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Home My WebLink AboutPermit Electrical 2005-11-9 f, . ~- ". -/,,-,'. ~-.' ~ --1-. The following project as s t' ~ /? .. . zoning. and does not ~~ fo'~~ approvr" . ,requ'[e lS~~cQ. ~ .' : . NM I .~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX~ (5~'6e;2~~~ure ELECTRI. CtlRMITAPPLIC. 'ATION CityJobNumber-OJ5dl Date 1'-1 --C}1-dOOS . Supervisor License Number ,297 t)"- S Expiration Date ~ (h!!- C ~ .J. - . tl. --'7l pvrtlDE IF TH(~~n" Alteration or Relocation' : l1W6 flE~l\"T ~1.b =.~ Ma IUn~ Y:t'J~ THIS PERMl~'K!I4\1I~Pli or less, . ' ,"'d . -. Constr. Contr. Number~UJiliJ:Jfoi}wtS ABANDONED fORcmps to 400 Amps, .' -., t.J l;UM~n nMl~R'OD. . 40,..IAmps to~OO Amps . . Expiration Date I AN'f d)l\MIt\ll~.. 'Over600~mps or!OOO Volts see "B" above. D.)iir~ri~~:sYf~i'>" (Q2i~~~r~QN~ , LEGAL DESCRIPTION " Ol 35 d~ () uE()L) \&~~;ONCLp1o fh . . pim,;" ",i'~~ ,,,,,,,.\. ,nd "p;" ;'wock;, . not started "'~180 days of issuance or if work is Suspended for: 180 days. 2. f':s~cifi~_,qlii~:,rii~fg[l0't{9Jj9~ti~:( Electrical Contractor C!..., ~rU<..( Al s E.le.e/~c.. Address po. 1/93 CJ "7 '-I A 't 1'9-5' - '7ljb~ f3 ox City ef{~.S l<.Jc:.} / . Phone s;gn'''''''f:U;;~ Own." ')''\(11, '? CQalI1ti . Address V!lJ~~ . OWNER IN LLATlON . The installation is being made on property I own which is not intended. for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. :ICqJHP.LErl}FlrE..$C;H/fg:tlf~~E.~'9JV.J'1;. A. Service Included 1000 sq. ft. or less $106.00 ~~cp,~d~V6~,tJ ?9lce~::lntliN requireS you, ~o . portlon"1Hereofd ted by the Oreaon Utlllt~ 19.00 . follow rules a op t forth . Each_MaRufa7'~91MQmltof.)Se rules are se . NI)I.I\lvOLlU" ~-:' -. OAR 952-001- . MQdulagF Dv.:.tJb~g(,~0Q.~Of)ugn . InFuP'd,K 0'::: , _~ +h~ "llpc; /l;.\'i{).00 . e90~\OU may obtain copies u, ...-. ~~ . B~9.~~%~i~~~~!!~f@J~~~(~~~ij1~~~11~:i~~~~'~'~!.~.~~~i:6'i'l~~~~~t ni.rmoe(forthe~ereg0I4.~II1~~~44 ..:' ....d.....,........,......^',,,,<, . 200 AmpsG{:)let~r IS 1-800-332 ) $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps' $163.00 Over 1000 AmpsNolts $375.00 Rec.?rinect Only $ 50.00 c. $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per pant One Circuit .' Each Additional Circuit or with Service or Feeder Permit' $ 43.00 I. $ 3.00 43. UU 3.0 l> E. 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. i#~~t9f~{') 4- & . (]V '3.;)~ <J ' (PA~ 53 ..J(~ 7% State Surcharge' 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnsfElecuical Pennit Application I-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' . Building/Combination Permit PERMIT NO: COM2005-01527 ISSUED: 11/09/2005 APPLIED: 10127/2005 EXPIRES: 05/09/2006 VALUE: SITE ADDRESS: 6837 THURSTON RD ASSESSOR'S PARCEL NO.: 1702352200500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler I CONTRACTOR INFORMATION I Contractor A TTENlJIJic'enrs.eego~~,>>iretli~~~ to Phone C PERKINS ELECTRIC fol./?w rut59S3:.70pted by tI~~?61H9fl Utilit 541-895-4466 MARSHALLS INC Notlflcati02511.9.01ter. Those ~l!~.~/~P.!l~At ff'\~~41-747-7445 BUILDING INFORM"' TI6~' 1-0010 through OAR 952-001- .. .. J obtain Copies of the rules by # of Stories: calling the center. (Notf!,OifslZe:lephone Height of StrUH'J}~er for the. Oregon lS\iliF1t ~\sD1Flh!Q;tion Type of Heat: Center IS 1-800-3Sq-Et32in.'ij.Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: - Owner: KIP CANADAY 'Address: 6837 THURSTON RD SPRINGFIELD OR 97478 ,. Contractor Type Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-741-1023 R-3 VN I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: . I PUBLIC I~~~LL tA""Ht IF THE WORK fR THIS PERMIT IS NOT COMMENCED OR IS ~~'OR ANY 180 DAY PERIOOoownspoutslDrains: Total: Handicapped: Compact: " Pa2;e 1 of3 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 + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 11/3/05 11/3/05 11/3/05 11/3/05 1113105 11/3/05 11/9/05 11/9/05 11/9/05 11/9/05 Total Amount Paid $116.47 I Plan Reviews I CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01527 ISSUED: 11/09/2005 APPLIED: 10/27/2005 EXPIRES: 05/09/2006 VALUE: Value Date Calculated Receipt Number 1200500000000001674 1200500000000001674 1200500000000001674 1200500000000001674 1200500000000001674 1200500000000001674 2200500000000001553 2200500000000001553 2200500000000001553 2200500000000001553 ~ , 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. ~eollirerunsnections . 