HomeMy WebLinkAboutPermit Electrical 2006-3-15
The, following prOjw.;~tted has the following
20nlng, and does ~ Mire specific land use'
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7~lg~:l~~~ Si9~",~""~,',P,~:~:;!":"~lt;'~~i
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1." LOCATION OF INSTA,LfATlf)Jf. ':"::,::. 3. ,',,',.. ,,',',",,' ""L",., ,..,,~'... "'.,, ,n"."" "'..",,,' "".,'",' "',_".'~'c,',",,,',-, """,',".',i,-, "."',',^"",.,"",'i,1,,,,,,',~.",,'
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LEGAL DESCRIPTlO~ I) A. ;N~;v Residenti;'(:,;singi~.or:i\luiti-F~mii;"p"Fd~eili;;;i'~riit:.,!l,)
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\'0-:::,) \q L-rJ... oEo<:f::J
200 Amps or less $ 50,00
20 I Amps 10 400 Amps ' $ 69,00
401 AmpNgJiJo.,fmps _, ,-'-r \SI<lO'j!<VII'IQIl
o,ve.',~~,~lfi[tR~12g~tl~~~~~~~~~t~~!' Jg:B2J)::~"
D, ,,,Br~n~~ C'lrcuits"Wilii{,~ii,t\}.;'",,^,b,(j(id\\l"E:O' ~RmR1\,ii;~~';'~~
'''''''--COMM8'ltit:u''\J!'l' "'r"JI\I~U,\Jl' "", - ,..",,,,,~,,,>..."',,,,
~ -P V . New AlterJ\IW ?85~~",~i~'tr.~tle,n/el } /; 2
. ~ One Circuit $ 43,00 -yo....;
i1 Each Additional Circuit or with ~ / -
Owners NamA. 'fl,UI/ ~ rQ,..-.ry1a~ Service or Feeder Pennlt ,. "~ $ 3,00 '-,P
::~~ ~ A'1",1:; ~~;;~~::('M;;lliI1:f;,iim;\ll:~;~~;i~i'\Fi~
, ) Sign/Outline Lighting $ 50,00
OWNER INST ALLA nON Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
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JOB DESCRIPTION
~i ~(~Qjy\../
Permits are non ,transferable and expire if work is
not started wirthn 180 days ofissuance or if work is
Suspended ror 180 days.
7,icoNflfJ.croRINSrAt'M'rj(j'NoNiy';f
20 i:-: ," t~",~"~!'." '1/1::,::-":':;'> ',~ ,.,,[;':;,,,.:.:!'!}"";"H~~;:r:'H,.l,;~,,',: ..,.l,...~;.!.~j}-::, ~'; ,~';!,i.!::.:i:.:{\'
Electrical Contractor t2, ~rJ<1 Al) E/~!-e;c.
Address
po,
/193
, P, DX
City r!-t<,->,~ W~ J /
1'9.5- Y'9b&
Phone
Supervisor License Number ,,1 '77 t/ - S
Expiration Date
/t)- &1- a.7
Constr. Contr, Number /5: 'j ~ .. ~ 7
Expiration Date
lj-/s-()g'
Signature of Supervising Electrician
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Service Included
1000 s,'1;.f!:...o:,.!-e~,\, o'''oon la"" r"nllires V'$'ro'61oo
Each adilili6nal1500 sq, ft~ ord by the Oregon Utility
portioilJthereOfJleS aoopte Th ."lnO ~rp e$1l9:001
,,~'ilirati(ln Center. OSC ,- R 952 001-
Eac~_Man,u&af,t~d~!l~"1',\91)1 0 through OA ..
Modula?Dwellmg Servlce,orln copies of the rU$5\eosoboY
F d~'090 You I nay uu,,' , " ,
ee eI' . (Note- lllt:: ~\JI....PlIUIIV
f,'j',_'.'Sil'!irg.m~t"~~)~~~"'<;,\;'(~'~\l:\w'I-roWi~ij8Q"":iW,';;t:C:1rft.
B. ,,_'$en'J,ces.ordfeeders ':"7,1 nstallation; 'AlterntlOns or llelocatlOll :;;;",~
';'~.l'\>.'~~U~~J'!:-:...'t;c'entet1~r."'1:f800Jaa2-'-~;j.q.~~~olill...~",>:;.1'"j;;:.;.,;:.t_"!;"':'~"':;:'J;,:-,:,'J.li:
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to I 000 Amps
Over 1000 AmpsNolls
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
,$375,00
$ 50,00
f,"..,,..........i...r~_'1i;';'~.:~,....;~~i7.:":~~~.t;i>":V~(r;>...~tf&"~#~~;~~~~~!'~~
C. :t-,Temp'orarv Se,rvic'eS' o~ri-Fe'ed,' e'rs~~-:.t';7"y~qi~~ur'~~~f~-t~~
......,f'."'._:..r;....u~'.-_;'......-'~,':'...-""--"'P..l'l:,.~."......' . ,'_~;'__"O" "'~_.~~...,....._,.~.r. 0
Installation, Alteration or Relocation
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4, ~fu~.~~ttL':if~~;~;iJ;jg;;1~::\?{ii~Gt Jv9, cJD
'3.Yd.
