HomeMy WebLinkAboutPermit Electrical 2009-9-9
225 Fifth Street+Springfield, OR 97477+PH(541)726,3753+FAX(541)726,3689
1~'G\[f~ft~~T~~~i':u~'E:O~,~'k};:'; .1
I Pennit nolJc; - /3 2. ? I
I Date: f}' 0 I
Electrical Perinit Application
This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days, 0,
'i::il!0-CAL;'G0VERNMEN",i}AF1P:ROYAli~~~~tj{f?:'1J":J:lrl 1fW'@liji,1[~~"f1!s'i'i&!'!M)\i1{\~EE~SCHEpOI:!E~,~r1llf1~#~I!~~;i'
I Zoning approval verified? D Ves D No 1;~",~[e.~:~i]~~We1ti?-R~fp.;i,i~~~!(ii~~;I~i~::I,:_,,Fe~~t!;:;:1:,:~%t~lf;:
~~E~~~~:::::~~~;;~:T::r~:f;i~Z~::: :~~~E:"ti;:o~~::~(:;S:';~i::inc;~~:~:""'$:34':0' $u "
I Job site address: ) '2.,) i-\ 9.""' ST I ~~~~:?ditional 500 sq, ft or portion $ 25,00 $
I City: sq,; ~c:3i; '~,~ I Stat(J~ I ZIP: I Limited energy (2) $ 32,00 $
Reference: \f'la J..,. ?:f})c\! Taxloco\1.1 I I Each manufactured home or modular
~r"'''liJ';''''';'t}DESCRIP,tI0N;j0F7,WORK',q!it~~!:t'!:,'i!):1i';;~:!o)";::1 dwelling service or feeder (2) '- $ 63,00 $
r. .-I-- \\ ' ....\- \' ... 1) I Services or feeders: installation, alteration, relocation
1-!-V'l:::'\CI <:SC,",," ',\0'(' ~~'('\,'~~\\-t
I 6..<-J .~ -,\v-6 6\.\1)(:\<; I 200 amps or less (2) $ 81,00 $
I ; ~ :PROF\ERTY;;'0WIIIER '. " I 201 to 400 amps (2) $ 95,00 $
I Name: ~~ fXXl,ene..., ~ I 401 to 600 amps (2) $158,00 $
I Address:\'1A"""\ V\\\l:L'("~ I 601 to 1,000 amps (2) $205,00 $
I City: ~\.eruz..... I State: (')(Z. I ZIP: q"1.~ lOver 1,000 amps or volts (2)' $469,00 $
I Phone: I Fax: I Reconnect only (2) $ 63,00 $
I E-mail: I Temporary services or feeders: instqUation. alteration. relocation
h I 200 amps or less (2) $ I $
T is installation is being made on residential or farm property 63,00
owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 I $
property is not intended for sale, exchange, lease, or rent OAR
479,540(1) and 479,560(1), I 401 to 600 amps (2) , $126,00 I $
Signature: lOver 600 MnPS or 1,000 volts, see services or feeders section above
i :::~~~~~RA~E~~~:~~c;..~~'1:E::~::::=::::'::;:':;:;:;;"'~:;::::1";"
I City: C-\'e.S,":,\"\ I State: (\Q I ZIP: 91LRcd b,Feeforbranch circuits without purchase ofa service or feeder: e*:
I Phon<!;,'L.{\,zzs 7e,77 I Fax: I FlrstbranchmcuIt(2) \ $55,00 $::>
I E-mail: I I Each additional branch circuit .:<' $ 6,00 $/ ~
I CCB license no,:\ "6'-12..1 <-l I BCD license no,:c. tj~ I I Miscellaneous fees: service or feedel, no! included I
I Signing supervisor's license no,: 53; ~'J 1l S I I Each pump or irrigation circle (2) $ 63,00 $ I
I Print name of signing supervisor: 'fY\c::flT ~~VQ,(' I I Each sign or outline lighting (2), $ 63,00 $ I
I Sjonature ofsignino supervis~--~.----::? I I Signal.circuit or a li~ited-energy pan~l, $ 63.00 $ I
e b ~ ~....~ /' alteratJOn, or extensJOn (2). I
../' I Each additional inspection: (I) ,'I I $58,00 $ I
W Iwt~~M~1grGt~~~~th:R~GiC~NTA\DsEff;~t*it~;j9fi~!;!i~&~~~f~fJ;f~j
(\ . \ f\. ~ (A) Enter subtotal of above fees $ 7 ''--1
"'\ \V (Minimum Permit Fee $58,00) (.
