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Home My WebLink AboutPermit Electrical 2007-7-11 ZON L-PtL... INITIALS rJ r-^ DATE I. -/ I --01 SOURCE fVl ~ Date l -I (- 0( 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number r X'ro..2.1JD 1 - (SOC1 g C) 1. LOCATION OF INSTALIATION: (Q l)tJ. 3 6 .5tO.RB-'f l~~i=~ON: JOB DESCRIPTJON: 'I.b?-- 'jLf-{ '6(JO lOCf Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. . CONTRACTOR INSTALLATION ONLY Electrical Contractor II~ ad{jij(' Llt<"~.-:?6c Addressl?t/ j:{/\X, //93 City (!~.vd--f Phone %75- '1Yi{.. Supervisor License Number ;2. 7 ') () ,- 5f Expiration Date / iJ ,- (j I - 0 7 /-0 .-'":)~ Constr. ContI'. Number ..7 7 ' S,-) /' Expiration Date Y - /:s- - d ?' Signature of Supervising Electrician ~L-R~ I '. Owners Nam~ \~n \'(\~lAj - ' AddressG,S?- ~ e- 51' City~~P 10 , Phone'1 q, -lOgS OVVNE~ ~S; ALLA nON The installation is being made on property I oWi which is not in~.Aded.wr 6i~gsllt'~ jfl8Cj.uires YOU\,:' ATTI:NTIO . d b the Oregon Ut II., o.4~\q\!M',.'d~~\t~d~pta Y e rules are set forth Notliica'1lon"'C'en.er, Thos h OAR 952~001. I, 0AR-952_nn1-001~thrOUg Hherulesby 1.1 obtain copies u , 0090. You may '(Note. the telephone ca\ling the center. · Utility Not\ficatlon t'lu(f'Iber tor the Oregon 2 2344) Inspection ~M~ ig:!ij-~~3 - · 3. COMPLETE FEE SCHEDULE BELOIV A. New Residential- Single or IVlulti-Familyper 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 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits $ 50.00 $69.00 $100.00 New Alteration or Extension Per Panel I L.../ If:.. ()" ;: / (fU $~ 7 f: .. '..,..;J ,~- '- 0" [J'.J $~O l> " One Circuit Each Additional Circuit or with Service or Feeder Permit ":t. E. ~liscellan'eous (Service/feeder not ~lcJuded) ...,Each Installation WJlNflJE!r irrigation $ 50.00 'iTnSi~MPF~~~XPIRE IF THE WORre 50.00 ;\u1lPP9m~ffie~Rdfffis PERMIT IE NQ~ 25.00 corW1~re.RqSUM:fAqmONED-roR $ 45.00 :t\fJN~t11ft~8AYif'!Rrot9!nspection Fee is $45.00 + Surcharges 4. S[}BTOTAL OFABOVE 6 (;, ~ (fU ~ ~ yv Lf.C-f(( 6.&cJ 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL $ II g-~ 15t Shared Dnve(T:)/Building Fonns/Electrical Pennit Application 8-06.doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00999 ISSUED: 07/11/2007 APPLIED: 07/06/2007 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: 6523 E ST ASSESSOR'S PARCEL NO.: 1702341300706 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump installation Owner: MARSHALL JOHN S & DEVERY C 1-3 Address: 6523 E ST SPRINGFIELD OR 97478 Phone Number: 541-747-7085 I CONTRACTOR INFORMATION. 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. 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 Improvement.s: Storm Sewer Available: Special Instruction: NOTICE: E 1F THE WORK NoteSfHIS PERMIT SHALL EXP1SR PERMIT IS NOT AUTHORIZED UNDER THI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: ATTENTION: ~Wl.WfMWlDJ:ajn, s' fol/o, '~V" Te\.fU res you to NOtifi~a~~~~:~:te:h by the,Oregon Utility In OAR 952 . ose ru es are set forth 0090 \1 -001-0010 through OAR 952-o01~ . ou may obtaln COpies of the rules b ceiling the center. (Note: the te'ephone Y. IlUmber for the Oregon UtIlity Notification Center fa 1.&00-332"2344). Pae:e 1 of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion 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 $20.00 $5.00 $2.50 $4.00 $9.00 $14.00 $27.00 $5.60 $2.80 $4.48 $48.00 $8.00 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/11/07 7/11/07 7/11/07 7/11/07 7/11/07 Total Amount Paid $150.38 I Plan Reviews I CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00999 ISSUED: 07/11/2007 APPLIED: 07/06/2007 EXPIRES: 01/11/2008 VALUE: Value Date Calculated Receipt Number 3200700000000000454 3200700000000000454 3200700000000000454 3200700000000000454 3200700000000000454 3200700000000000454 3200700000000000454 3200700000000000469 3200700000000000469 3200700000000000469 3200700000000000469 3200700000000000469 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..JleouiredJnsnections . 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 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2007-00999 ISSUED: 07/1112007 APPLIED: 07/06/2007 EXPIRES: 01111/2008 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 Pae:e 3 of 3 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number CO M2007 -00999 COM2007 -00999 COM2007-00999 COM2007 -00999 COM2007-00999 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200700000000000469 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, INC. Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 057451 In Person Payment Total: Page I of 1 9:53:16AM Amount Due 48.00 8.00 2.80 4.48 5.60 $68.88 Amount Paid $68.88 $68.88 7/11/2007