The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-8-16 . .."~~il~1D;$I\~J!!:~~~t1I1\j\~!~~/~~'i.H"1; ~/'II o~ SPAINOF~rv\__~ ,- lS~~u~ '" ~~ 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 " PH:(541)726-3753 0 FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number _ ~;;J..tJD to - (j I o-e 9 1. LOCATION OlF INSTALLATION 1)?> ~ ~'YL IlL LEGAL DESCRlPTI~' \J ~---I \\ ()~ ~.~ ~'b ()l~UO JOB DESCRIPTION New Alteration or Extension Per Panel One Circuit / $43.00 1'.- Each Additional Circuit or with Service or Feeder Permit $ 3.00 . . ~' . E. :, Miscellaneous (Se~:6?~der not included) ,-Each Installation , .' ~':701f>~" Pump o~ irrigl\tj..o~ ~ '% ~ $ 50.00 Sign/Outline Lil~:1~ ~ ~ $ 50.00 Limiteq Energy/Resid~~ ~ $ 25.00 Limited Energy/co~rf?~ ~ ~ _ $ 45.00 Minimum Electric Permit I~~~n<:ft~<&'~45.00 + Surcharges VA "2 ~ ~ Owners Signature: , 4. SUBTOTAL OF ABOVE) ~ ~ ~ J1 ~ _ .A,~'TE:\JTION: Oregon law requires you to . ~ ~ -0~ . tC!:QVV rules adopted bv thp. Oregon Utility 8% State Surcharge ~ ~ % -S. (po i'~C"'" -'''''~ . t" .' (<).. ~ \ 'L.. . r. ,.-,) , ',,,, ~,^!Jon venter. Those rules are set fortH 0% Administrative Fee vA" /() ~.v...... ...,.. ~ v In. ?P,R 852-001-0010 through OAR 952-0011511 4-e-c(A..-u> /t''Y1 -f.U- 0, U -1;- '-''i~ 2... 2.5 Inspection Renuest:fo1:Z'"13769.ob.ta',n 'f TuTAL -r 0, '/ C;~ "'-- -~-~,. ~. ""Y copies 0 the rules by .~ J.7~ cal/ln? t,he center. (Note: the telephone Shared Drive(T:)/Building FonnslElectrical Pennit Application I-06.doc number TOr the Oregon Utility Notification .. Center is 1-800-332-2344). I' Lkd-p~ " Permits are non-transferable and expire if work is Dot started within 180 days of issuance or if work is Suspended for 180 days. 2. : CONTRA<<..:1vR INSTALLA'flON ONLY .' 0 . . ~ Electrical Contractor j'V\" 6 ~J~'N<....J Address 9S7 Y'\ot4-h.'('\~.~ City ~ Phone 7~~' ff;,D! Iln . Supervisor License Number W 7 <+ s-. /0/'1 I ~CY5;}lC tth q I CJ ?:> I I Sign,~: Electridan . /' OwnersName kS~i.J.c,.. ftJ..~$o-yI.., \ Address 57 ~+ ~ LcJ~ City ~ \ Phone 741- //8.3 I . OWNER INSTALLA TIO~ Expiration Date Constr. Contr. Number C~~~- l(PdJ6t1 Expiration Date The instaIlation is being made on property I own which is not intended for sale, lease or rent. Date 6 Ilf ol.. 3. COMPLETE FEE SCHElJuLEBlELOW A. . New ResidenHal- S}ngle or Multi-~a~i1y per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services or Feeders',-, Instnllation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps. 601 Amps to 1000 Amps Over 1000 AmpsNolts- Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $3'75.00 $ 50.00 C. TempOI'ary Se~icesor Feooers InstaUation, Alteration or-Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or lqOO Volts see "B" above. D. ; Brancb Circuits . