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Home My WebLink AboutPermit Electrical 2007-6-11 09/11/06 MON 10:50 FAl 5417263689 .. - CITY OF SPRINGFIELD Ii9 004 . ZON L P'2- lNITlALS N f\I~ DATE t. ..[, ~-n SOURCE IY\.~ ;;:.'..!.;.",' :I'lY:OFiSPltlNGPIFEO'OIU"(j' N:'/':."j/', :',;;.:\;~..'J.':, "', '.to": ,'.~.l~:: ,.",'! .:-':.. \,.,;. '~(""r',; \ ~',:'~!,:,,:,'~i:'i.!..\~~,~.:: m FlFTIl STREET. SPRINGFIELD, OR 97477 0, PH:(541)716-3753 0 FAX: (541)716-36" ELECTRlCAL PERMIT APPUCA TION City Job Number en I . ,":U7lJ7- CJ7),r-;( Date en - r - 0 '/ l.I:,OcAi?fjfi;p'i1I?ist~Tf4. 71oM;:;',';;. 3.:.c/f4fPL.'f4fpI;iij:;$CTfil!jji;f!,:BiJ+o.~' NcA:l. '~OILrl.l (Jp,' JJr' ""..,P" ",' ,- .' ,., LEGAL DESCRIPTION: J A. ;~eF;~~li~~Y#:~SJNff~~~Mti:it!~~i~~rd.~'~III~~Un1t. '"10 S'n tJ 0 ~ (0 () () Service Included JOB DESCRIPTION: 1000 sq.~.;ohl~1rtnl\" 0, S106,00 .L , n Each additional 500 'q, ft. or egOi, law I eqlJlreS you to LA ') I >.,-t- (f~ portion iJi1!i~W rules adopted by the Orels:1.9,ootililll , Notification Center. Those rules are set forth Each Manufact',d~Home,or 0 ' Modu'i'\-'OY)[Jllng S.'~lce oP1 0 through OAR qS~.001- F d' IlJ;;'). You may obtain ---.. - -. .tS50,00 , ee er .--~............. . Ie rUles uy '.,.... :81:Jtf1qih~.cen!er.,{Nqt.s;',lhEJ,telephnn'" B. Servl(O$,or"Jlffil.n,",JnstallaUolI; Alleratio""jor Relocolion: . ',.,.... ,~"', ''-''.' , ~ VI "YUi I lJUlIlY I~Olr Icatlon 200 A I Centel is 1800-332 23t.$'A_L 00 mpsor ess : b'J. 201 Amps to 400 Amps :$15.00 401 Amp' to 600 Amp, ',S 125,00 601 Amp. to 1000 Amps ,SI6).00 Oyer 1000 AmpsIVolts $)75,00 Reconnect Only S 50.00 I Permits are DOD-transferable and expire Irwork b not .tarted within 180 days of IssuaDce or If work Is Su.pended for 180 da~.. . - ~ '..... . .' . .. .. ',"t. .. _ .. " , - .. , "t, , ' ~~'"" CONTRACTOR INSTALLA, 'TION,.()NLY 2. Electrical ContracaREGON ELECTRIC SERViCe P.O. BOX 2237 fuGttic, Uti ~fqUZ Phone ~~'i..:l, - (b'irl Address Cit)' Supervisor Licen,e Number 'J ~=l9-0 ' '\ . - - Expiration Date /0 - I - ()j Constr. Contr. Number J La I S 1<)( Expinltion Date q - ~9: - D7 Signature of Supervising Electrician IL MINfA"" )(t~PLL</ Owners Name ~ .0 rfln., f) 0 J Add~ss ~ Cit)' Phone OWNER INSTALLATION The installation i. being made on property I own which is not intended for sale, lease or rent. Owners SlgnalU~: . ." . In.p',ctioo Rcqii..t: 726-3769 G~RINO"U:a..O .:' '.16 c. ;-f~p&Aiit~*y4i~e{~:~f~€f~1;P!!(;:)1P .: . _PO; -' " '" . . Iristallatio'n,-AlteratioD or Relocation . . - --. 200 Amps or less S 50,00 ' 201 Amps to 400 Amps S 69.00 401 Amp. to 600 Amp, S 100,00 qyer 600 Amps or 1000 Volts 'ee.:.'8.': aboy~, , D. ':;~"f-~ ~~:W:~f<~,itij~;"i' ::";~;;:;>~;~~\~:~":?.:-:.:~k":;~kri",;'::~};:Ll \,:'~;; ~e"-A:lteration or Extension Per PaDel i'n~~ilc'GIt-: J S 4),00 1fc3 '-1::> ,lihtAlfcITtiOh~r~~~i'J~Lw~~PIRE IF TH' . \ Serv,celor.Roodcr Penntt ,$ ~ ll9R/f ,.~ ",un'ILCU UNuER TULS 0 .' E~;U\li~lret~:~f~1;i(~~I~~i~~{lt~R~9Ji~.tali~do'n ANy i 80 DAYPER:- . ""''''uli!'.flJ /"~JH ,. ., Pump or irrigation 100, S 50,00 Sign/Outline Lighting S 50.00 Limited Energy/Re.idential S 25.00 Limited Energy/Commercial S 45,00 Minimum Electric Permitlnsp,:"t1on Fee 13545,00 + Surchal'l:es " ?..' " .' ;'". ': ",,"..: . .. <~" . -', ',. , :' .' ", "~..: ' " , .. , .:,f . 4.~;qS;f;p.X/Jif,:O/{?Y!PY1f. ,;:i;., '::1, 4 S, '-<:> 8% State Surcharge I A \-'0 10% Adminlstratiye Fee : "4,sc:> 5% Technology Fee c:S..~ TOTA'L ... , I I s.s.. as Shered Drive(T:}'Building FormslElcclrical Per nil Applicatjon 8.Q6,doc . