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Home My WebLink AboutPermit Electrical 2005-6-17 '.0'\" e ~e 6"~ ""es <:< . .~e6 ~,\C .' s~Q~ .' 225 'FIFTH STREET. SPRING D, OR 97477 . PH:(54I)726-3753 . FAX: (54I)7~li\~~~-i\,e ~o\ 0\ ELECTRICAL PERMIT APPLICATION "i\"~10e~ <:< - '''( .\0 6 City"Job.~~mber: r~zo.oS "..OO~_D~)e " 4:> - ~ - C?S~"".'~~.." 1"I:t: '~.r"""~" .. ..t~ '.., I" . ~ t- ":"1'" "'t.';$oo,.r-.trt '*'~~.. " O:\'~''>1~'.~ , \(\~ .S_ftt. ';r:v:-' ~}''''~~.o''I.';'''''' 'h',l-'ii': "'h"\-~'\.' ''!.,.,~.'t.H{~;{':;..r''-;I.i'j; ....'-:t....A'....n.,.--tf. ..-J.O.,;",..,n~.__ l.. ...... 4 "" "i\":~~g~~~~~\r.~ilJ~~,:':~l~,:"'-'- < -t~ '.~~'f1 . '. ..~__'.4._ ~ ,-.- . .'-_...n...--.......;.~~ 19(0 ( m"j CL.:"'" ~ ) . ---.,----'.-...~'e~<~..;:~~~.-~ _.~:'~';~, LEGAL DESCRIPTION A. W~~jJ1~~1iw'L~j~,~ 1 703 Z 7/1 0 b? DO Service Included *' JOB DESCRIPTION 1000 sq. ft. or less $106.00 Each addition 1 O. g. ft r .' Lo( 9 c.-u:z.. ~ fJ L<-.-. 4) portion there~ln~llorf: Oregon law reqUlr~~<yIW". ,,' \.. \ \ Ildlbw rules adopteu uy ,j,,, u,agon'Utili,y , Permits are non-transferable afil}Jexpire if work is Each Manufl'!l\\Hjm11~ eJenter. Those rules are set forth not started within 180 days of issuance or if work is Modular ~1Ii~.DWil. ~':D:lt,e.:Rr-OOl 0 through OARGlg~-001. Suspended for 180 days. Feeder 0090. You may obtain caples at the rules oy tr';'~";';M~'t...,;l'~~~r..W'~ B. ~mi~. '. t' I! ~ '~11'~.~~ 2, .~~~.~)~...._~~~~ Electrical ContractorCi)Q ~LA.J. ~&AA"" '. D, Address ~~'" ~Sl CityN.." 0""'" ql~Q~ Phone ~\\3. 'll~ 6 Supervisor License Numb'er ,/..e:, ~_ " Expiration Date 10 -j -OJ ,Constr, Contr. Number 'o;;:,'lOll- b' c.- Expiration Date \0 - l,:'O.s Signature of Supervising Electrician 4A~~a-L~ MaA/ Owners Name ~ .--tk-; l:-l..pa Address f ?l>! M '-rM/:s,J:'" cr City <;;~~ Phone J!Ji _~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale; lease or rent. O""ers ,Signature: Inspection Request: -[6 \~~~Ch~ 726-3769 _ ~ . ~V' Wl\~' ~ I. ',.':.:............;., . '" 200 Amps or less Center is 1-800'332-2~,o()o 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163.00 . Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 c.: THIS PERf,lIT SHALL EXPIREIFTHEWORK Installation,'AIteration:or RelocationMIT IS NOT ....... II 'VI I.l-L..U UI'lULll IllIu rcn . .,209 'Anipslj?I./ ~[s).,OR +S,ABA-NOf'l ~11Of'lC'J~ 50.00.;'" ',:-- , 20lrP,illlp~to ~99{Pin1P.~IOD. $ 6900 40 I Amps to 600 Amps $100,00 Over 600 Amps or 1000 Volls see "B" above. D. New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 43.00 <-/..3., $'U $ 3,00 E.~_~~ Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited EnergylResiden)ial $ 25,00 Limited Energy/Commercial $ 45.00, Minimu~,Ele~t~ic Permit Inspection Fee i~;~~\urcharges ' ~>>r' I 4. 4 s <>-0 ~\.:s; 4Sb .s~~ ,'7% State Surcharge. 10% Administrative Fee TOTAL Shared Drive(T:YBui.lrling Forms/Electrical Permit Application I.OJ.doc . . \..-11 l' OF ~rKll~uJ<l.l!.LU Building/Combination Permit .."