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Home My WebLink AboutPermit Electrical 2006-6-20 (2) ",' ,. '.-'1;."" t...,..~ .'. ':r--"':'.-'" . ~.:.:~~.;,..~, ",'<'"'>:.."",..j;~\,'c.t~(~. 1. .~LO(;A'[ION ()F.JNSTAL:r.:tr!ION~;;";;fi}b:,,:i '.t:'~l'.....'l. .........>.......,,"",;.,._,..,..'.;.t'-''(..~ .;~.' ...t;~I.. .C..~..."U~J;.."'._.. ,l:;. SPR.:ELD =:"""i' ZON 1111'(J ~~ " ,~~ INITlAL~~:;Q ~~~.,.~~ ~~ DATE . I? .,{1'f}y ",1#",,':'''1>,. \illIJ' SOURCE ~ '/ZO/Ob ' e:f<:::' . ""....~. '- -,<: . -'~ ,,!,:,"'-':~'?'".~..f'_~'r,;:::V"'Mc?"'~:-:':'." .,.,"1'''''-'~.'_,. '-''""~ 1~::'~I,~:,~~i.~'~,'Q";1,~":':'!;,.::->t~, 3. "COMPLETE FEE SCHE[)ULEBELOW7"":t''i,''i,,J;VI;i;C'i>'" 1;:2l\.!..'~~.'!'::'\.",;;,:,,:~'<\Ut.l"~.lo."';'~~:"'--"'!.L:~;.W::~"':o- _.,~._'~",,:;,,'-'-""':~'l~;=l~-t!;it-3:...a:"'"T,~~ Date 225 .'!fTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO""" tco6 - OOr 2-D 538''1 o Ov-c. iH 'bit /f',C1tdi'';::''''6,.'~:,;''''';;''Ji'- -".~~,.'.," .~~~......,..-~,-::'~:'t!r.;"'::.-:-i;"!,,,:,-:,;,.,,::;!':-.;:~,'4".'C~;'i'!(~:~:'( A. ~N e,(Resident,iaE~;~iuglc. of_,M u~ H~ F)i..nl,ily "per :owen !ug, ,un~t.y::::,~;' ........,_...~_, ,.:r~..._.",,~'t:~..~ >,_.. .:.."""-'!';.....~-t....-'"'-t..&...'"'" ;"';"".E-.."'" ~ c', '";$_,:.........~.'..........::""'~~ LEGAL DESCRIPTION 18Dl.ObZl OL{l{OO Service Included JOB DESCRIPTION A-J cl 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof Permits are non-transferable and expire if work is Each Manufa~r$.~~%'t- . not started within 180 days of issuance or if work is MOdula~It'*:~f\\~\r $5000 Suspended for 180 days. . ~<@I:?~ l''i:.'i'\~\ a'i'\ . . it8NTl4CioR'INSWIATr~nt.~~;,~\\ <b~~t~<\\\\t~~~~~j~~~s~~";,{i~;;:11~~i.~iiJn~';;~'ii~IJ[.~iJ~~~ :'lec~:~;~~:::~:~."'c~'~~J2'~~;:~~!~~~~~:~~'~:'::-'~~" - ,. -'~;,rt.>.. ~""'~~;::="~~4~~'~ PC; l{ \~~ ~I" 201 Amps to 400 Amps $ 75,00 Address . 0, R rJX II 9~ 401 Amps to 600 Amps $125.00 17 601 Amps to 1000 Amps $163,00 City l.' &si.Je.( I Phone 8"9.5- V SIb/:' Over 1000 AmpsNolts $375,00 Reconnect Only , - $ 50.00 $106.00 , Ll......C."".. +- $ 19,00 Supervisor License Number 1..,970 - S ~"'I'.:~/;~~..-::'~->;?-W-~~~~~-;:';;ifl"'''''' ~/~'t,:~'~!'""'~;:~~~.,-"...,.~."<.-.., C. ~:'T cmpora ry ,'SerVices:o'r,F eeders "i.~:r;:.'~~~~~"1f~Y-:;~~~~~J~l:~.;1'>-tJ tr~'';'J,~_:i;",.~''~i'':''-k>~~~'.:Q..;;r.;,,':''".o::~'r'~~-:.....~....''t-<-~W':J~;..:irt-~:;.~;-.....,,~{t~.&"'...lJ (ljA~ +2A )/;~ / - Owners Name 'en-VI i'> VV'A-t)SCN Address 3 '3 !' '7 C:.o"'\ fA ~ ~r City S '?t=~ Phone 7'17 - I.(I0b , Installation, Alteration or ReIOC~'~'I:\ , . ~'lJ" \J~ ....'(\ 200 Amps or less o:.)~ ~<;o. ,~O" ~50.00 201 Amps to 400 Amru>otl \0 0\0~<0 "'~-".1:l\)169.00 ~<;o.~O-- e oJ. -J '0'\ '401 Amps to 60Q,~P.:i'\~ ,J.0"'O"<?o-'1J .,~0"'$100,00 . 0\ ,0 0' ' e ' ~0 ~~er*~fi,g,~~!~t~~~~~~~;:~l,y~~\,~~.,".,'t'!lIS",c;"'1fC'';;\' D. ~:..I.\r.~ ~ch~git<;~_IJ~S',~:':x~<~~?r;'O~1:~t:v\~~f!~;:';~~d;;~I~;~\\i~}:/'.ir;~i-:'\)~~8?~~~,j ~""''':~f<.:'0,._a~''''',<i.da.~~ CJ_~",,""~:'\"h1.,.~o:...=_"'\., ....!-.,.-",~..,n,~Jl#,..').,,"",>~>~-'3! "0'" .,,~ r,V ,?>, ,~ ;\\\'\ ,~. N~w i\Jtsr:itioillor %'tensiQfi'Y"l)'nll)eb'" ""V n.,"-''' ",,\ e\' Of'. ~.. / ' / J O{IClCirf.\ut ,) ~ "e<;o.'1 C'\\eC$ r:::r'::,~ $ 43.00 ., Ea$,S>iddi~6'6ali.Glrcuil<or' \Mith\! "Vjv ~(), <" .",' $ '00 Service'or Reeaer'P.ermLt\ ~ J. Co-\ ':0'0\ e{:o.~ E. ~~~Mr~~fl~~~i1~:(~~f~'(i:ir;~di~~~j~~~:~iii~t~;I)"'~i~:~'h 'II'i~~~i{;fi~;t ;~=.......~">t.a.:.;...>l1~;;~""",-;J.:.<-';'::-..,.""'..,;_..;.-..~ "..;o.I.:lt-."...:.:5:~,':':~.'........... ~f',., ..::.!