The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-9-1 Date ZON L\),l_ INITIALS J:- \"V\A DA TE ~ ----r; 1 ----C Y' SOURCE \J\(~,--,I.~~ q -0 I ~ 20--D~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54])726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Co ""^ "'Z-C>O 10 - 0 I \ 0 b - .. , 1. LOCATION OFINSTALLATION,,' .', I B/3' J~lAV\.J 'wK, I LEGAL DESCRIPTION ,803 023.5 02300 JOB DESCRIPTION A-Jd, 1- Ll r ColA i' t~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . '. .'0.:"';" '. .'" _ ,'" . ',:, " ::' "", . CONTRAcTOR INSTALLAT!()N ONLi- 2. ',,". Electrical Contractor Ll~..d ~g Eie.eJi./e. 1/93 8'9..5 - ~ ~ 66 City Po {<oX Ck-SuJe-LL- Phone Address Supervisor License Number 217 0 - S /0'" t)J- C> 7 Constr. Contr. Number 1.5 9 ~ 3 7 '1-/5-08' Expiration Date Expiration Date Signature of Supervising Electrician City ~-~~ t:v: ~ k C vA&N\e<' , B, 3 ~IA~ WY, So PF'b Phone? ~r - / '] 0 z. '~ Owners Name Address O\VNER 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 ~ 7"l 'Z- '{ 3. CO~lPLETl} FEE SCIIEDULEBELO~Y A. .. ~ew Resj~~n~ial-Si~lgic orlVi~l!i~Fa~~ily 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 R~location: 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." ,'-""':',"": ,.,< ."",,,,:,,,.",,:,,:,,.'1,:":-':'_-," C. :,t~nlpo~ary~ervices or Feeders InstaIlation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps \' I' I" ': \ S P\1~N\.inpsto 600_Amp'~ ~~ C "II 'I~ '_ \1 I t __ .1:- -i -T~""'\ ~ \\\< j~-_',-~ '~.-, ..J I '--. ~I" "LIII'-Ov6r-600'Amps or 1QOOiY91ts~e~\"B:' above. __ "'-','~ ,,,, " \f_' "-_ '. :,:, ~ ",\ ,'"n" <'~")" ,. '- ,ID.-'BrartchCirtuits- -t ~ ,~.- .: "'-~I '. ~ '. , $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel I One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 L/1 J I $ 3.00 , ' E.~1isceUalleous (Servic~/feed'er not included) ~Each Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ,SUBTOTAL OF ABOVE 4b 362> W,O Z 30 8% State Surcharge 10% Administrative Fee S" Ttc.c4- ~ TOTAL <t ..0 .J-?Q~-- Shared Drive{T:)/Building Fonns/Electrical Pennit Application I-06.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-01106 ISSUED: 09/01/2006 APPLIED: 08/28/2006 EXPIRES: 03/01/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1813 INLAND WAY ASSESSOR'S PARCEL NO.: 1803023302300 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add heat pump to existing elec furnace Owner: KRISTI CRAMER Address: 1813 INLAND WAY SPRINGFIELD OR 97477 Phone Number: 541-988-1302 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC EUGENE HEATING & COOLING License 159537 149452 Expiration Date 04/15/2008 10/22/2007 Phone 541-895-4466 541-726-7654 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Notes: , I PUBP<;"IMKliq'y'Jj:1\;!~NiT~2'fOU to ATTEr" I ,'"-',,, -' ~ Utili.bl f II rules adopted by the Oregon Sidewalk Type: o ow . I . se rules are set forth NotificatIon Center. T\10 h OAR 952_@vo~nspouts/Drains: in OAR 952-001-0~t~~nt~~o~~s of the rules by 0090. You may 0 ("Iote' the telephone 'I'ng the center. \',. ,,' ' ca, i, 0 n Utility Notification number for the rego Center is 1_800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Pa\?: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 Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $2.30 $3.68 $43.00 $3.00 9/1/06 9/1/06 9/1/06 9/1/06 9/1/06 Total Amount Paid $56.58 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01106 ISSUED: 09/0112006 APPLIED: 08/28/2006 EXPIRES: 03/0112007 VALUE: Value Date Calculated Receipt Number 2200600000000001221 2200600000000001221 2200600000000001221 2200600000000001221 2200600000000001221 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. ~e(]uiredJnsDections 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. Pa\?:e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01106 ISSUED: 09/01/2006 APPLIED: 08/28/2006 EXPIRES: 03/01/2007 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 Pa\?:e 3 of 3 225 Fifth. Street Springfield, Oregon 97477 541-7~6-3759 Phone C of Springfield Official Receipt L ,dopment Services Department Public Works Department Job/Journal Number COM2006-0 II 06 COM2006-01106 COM2006-0 11 06 COM2006-01l06 COM2006-0 11 06 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000001221 Date: 09/0112006 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 025232 In Person Payment Total: Page I of 1 9:19:29AM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 9/1 /2006