L. / . qO
61 ' .f~
'1% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive{T:)IBuilding FonnslEkcuical Pennit Application I-OJ.doc
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2:'.5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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Job/Journal Number
COM2006-00296
COM2006-00296
COM2006-00296
COM2006-00296
Payments:
Type of Payment
CreditCard
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3/15/2006
RECEIPT #:
.ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
2200600000000000324
Date: 03/15/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CLYDE PERKINS ELECTRIC
Received By
njm
Page lofl
Item Total:
Check Number Authorization
Batch Number Number How Received
wendy
027746 Phone
Payment Total:
9:33:58AM
Amount Due
43,00
6,00
3,92
4,90
$57.82
Amonnt Paid
$57.82
$57.82
.
. CITY OF ~rJ:uNGFIELD .
Building/Combination Permit
PERMIT NO: COM2006-00296
ISSUED: 03/15/2006
APPLIED: 03/13/2006
EXPIRES: 09/15/2006
VALUE:
Status
Issued
, 225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
, 541-726-3676 Fax
i, 541-726-3769 Inspection Line
Owner:
Address:
CARL ENGMAN
3593 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
I1llt-NTlru,,_ ....
'nil,..... ......, Gunn /":'1\~
Springfield I TYPE 'OF:WORK:'Heating Systems yo t .
"OUTiCEltlo -~tJ'''U Oy the - u 0
In r> .. ~ n Center, TtJn~ Oregon l!t;/it-,
00TYPE10Ftl!.~~0010New,e rules are s Residential
90, You m through 0 er fOrth
calling the ~7,~tain Copies of ~~ ~5~.OO 1-
"u" luer for the OrRh\~~~'N'J~i1ef:'er541~;741!3151
Center is 1-8~~_~ 03f1l1ty Not;ficat;o~
2-2344),
SITE ADDRESS: 3593 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702194205000
PROJECT DESCRIPTION: Install heat pnmp and air handler
I CONTRACTOR INFORMATION I
, Contractor Type
Electrical
" Mechanical
Contractor
C PERKINS ELECTRIC
J CO ENTERPRISES INC
License
159537
156807
Expiration Date
04/15/2008
09/09/2007
Phone
541-895-4466
541-689-1667
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BUILDING INFORMATION I
VN
# of Stories: Lot Size:
'.ft,nr:
Height of Strncture l '-: Sq Ft Ist Floor:
Type of Heat: HtS PERMIT SHALL n!!9.~pnd Floor:
WaterType:,~UTHOR'ZED UNDER T~q,MBi~1~.wORK
Range Type: COMMENCED OR IS ~,,!ll<<arageYS:"reqrt
Energy Path;\NY 180 D ABSq'iIlOQt.l@rFOA
Sprinkled Building, AY P,ft&lIOD. Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Pal1e 1 of3
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t.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
.J
Fee Descriptiop
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling U Pit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Total Amount Paid
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. CITY OF ~rlUNGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00296
ISSUED: 03/15/2006
APPLIED: 03/13/2006
EXPIRES: 09/15/2006
VALUE:
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp< Pii4.I
Amoupt Paid
Date Paid
3/13/06
3/13/06
3/13/06
3/13/06
3/13/06
3/13/06
3/15/06
3/15/06
3/15/06
3/15/06
Receipt Numher
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
$4.90
$3.92
$43.00
$6.00
1200600000000000289
1200600000000000289
1200600000000000289
1200600000000000289
1200600000000000289
1200600000000000289
2200600000000000324
2200600000000000324
2200600000000000324
2200600000000000324
$120.92
I Plan Reviews ,
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.
L..fenllireCUn~nections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Electric: When all electrical work is complete.
Rough Electric: Prior to Cover
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Paee 2 00
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. CITY VI< ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2006-00296
ISSUED: 03/15/2006
APPLIED: 03/13/2006
EXPIRES: 09/15/2006
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 aU required inspections are requested at the proper time, that each address is readable from the
I . streel, Ihallhe permit card is located at the front of the property, and the approved set of plans will remain on the site at all
..limes during construction.
Owner or Contractors Signature
Date
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Paee 3 of3