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Home My WebLink AboutPermit Electrical 2007-6-25 \ Date ZON U:Y2- INITIALS fJ^",- DATE h-"" ~b .. 0-' SOURCE fYJXP~ 0/as/O'7 225 FIFTH STREET. SPRINGFlELD, OR 97477 0 PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COVV\L.OC7- 00 fS"SJ- 1. LOCATIONOF INSTALLATION: ZiJ-b' 'IT flsF LEG')Ds]PZ~ ( { 0 bra 0 JOB DESCRIPTION: AdJ Z- CArelA7 J, _ J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 CONTRACTORINSTALLATION.ONLY . (l, 0 V. - Electrical Contractor ~ r C/{!.X / rU s: L/::::~.~C , . Address!?!). .M/)X / / G City r?Ae41 )~..d! Phone %;5 ~ '-I If'4 <-- Supervisor License Number ;2.. 'J 'l [)"- 5' Expiration Date /0 - - Ll I - 0 7 Constr. Contr. Number _/ ~5 f .~ '1 /> Expiration Date Y-/S-d'if Signature of Supervising Electrician flM~ I Owners Name I~~A "{ ~ h ~V\'^o--....... Address "~? J b / / +"'- ) j- ~ ?;::~ Phone ~-S<1-l.fIl{ 0 City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. CO~fPLETE FEE SCHEDULE BELOHl A. New Residential- Single or. Multi-Family per dwelling unH. Service Included 1000 sq. ft. or less $106.00 Each addition,~.1500 sq. ft. or portionthereof-' $ 19.00 Each M~rldfagfcfHlJhIe%~,1\ Li_ I:XY I Ii i:: : T 1-1 l~ VV lJ R K Modul~r.~D~en~iig7~~wtg~I\itE R T H ! S P E H f,:Wr $i50.~@) T Feeder .J,h.,I;~:\IC:::O OFi is f\B!-\i~D F l=()!-; B. or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 AInps . $.163Sqo Over 109-\>rA:'ITIPsOOft~', Oregon law re~,u\\e?37~;00t" . 't d b" me UI' r::)O Lfr:11 , Reconnept\Oa-l!Yru\es aoop 8 l v::-'$ 50.QQo .th u,.':'. rnl",T\loSe ru\e~ a:-e S[)i., \ -.. . .... NO';liC.>~tlo./i'lve..., lV..r. . "'."'" '.' ....' A.,. .f\.F..c\.ori2.-0.0. 1-... C T . ". . ... "Q' C-'1. KK4t'lV,' oll' h.'-oUQ;fl ",,1",.'1...< . .......e"WP(llFJ\q~p~c.esor'-i.l'.ee ~~s.. ..< '1\~' '.. . .'V"" ty . cr"~o Yell may obtain CO~)\8S0ue fl,.v , ,".-' '. J " . ~ (hi .\",. i'l8 ~8:eiJ:-\Gn8 InstallatIo8~!Mt~ratHln:'Or;iRelocaGon' ..1, " ~ ._' ~.. K+ioil ~; n\ ~r lor the OreQo:l Utll\.y : ~..,-,I.;"CC" . 200 Ampslilriless- . 8'~C ,."" '2"/1~)50.00 201 Amps to 400 A'rilpJ.81 IS 1 'OJ .uv'- ~~ $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 ((] 7 { $ 3.00 E. ___Each Installa tion Pump or ilTigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial . .$ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.SS7JTdL4L !f f:, 8% State Surcharge '3 b ~ 10% Administrative Fee l/60 5% Technology Fee 2..10 s-6 S-f?> TOTAL Shared Drive(T: )/Building Fomls/Electrical Permit Application 8.06.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00835 ISSUED: 06/1912007 APPLIED: 06/08/2007 EXPIRES: 12/22/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2236 11TH ST ASSESSOR'S PARCEL NO.: 1703261106800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Heat Pump & Air Handler Owner: SHANNON THOMAS E Address: 2236 N 11 TH SPRINGFIELD OR 97477 Phone Number: 541-554-4140 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC MARS HALLS INC License E\~J!;3;ti(j~~ate 1595~7\ \3.\I'J ~eC\u a~kl5hi'008 h _-rCl\rnoN'. q57~Jl\ b'4 \\,e ?~: !7t2~1.200'~t: I BUILDlNG~I:l;'~(!JmVrAiJ.O~ ,\lose ~~; Op..R 9!)'~~~vb'J NotiY1e3.t\U\ I '00'\ -00'\ 0 \\I~o ieS 0' \\I.e rU oDe # of StQries:/\ R 952- \1 ob\3.iD eO? . ~ILotlISiZP~. .. 0"" . 1\: u'-' __" .;f\3.J "-Io\e. I.I\V'f;r.;;>.I.\ \\ Height of(Structur.e: ,...\e' ~'< I 1\.,Sa Rnlst'T loor: n J':lV' ee" I. v \IIl'1 . Type of Heat:'I\\Dg t\le h oregor. (Sq~tI2!Dd Floor: eo. t\ ,e 331. .....;;' J Water Type: \1\ber ,or 'S ,\_SOO. Sq Ft Basement: Range Typ~~ ceD\ef \ Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-895-4466 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: l1?Jlllp,'t<. # Streett1:~ls\R:~d,: t\LL EXP\RE \f 1\-\\.Hil'i1\1ll{,pped: Paved Dr.i~~~''!RM\1 S\1 1\-\\S PERN\\1dS~\lct: % OfLot\COt~d~~:lEO UNDER ONEO fOR AU . _ 'CEO OR \S I\BI\NO I"nt,R\\l\I=N __ I PUBLIC IMPRQM:J::l\11j)~1JS\' Pt\i.\Uu. Sidewalk Type: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $2.25 $3.60 $8.00 $12.00 $25.00 $4.60 $2.30 $3.68 $43.00 $3.00 6/19/07 6/19/07 6/19/07 6/19/07 6/19/07 6/19/07 6/19/07 6/25/07 6/25/07 6/25/07 6/25/07 6/25/07 Total Amount Paid $121.93 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00835 ISSUED: 06/19/2007 APPLIED: 06/08/2007 EXPIRES: 12/22/2007 VALUE: Value Date Calculated Receipt Number 1200700000000000787 1200700000000000787 1200700000000000787 1200700000000000787 1200700000000000787 1200700000000000787 1200700000000000787 1200700000000000817 1200700000000000817 1200700000000000817 1200700000000000817 1200700000000000817 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. ~eouireCUnsnections 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. Pal!e 2 of 3 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: COM2007-00835 ISSUED: 06/19/2007 APPLIED: 06/08/2007 EXPIRES: 12/22/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 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 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. Owner or Contractors Signature Date Pal!e 3 of 3 225 Fi{th Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00835 COM2007-00835 COM2007-00835 COM2007-00835 COM2007-00835 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000817 Date: 06/25/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C PERKINS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 023921 In Person Payment Total: Page 1 of 1 IO:50:54AM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 6/25/2007