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00788 ISSUED: 06/01/2007 APPLIED: 05/31/2007 EXPIRES: 12/01/2007 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2093 DONNELLY DR ASSESSOR'S PARCEL NO.: 1703271303600 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alterntion PROJECT DESCRIPTION: Install heat pump ATTENTION: Olegoo law requires you to .. .. ......_ ~_~ , ,..Id.. tollOW rUle~ aUUl-H"U U J ...- - - u . ' Owner: KIVELA JERRY A & CHRISTlNA","otification Center. Those rules are se: forlh Address: 2093 DONNELLY DR . AR 952-001.0010 through OAR S52.001- SPRINGFIELD OR 97477 10 0 bt' op'es of the rules by "'1(\0(\ Ynll m::\V 0 aln C I __";~n Jho ...ontF'r, (Note: tile lelf;:J.l'IUI '" I CONTRACfOR.INF.ORMA TIONJ tlotlfication Centel is 1-.800-3322;;44). License Expiration Date 161518 09/28/2008 84164 06/25/2007 Contractor Type Electrical Mechanical Contractor OREGON ELECTRIC SERVICE HOME COMFORT HEATING & AIR I BUILDING INFORMATION' # 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION J Residential Phone 541-343-1681 541-345-2838 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: Total: # Street Trees Rqd: Handicnpped: Paved Drive Rqd: Compact: % ofj~l\qW!~age: THIS PERMIT SHALL EXPIRE IF THE ~~~~ ~PUBLlC IMP-ROVEMENis,.fJcH I HI::> t'tnlYlll ,.:I ,,'" liUIVIIVIl:I~v~U un IS A~ANDONED FOR ~Sidewalk Type: ANY 180 DAY PERIOD. . DownspoutslDra.ns: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paf!e I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Fee Description -Mechauical Issuance Fee- + 10% Admiuistrative Fee + 5% Technology Fee + 8% State Surcharge Air Haudling 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 Total Amount Paid . . CITY OF ~rluNGFIELD ' Building/Combination Permit PERMIT NO: COM2007-00788 ISSUED: 06/0112007 APPLIED: 05/31/2007 EXPIRES: 12/0112007 VALUE: I' Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project J?pp< Pqitl I Amount Paid Date Paid Receipt Number 2200700000000000876 2200700000000000876 2200700000000000876 2200700000000000876 2200700000000000876 2200700000000000876 2200700000000000876 3200700000000000384 3200700000000000384 3200700000000000384 3200700000000000384 3200700000000000384 $10.00 $4,50 $2.25 $3.60 $8.00 $12,00 $25.00 $4.50 $2.25 $3.60 $43.00 $2.00 6/1107 6/1107 6/1/07 6/1/07 6/1107 6/1107 6/1107 6/11107 6111/07 6111/07 6/11/07 6/11107 $120.70 I Plan Reviews , 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. I Rp~,! In<nprti~ 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. Page 2 00 . . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00788 ISSUED: 06/01/2007 APPLIED: 05/31/2007 EXPiRES: 12/01/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy 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 ofthe 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 Snfety. 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 Ihe sile at all times during construction. Owner or Contractors Signature Date Paee 3 of 3 . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone e -..~.~ ~ ~~" . Sit of Springfield Official Receipt .Iopment Services Department Public Works Department , Job/Journal Number COM2007-00788 COM2007-00788 COM2007-00788 COM2007-00788 COM2007-00788 Payments: Type of Payment Check cReceintl RECEIPT #: 3200700000000000384 Date: 06/1112007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By Item Total: l..:heck Number Authorization Received By Batch Number Number How Received OREGON ELECTRIC SERVICE ddk 20828 By Mail Payment ~otal: Page I of I 8:03:39AM Amount Due 43.00 2.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 6/1 1/2007