<_._:.._,;.,.:.'i:..:r'".':.':--':l. 10- tJ)- U? Constr. Contr. Number 15 9 ~ 3 7 '1-/5 - tJ 8' Expiration Date Expiration Date Signature of Supervising Electrician OWNER INST ALLA TION Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited EnergylResidential $ 25.00 Limited EnergylCommercial $ 45.00 Minimum Electric Permit Inspection Fee @~ Surcharges The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signature: 4. ~iPiit6t1f:1iI;y?fiyff\j:~;~f~,~~~_~;~ 8% State Surcharge 10% Administrative Fee 'IS" 360 I.(So S '3'~ Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application )..Q6.doc . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00720 ISSUED: 06/15/2006 APPLIED: 06/1312006 EXPIRES: 12/20/2006 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3389 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802062104400 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump and air handler TYPE OF USE: New Residential ; 01.1\0 J_oc,'l ...,hJ leLl . V'" I rUDLlC IMPROVEI\'IIcl"~' oll \a'll OleQoll e\ \01\'1\ ~. v,eg ''''''I\ne aleS Z'0'0'- ..o~\\O . oO?\eClSiiles~..ij/I((.yll>.'V\ 95 - 'O'i "',,"- ~e5a ~o .."nO. ,\lIes o\\O'llIU Cell\el. ,'is'\.~PSP.o~@.ralns~Olle ~O\i\lct~~z-'0'0\-~~\illl cO~:. \ne ~~~lca\lOll ill Of>' 'lol.l !lI"''l (\\el. \.~ (\ '0\I\\\'l 1\1\). '0'09'0. . \ne ce 0le90 '3'32.2'3 c",\\,(\9 \Ol\ne. ,_?J'0'0- !lI'Oel \el IS (\1.1 ee(\ Owner: DAVID MADSEN Address: 3389 DOUGLAS DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC MARSHALLS INC License 159537 25790 I BUILDING INFORMATION I # of Units: # of Stories: \l':l\)?-'f.. !.. Primary Occupancy Group: R-3 H~;;~t~~~CSUf~\ Secondary Occupancy Group: t ~e'O ~~~i'i ~ Primary Construction Type C\,\\Ct'.VN, 'O\\\>.\.\. . .yll~~R;W r\)?- Secondary Construction T~1l! ?~?-\t-\ Ij"l\.\)\:"f(.. le!~'AA'YPe: # of Bedrooms: ,\\\'0 \\\)f(..\1.\:..\l \)?- \'0 ~lfergy Path: ,. \>.1j~.~~\:.."I\.C~~ ~\:..f(..\\SPrinkled Building: nla v;W< \'O\l t.'J DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paeelof3 Phone Number: 541-747-4106 Expiration Date 04/15/2008 1212312009 Phone 541-895-4466 541-747-7445 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: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~FIp.lfI'li" P"Iiry Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Amount Paid Date Paid $10.00 $4.50 $3.60 $8.00 $12.00 $25.00 $4.50 $3.60 $43.00 $2.00 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 6/20/06 6120106 6/20/06 6/20/06 Total Amount Paid $116.20 I Plan Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00720 ISSUED: 06/15/2006 APPLIED: 06/13/2006 EXPIRES: 12/20/2006 VALUE: Value Date Calculated Receipt Number 2200600000000000841 2200600000000000841 2200600000000000841 2200600000000000841 2200600000000000841 2200600000000000841 1200600000000000912 1200600000000000912 1200600000000000912 1200600000000000912 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. ~irprt Insnections 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. Paee 2 00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00720 ISSUED: 06/15/2006 APPLIED: 06/13/2006 EXPIRES: 12120/2006 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 Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone \ . liiI* of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 1200600000000000912 Date: 06/20/2006 10:46:55AM Job/Journal Number COM2006-00nO COM2006-00nO COM2006-00nO COM2006-00nO Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Payments: Type of Payment CreditCard Paid By C PERKINS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 127716 In Person Payment Total: Amount Due 3.60 4.50 43.00 2.00 $53.10 Amount Paid $53.10 $53.10 cReceintl Page 1 of 1 6120/2006