HomeMy WebLinkAboutPermit Electrical 2005-08-23F SPRIN
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541 :7 2G37 69 I ns pe ction Line
SITE H)DRESS: 68l WOODCREST DR
ASSESSORTS PARCELNO.: 1703341302000
PROJECT DESCRIPTION: Electric for Heat Pump
PERMIT NO: COM2005-01140ISSUED: 0812312005 :APPLIED: 08/2312005E)PIRESz 0411312006
VALUE:
Springlield TYPE OF
TYPEOF'USE:
Heating System
Addition
Owner:
Address:
Contractor TVpe
Electrical
Mechanical
Contractor
C PERIilNS
EUGENE HEATING
are
oAR952
J tre rute
the
Residential
Phone
541-8954466
541-726-7654
NTE
o
is
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
ANY lOO OAY
JOHN SARYIE
68l WOODCREST DR
SPRINGFIELD OR 97477
PhoneNumber: 541-746-1219
you to
n Utility
Date
tication
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Piimary Construction Type
Secondary Construction
# of Bedrooms:
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm SewerAvailable:
Special Instruction:
R-3
VN
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
T $EHORK
Downspouts/Drains
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
nla
Notes:
l of 3
-0010
the -2344\
Height
;0n
PEffIOD.
INIilrnUvlAll(r1\ |
Status: Issued
225 Fifth Street, Springfietd, OR
541.:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspe ction Line
OF'SPRIN
Buildin g/Co mbination Permit
PERMIT NO: COM2005-01140ISSUED: 0812312005APPLIED: 08/2312005E)PIRESz 0411312006
VALUE:
Description Type of Construction
Fee Description
+ 10Yo Administrative Fee
+ 7o/o Sttte Surcharge
Addn Alter, Extend Circ
Minimum/Adj ustment Electrical
-Mechanical Issuance Fee-
+ l0o/" Administrative Fee
+ 1Vo State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Total Value of Project
Date Paid
8t23t0s
8t23t0s
8t23t0s
8t23t05
t0n4t0s
t0n4t05
t0lt4t05
t0n4t05
t0n4t05
Value Date Calculated
Receipt Number
2200s00000000001142
2200500000000001142
2200500000000001142
2200500000000001r42
1200500000000001526
r200500000000001s26
1200s0000000000rs26
1200s00000000001526
1200500000000001526
$ Per Sq Ft
or multiplier
Square Footage
or Bftl Amount
Amount Paid
$4.s0
$3.1s
$43.00
$2.00
$10.00
$4.50
$3.15
$12.00
$33.00
$115.30
Fees Paid
Plan Reviews
To Request an inspection call the24 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reouired fnsnections
2of3
Valuation Description I
CITY OF S
Buitdin g/Co mbin atio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-36768ax
541 :7 2637 69 Inspe ction Line
PERMIT NO: COM2005-01140ISSUED: 0812312005APPLIED: 08/2312005E)QIRESt 0411312006
VALUE:
By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that atl
information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCC[ PA|ICY 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 ftom
the street, that the permit card h located at the front of the property, and the approved set of plans will remain on the site
at all times during
lo-tt+9
Owner or Contractors Signature Date
3 of 3
Vax^ s ^^n ll A
225 Fifth Street
Springfield, Oregon 97 477
541-72G3759 Phone
City of Springfietd Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 1200500000000001526 Date: 1011412005 10:55:02AM
Job/Journal Number
coM200s-01140
coM2005-01140
coM2005-01140
coM2005-01140
coM2005-01140
Description
+7o StateSurcharge
+ l0% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.l5
4.s0
12.00
33.00
10.00
Item Total:$62.6s
Payments:
Tlpe of Payment Paid By
unecKNumDer Aumfrlzatlon
Received By Batch Number Number How Received Amount Paid
C'ash
Change
AUTOMATIC HEAT
AUTOMATIC HEAT
djb
djb
In Person
In Person
Payment Total:
$6s.00
($2.3s)
$62.6s
Job/Journal Number
coM2005-01140
coM2005-01140
coM2005-01140
CCtr,tzoos-o,:l
coM200s-o
I 140
I 140
Description
+ 7%o State Surcharge
+ l0% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
33.00
10.00
Item Total:$62.65
Payments:
Tlpe of Payment Paid By
uheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Cash
Change
AUTOMATIC HEAT
AUTOMATIC HEAT
djb
djb
In Person
In Person
Payment Total:
s65.00
($2.35)
-56rF
j
t0/1412005 lofl
),
'
!i p rolecl as subl'l'6uffffirrowins
I\4APfrZILX>
t requi
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 . FAX: (541)726-36.89-.