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. Pa1!e 2 of 3 ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01527 ISSUED: 11/09/2005 APPLIED: 10/27/2005 EXPIRES: 05/09/2006 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 Pal!e 3 of 3 225 Firth Street Spri~gfield, Oregon 97477 541-726-3759 Phone iA;;~. .... . city of Springfield Official Receipt ~velopment Services Department Public Works Department Job/Journal Number COM2005-01527 COM2005-0 1527 · COM2005-0 1527 :,COM2005-0 1527 P}iyments: Type of Payment CreditCard 'I \. :! H, ~ ,; I I ~ ^. ,\ ~ I~~ " ,) 11/9/2005 I"; ,I. RECEIPT #: 2200500000000001553 Date: 11/09/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By C. PERKINS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 321736 Phone Payment Total: Page 1 of 1 8:59:58AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82 .~$P.' .A'N.....G.,f;I.,.'m..D.....-...iii.. -..............'.... Wi:.=".. ! ',. -- - ilID ISl '~.'" i ~ f . ..._......=..'.. ..'.....~.'",.",..~-~,,-,. ' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01527 ISSUED: 11/03/2005 APPLIED: 10/27/2005 EXPIRES: 05/03/2006 VALUE: SITE ADDRESS: 6837 THURSTON RD ASSESSOR'S PARCEL NO.: 1702352200500 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: KIP CANADAY " Address: 6837 THURSTON RD SPRINGFIELD OR 97478 Contractor Type Mechanical Phone Number: 541-741-1023 I CONTRACTOR INFORMATION I Contractor MARSHALLS INC Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Description License 25790 Expiration Date 12/23/2005 I BUILDING INFORMATION. # of Stories: R-3 Height of Type of Heat: VN Water Type: Range Type: Energy Path: l ~O~~ Sprin:le~~t \f 1\'\! ~ ~Q'tn/a "'01\"'\.- . '- ,::-vP '.'r ~. t- " ?t: I ON \~~\\O\\\ltU ~ \S ~~~ t\ ~t.~Ct.\) ~l~tJ'9J>ist: CO,,^ ,,~O \)~~ g~reet Trees fI.~\( , Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS' n law requires you to AI I t:1'l1.01 L rego iftAr~n Utility follow r.ules adoPte5~s7rules ar~ set forth Notification Center. ~*nU~ftN~1IJ{l!JDR-001- in OAR 952-001-0~t~~nt c~pies of the rules by 0090. You may 0 Note: the telephone calling the center. ( n Utility Notification ~. .mhPr for the Qrego --(1 ? ^) J . . 1-tlUU.v';><:' - LU . I I ltt:l r:;r IS Valuation Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated 1 of 2 ~7j;Q~;~~ Ilk Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump MinimumlAdjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 11/3/05 11/3/05 11/3/05 11/3/05 11/3/05 11/3/05 Total Amount $62.65 I Plan Reviews I CITYOFSPRINGlfl~LD . Building/Combination Permit PERMIT NO: COM2005-01527 ISSUED: 11103/2005 APPLIED: 10/27/2005 EXPIRES: 05/03/2006 VALUE: Receipt Number 1200500000000001674 1200500000000001674 1200500000000001674 1200500000000001674 1200500000000001674 1200500000000001674 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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. /72 r /?~~-7:~ Owner or Contractors Signature 2 of 2 . .--... //- :?-- OJ Date 215 Fifth Street S'pdngfield, Oregon 97477 541-726-3759 Phone ~~ City of Springfield Official Receipt lvelopment Services Department Public Works Department Job/Journal Number COM2005-0 1527 COM2005-0 1527 COM2005-0 1527 COM2005-0 1527 CbM2005-0 1527 COM2005-0 1527 Payments: Type of Payment GReck ....\ ! ., " ') '2 .. '-tl; -1'-' 11/3/2005 RECEIPT #: 1200500000000001674 . Date: 11/03/2005 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to io,oOO Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALLS INC Item Total: Check Number AuthorIzation Received By Batch Number Number How Received djb 18916 In Person Payment Total: 1 of 1 1:34:59PM Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid $62.65 $62.65