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Home My WebLink AboutPermit Electrical 2009-3-10 ZON~ lNITlALS ~ DATE - l( -OV\ . . SOURCE \.\. "-I,~\L> ' "3/0' ~ 1:::::."..'.--.7--..--.................-"..-......._ME.~~ 3. .:COME.~!!~L~L~~~QJ~g:~g;Q~i"'iTS:i'~!I'~~~ e.~f{EVI et< S ~ ~- I '\ Z S- ..- i'~~'~,,:^i...~~iW;:t,"'1.~""~~*''':i.~,,~';O:~Ii'~~~:~~''''~'~:~~;'O';~~~~ A. J:{~,1!j.R~!!!~!!J!i!!~,~!!'gl!::.!!r,%MI!.l!kli'!!!lllji;I'~!i.i!)!~lll!'g;!'!'!!'~~'l ~,.:~~;~~C;iTYQF SP~GfySLD,_ QREO:QN"' :;,". 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELEcrRICAL PERMIT APPLICATION City Job Number CO M 7..0 f) ~ - C) 0 4 ., Z. 1, rr-{;oCA'iJioilI(jF/iNs:f;.'iifi4"ff:j\f:~'$~!if!~ 3Z?~~"'-2%~-""~f.:JI",l!' oJ, LEGAL DESCRIPTION: )703 ;6(1{ JOB DESCRIPTION: kJ.J StVL 17Z00 I C(rC~-;- ~ I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~. .~~'.~....~41"i"'~k""*l':."mMt;'"~;#;,,<:i,g,~'.'"~l'''^<,"'~I~~IO,:it"''''.''':"':"Iif .CONr!RACTOR'INSTAEHA1!lOMONLK 2. i1f';'7J'k;S';;HI;.qWP$X""':;'''-"';i'I{'''I!*'\'!l=r'\''''-;';f/~i';'h'-*:"'iC,'s;Y';;s.~1\w1::'L'%"~'li,ff'-: Electrical Contractor / Ui nh--) 0A,~ Address ?t)~O!- City Jr,1J1l;tA- IfN Phone SS"lj-'!Z23 Supervisor License Number 4- nDS> Expiration Date /D-I () Constr. Coutr. Number /f5!o .~ 7-IL/-o9 Expiration Date ;Z~-- ?7 / /' Owners Name mu_f /l. ~E;:;iD Address .s.2)' ;::1-5' ff, City Sft=:'L\'\ Phone t;;r lf~J:J-7 f OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Reqilest: 726-3769 Date 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 $121.00 $ 22.00 $57.00 IlJ:*arI!.!"f6;~:8lJh.". !.~.;~'.'".. B:. ji;:'I~~1~~&~lli';;'\t#~q:.,uw",~gP",l;l,"~JlA~~~'Ni)~'ij,..g_Ii-~ B, .ServlcesloriFeeders '-'llnstallation;,:AJteratlOns or'Relocation:,"' '- -,-,-,"l'7+:""t;:"'::"'-~~i',"",:,,_1i;;'m:J~;?:7'I.Mi53""-'ld.:~',J:~'itN?::l'''''~*''itro$:W-'~~"Il<''''''''''f","'''','lO!i'''. I 200 Amps or less 20 I Amps to 400 Amps 401 Amps 10 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $)6.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 <g;(~ c. ~~1;~~~~~~~~~~~~;F1~a~itit~;t~.~~i!~~)~1t~~~jJ ~.. P.!L...!Y. -._,_____. .~_'~~...:_l!'__.,~"'.I"''''~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 57.00 $ 79.00 $114.00 Over 600 Amps or 1000 Volts see "B" above. !!!-""=n""':-:"""'~___cl1'.~_.;jil"g"I"l!);\~"lI D. F:'!!~~!l~~~,~ttS!!!~c},,8"_. ,m '~, ~&~HD1."~~~"" New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 ~o /0 60-. E.IM~I~g(~~~~~lr@::~,~~1!~lm!;~n~1 Pump or iirigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges 4. WSVBiOTmfjE'itBOVE~~.. 11(, ~b7;rftl!:-".!':'r~""",')i'!!r""";\lW;"'ll""Y;,;rlT<it'J",~;,,,,,,*,,'W~gt~wil'Ji -_; ,_ -.' /0 12% State Surcharge I 17 ~ z. leq~ !.FJ-;"l"tnWve Fec 5% Technology Fee BJ~ /7'1 ~ TOTAL Soared Drive(T:)IBuilding FormslElectricaJ Permit Applicatioo 7.Q8.doc CITY 01' ~ndNGFIELD Building/Combination Permit PERMIT NO: COM2008-00492 ISSUED: 03/09/2009 APPLIED: 04/09/2008 EXPIRES: 09/09/2009 VALUE: ., -;~~ ~.." ; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54 ]-726-3769 Inspection Line SITE ADDRESS: 325 25TH ST ASSESSOR'S PARCEL NO.: 17033614]7200 Springfield TYPE OF WORK: Heating System pROJECT DESCRIPTION: Install gas furnace TYPE OF USE: New Residential Owner: Address: f-lTTEI'JTION: Uregon law reqUires yuu tU BRESHEARS HOLLljA.cv' rl'I"'~ odopted by the Oregon Utility 325 25TH ST VI. , ,~~ a r.I,'U'~atio'l Center Those rules are set forth SPRINGFIELD OR ~ri'U.z.R 952-001-00'10 through OAR 952-001- 0090. You may olJtaln cop'e~ UI lilt: I Ult:;"uy calling