E LECTRI CAL P ERMIT AP P LI CATI O N
City Job Number (DvtnqDbS--1 4{)
1 COMIRACTOR IIYS?l4.I LATION ANLYMa
I Date
l)rUnaiL'lif
-o9
1. LOCATION AF INSTALLATTON
tagl \,rJoodc.ne3r
A. New Residential - Single or Plulti-Faruil"v per drvelling unit.
3.
LEGAL DESCRIPTION
7 b
JOB DESCzuPTION
?)ttfic,
Permits are non-transferable and expire if work is' not started within 180 days of issuance or if work is
Suspended for 180 days.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$r06.00
$ 19.00
$50.00
Electrical Contractor
Address Pc , Rox // r?
City C t{rs ,r.i I ptone f?-{ ?? Z /,
Supervisor License Number 'o
Expiration Date ,/o ^/ -
Constr. Contr. Number /,{943 7
Expiration Date c
Signature of Supervising Electrician
, Over 600 Amps or 1000 Volts see "B" above.
o. 'sE"cici.'itiiis'!:r.1 :::r it'=' 'l':,?'j'lt:..0:,:',if '. . . '
New Alteration or Extension Per Panelonecircuit I $43.00 fi,Op(t ^o {fu*'
B.
i 200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
C.
E
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
$ 63.00
$ 75.00
$ 125.00
$ r 63.00
$375.00
$ 50.00
$ 50.00
$ s0.00
$ 25.00
$ 45.00
tion
Jottnso*iu,
Each Additional Circuit or with
Service or Feeder Permit S 3'00
Address (A Nuducs?
-u-
Owners Name
Ciry rt Phone
OWNER INSTALLATION
The installation is being made on propeffy I own which
is not intended for sale, lease or rent.
Owners Signature:
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commerc ial
7%o State Surcharge
l0% Administrative Fee
TOTAL
lVlinimum Electric Permit Inspection Fee is $45.00 * Surcharges
4 suBioi,rtores'ovz'- . 'l' ,,, , Eee.#>o
q7.6lnspection Request: 726-37 69
Shared Drive(T:/Building Forms/Electrical Permit Application l{3.doc
0?nO
+t - t{--r
4.t9-7.dN-
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-01140ISSUED: 0812312005APPLIED: 08/2312005EXPIRESz 0212312006
VALUE:
SITE ADDRESS: 68l WOODCREST DR
ASSESSOR'S PARCEL NO.: 1703341302000
PROJECT DESCRIPTION: Electric for Heat Pump
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Residential
Owner:
Address:
Contractor Type
Electrical
SARVIE JOHN E
681 WOODCREST DR
SPRINGFIELD OR 97477
Contractor
C PERJ(NS ELECTRIC INC
License
159537
Expiration Date
04/15/2008
Phone
541-8954466
CONTRACT(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# ofStories:
Height of Structure
Type of Heat:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
pies of the rules by
the teleph qIEQUIRED PARKING
the Oregon Utitity Notifi cation
Total:ter is 1"800-g92-2944)
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase I of2
Value Date Calculated
-
IrullJtrll\ (, Il\ f! (r.FUYlA I l(rl\ I
Valuation Description I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01140ISSUED: 0812312005APPLIED: 08/2312005
EXPIRESz 0212312006
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ lYo State Surcharge
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount Paid
Amount Paid
$4.50
$3.rs
$43.00
$2.00
$s2.65
Total Value of Project
Date Paid
8t23tos
8t23t05
8t23t0s
8t23t0s
Receipt Number
2200500000000001142
2200s00000000001142
2200500000000001142
2200500000000001 142
Fees Pa
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 70f .005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pase2 of2
Date
Keourreo tnsDecttons I
r225 fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT#: 2200500000000001142 Date: 0812312005 9:37:57AM
, Job/Journal Number
coM2005-01140
coM2005-01140
coM2005-01140
coM2005-01140
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 1Yo State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
2.00
3.15
4.s0
Item Total:$s2.65
Payments:
Type of Payment Paid By
uhecl(Number Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard C PERKINS ELECTRIC ddk 223756 In Person $52.65
Payment total:
---Sffi
,i
I
8/23t2005 Page I of I
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