The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-7-9 09/11/06 MON 10:50 FAX 5417263689 CITY OF SPRINGFIELD l4J 004 , ."RINOPIa.D.: 1/0'2., INITIALS NI-- DATE '1 -(I ~O'" SOURCE I '05sf1U ,.,\:.< '-j"" "n'I't' ""1'0' 'r"'C:~l)lj!J1\"r.'~'i"(J"i\iD""'r\'R" ru: ;"/h)J'I'" , .; .'.', "". J;W;l: )\~:~:: "';'-/' '.~t.: ",", :t '?" /:~.l.~,;~~W~': .~.,"::rj./ :,,:;!2~: ,!~~:~..~:y~~,'{~~j~{%~,~:J 225 FIFTH STREET. SPRINGFIELD, OR 97477 .. PH:(541)7Z6-3753 . FAX: (541)726-3689 ELECTRlCAJi..PERMIT APPLICATION City Job Number CDrn 2--C5?Y7 ... CXJot~ 5 E.\~~ll~~~~~i~~~eff~~~;,~;J~t~cl~d:'~Bfcb i~sta~~o~ Pump or irrigation $ 50.00 Sign/Outllne lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.0Q + Surcharges . 4.:~q:Dft!.t~.f#r~Q'0ti:.': - --,'J Lf ~ ~ 8% State Surcharge' i ~ ~~ 10% Administrative Fee '4 \(:)l:) 5% Technology Fee ~ ~u . . TOTAL i .s ro SR" ~~II;iRMIT SHAltl"(fSr~EWi~wtm~ca' Per nil Application 8-06.doc AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 1.tpcA~fJ1i;~jilJ!SJ:1:: T;i~tltr~1'ii ......:.,:"{qj;,s::., "-F ..:SJtT'-,...~,-", L~9~~ D.ESCIU.PTIQN: ~.,_>,..."..,.." , I, Q3 .;)S d'5 OO<-f-<~ l JOB DESCRIPT10N: ;::~~~I'~"I;~" not started within 180 days of Issuance or If work Is Suspended fer 180 dQi's. . 2. CONT~R WS1'ALbU10NOliLY" Electrical ContracaREGON ELECTRIC SERVICE P.O. BOX 2237 eUGENE, UH ~ (4U, _ Phone ~a. - (bS?'( Address City Supervisor License Number ).....~ ~ ... \" . - Expiration Date/ 0 - I - 01 Constr. Contr. Number J c..o l:S l<l Expiration Date q - ci...<g"" - 07 Signatlfre of Supervising Electrician ~A~~)01Ca._/ Owners Name "dJ u..Il f.J''' .,.J I' Address ~ City Phone 711 7 ?\tJo/ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ATTENT\Sm~.o~rS2~1~w requires you to follow rules aaoptea'b'Y the Oregon Utility Notificatiu.l ttllltv;. These nallolill'A Il!~ In OAR 952-o01..Q01 0 through OAR 952-00'- 0090. You may obtain copies of thl rutea by calling the_BlRc~:~~ number for the Oregon-UtllrtY"NOtiIoItIOft Center .. 1-800432-2144). ZON ..... '.. ~""" 9IiIIIF .. Date 'r} - 9/ -0 ") 3. .,..':C~~~~t~:~;\~c.f{~~~~:~l$f~:~".' . .. I' , l,..., A.i~~~i~~~~~~i~;~~~j~~f:Mid~i';~~y'~h:d~~UIIig,"Jnit~' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelllng Service or F~eder $106.00 $ 19.00 $50.00 ., .r.. ~ r"., ":",' :,:," . , .-, ',::. .' !"'.':.'.".... .:-: ~ f . . B. . Servf~ij$orFeeder.s ~jl!stii"anoll;A}tei-at1oli;orRelocittion: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 :$ 75.00 $125.00 :$ I 63.00 $375.00 $ 50.00 c.:~~fu.P~~ty}~~i~~,~ori~~f~k/\L<Hi .' ':: .. Installation, Alteration or Relocation 200 Amps or less S 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 O~.~~6?P.~~Rsor..,~000 Volts see "B" above. · D. .'1tt~~~ll:gif~i~ih. New Alteration or Extension Per Panel One Circuit I $ 43.00 Each Additional Circuit or with " Service or. Feeder Pennit l} '-~ <>0 ~&...J $ 3.00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00925 COM2007-00925 COM2007-00925 COM2007-00925 CO M2007 -00925 Payments: Type of Payment Check cReceint I RECEIPT #: 1200700000000000898 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 Item Total: Check Number Authorization Received By Batch Number Number How Received OREGON ELECTRIC SERVICE njrn 20958 In Person Payment Total: Page 1 of I 10:35:40AM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 7/11/2007 Status Issued \/D~ 01\ ~ A\/ v ,./J/ .1~~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00925 ISSUED: 06/21/2007 APPLIED: 06/21/2007 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: 1435 T ST ASSESSOR'S PARCEL NO.: 1703252300401 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: New furnace & air conditioner Owner: STEARNS WARREN A & BEVERLY J Address: 1450 S ST SPRINGFIELD OR 97477 Phone Number: 541-746-2452 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE HOME COMFORT HEATING & AIR License 161518 84164 Expiration Date 09/28/2008 06/25/2011 Phone 541-343-1681 541-345-2838 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' Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: AIII:N'I1KaNn~_mqu1resyouto follow rules adopted by the Oregon UtH1ty Notification Center. Those ",lee are 811 fortIl In OAR 952-G01-oo10througtlOAR85NOtt 0080. You may obtain copies or........., calling the center. (Note: _~ number for the Or:=; CtnI8r II 1 Notes: Pa2e 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 Gas Outlets 1-4 Minimum/Adjustment Mechanical Miscellaneous 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 $12.00 $21.00 $12.00 $4.60 $2.30 $3.68 $43.00 $3.00 6/21/07 6/21/07 6/21/07 6/21/07 6/21/07 6/21/07 6/21/07 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. Building/Combination Permit PERMIT NO: COM2007-00925 ISSUED: 06/21/2007 APPLIED: 06/21/2007 EXPIRES: 01/11/2008 VALUE: Value Date Calculated Receipt Number 2200700000000001002 2200700000000001002 2200700000000001002 2200700000000001002 2200700000000001002 2200700000000001002 2200700000000001002 1200700000000000898 1200700000000000898 1200700000000000898 1200700000000000898 1200700000000000898 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. ~eouiredJnsnections 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 , . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00925 ISSUED: 06/21/2007 APPLIED: 06/21/2007 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 Paee 3 of 3