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Home My WebLink AboutPermit Electrical 2005-10-26 vPI2- jec! as SUbn1~~~ l,\Ie Ir n tre ulr.~ i~ 5 ~PR~NCF's::. ~l:;"~.:...i'" . 9 I. . ~OCATION OF INSTc4.LLAl'ION ,~: .,' 3. f:, 7i 6 'MA-IA( Sin LEGAL DESCRIPTION 1,07541.{ I 06700 .... ",,"_ ...,.;1;"':;'",\:,,"1"""',-,_"; ,; .,.'..",....<1>'.,:"..".,. ','" A. : New Residential.- Single or.l\'lulti-FamiiVpef'd~~elling' .. "'_' _", "." " . ......'.. H'~"""~:''';->''''''''_/ .....~..~,;."'.".~."_.~1h.....t:.....,... JOB DESCRIPTION It h~ i..{ C I r CVl. ,I\. Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof $106.00 $ 19.00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days ofissuance or jfwork is Modular Dwelling Service or S50.00 Sus~en~ed fo~ ~80 d~y~,. .... ""-f .i.;:t.:.~~ p Fee~:~., .~. ,....._ v. c. -....' _ . "," .' ,,,.:,,,a--:-c "t="; 2 ,_ CPJV1:~crOR /NSl'ALEA1.:I9!YiQl.fVYuALL f B. Ser.vice.s,,\r Feeders.':'lnstal!ation, Altenlt~iiits or,Re!ocation::.;:' . -' -."'" ,,~~L --< -';'Ur'ROR-'c--;v,J, XPIRI?IFTFr~" ..,,,,. .,,-,~--- .'.'. -,."".'='._.~-~-' Electrical Contractor (!,. )l,eRr(1,<:l15 ~lg~nJl THI!iOOEf!.~1l~1"~~9~ $ 63.00 ANY) 8MAV' PE :-; ABAMOOflfias~8imps $ 75.00 Address f? 0 . B <>x I ;1.:J' A/DD. 401 Amp;t~6bO Amps $125,00 601 Amps to 1000 Amps $163.00 City r!..t<,.,.~ w",,} I Phone 1'9.5 - '7'/ /,,1/. OverlOOO AmpsNolts $375.00 Reconnect Only $ 50.00 Supervisor License Number ,2 9 7 tJ - S I -''',,-' .,", .. '":-:'::-:L<:;" , ,"~ 0-";1, ~.'(l~:'_-~.:~ ~t'~'. -'''' ~:... -""1'~'---:"~A" rr:",","~- ~:fii':"'''''-:-'"~ C. ()Tehiporarv Services or.Fe'eders\:"':>>._~.':t"_I'~~~' /~~.J~~.{'1"l:~}..::""'>rl_"- .......{ ",."",,,,. <~..~ oi., .f.... .....'j;',I,..,..."'_~~._~,..............:'............;.;...lt'~,,_"'......~-.;.JiU;....J:.':~~ Expiration Date /1)- d/- a.7 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Constr. Contr. Number /5: '7,!;', ~ 7 Signature of Supervising Electrician Over 600 Amps or 1000 Volts see "B" above. ATTE~DITIOB"I: Orhi'mC' ..,n "''''r,'e",tjIC$I,'' ,,'fur.to'. c, ,', ''<:~'~''''',':;'J,.,":ii'. " I;c'.,": f .' rane 'lrcultsj ,~'H, '" ";.!'""',.-t,,,.:,,,t}i~~'" ~'!.'"'-','.Jt,? ;:"-- ;-,<:"'4;,, 01101'0' rUI()~';JdOf'l6ctby tM"(JretrOiftltllltY"'" :'-"."";;"'" Coo"";:,...".,.,,'., (lL~ ~ :~o! ~-: ,". r,J'New,Alteration,or. Extension Per Eanel I " _'- _~_....... "'U..J\"ifUI\..i~aIC.;::lt:aIVILII . , "One Cir.c~i.tO lhrouoh OAR 952 M1 $ 43.00 C/ '1 / L J .M A" r I " I ~:~~i~d:/~~~~f;~~\rtlYg~ules by ~, $ 3.00 c; Owners Name j-- A- ", ,.,~~A- ',' ,. ,I :'C,' l~ ~'~:8::>~C1e Address b 7 J b MA,"! ~ E. ' l\lii~~1I'''~.o~;(sJ~~,i~~ii~Jd?r1'n7,~i~cl~ded)::i1~hj~stalla'tion' ,_~ .' " "M'" ',,',.,;J "''':J'..tlj-.'''' ,-/- -.:'." .\" ,'~,. -,>,,,,".:' -,'1.~.' ~"'? r ~ Phone 736 -:13 II t;-;.5-CJg' Expiration Date OWNER INSTALLATION Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25.00 $ 45.00 City The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: . ~ .. "t;"_...t., ..~~ ' ~ 4. ,; SU~r.OrALo,F ~OVE" .;'.' ." '{.: 52. 