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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 -