\.l <6Qtv" I (B) Enter ]2% surcharge (.12 x [A]) " $ S(O..':!.. I
~ I (C) Technology Fee (5% of[A]) , $ :32!:-. I
. I TOTAL rees and surcharges (A through C): $ 7o~'
I
.~
,.~~~.,O
~\Y \\)X
440-2584-J (9108ICOM)
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM2009-01327
ISSUED: 09/08/2009
APPLIED: 09/08/2009
EXPIRES: 03/1212010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa'x
541-726-3769 Inspection Line
SITE ADDRESS: 131 49TH ST
ASSESSOR'S PARCEL NO,: 1702324100127
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner:
Address:
"SP EUGENE LLC
'1247 VILLARD
EUGENE OR 97403
ATTENtiON: Oregon law requires youto
follow rules adopted by the Oregon Ulility
hlnnfi"elion Center, Those rules a~e _s.:~ f.?~~h
, ()"R 952-001-UUlU 1I11UU8" v.'" ~~- --
In " . ' " les by
OII,(GONfliRA<J:,TOR'INFORM:kTION '.
, II, ,(,Jne
ca\l1ng lne lit:llt<:;;il, \'~'-"~' u,- ,', '
o on UtlPt" Notification
Contractor number;o~,t~.e;c ;~~nn-33,,8S!;!,l~e Expiration Date
. : COMPLETE ELECTRICAI<'INSTA:LLATION 184274 10/1412010
INNOVATIVE AIR INC 161742 10/1lI2010
Phone
541-225-7827
541-746-1040
"
Contractor Type,
Electrical
Mechanical
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '
# of Stories: Lot Size:
Height of Structure Sq Ft Ist Floor:,
Type of Heat: Sq Ft 2nd Floor:
NOTI~ater Type: ~,q Ft Basement:
THIS IR.!',~g~ITy.M;~LL EXPIRE IF THE WOP~ Ft Garage/Carport
AUTH!'il!.~r~y.fiJ\~ilER THIS PERMIT IS NCSq Ft Other:
"OMn~priiikled(jBuildin~:'ANDONEfi'/a~OR Occupant Load:
\, ,vlt:NlJtU 1"1 10 /'fu - , , '
.__ ....~~.n. ..or."
I DE\'EL!OPME'N'f-INFORMA nON ,
, REQUIRED PARKING
Frontyard .Setback:
Side 1 Sethack:
Side 2 Setback: '
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. Total:
Handicapped:
"
Compact:
I PU~LIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
{\.t)\.>E..'D E'~
Paee 1 of3
Status
Issued- ------
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Oescrintion I
Description
" Tvpe of Constrnction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
PPPl;', P':JirlJ
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee '
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$9.48
$3,95
$79,00
$8,04
$3.35
$55.00
$12,00
Total Amount Paid
$170,82 ,
Plan Reviews ,I
Date Paid
9/8/09
9/8/09
9/8109
9/9/09
9/9/09
9/9/09
9/9/09
CITY OF SPRINGFIELD'
Building/CQmbination Permit
PERMIT NO: COM2009-01327
ISSUED: 09/08/2009
APPLIED: 09/08/2009
EXPIRES: 03/12/2010
VALUE:
Value
Date Calculated
Receipt Number
2200900000000001020
i20~?00000000001020
2200900000000001020
3200900000000000641
3200900000000000641
3200900000000000641
3200900000000000641
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. wiWbe made the following
work day.
L.J!eouiretU'nsnections'
Rough Mechanical: Prior to Cover
Final Mechimical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of3
, -!~~~~,ffl;!~:~,~;t.\ v ;.;.,,"17,
~ - , '
~i l, /
'::i: "
Status
Issued,'
CITY OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2009-01327
ISSUED: 09/08/2009
APPLIED: 09/08/2009
EXPIRES: 03/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54] -726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examiued the completed application and do herehy 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 tliat only contractors and employees who are in compliance with ORS 701.005 will;he used on this project,
] further agree to ensure that all required inspections are requested at the proper time, that each a~dress 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 th'e site at all
tim~::;onstru~A
#'/?'/~~/ 4-9~6~
" Owner or contra~ature
Date
\
Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477 .
541-72~,~3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000641
Date: 09/09/2009
2:32:26PM
PaY'lle"ts:
Type of Payment . Paid By
CreditCardMATTEW GROVER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJC 045105 In Person
Payment Total:
Amount Due
55,00 '
12,00
3.35
8.04
$78,39
Job/Journal Number
COM2009-01327
COM2009-01327
COM2009-0 1327
COM2009-01327
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
, ,+ 12% State Surcharge
Amount Paid
$78.39
$78,39
(
cRecei~tl
Page 1 of 1
9/9/2009