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HomeMy WebLinkAboutPermit Electrical 2007-7-23 ~ , . " ,. 09/11/06 MON 10:50 FAX 5417263689 CITY OF SPRINGFIELD [4] 004 ZON L.1YC.. INITIALS Nl"-" .. : DATE )f -(J(o ~O"" SOURCE ~~, Date 2 -~ -OJ .!.k~;! .(i~:.:,::"t?I'l. i~ro' '1-';:-S' Ijlj;'l\.'t;~'i\;iIJi";,i'D'::~r:\J'):E";';'mi..ir\;;.:.:;;.~:;.;':';~' :J"~:~~';'J'':-- : ~;:..\;::~L.I.. : ;~~~:.. ..' .~;," ~. :.. ~.l:~..~~~ ; ,4#J:..!f.,., . ,..;~. ~ (.~J':.~l~ ::J';':'~ "},'.::t..:: '~'.:..'.';;"'" t'..... .... ..t...." ...: '.: ..... t.o I:~'{ "',..~.;,'..l-:',.n..."~'~(;:' "I...:~'..: ";';.. ,)....~::~...-:.... ;.l,:.,t..1,.,:.......'!.,.,.. 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 I,IpCAi?f1.ffpir:~&f~ T.t;,4.~~):N;'i ..tOl~ r'c;"~i;:;:-'" ".$:'L""""l'-".' . ;;.....J;"!.,"?"r. ."RINOl'11tl..D .:. .. . '":;:.. " ~,. ..,. ,,' 3.cqW~f;;tE:~l;9i!~!!L!}}#N.i>.W... - ,.... ," ,l..'~; ,,t.--;t.l -It~. - \ .. ~ -~ I' , ,. ':. ~;" ~'":; ., 'c ~., ., "1"'~' .~~, ,,~' : ;";;t ':. .:," LY'\C[~\4: O~O JOB DESCRIPTION: ~() W ~ A.. t-\ \ 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 ~ <.[~ ~ ~:' l{ ~ 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