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Home My WebLink AboutPermit Electrical 2010-6-8 ZON INITIALS DATE SOURCE "~':'~'~t~".~, ~'_ ,".,.,. . - ~ ...., "'~'." :~}~~)L '-r<;I1Y,OF,,~P~OF~ELD, gREGON .'i':,',',:;'. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATioN CltYJobNumber~2-0l0~~ Date G -~ - 1 \.J :;'I1<r'::.p),~.,~",; ""':~c:,~,.l;' ~~,r,'i!.,HP""~::l""'"""';O"'::Sl0::>.),';oo,,,..~"~'" '.",'H,~<;n'"':';;'~",R."'" ~>". ',:;,<:.',>., " 3. ;!COMIWETE'PEE$CHEDULEiBELOW~',:):;'r':" ,,':\ "':" .' ~i~.'-.'9""*"'."'.l'd'.'.C.!:::",",!"*",,'" "\\,~;"",;,""">'l>.f.~:'J~J.,,,..,ni*,-:'(lI;:.;,\'t."";.~':oQi'i:!<~~;'l", ~'J.,;,.;<';!,,', ;.... '. .' ~'!, ., .:r..~":"""t;r;';'""\,,,;,v, '''~*''~;''''\..'''''J,:'/i,[l:~'p-':',,':'f;':;_:\~~;:IV:~ 1. LOCATION OF INSTALLATION:;-il:.,,'1'>7f't. 5;;)5' (!jj;;(i;;;;;i~'r;;i~"~,,"'~" ~if\"~Jf:~1!t,r';(\.~~(Y:V.'~IWUi(~~;.t,~~\<\;~~,'::;;~,-.j\.)'I;f;,e?1~~ ~'<?'~'~,~l.r.: :;,n:"', .."~. . A. '~~e",:R.esi9"-iitja!,::-Si~gleior.Hy!ulti;F a,!,Ilip'~rd",eJliiig u ni!'" 1i:."~~<.;..:l:.r,;!:""(,,,',,";;L.',:'f,:. .-,.~......".w.'1l:~'\i.,_^"l,~"",~j"\M.~"""",..l.".,,,,..,,- ;~~'",'~'-e^'" .,~.""..." -' '. LEGAL DESCRIPTIOI-(: nOd,~5 <,< OnU/) JOB DESCRIPTION: k<0 /I ,_ _ _. ,.-<-. ,. .J:;, , ~ ,,", L.X~'Y---' ~ " ~, '--' , if to.. 'U'~ . 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 5117,00 $ 21.00 Permits ar non-transferable and expire if work is not started ithin 180 days of issuance or if work is Suspended for 180 days, $55.00 ,~;11!~~,?,f:.~_:~?!:'1ll~i0"~i!:;;~'j}t4:~:tlfJ?{?i:'~:'~~Jh0t~':~1';J~gij::V;;~;~:'-,",~;~:,,::,C" ,,:'-';,". ' B. ~_~S,~r,v~.c.~S":~~I~'~ e~.~~rs.;_,f,JJlS.~i;l!!at~~,~Af~]~~~at!~.~s: ~t<Relo,c.~tlOn: - ,ii.V""~'h\>-,,, !.:':""<l.""!r.",,,,,',,,<<~.,,J{1)tl->,,.,,..11;_t'.~w ,.:tX'""c!-.<.,j. ,...;1.",,-*,,.l.', "." '" 'CM ,,'.CO._ ......; .' ..' , ,"', ,.r:..'" t ;~"";1,,":':;'.':~;"(;;~'ir,1~~"1'-'::'"<''';;><l'\:.';f!:.}!J:'_'r.'.'V(;:;;:J&Y;:.!:,~"{s'!';)~:t : CONTRACToR4NSTA'L1:iATIONONEY'" :. .,. '. i:~~;;'" ..<::o;.:'.;;.sr,;:;(';;;::;li':i,,:..w.tt'4ic:,'J;JJ!-^"i:j~~~;'."r..J,~1-~'.v!jli' 2. $ 7Q,OO $nOO $138,00 $180.00 $413,00 $ 55.00 Electrical ContraOatGOhi FI FerRI!, SERVICE PO, BOX 2237 Address ~r~~E OR 97492 --, I ,. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only Phone 541-141-1681 City c. ![Im~~,;~~1~fSjt~~~tlg11r!f~1~1t~~1~?~t.~;~~1~1~~~~~;~~,::' 13925 Supervisor License Number Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 10-1-10 Expiration Date $ 55,00 $ 76,00 $110.00 /181997 CCB Consrr. Contr. Number C4 0 8 Expiration Date Over 600 Amps or 1000 Volts see "B" above. D. ~~,~l~~~[~:m~i~~l!.ti~~~~~~~J~~;~~'~I~f~l~g;'~~~~~~'~:,:,.,~,~-::: '" Si~naCSing Electrician 7 J-O~~ ~ Each Additional Circuit or with . q,~ v\f\ """ n {J. C ~ Service or Feeder Permit~U Owners Name '\ 1 \ ~ C-\'\a-< ~ C~ ,< , 'YY,QOs. C ,'D;,:.'),;:~~;~!;~'~~'f";')::~';-~~~:'~"^:~'1i)'W,';,<;f:1'~~\;""{;r0n ~('?<-::~CiJ'3"'P:f""'7';v"::/:' - '-.: . Address ~ .,6.-h C~ (kn E. l~r::l~~~JL~~;~'~'~~J~~;~fi~~(fi~~.~t,~~t'.~~?I~~9.~~)i~;E'ach~Installation Q~ a. '641 -2IOJ 0 - City.,:) U-- Phone "3L(.c'''{ Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55,00 OW"ER INST ALLA nON Limited EnergyfResidential $ 28.00 The IDstallation is being made on property I own which Limited Energy/Commercial $ 50.00 is not intended for sale, lease or rent I ,=,(A.\~ini';~::;";'~:~~~:~~~~;;'~~:~~~~"~;<~~~'~;~~~J;"~urCharg~ O\\'ners Signature: ~ r.. \...\ "'\ ~n f') 4. fE~.~,~Q~~::.()..s~qr~K~~;~{?~~~lkl1if~i~i~~~t~J /J> / . ~~~) ~\J\W" Q'M7'~;;t:'S~~~~~;~:\_"'."'''''''~-''-'--'.''~'' ~ ~ '- 10% Administrative Fee 7 ;5 '::;> ~~9(~()<1(" 5% Technology Fee 3 - Or cJ........ TOTAL . . . ..$ ? /. '27 ~ Shared Dnve(T)/Bulldcng FocmslElectncal Pernut Applicat<oo J-Ol.do>: New Alteration or Extension Per Panel One Circuit Inspection Request: 726-3769 S LO~~ J~ .<... Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 525 CASCADE DR ASSESSOR'S PARCEL NO.: 1702353308700 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00730 ISSUED: 06/08/2010 APPLIED: 06/08/2010 EXPIRES: 12/08/2010 VALUE: Springfield TYPE OF WORK: Heating System I CONTRACTOR INFORMATION I Contractor License OREGON ELECTRIC SERVICE 181997 ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION ~ PROJECT DESCRIPTION: Replace heat pump and air handler Owner: EDWARD MICHALE DALE Address: 525 CASCADE DR SPRINGFIELD OR 97478 I I; " . J. :!..: ' Contractor Type Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat:, " , Wiier TYlil::" ' "Range Type:" Energy Path: Sprinkled Building: TYPE OF USE: New Residential Phone Number: 541-990-3404 Expiration Date 05/09/2012 08/31/2010 Phone 541-343-1681 541-683-2590 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENTlNFORMATlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: pivedDriveRqd: ,oJ-tilf i:oi,~overage: ,~r1 " REQUIRED PARKING Total: , Handicapped: Compact: Street Imp,,:qvements: "OIlCE' Storm ;Sewe!"A,Ybila ble: . "v r~~)nHl Sped., I! I nstructiolYJ SHALL EX :v 1IIUruZED UNO PIRE IF THE Note~~~~I~[NCED OR I~R THIS PERMIT ISW~RK . 100 DA\' PERIOD ABANDONED FOR or I PUBLIC IMPROVEMENTS I ATTENTION: ~gqlk~J@.quires you.to follow rules aQopted by lne Oregon Utility Notification Ce\-!tm'!'~mtI\I~lbllllJllil'e set forth In OAR 952-001-001 0 through OAR 952.001. 0090. You may obtain copies of the rules by calling the center. (Note: the tel~pho~e number for the Oregon Utility Notification Center is 1-800-332-2344), , :. Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Heat Pump Total Amount Paid ': 'I ~ '. ~'{ R:.)',;, '~.li<-. [1.\ ," ";':"'l'f ; \:<'j;~ .~" . ,,0".;; ~~;-, " I Valuation Description I $ Per Sq F,t or "!ultiplier . Square Footage or Bid Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00730 ISSUED: 06/08/2010 APPLIED: 06/0812010 EXPIRES: 12/0812010 VALUE: Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number 3201000000000000279 3201000000000000278 3201000000000000279 3201000000000000278 3201000000000000278 3201000000000000279 3201000000000000279 3201000000000000278 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. Rough Mechanical: Prior to Cover $7.32 .~,~' :;. . ,.. ; . $11 521~~t\ .j 'tl :\": . ",':1:::c~ ,'.T"i.:~,: $3.0?;:;:~:.,'. $480." ;. $79:00 ' $55.00 $6.00 $17.00 6/8/10 6/8/10 6/8/10 6/8/10 6/8/10 6/8/1 0 6/8/1 0 6/8/10 $183.69 Plan Revie~s ~ ,~, ;. ~elJlJjrerUnsnections I " '.~~l;', . L, 'i,",r~ '. Rough Electric: Prior to Cover Final Mechanical: When all mechanical wor~"is:compiete. '{"" . Final Electric: When all electrical work is complete. , ~ ~I~ . ....:. Pa2e 2 of 3 Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line , ' , " . " ....':... c'-.I-c.. ;\rt, ,', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00730 ISSUED: 06/08/2010 APPLIED: 06/08/2010 EXPIRES: 12/08/2010 VALUE: By signature, I state and agree, that I have carefully'examined the completed application and do hereby certily 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 Springtield 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 tbe permit card is Jocated 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 ,...;~" ,~...;:...;.,,\.. ",1,;' '\': -.'.,;..",., ;',: :;~1:' "", ',. ._~.(c . -:"'::....;,;:..,,,. "., ,"I' Paee 3 of 3 Date 225 Fifth Street Springfield" Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000279 Date: 06/08/2010 8:48:I3AM Job/Journal Number COM20 I 0-00730 COM20 I 0-00730 COM20 I 0-00730 COM20 I 0-00730 Payments: Type of Payment CreditCard cRecejntJ Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By OREON ELECTRIC SERVICE Check ~umber R~5~,~yed ~y ~ ;~,~atch Number N1Mi ..:' . , ,~" '1'" ,".:14 . -,Ii. " 1';'ii:; I ,:.' .,,~.. . ,i~~~~t' ;~,2,1 !:d l." ,.'" - ~:"~:~' ~~:::.', ,...,-" Page 1 of I Item Total: Authorization N umber How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid 008321 Phone Payment Total: $71.3 7 $71.37 6/8/20 I 0