3',1' sto ~O~ 7% State Surcharge 10% Administrative Fee Inspection Request: 726.3769 TOTAL Shared Drive(T:)/Building FonnslElecuical Pennit Application t.OJ.doc Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01510 ISSUED: 10/26/2005 APPLIED: 10/26/2005 EXPIRES: 04/26/2006 VALUE: SITE ADDRESS: 6736 MAIN ST ASSESSOR'S PARCEL NO.: 1702344106900 Springfield TYPE OF Heating System TYPE OF USE: Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: Address: Phone Number: I\IOT!C~: EXPIRE IF THE WORK l\'llS PERMIl SH~lf.~ ~'\I" nCQMIT\~. NOT lI,UmO~ILtU um.. .. .. ~, FOR ICONTRACTORlNEpi~ON,BANDONED AN"! 160 gA~ Vt\~,Uy. Lic~nse Expiration Date 159537 0411512008 149452 1012212007 LINDA MARSHALL 6736 MAIN Sf SPRINGFIELD OR 97478 541- Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC EUGENE HEATING & COOLING # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Sethacks: Street Storm Sewer Available: Special Instruction: Notes: Phone 541-895-4466 541-726-7654 I BUILDING INFORMATIONI # of Stories: Lot Size: R-3 Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled nla Occupant Load: '_'_~I ,... I .__..l___................. /.-:-:-:::.. 'LJ'.. ...... ....;:,~.-. .~.- . - -1- ~ I DEVELOPMENT INFORMA:rION'13dopted by the Oregon Utility Notification Center. Those rLR.KQJJJRED\PA:RKING Overl~ Dist: in OAR 952-001-0010 througTo't'alfl 952-001- # Street Trees C~90. You may obtain copieHiihliiCail~eci:by Paved Drive Rqd: caili'lg Ihe center, (Note: 'ConipaCtrOne % of Lot Coverage" l'TIber for the Oregon Utility Notification Cer'ter is 1-8CJO.332-2344). IPUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains 1 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01510 ISSUED: 10/26/2005 APPLIED: 10/26/2005 EXPIRES: 04/26/2006 VALUE: I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Total Value of Project Fees tiWU Amount Paid Date Paid Receipt Number 1200500000000001609 1200500000000001609 1200500000000001615 1200500000000001609 1200500000000001615 1200500000000001615 1200500000000001615 1200500000000001609 1200500000000001609 1200500000000001609 $10.00 $4.50 $5.20 $3.15 $3.64 $43.00 $9.00 $8.00 $12.00 $25.00 10126105 10126105 10126105 10126105 10/26/05 10126105 10126105 10126105 10126105 10126105 $123.49 I Plan Reviews I To Request an inspection caD 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. wiD 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. 2 of 3 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01510 ISSUED: 10/26/2005 APPLIED: 10/26/2005 EXPIRES: 04/26/2006 VALUE: By signature, I state and agree, that I have carefully examined the completed ~plication 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 wiD be made ofany 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 wID remain on the site at all times during constructlolL Owner or Contractors Signature Date 3 of 3 225 Fiftlt Street Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Number COM2005-01510 COM2005-01510 COM2005-01510 COM2005-0 1510 Pi'yments: Type of Payment CreditCard a, 1012612005 . RECEIPT #: -~'-~.' 1Iait' : ",,,' , .. ' "J;f.ity of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001615 Date: 10/26/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Eo Add + 7% State Surcharge + 10% Administrative Fee Paid By C. PERKINS ELECTRIC Item Total: Lhetk Number AuUlorizatioD Received By Batch Number Nnmber How Received ddk 229796 In Person Payment Total: I of I 12:09:14PM Amount Due 43.00 9.00 3.64 5.20 $60.84 Amount Paid $60.84 $60.84