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Home My WebLink AboutPermit Electrical 2006-3-15 The, following prOjw.;~tted has the following 20nlng, and does ~ Mire specific land use' .proval. , '3-I-:S- -0<0 ~ ' ~?f>n,"g C/\uu - s: - ~:t'- {. rg_W~J.e , ilS."r.'N"If~LO~~~"; J ~.....r. . . " .-' ~ \1" _ ""_ _,,'S:t:~~r.:""~ \;.; 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7~lg~:l~~~ Si9~",~""~,',P,~:~:;!":"~lt;'~~i ;~~~~~Z:;:;::~:::':!COg~q(~ OatS -IS ~ ~YI%t\ , '.' "," ' , ,,' ',.." ,. "..., '",,'.. " ';'C"O~1I;;'E""I"':"FEiis"-c"":;'E';i3U'''L''E''''B''E':L''"'O"';v.'1f~Tt1i:;f;'4f~i'1;F~'f!!\ 1." LOCATION OF INSTA,LfATlf)Jf. ':"::,::. 3. ,',,',.. ,,',',",,' ""L",., ,..,,~'... "'.,, ,n"."" "'..",,,' "".,'",' "',_".'~'c,',",,,',-, """,',".',i,-, "."',',^"",.,"",'i,1,,,,,,',~.",,' 3eR3'"ffi "';G:~ .., (;s75d~(l '" .., ," ,,'. "-.,;-;",~o~-,-",..,:~-:~,,,.',~:-~,':~,-...~: LEGAL DESCRIPTlO~ I) A. ;N~;v Residenti;'(:,;singi~.or:i\luiti-F~mii;"p"Fd~eili;;;i'~riit:.,!l,) ....'. ..!.,......;". "0>,-.,'.. .::....-.;.~_.o.'JO.:.:..'.,l..;'__~_ ,_...:~.;.,i--..:":':":'........:.';''';'':':'-;.......t:.N<',.",,,,);,,,,,::,~~, \'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 <, , , . 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 0' 2:'.5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ."~'I\l_I~~I!I~__'_." ",:, lilt, I "'. : --...- . ..- - Job/Journal Number COM2006-00296 COM2006-00296 COM2006-00296 COM2006-00296 Payments: Type of Payment CreditCard :i '4 ;, - " '" :\ '4 ;, . :\ 4 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 :. 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 r' 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 . . 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 , :, Paee 2 00 . . 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 '. Paee 3 of3