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Home My WebLink AboutPermit Electrical 2007-7-11 ~pe.-. I'lf\-. "1 -1I .;. Or lY) ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (nry) L6D, - (,nO, I - -- . 1. LOCATION OF INSTALIATION: ~ Lt~ 3g~ ~~. LEGAL DESCRIPTION: \10'J-3\ q~Ol'CfD JOB DESCRIPTION: ~lk% elfY\JO ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. '. . . . _ . 'c" 2. CONTRACTORJNSTALIATION ONLY //0 ;/ Electrical Contractor (j~/i!A> r<,) (' Llc:etoe.- Address!?t), ",({/))( / I 93 City (!~.vdJ Phone %75 - 'I y,t {.. Supervisor License Number ;2. 7 ') () ,- 5f Expiration Date / iJ .- (j I - 0 7 Constr. Contr. Number /~t7' f ,s=..? ? Expiration Date ;I - /.'~ - cj l( Signature of Supervising Electrician ~ /2L I Owners Name ~fY2f:bn Oo1W2-- Address ~LQ. 6<l~ "5{ City~.Y rJ.... Phone 1 '-f1 -1SG75 OVVNERI~JTALLATION Thi,>>!!a tion is being made on property I own which is fO~ ftt~!ft9qmmnQ~1fe8 yoU to o .OW r~les adopted by the Oregon Utility ~J,tip~1!M~er, Those rules are setforth .n'oAR 902~001-o010 through OAR 952-001- ~9. Ysu ~ifY obtai,', \'v,.,;oo vl1he rules 'oY - calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344) Inspection Request: 726-"31@T . ZON INITIALS DATE SOURCE Date l - \ I - 0 ~l 3. CO~MPLETE FEE SCHEDULE BELOIV A. New Residential - Single or IVlulti-FamiJy 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 201 Amps to 400 Amps 40 I 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 / $~ One Circuit Each Additional Circuit or with Service or Feeder Permit / ..'$...~ E. Miscellaneous (Service/feeder not included) ....,Each InstaIJation NOTICE: . ,.. ~CV>~RMrrsHAtl EXPIREJE.IHE..WORWO S'!'~Ef}ltmf)ER THIS PEa~nIT tS N8']DO Qralfffrblmootf-fffll1gtiMlANDONFO FORS 25.00 LiD;}Ve~50~emGO~l .$ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Lien "cP ~.~(J .~-~ c-t,L,O 11 5GJ. St' 4. SlJBTOL4L OF'ABOVE 8% State Surcharge lO0/0AdIninistrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 8-06,doc CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00971 ISSUED: 06/29/2007 APPLIED: 06/29/2007 EXPIRES: 01/11/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 242 38TH ST ASSESSOR'S PARCEL NO.: 1702314201700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump & air handler Owner: POTTER GORDON M & PATRICIA A Address: 242 N 38TH ST SPRINGFIELD OR 97478 Phone Number: 541-747~7565 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC EUGENE HEATING & COOLING License 159537 149452 Expiration Date 04/15/2008 10/22/2007 Phone 541-895-4466 541-726-7654 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: n/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: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: MOllCE: Noterl-HS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: ATTENTlJ}HP~fitWIfequfreS you to fOIl,~w 1'~les adopted by the Oregon Utility ~otlflcatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090., You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utlffty Notification Center is 1-80C>-332-2344). Page 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 Descriotion 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 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 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 6/29/07 7/11/07 7/11/07 7/11/07 7/11/07 7/11/07 Total Amount Paid $121.93 I Plan Reviews I CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2007-00971 ISSUED: 06/29/2007 APPLIED: 06/2912007 EXPIRES: 01/11/2008 VALUE: Value Date Calculated Receipt Number 3200700000000000437 3200700000000000437 3200700000000000437 3200700000000000437 3200700000000000437 3200700000000000437 3200700000000000437 3200700000000000468 3200700000000000468 3200700000000000468 3200700000000000468 3200700000000000468 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. l...JleouiredJnSDections 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: COM2007-00971 ISSUED: 06/29/2007 APPLIED: 06/29/2007 EXPIRES: 01/11/2008 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 Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007 -00971 COM2007-00971 COM2007-00971 COM2007-00971 COM2007-00971 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200700000000000468 Date: 07/11/2007 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 NJM 096875 Phone Payment Total: Page 1 of 1 9:14:29AM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 7/11/2007