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Home My WebLink AboutPermit Electrical 2007-6-25 (3) _...... ".DII'~I"I~l.:.. . s.F.ELD"".,....,ZON LM~ iI .II' Ii' ~. ____~ INITIALS "...1 M- .1110[ ,111...1, ___ ~ DATE ~ -~(/O -'{}f-'.- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726-3689 ....... ""'" SOURCE ~ ~ ELECTRICAL PERMIT APPLICATION / I I City Job Number COM7.co7- 00 <t77 Date (0 J5 01 ,. ,~.o.,.. ._".. '''. ".'"'' 'C. .,'<'>,.--..... 3. ;..C"'O'M'-P"'~'';TE'" .F'E."E..-S..C';;E..D....../.. ..B.'.E:.L..'O-:;~r.'.;.p,::..:.:~,=..;;:"..:...";:...; l.,.LOCAt,ONPF ll-Is.T4LATION;:',:.~ ?:. . I ~~=-;... ~,~ ",_ . .",LJ~j!!!L._.. . '~~""-,,-~.~~,;~.,, 1;0;'" -b :i<. FAA-=-1- ~o';;/h; / LEGAL DESCRIPTION: \ 7D 1?Cf/? ~L -fl.L Owners Name dAWlE::\ V~([ b3 t () ts s t- E. ~~l~\!.;-;;;~;;.(~!.r~/f;~~er~,~~~ili_~~p~~;~ r.'~~~'I1ai~~;". " j:> r-=- \ Phone -;'l/ t - Z 7 , g Pump or inigation $ 50.00 ATTf=~IT'''~', " Sign/Outline Lighting $ 50'S0 'l'1(\?''I' OWNER INST!\:CLA'FIONn law requires y f Limited Energy/Residential .. ;n,Qy$\2I06: \~ NO\ .,uOIOwrules a.doQtpoj Q" th~" ou 0 ... ...-.r.~:.. ,,\.. t.r'" . _n~Ar\ - TheTms!~!La..\1.?'),\s{b.S\nlg.mr ad,e on property:!!o'oVn.)w~!cJh LUlllted Ene'.gy,/CommerclalS\,\"l.- -, ,,~'y$~45.00 <CO . . ddc'-'~lltl lone- I \ "c9.\'J\\\ ~\-\\'''- ....\\~.. IS n()\ '!)!~~, gJ2"-\jSa e, ease orrentU es are sef forth . Minimum Electric P\ermit:lnspectiolilFee is $45,00lT~Si.trcharges 00811 YOll m U1-0010 through OAR 952-001- ~,......."..., -'.\.\. .~:...\"'O'\l.t.\.l..*'. ~ \'i'f{!>.\)I\\"'. ..' L( ~ ownefJa~l\fJgt~~:~e~~t:'n(NcoPi~S of the rules by 4. :~li{BTOT~;~~~i)J,)~\~ti:~L:~\~? I n. _'., . ote. thp tpI",nhn1e 8% Stale Surclffi'ge . \l.\) \)r>-'j? . . . ~ 't Z- 0" '-~C'~~f~:~su;~gO~~3~~ii3~~t~iiC~fion . ~~;~~:~~~~~;~~: Fee ~ ~"'r- 60~ Shared Drive(T:)/Building Forms/Electrical Pennit Application 8-Q6.doc 07003 JOB DESCRIPTION: A- J.J "] C\-/"'c.lA', h Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended f~r 180 days. ",~ .,.~ . "" :;":'f:"""'l'" ''''.~'~;r--;":_''''~'- ,-_r,,-:',~~.'- .~ .,~"""', '~:.-' 2 P.cONTRACTOR INSTALLATIONONLY;' . L' _.~. .......~__., . - ~. .' 'c.4=:).;l.--.'---".~', ;;;,.,;"'f'.;.'1.:~:':;._I,, _.:!~ :..:.,.:...... Electrical Contractor I;~ &~d) (' C/,.."'~~ . . . Address r/). j~ /)x / / 'l..3 City (?~1 ~fJ./ Phone %95" 'I t; (, t.- Supervisor License Number ,).. 'J 7,!) - ,Sf Expiration Date / IJ .- d I - c> 7 Constr. Contr. Number /. 5' '7 . s= -of ? Expiration Date 7" - /i: .. .0 X'" Signaillre of Supervising Electrician Address City Inspection Request: 726-3769 SCANNED ':1-,,""'-"" v '.-._t'.H,,~~,~~,,"__'''~',_.~~'''r ..........~"~f'.'''.:(...,....._.;-...~.':.'r-..'''" .'. ,,~.--, A. ;;I"Ie\v,Resid{'!ti:lI.,.;~ingle~r Multi-~a';;i1y:per:dwel'iJig unit:; '1: .....__..-..~..l.."..,"'., '""...:L_~..... _...._"- ...... ........_.~.. ",_.._./C.. .'<- .~...'_ ...'.>._ '....... '''_ ~_~......J,._- . Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Maoufact'd Home or Modular Dwelling Service or Feeder ti";<~1~;-.: ;:"":.--'''~;-;i~~'?:;:::::' \.:-':.....:-:;~ ..~ ~.:..>.~.;,'--;:~:.-'-_'r:,~-.,.-. B. ,'Servlces or lieede~~'-: Install~lIon, Alterallonsor Relocation:- L' ....~.;:.o''.....~..:....::.-.:.....,_...;.z..~.~.__.:.~.....,... _ ~_,-,-~:_~~_l....:....,~. .0:........;........_ $50.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps .60 i Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ~-~";T",,"'''''--'-' ...__,.__........-..-,- _'_.""L' _~~-"": ,-::-~.-_ _...~._',. C. ~~ TctnporaQ; ~erVice~"~f Feeder~>>'.,- },' :./, ;~J.\:,!~\:- ,......~~ ~'i ,.I,.i ,,,\ .....' .... .,....,^_ ,.,__ _. . _..~,,_ _.__...._~. __ - ,...._ .."'.~ .,..~...."..:_.... ....c.. ~""'..._" _........'" _'_ _.~. Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps . , ~()9.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above.c"" 0 ~.-- .---;- -.-~~\'i::_:~'-, ...-::~~:--:- .:,-- ~'-'.'''~.', D. ;M~!l!"J~~~~ S~"~~~~~::...~-:{_~ . .~." ~~'~t~:l~~~1:.~,,~~:" <.