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01009 ISSUED: 08/16/2006 APPLIED: 08/08/2006 EXPIRES: 02/16/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 83 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703233307800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heatpump, air handler and ductwork Residential Owner: TERESITA EDMONDSON Address: 83 HAYDEN BRIDGE WAY SPRINGFIELD OR 97477 Phone Number: 541-744-1133 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW License 460 BUILDING INFORMATION. Expiration Date 06/27/2007 Phone 541-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 71, fO//r.:.E:1V1/OA/. _ I PUBLIC IMPRO~'~Wf'ENii,:08 ad;:9?n law C ' 'r["~ Can. eo n. req{ . C';'Q \. (:;.)2-00 Sm.e~alkj'T$'p'g:O .tIres I, . /0 1 -0 f70s "re .YOU J 0""1' urn- 01n. e~.," .gonu to C.,/" !~. 'h qy 0 Qownsp'o.utsfDF!!IUS: Itlit ouo-i' .. u I/Ie C lJtCiin UUgl7 C/.re se Y uc-r lOr th eOter. (iI/CO/Oies 0/?4A 952t fOrth Ct9" e Ore l ':Jte: t' the r: -001_ Iter is goo U. Oe tr::J' U/es b 7 -8Cn ')" tllit); ",!~:ephoh^ Y' -v<-<341/"CCitio~ Total: Handicapped: Compact: Jill/>- 0; v J/". 10' 1'0' A C'.f. Street ImprQ.,V&m~i}D.:f'I)>1t Stctrm SeW'~r.. A~~ilaa'1A':1' Si, , 1. 'file '(J ''-'1. Special InstructiOjl:. f'O 0'1/10 </ ('.. 01 f 01)> <<'I)> :t~ Notes: '..~ ;)f'1?, IS 4.L'lI'&;S ~f' <<- 10/) (J-1/1I^ /)f'.o.. 0r- ""'UJI, "t.1,'. '- 'r ,t/f'/l/' 1(;0' vO,,;.. . (J ,,( _Va'lu'3.tlOn Descn u/f '-/ / . Type of Construction $ Per Sq Ft / Square Footage ."t~. or mUltiPlie.1 or Bid Amount ~ -........-......,. Description Value Date Calculated · Paee 1 of 3 . 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 I 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 Minimum/Adjustment Electrical Amount Paid $10.00 $4.50 $2.25 $3.60 $8.00 $12.00 $25.00 $4.50 $2.25 $3.60 $43.00 $2.00 Total Amount Paid $120.70 I Plan Reviews I Date Paid 8/9/06 8/9/06 8/9/06 8/9/06 8/9/06 8/9/06 8/9/06 8/16/06 8/16/06 8/16/06 8/16/06 8/16/06 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-01009 ISSUED: 08/16/2006 APPLIED: 08/08/2006 EXPIRES: 02/16/2007 VALUE: Receipt Number 1200600000000001223 1200600000000001223 1200600000000001223 1200600000000001223 1200600000000001223 1200600000000001223 1200600000000001223 2200600000000001150 2200600000000001150 2200600000000001150 2200600000000001150 2200600000000001150 To Request an inspection call the 24 hour recording at 726-3769. All inspection requeste~ 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. Reouired Insoections I Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When aU electrical work is complete. Paee 2 of 3 . , CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01009 ISSUED: 08/16/2006 APPLIED: 08/08/2006 EXPIRES: 02/16/2007 VALUE: Status Issued 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 Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-0 1 009 COM2006-0 1 009 COM2006-0 1 009 COM2006-0 1 009 COM2006-0 1 009 Payments: Type of Payment CreditCard cReceint I RECEIPT #: r' "J of Springfield Official Receipt ,elopment Services Department Public Works Department 2200600000000001150 Date: 08/16/2006 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee + 5% Technology Fee Paid By MNB ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 485598 In Person Payment Total: Page 1 of 1 8:53:30AM Amount Due 43.00 2.00 3.60 4.50 2.25 $55.35 Amount Paid $55.35 $55.35 8/16/2006