) ',-Eaclr,lnstallatloll':' i~<.:&.~:Ji';:,->.:~"'-^;'-" ....~~.1..3t(;;~,:~.:;:.~!.""'_~'~....:.. --.... .f"i :~,".;.~ .';;;~".' :"""".,,.:'~:::"4~" Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidenlial $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ';oj''::"'''. ',' .,-:-:".... "'~= .":,",",, "'-''''.;'',''., '~'."".1:'....,,:...:t":!.x.'\__-!;;"I"'';''='l'' l/& 4. i$'''SUBTOTAL OEABOVE,:.:{~;.~,;:',7;'..,;~~~::;,~;;~'.~~~dtl~ ~!:I':_].:i,~;:;';1;;'".~...;t.j.~~~~,,_,,-_:.~~:~~~.;,<a;!:.iit;;;.,,~:;-';J ~ .?O ~ fp[{ ~, be> 'W 5~. S8' Sh,!red Drive(T:VBuilding Fonns/Electrical Pennit Application S-06.doc 8% Slate Surcharge 10% Administrative Fee 5% Technology Fee TOTAL 225,Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . 8Pj:R;o ~ WI:. <:a>f Springfield Official Receipt IRlopment Services Department Public Works Department Job/Journal Number COM2006-0 1220 COM2006-01220 COM2006-01220 COM2006-01220 COM2006-0 1220 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: Date: 09/21/2006 2200600000000001324 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C. PERKINS ELECTRIC Item Total: t.:heck Number Authorization Received By Batch Number Number How Received njm 01 8037 Phone Payment Total: Page I of I ,z' 10:57:46AM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 9/2112006 -iiI.1ii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2460 HARVEST LN ASSESSOR'S PARCEL NO.: 1703234401000 PROJECT DESCRIPTION: Heat Pump . . CITY OF ~rKll~'-'NJ<.,LD Building/Combination Permit PERMIT NO: COM2006-0I220 ISSUED: 09/2l/2006 APPLIED: 09/2l/2006 EXPIRES: 03/21/2007 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residential Owner: ALVES JOSEPH E SR & SHERYL K Address: 2460 HARVEST LN SPRINGFIELD OR 97477 ;~..~':~.::; :.~I:;lr'~.~I1;i~VIIICUV 'tf4Ulrtt8 yuu (U I CONTRACTOR INFOdMl\T1(1)N' ,dopted by the Oregon Utility : 1~~!!eM\'~" ...."nter; Those rules are set fortt Contractor In OA~f~a~01-0Ei{plnatiI!.JlIQ~t.~ 9~twf C PERKINS ELECTRIC 0090~15~!JiJllay obtainOi$~lSl20QllI the rL5:!1;;ljWi-4466 BUILDING INFORM.GJON:," '" I.'UII/er. \NOle: Ine telephone or the Oregon Utility Notification # of Stories: Center Is 1-11Q.Q-sI~-2344). \, Height of Structure Sq Ftlst Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: NOTl Sq Ft GaragelCarport Energy Path: CE: Sq Ft Other: Sprinkled BuTI'dIQ'gpERMIT rlJ/,l\ Occupant Load: i~ ;!HAII cvn'~f'- I DEVELOPMENT iM;o~(ifTr'&~I'11ER THis' PE~-^; nt, WORK A .. .IWdi UK IS ABAND 'Ri<lQBl!iep PARKING Overlay Dist:NY 180 DAY PERIOD. ONEQJ~~ # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction R-3 VN I PUBLIC IMPROVEMENTS' Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-01220 ISSUED: 09/21/2006 APPLIED: 09/21/2006 EXPIRES: 03/21/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Aller, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $2.30 $3,68 $43.00 $3.00 9/21/06 9/21/06 9/21/06 9/21106 9/21/06 2200600000000001324 2200600000000001324 2200600000000001324 2200600000000001324 2200600000000001324 Total Amount Paid $56,58 I Plan Reviews I To Request an inspection caIl 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 ReolJired Tns~ Rough Electric: Prior to Co,:er Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined tbe 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 iocated 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