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Home My WebLink AboutPermit Electrical 2005-10-24 The following proJecfas sUbmlltk~,Pr- . ___ . zomn and does nol require 'jPEili ~ ). ap. fJ'J I'Y\. . ~: v.. e :t,~p .~!~m.' <<l r It .' . -. ~PR:",:-~'~~?1' :~~~;J:;~~lli~?J~'H,(~("~-m' . '~:~~;~Si~ ~. 'LOCAi;IJOF INST.4.LI..ATIONJ..' 3. ::CQ1I11!Lid'i FEE.SCHEDCjL~ BEiOnr';r.~;~(~r}:}J;;;t\ ()(/;:Jlwd#i;L; ,,'.',' ..' .......0 '. .... "".. .......__.,",..,]".d'..'.~ '. ~ ..1...~...'"J..'7r\l".on~.ll"r;.S),:J~ltla() ."'".... ~.""'?"..:.....:..~... ",,/:,.;.,,,- .~..;'1' LEGAL DESCRIPTION AUcl\~~~~;~1~mlgu5~n<f1eo~ilJ'6~~~litii:t. ~\~~.\!~ti~_u ni!.j; J -J 0.=3 :J.;) L/;;J.. d f#d../ r 8W~~J,,!~Il!~~~a\ON) 'Ja\ua:> alll 6u!IIe:> ~JOB DET~ ^qI999'sq:lf\19lilessdo:> u!e\qo ^eW nO^ '060qI06.00 . . . J1/" . _~(,EJ''t~;'\9<ti~'l!)aJl5.00:sqllf\)Pllo-WO-lSti l:lVU UI ?tJA . . tJ 10. J 4 J"-../ 4)J~Wt~~ !l'.'1re.l\llnJ aS041 'Ja\ua~ uO!le:>!1!\0l\119.00 Permits are non-transferable and expire if work is ~~"hllVfan7iraft"@Hb~ g,a\dope SalnJ MOIIO~ not started within 180 days of issuance or if work is lb1odl1faSD.weilillgI811IJiI5tQfrlJO :NOI1N311'lf Suspended for 180 days. Feeder . $50.00 Installation, Alteration or Relocation i\I0TlC@pOAmps or less THIS PEFlNll1"SPl,l[,o1ii $ 69.00 AUTHORt2EOTmtJE'i (J 1m \;1IOR~ $100.00 Af:NOyMM1 EN:GW~fl\~A'lJ .' ..' R~~b':".':,,: '.: ;''",'.,. . r..~i; Signature of Supervising Electrician liO QJlJt'~lt~s~~~~~'._;~~~I:&~Z;:~""_"'f..~'~,::~':Z:JG\":'!': 't--.}~,.: .:!~ 'e-::.~';.. .: /J /J /J --.'n /J/ New ~Ite~ation or Extension Per pao/el , /-2 (~ ~~ OneClrCUIl $43.00 ~ . ( () Each Additional Circuit or with J ..J> Owners NarffJ.f ~ /O;e.()(1/2~se:~ice~rFeeder.pe~it... _.... . ."".$ ~~O~... " Address U<.?b\ U fi O/7M ~ E. :Jlis~e;I1'.~e?~s(~ir\'i~~([~e.de(~?1 i~~I';~.e~\:~Ea.~.h,inst:illa~o.n'. C~4 .-' Phon~/L/I- ~ en . OWN R INST AI~(&7c>N -..,,' ._: . ._..,....;;;. .~, .'l~" "~,' '-.:;.!".;...Tl'-",,~',. . 2. !,.C,C!J:l!?5f-?'?f:",~N.~~1t.}:!H!9!:i.9/'!El; Electrical Contractor (!,. ~rU<.flJ S E:./~!If,/t:. Address Po. 1/93 Box City r!.-t<t"~ lV~ J I Phone ?9.5- ~~ttf, Supervisor License Number :2 9 7 () - S Expiration Date /f)- (1/- a.7 ConSIr. Contr. Number I:; 'j S. ~ 7 Expiration Date ,/-/s-()g' The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 '~~<'::...~'\.~t:: ., t~,;.""';,' .~::>-t~.;'~.1'L"Y, l")',.,r....<;:,..... .,',; ~:::' .'P';"i';';;'?:'; :;.;'..-:.i,',"'!;;';, B.>Services or'feeders:' Installation;'AIte'nltions''or Relocation:'i*'\1 .l.l.;':';:"'-:'" A::.~.."J',". ,..~..'_ '_.. f,'__,:Jlll".l;l'...-. ..~.....::",;.;._.;; ,.; " I;:!',~") ~~. _"'...:A:.'. ',~"-';.~;.~..'.,~~~~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolls Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 j.. "~.'~:~:'~ ":~;~' .;,:.,'~!'~.:~:-:\."':~.fl ~1C"< ,,:.:; ~~.:,~.~~:~.,r'rl:'.":;:~ ~.."t,""'?J:"'--';;'4-"~~)~;; ;7?rl c. :~Te~lIporary ServIces or:Feeders'~~~,/" ',~-t[.::t~,"Y;>:"_" ~! ~'i, ....'i.-;..~~~ . ".k....~ .,._"",.-'. _... ~.H..........,..../..~_..... .....-.........~................~:""'O:'----\-t_...:....~__.....;.J._...... $ 50.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 ~1ini.m~~ ~.I~ctric pe~~i.~~~.Sr~~~.t~~: F;e.~~Sr S~5~~O ~ ,~UrChargeS 00 4. ~SU~!.C:Tr1L.,o.F~,?;~::'.:';;::".' ...:.... 4~ ' <3.';;;;,1.~ 4/. ~D , ~3 .1(2 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnslElectrical Pennit Application ].o).doc . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line r SITE ADDRESS: 562 PINEDALE AVE ASSESSOR'S PARCEL NO.: 1703224206214 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01391 ISSUED: 10/24/2005 APPLIED: 10/06/2005 EXPIRES: 04/24/2006 VALUE: Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace and AC Owner: Address: PETER OROURKE 562 PINEDALE AVE SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical >- N' O~h<<me;NUnM,'t\leMti"i?-JI603 ~ITE.N'TIO. ~d by tile Oreg set lortn 10\\oW :~:~:~~~r. 'ThOse l~~e~~~ 952-001- l'lUl>"v~:"~')_001_001U l>"V-:~ 01 the rule:; UJ I CONTRACTOR INFORM;\l'10Nlmay obtain COP\~~1le telephone \:J~~~;'i~-;' tne r.et1t~r. (N~t~i\il\l Notilication License' [ExPlJ'ation nate 4.Rhone 159537berlO ,,,v'0<t11~~oiiw2-;!3 541-895-4466 center 1- 149452 1012212007 541-726-7654 Contractor C PERKINS ELECTRIC EUGENE HEATING & COOLING # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction .:. # of Bedrooms: i r~'. ., R-3 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: / Street ii_~ ~ Storm Sewer Available: Special Instruction: ..Notes: I BUILDINGINFORMATlONI VN # of Stories: Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Ran~~ N;q~ ~. Sq Ft Garage/Carport Ene~~. Sq Ft Otber: spri~~~,P~R!,:!~ .S.,.~~~~ ~P'IRE 1~!'tWmead: I DEVELOPIV;r;~;) reMIVIII '~NOr . A~Y 180 DAY PERIOD. NooNED FOR REQUIRED PARKING Overlay Dist: Total: # Street Trees Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains 1 of 3 Status: Issued 225 F1fth 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 + 7% State Surcharge Boiler/Comp Up To 100,000 btu Furnace - up to 100,000 btu Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add Total Amount . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01391 ISSUED: 10/24/2005 APPLIED: 10/0612005 EXPIRES: 04/2412006 VALUE: , Valuation Descrintion , $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees PaldJ Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $12.00 $21.00 $4.60 $3.22 $43.00 $3.00 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 10/24/05 10/24/05 10/24/05 10/24/05 1200500000000001480 1200500000000001480 1200500000000001480 1200500000000001480 1200500000000001480 1200500000000001480 1200500000000001595 1200500000000001595 1200500000000001595 1200500000000001595 $116.47 I Plan Reviews I 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 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. 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01391 ISSUED: 10/24/2005 APPLIED: 10/0612005 EXPIRES: 04/2412006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S41-726-3769 Inspection Line By signature, 1 slate 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 certii)' that any and all work performed shall be done m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem, and that NO OCCUPANCY wiD be made of any structure without permission ofthe Community Services Division, Building Safety. 1 further certii)' 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 constructiOlL Owner or Contractors Signature Date 3 of 3 225 Fifth Street !lpringfield, Oregon 97477 541-726-3759 Phone . ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department , 'JOb/Journal Number COM2005-01391 COM2005-01391 COM2005-01391 COM2005-0 1391 Payments: T:;pe of Payment CreditCard o 'r' (l " 10/24/2005 RECEIPT #: 1200500000000001595 Date: 10/24/2005 2:08:34PM Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amou nt Due 43.00 3.00 3.22 4.60 $53.82 Paid By C.PERKINS ELECTRICIWENDY Item Total: l:heck Number AuthorizlIlion Received By BlIlcb Number Number How Received njm 229776 Phone $53.82 Amount Paid Payment Total: $53.82 I of I