trle<CONTRAm'ORLmFORMj\,'TION I number rUt lllt:: VIC:8Vt' ""'''''y I~""'''''''''''''':''''''' Contractor Center is 1-800-332-2344). License TURNBO CARTER ELECTRIC INC 156308 BEYMER HEATING & SHEET METAL CO 4483 Contractor Type Electrical Mechanical BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: NOTICE: Type of Heat: Primal')' Construction Type THIS i'!l.iMIT SHA~a[~~IF THE WORK Secnndary Construction Type: AUTHORIZED UND~~nf!./1[Yp'ERMIT IS NOT # of Bedruoms: COMMENCED OR IEnA'if~!f~~N~O FOR . A~IV 1 Rn nAY PER~6t.n e UI dIDg: n/a I DEVELOPMENT INFORMATION I Frnntyard Setback: Side I Setback: Side 2 Setback: ,RcarY"rd Setback: Solar Setbacks: Overlay Oist: # Street Trees Rqd: Paved Drive Rqd: %. uf Lot Covt:'rage: I PUBLIC IMPROVEMENTS I Phone Number: 541-484-1278 Expiration Date 07/14/2009 lI!] 4/20 I 0 Phone 541-729~8409 541-688-5004 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Stnrm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Page I of 3 -ilkuRl ',N,t."G,, _"ll,IitI.~'iiiI, · ',I":,',,, "."';' I. I _ I ~ .,,' ", M " . ','" .of' ' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + ] 2% State Surcharge + 5% Technology Fee Appliance Vent Furnace - up to 100,000 btu Cas Outlets ]-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Renew Electrical Permit. Total Amount Paid I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00492 ISSUED: 03/0912009 APPLIED: 04/0912008 EXPIRES: . 09/09/2009 VALUE: Value Date Calculated Total Value of Project FpP~, ~ Amount Paid Date Paid' Receipt Number 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000423 2200800000000000545 2200800000000000545 2200800000000000545 2200800000000000545 2200800000000000545 2200900000000000239 2200900000000000239 2200900000000000239 2200900000000000239 2200900000000000239 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. $20.00 $5.00 $6.00 $2.50 $7.00 $]4.00 $5.00 $24.00 $5.00 $6.00 $2.50 $48.00 $2.00 $19.92 $8.30 $60.00 $81.00 $25.00 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/9/08 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 3/9/09 3/9/09 3/9/09 3/9/09 3/9/09 Cas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Prcsure test done at this point. Rough Mechanical: Priorto Cover $341.22 I Plan Reviews , ~eouireq.Jn~nprt~ Paee 2 of 3 _S,:.~..E.,oj ..... ". :.... ~' ......,.......1, , ~ ,. " ' - ' . ,,~ .; Sta tus Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00492 ISSUED: 03/09/2009 APPLIED: 04/09/2008 EXPIRES: 09/09/2009 VALUE: 225 Fifth Street, Springfield, OR 54] -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. Rough Electric: Prior tn Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 cnrrect, 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 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. ~/~ 3-?-0'} Owner or Contractors Signature Date . Pae:e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM200S-00492 COM200S-00492 COM200S-00492 COM200S-00492 COM200S-00492 Payments: Type of Payment Credit Card cRcccloll .p..:..~IN..Q.II;.t._~".",,".. ; ." - .. IIIr.: .. . CitY of Springfield Official Receipt Development Serviccs Departmcnt Public Works Department RECEIPT #: 2200900000000000239 Date: 03/09/2009 Description Renew Electrical Permit Perm ServIFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By FORREST BEYMER Item Total: Check Number Authorization Received By Batch Number Number How Received ojc b63227 'In Person Payment Total: , Page i of! 1]:38:21AM Amount Due 25.00 SI.OO 60.00 S.30 19.92 $194.22 Amount Paid $ i 94.22 $] 94.22 3/9/2009