-'. Status Issued SITE ADDRESS: 1961 MCTAVISH CT ASSESSOR'S PARCEL NO.: 1703271306800 Springfield PERMIT NO: COM2005-00601 ISSUED: 06/16/2005 APPLIED: OS/23/2005 A-.E;f!!~~bregcMl,!fi!~jres you to 'V}\LUE' U Tty follow rUles 'adopted by the Oregon tll ...... _ _ _ ~..I_.... ....", C'ot fnrth l'JOUllLid.llUII V'C,ILVI. . ..~-- '., ....An ^C~ nn1. .n f ILltj 4""1/-IIUI-VVIV ~I"""""'::l" -.... -- TYPE OF WORK: Heating Svstemthe rules by r)U!:1U. yOU I1ldY UUlculI....._ p,,,,;........ __'1'__ thn r.en~r. (Note: the telepho.ne . TYPE OF, USE: ew Utility NotiR~I!!Mltal number for the regon ,,~ .. Center is 1-800-332-2344). 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PROJECT DESCRIPTION: Install heat pump Owner: BENNETT HUFF Address: 1961 MCTAVISH CT SPRINGFIELD OR 97477 Phone Number: 541-747-5449 , CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor '. ....' .'t!cense Expiration Date ,Phone OREGON ELECTRIC SERVICE 'liS PLI,~~,~~,8SHALL EXgP6~4~}0~~IE W 541-343-1681 HOME COMFORT HEATING & AIR :' T, if' ,84.1,6:l. """rn T' ,l\~/~~~'007 0:5;0-345-2838 I BUILDING INFORMATlONp OR IS ABANDON~'~ 'Fb~NU I 'n I ~l; UAY PERIOD # of Stories: . Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN I DEVELOPMENIIMuN>1ATlON I Frontyard 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 IMP nU ~ ",.."" 1 ~ , Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsmrains: Notes: Paee I 00 _~~~!GIP.lIi/;I.p; ~~... . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line I Valuation Oescrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp< PiWIJ Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 $4.50 $3.15 $43.00 $2.00 6/1/05 6/1105 6/1105 6/1105 6/1105 6/16/05 6/16/05 6/16/05 6/16/05 Total Amount Paid $~15.30 I Plan Reviews I . CITY OF SPRINt:d<l~LU Building/Combination Permit PERMIT NO: COM2005-00601 ISSUED: 06/16/2005 APPLIED: OS/23/2005 EXPIRES: 12/16/2005 VALUE: Value Date Calculated Receipt Number 2200500000000000699 2200500000000000699 2200500000000000699 2200500000000000699 2200500000000000699 3200500000000000359 3200500000000000359 3200500000000000359 3200500000000000359 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....U'UlIlrptlln",neetions I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 00 . . Lil t OF Sr.K1r"lGFIELD Building/Combination Permit PERMIT NO: COM200S-00601 ISSUED: 06/16/2005 APPLIED: OS/23/2005 EXPIRES: 12/16/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection 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 he 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. . 0'~ fl r<l ck.ol 4/1 & I CJCp ~ V-- Owner or ~jractors Signature Date Pa2e 3 of3 225 Fifth Street Springfield, Oregon 97477 5'(1-726-3759 Phone . .~i', ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 3200500000000000359 Date: 06/16/2005 2:15:26PM Job/Journal Number COM2005-0060 I COM2005-0060 I COM2005-0060 I COM2005-0060 I Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 43.00 2.00 $52.65 Amount Paid Check OREGON ELECTRIC SERVICE njm 18689 By Mail Payment Total: $52.65 $52.65 '< 6/16/2005 Page I of I