HomeMy WebLinkAboutPermit Electrical 2007-7-23
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09/11/06 MON 10:50 FAX 5417263689
CITY OF SPRINGFIELD
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225 FlFTII STREET e SPRINGFIELD, OR 97477 e. PH:(541)726-3753 e FAX: (541)726-3689
ELECTRICAL PF,lUf/T 4l'n..JG4VPN
City Job Number ~1 ,.....l.JlM. ~rJ
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JOB DESCRIPTION:
~() W ~ A.. t-\
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Permlu are DOD-transferable and expire if work Is
not started within 180 days of Issuance or If work I!I
Sii.ipe"d~d fur 180 ~ays,
2.
CoNT~R INsTALtAiiojioNfy ..
Electrical ContraceREGON ELECTRiC SERViCe
P.O. BOX 2237
tUGEi~E, UK ~{4U,
Phone ~~ - Ib'ir(
Address
City
Supervisor License Number J.....~ C1-o '- '\
. . -
Expiration Date /0- 1- 0'7
Constr, Contr: Number 1(0 {:s I <l
Expiration Date q - cl..~ - D7
Signatur~ of Supervising Electrician
7\"I-VwVUIv. J r9 j} frAA J
OWntr5Nam~~~
Address ~~ r1
City
Phone 7c.f 7 03..L3
OWNER INST ALLA TlON
The installation is being made on property I own which
is not intended for sale, lease or rent,
Owners Sign~: Ire8 you to
Allc.mON: Oregon ~ UtUIhI
follow rules aaopted by it,;, e. agen 'rt..
Notification Center. Those rules are set fo
In OAR 952-001-0010 through OAR 952-OO1i11
0090. You miy~plH ~,*~le8 b1
calling the center. (Note:. ~h8 tel~p on.:
number for the Oregon UtIlity Notlficat n
Center Is 1-800-332-2344).
A., :i~eMS~~td.~#ti~1.h.,~gfe~fM~~1ttf~~Y-~~hit~~liln~.'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
$50.00
".~" .t,'~!.: ":'. .-'f....", :-:,.... ,-.:-.'~.' :.....:-:.. .~:~.r ., . .
B. . Stryi~f.$orfeeders .;:,. Jlista"anoli;Alterlftlo~ or Relocntion :
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
'$ 63,00
:$ 75,00
:$125.00
,$163.00
$375,00
$ 50,00
c. ......T~ftjp~I#fy:~~I~~~.;,fJj"~ffj~:i;..:(':,_:...
Installation, Alteration or Relocation
200 Amps or less :$ 50.00
201 Amps to 400 Amps :$ 69.00
401 Amps to 600 Amps $100.00
Oy~r 600 Amps or.lOOO Volts see "B" above. .
D. ';~~~~~r~iL~f~~Fi.
New Alteration or Extension Per Panel
One Circuit I $ 43.00
Each Additional Circuit or with 1
Service or Feeder Permit :$ 3.00
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E'>'~~1I~~~~~,~~~etf~~t;.~~~iiri4~d;,j--~~Cb i~$ta~irtJti~.
Pump or irrigation $ 50,00
~ign/Outline Lighting $ 50,00
Limited EnergyIResidential :$ 25,00
Limited Energy/Commercial $ 45,00
M:.n';;~;4:i~P~t1i~~~::.".':'~''::t:'.;, ~~
8%St~;e Su~dhar~~' ..... .... ..... ...! "" ~&s -t...( .
10% Administrative Fee i 'J. lQO ~ ~
5% Technology Fee ! ~~ ~ (,.'0
Tib~'o(T)IB"i1d;"' 'om""t."ri"t pl." ~;~.~ \~ '\Ii
THIS PERMIT SHAll EXPIRE IF TIiE WORK
AUTHORIZED UNDER THIS PERM iT IS NOT
COMMENCED OR IS ABANDONE[I FOR
ANY 180 DAY PERIOD.
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00988
ISSUED: 07/03/2007
APPLIED: 07/0312007
EXPIRES: 02/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6616 E ST
ASSESSOR'S PARCEL NO.: 1702341403813
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump Installation
Owner: ENGLAND DANIEL W & DENISE M
Address: 6616 NEST
SPRINGFIELD OR 97477
Phone Number: 541-747-6313
I~ONTRACTOR INFORMATION.
Contractor Type
Electrical
Mechanical
Contractor
OREGON ELECTRIC SERVICE
HOME COMFORT HEATING & AIR
License
161518
84164
Expiration Date
09/28/2008
06/25/2011
Phone
541-343-1681
541-345-2838
I...,!!UILDING 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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2e 1 of 3
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
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~
Amount Paid
$10.00
$5.00
$2.50
$4.00
$9.00
$14.00
$27.00
$5.20
$2.60
$4.16
$48.00
$4.00
$135.46
I Plan Reviews I
Date Paid
7/3/07
7/3/07
7/3/07
7/3/07
7/3/07
7/3/07
7/3/07
8/2/07
8/2/07
8/2/07
8/2/07
8/2/07
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-00988
ISSUED: 07/03/2007
APPLIED: 07/03/2007
EXPIRES: 02/02/2008
VALUE:
Value
Date Calculated
Receipt Number
3200700000000000451
3200700000000000451
3200700000000000451
3200700000000000451
3200700000000000451
3200700000000000451
3200700000000000451
1200700000000000992
1200700000000000992
1200700000000000992
1200700000000000992
1200700000000000992
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.
~eolJireCUnsDections 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.
Pal!:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2007-00988
ISSUED: 07/03/2007
APPLIED: 07/03/2007
EXPIRES: 02/02/2008
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 of3
22~ Fiftg Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00988
COM2007-00988
COM2007-00988
COM2007-00988
COM2007-00988
Payments:
Type of Payment
Check
cReceintJ
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000000992
Date: 08/02/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
OREGON ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
21063
By Mail
Payment Total:
Page 1 of I
1 :26:39PM
Amount Due
48,00
4,00
2,60
4,16
5,20
$63.96
Amount Paid
$63,96
$63.96
8/2/2007