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Home My WebLink AboutPermit Electrical 2007-6-25 Date ZON L;t-Y?./ INITIALS ~ rJ IV\. DATE ~ -::l1n ~ teL- SOURCE ~....... 1.\ t . /l 1'""\ r:.. . "1 f ( j '; I j ", ."..( ~)l V 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX; (54] )726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CObV\. 7_ C 0 7 - 0 0 <{ 77 1. LOCATION OF INSTALLATION: ~ hO ( t; d) F.N\-tM- t W fr,,/ LEGAL DESCRIPTION: 17D] SCff? 07003 JOB DESCRIPTION: J\- clJ 7 Clvr C\A "\ --r Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONLY 2.. - . (? P ~ ' Electrical Contractor ~ / c/ef: J /<.J~' L/r-r-:?oc Address?!), ,,/:{/)X / / 8 City (!~.iJdIJ Phone %75 - '-I t;~ ~ Supervisor License Number ;2. 7 'l () -- 51 Expiration Date / !J ,- CJ I - 0 7 /5f,C;37 Constr. Contr. Number Expiration Date Y - /5" - o;r Signature of Supervising Electrician ~k f2.~ . Owners Name ---c{Awtf:l V~(. b"J l () ~ ST- . , PFh Phone 7/t - 27 i g Address City /'.-'--.r-:;\.;TI(]r; ~ _ _ OWN];~JNST~LAq110Nn I'3W reCI 'II'C\~ \!~ , '-'!lJ'.^-/rules~I-'C""'..l.,..,-,) '.' ....,<J~.lr,!_ ~r . . . . '.-.,,"-" 11- . ~\I ":"'-' -.. . The '1l.1~ta:l!a~9ans{b~ll)g~fna-9~ 'on pr6p'erry: [:OWll;\VhH:fh . , ddl"J"I"'I' ,~'],...~., ' IS nqt \nten. e. lor~~~_ e; ease or 'rent!,', 9S 8., e 3 ",: '''..' I.., .,. . ~ ,/-1 J I U'..,. 0 'h -.' . I',' ,. ': ,-- v . - u; I, (oug,'! Ql',:' cr'" .-J,.' ~~'."I'), ,r'!II-'l"V '_' " \, t ...........)'._-L~_,1~- Owne(s_.S,hinatur~~I'J Oi.Jl2I,-j COOi8S 0<, .tl'~~ . '. '. I .., I~ . h" I . 1 l"" r' - ...C.d IIC' ( e CO;,.,.a (' I . ~.c.,-,: 1-" ~I~._~ . vi 11.Gr. l~Ct2: th2 ;~.i!~"Jhnr ~ "~'" "-''--' rUt If],a . \-_' , .... '. I -.lG '" vtc;:"Oil U ,II", "I .... C. ,,-I . _ ~ '/!,OllfIC&'1iO- 'CIILe! IS i 800-33223<i.L;). I! Inspection Request: 726-3769 3. . COMPLETE FEE SCl;IED'Jr.E BELOlrF A. . New Residential- Single or Multi-Famjly per dwelling unit. 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 $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: " . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. . Branch Circuits New Alteration or Extension Per Panel I One Circuit Each Additional Circuit or with Service or Feeder Permit .$ 43.00 $_3.00 l.{] ~ ? E. Miscellaneous (Service/feeder not lllcluded) -,Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.09 ',d l ,'(\\\ Limited Energy/Re~idential . _,,, \ I) '($_~2'5.6~O : r, ,;,~'" Limited EnergY/Cbrtunerc{~1 r)\-l p,U- '~~, ,\ r. ?St~'5~OO' _" . ~.ni:n;~~;~::~r~~~~!,ti~,~:':\fn"harr; ~ 8% State Sur~h~~~\\\i\\\"\\)\~'v~)I(_t?,\\.lt ~ If z... :\c . 1'\- 1 0% Administra\\~t! Fee 1I 90 5% Technology Fee -z f.{I)" 60 Z3- TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 8-06.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00877 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12/22/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 601 EDGE MONT WAY ASSESSOR'S PARCEL NO.: 1703341307003 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump and air handler. TYPE OF USE: Alteration Residential Owner: Y ARNALL JAMES E & JACQUELINE Z Address: 632 W D ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC EUGENE HEATING & COOLING License 159537 149452 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORMATION I ~()\\~ # of Stories: " "\'0t. ~\\"\ Height ~~~'~fur~\\ \S ~- Ct:. ~Rt'Qfqf~~ "t.~ \'\\~ ~\) \ \ \\~\\ ~~~t~y~e! ~'0\\~t.\J \\\S"~ t.'0Range!~t\ "\ \\\J\\\t .~n~?g~'-Pa\h: \\~~\\t\~\t.~~1.~r~'l~le<a\Building: n/a _ A. ""-\\ .... \\~I\ DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . Phone Number: 541-746-2298 Expiration Date 04/1512008 10/22/2007 Phone 541-895-4466 541-726-7654 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: I PUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires sm~tq.lk Type: follow rules adopted by the Oregon Utility. . . C t Those rules are D8~nsp'outs/DralDs: Notification en 81'. oj ~.,. in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: Ule telepho~e number for the Oregon Utility Notification Center is 1-800-332 -2344). Street Improvements: Storm Sewer Available: Special Instruction: 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 Tvpe 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 I?ee + 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 $4.90 $2.45 $3.92 $43.00 $6.00 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/25/07 6/25/07 6/25/07 6/25/07 6/25/07 Total Amount Paid $125.62 I Plan Reviews I CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00877 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12/22/2007 VALUE: Value Date Calculated Receipt Number 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 1200700000000000816 1200700000000000816 1200700000000000816 1200700000000000816 1200700000000000816 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. Ule(]uire~nSDections 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: COM2007-00877 ISSUED: 06/15/2007 APPLIED: 06/15/2007 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 Fifth StJ'eet . . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -00877 COM2007-00877 COM2007-00877 COM2007-00877 COM2007 -00877 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000816 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 012256 In Person Payment Total: Page 1 of I 10:49:39AM Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27 Amount Paid $60.27 $60.27 6/25/2007