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Home My WebLink AboutPermit Electrical 2007-7-20 ZON INITIALS NM DATE...., - "23-~'" SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (54])726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (UJ).n2..l1b7'" 01 D7'i' 1. LOCATION OF INSTALLATION: ~~D~~ ~.1o'3:n l no" 0, ()\) JOB DESCRIPTION: 2- ciAcw..ts ~ ~ <pl.Wk-f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONLY 2. ) 0 ..J Electrical Contractor I~.r e./t!.k; /u~. L/t<"t'}'to'c AddressrO. .,H/))( / / G City e~ J. )d-f Phone %75 - l./ t; /, (,. Supervisor License Number .J... 7 'l ().- 5f Expiration Date / tJ .~ Ll / - 0 7 Constr. Contr. Number / .5 f L ~ --1 ? Expiration Date ;I - /::; - .c;) X" Signature of Supervising Electrician f!J!~ fl/L o Owners Name :Be I1.n~le1{ Co. Address _ ~O t;:,v..efleu . City ~ Phone 174-7-4$ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Wiru~"t~~IE" o ~t'!'Sr ~~l!;~O wnYH1~pl~~A~T SHAll [EXP!RE ~f THE WOR~ AthHOHIZED UNiJdi 1"i ;;s r[n\V;jT IS NOT COMMENCED OR is ABANDONED fOR ANY 180 DAY PERIOD. Inspection Request: 726-3769 3. Date 7/20/b7 I I COMPLETE FEE SCHEDULE BELOlV A. New Residential- Single or Multi-Family per d\"elIing unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Services or Fee~~rs - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Seryices or Feeders Installation, 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 1 000 Volts see "B" above. D. . Brauch Circuits New Alteration or Extension Per Panel4-4~O One Circuit I $~ Each Additional Circuit or with I. ' :', ..~ Service or Feeder Permit t.,t.OO #00 4~ . . E. Miscellaneous (Service/feeder not ulduded) ,-,Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limit.!cilfi~~I;r~~ic@h~~pn law feqUirQ;~ ~p~~~() wHow j~j~)@ aaopVed by U1J O;,~q~:m'\!")!it1r Lim\\tStffRfinn1n=e~~~i~hose m;;)~ ~~7tJ ~~ttroft,~ Minim umi;li:~ftlSBlfFOOt! I6~lfrtim11:Jj'~ei is)MfbD~OOlttharges 4. S~119~~W~~~~~~~:h~\~:~~~~~~Y 5:2.tnJ 8% S~rrS~h!tgctJ1@ OT~gOl1 Umity N~tiTI~tig1t ,(J b ~~~~~:~~~~~~i 1cSOO,{$~2"23tA). fi: W- TOTAL 0!J~q" Shared Drive(T: )/BuiIding Fanus/Electrical Pennit Application 8-06.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 450 SHELLEY ST ASSESSOR'S PARCEL NO.: 1703271007900 Springfield PROJECT DESCRIPTION: Install heat pump Owner: MARCO POLO PROPERTIES LLC Address: 402 SHELLY ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01075 ISSUED: 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 01/2012008 VALUE: TYPE OF WORK: Heating System TYPE OF USE: New I.EONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC EUGENE HEATING & COOLING License 159537 149452 BUILDING INFORMATION I # 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: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I ~BLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: ~H(]luCf: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED fOR ANY 180 DAY PERIOD. Pa2e 1 of 3 Commercial Expiration Date 04/15/2008 10/22/2007 Phone 541-895-4466 541-726-7654 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: ATTEt'jfJQ~p;to~'ilJtiW: requires you, t,o follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth 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). Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction 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 Add, Alter, Extend Circ Ea Add Total Amount Paid l.,yaluation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Amount Paid $20.00 $5.00 $2.50 $4.00 $9.00 $14.00 $27.00 $5.20 $2.60 $4.16 $48.00 $4.00 $145.46 I Plan Reviews' Date Paid 7/19/07 7/19/07 7/19/07 7/19/07 7/19/07 7/19/07 7/19/07 7/20/07 7120/07 7/20/07 7/20/07 7120/07 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01075 ISSUED: 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 01120/2008 VALUE: Value Date Calculated Receipt Number 3200700000000000487 3200700000000000487 3200700000000000487 3200700000000000487 3200700000000000487 3200700000000000487 3200700000000000487 2200700000000001171 2200700000000001171 2200700000000001171 2200700000000001171 2200700000000001171 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. [..ReouireCUnsnections . 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. Pa!!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01075 ISSUED: 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 01/20/2008 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 Pa2e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01075 COM2007-01075 COM2007-01075 COM2007-01075 COM2007-01075 Payments: Type of Payment CreditCard cReceintl. RECEIPT #: 2200700000000001171 Date: 07/20/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C. PERKINS Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 069668 Phone Payment Total: Page 1 of 1 9:03:31AM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid . $63.96 $63.96 7/20/2007