~ New Alteration o,r Extension Per Panel / ,-_ '.., One Circuit J 43.00 Each Additional Circuit or with ? '. ...' . Service or Feeder Permit t.3.00 L(J ~-, TOTAL Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRIN"'l'lJ<,LD Building/Combination Permit PERMIT NO: COM2007-00877 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12/22/2007 VALUE: SITE ADDRESS: 601 EDGEMONT WAY ASSESSOR'S PARCEL NO.: 1703341307003 Spriogfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump aod air haodler. TYPE OF USE: Alteration Residential Owoer: YARNALL JAMES E & JACQUELINE Z Address: 632 W D ST SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor C PERKINS ELECTRIC INC EUGENE HEATING & COOLING License 159537 149452 # of Uoits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoodary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvemeots: Storm Sewer Available: Special Instruction: Notes: I BUILDING INFORMATION I ~\J\\~ # of Stories: ~ ,\\'t. ~\J' Height ,9~~tt.rctur~\, \':l {'~: T~l!e'of'Heat: \''t.\'\ t\J\'\. ,:\\)\\\J ~"\\ 'Wat~r.\l:Yi>"i,\~I"\J\\'t.\l 1 0'(::,,1" R'"'' I\..T - ,~~v ,\\\':l \ 1'C.\l angel<.:.y'p.!,,' -:\\\1;,\\\ Energy'Path: t'--\l ,,,^'C.~C.\:Sp;ioJle~IBuilding: o/a ,,(\\\1\\'\\\ _ ("\ ~, " t'--~II DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-746-2298 Expiration Date 04/15/2008 10/22/2007 Phone 541-895-4466 541-726-7654 Lot Size: Sq Ft 1st Floor: Sq Ft 20d Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupaot Load: REQUIRED PARKING Total: Handicapped: Compacl: I PUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires Sili~~lk Type: follow rules adopted by the Oregon Utility . 'f' ' C t r Those rules are D.!.'~nspoutslDralOs: Notllcatlon en e. - .-" in OAR 952,001,0010 through OAR 952,001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800,332 2344). Pa~e I of 3 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00877 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12/22/2007 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectioo Line I Valuation Descrintion J Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project F'pp<. PIi.IIJ Fee Description -Mechanical Issuance Fe.... + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Uoit 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 $10.00 $4.50 $2.25 $3.60 $8.00 $12.00 $25.00 $4.90 $2.45 $3.92 $43.00 $6.00 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/15/07 6/25/07 6/25/07 6/25/07 6/25/07 6/25/07 Total Amount Paid $125.62 I Plan Reviews I Value Date Calculated Receipt Number 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 2200700000000000961 1200700000000000816 1200700000000000816 1200700000000000816 1200700000000000816 1200700000000000816 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?P'\IIJrprlln~,ne('tions I Rough Mechaoical: Prior to Cover Final Mechaoical: Wheo all mechaoical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00877 ISSUED: 06/15/2007 APPLIED: 06/15/2007 EXPIRES: 12/22/2007 VALUE: Status Issued 225 Fifth Street, Spriogfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 lospectioo Line By signature, I state and agree, that I have carefully examined the completed application aod do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be dooe io accordance with the Ordioaoces of the City of Spriogfield and the Laws of the State of Oregon pertaining to the work described hereio, aod that NO OCCUPANCY will be made of any structnre without permissioo of the Community Services Division, Building Safety. I further certify that ooly coo tractors aod employees who are in compliance with ORS 701.005 will be used on this project. I further agree to eosure 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 plaos will remain on the site at all times during construction. Owner or Coo tractors Signature Date Page 3 of 3 225 Fiftb Street . . Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2007-00877 COM2007-00877 COM2007-00877 COM2007-00877 COM2007-00877 Payments: Type of Payment CreditCard cReceinll RECEIPT #: if~ .. of Springfield Official Receipt l'rvelopment Services Department Public Works Department 1200700000000000816 Date: 06/25/2007 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 Item Total: L'heck Number Authorization Received By Batch Number Number How Received djb 012256 In Person Payment Total: Page I ofl 10:49:39AM Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27 Amount Paid $60.27 $60.27 6/25/2007