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Home My WebLink AboutPermit Electrical 2007-8-20 ZON Lrf2- INITIALS t-J i"-"'- DATE ~-~-c, SOURCE(Y\ (JSP/L ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C15YYl2f5b t ... ODS-ZI 1. LOCATION OF INSTALLATION: CSr3C,. 0~rJ2 LEGAL DESCRIPTION: \ <[ C -:+.. l'J lj ~ I 0 ;)., ()\) , JOB DESCRIPTION: {~~ ~ WnP ~S~ Permits are non-transferable and eX lire if work is not started within 180 days of issuance or if work is Suspended f~r 180 days. CONTRACTOR INSTALLATION ONLY 2, (f...1/0V. - Electrical Contractor r e/i!.kut)( L/r-ehC Address f?t/ ,.f{/))< / / f...3 City C.Ae4uJd-l Phone %75- '-I1j/,~ Supervisor License Number ;l. 7 'l () ~ 5' Expiration Date /0 ,- c::ll - 0 7 / - C; .- -, -;:, Constr. Contr. Number L7 7 ' s~) ;r Expiration Date JI - /.5' - d Y' Signature of Supervising Electrician (10/<-- -I.2~ Own=N'me5--m~jJ~ Address 5:fi .s. ~ City ~~~eP~ Phone nnAl).ry N: Oregp!,.law requIres you to Ow fOfftM ~i5~y the Oregon Utility TheNlDtiid:aii:oni~~rmIlR9M ~~~~El ~~fW!~h is niR ra'fildB82ce(HhQCM:Q~~gt.l OA"R 952-001- 0090. You may obtain copies ofthe rules by Owneaa'll!OO~:Center. (Note: the telephone nUl"nber for the Oregon Utility Notification CtJll~1:l1 ;~ ~-OJO-OGC ~(344). Inspection Request: 726-3769 1> /zn/o, Date 3. COMPLETE FEE SCHEDULE BELOltV A. New Residential- Single or Multi-Family per dwelling 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 Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above.' D. Branch Circuits "" New Alteration or Extension Per Panel One Circuit , .$ ~ Each Additional Circuit or with t"'). ',$o.'...~. L 0 Service or Feeder Permit d"'y-uU ~.6b ~.OD E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 MinimuNllJtC&:Permit Inspection Fee is $45.00 + Surcharges 4. :3,;=n~~~:irF,~~Elr~~~51t::: lO%QMM~ ~PeOOeIS ABANDONED FOR _c; .1(7) 501\tlMh118(J,~MfePERIOD. '2. .8D TOTAL h<6.~ Shared Drive(T)/Building Fonns/Electrical Pennit Application 8-06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00577 ISSUED: 04/19/2007 APPLIED: 04/19/2007 EXPIRES: 02120/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 578 S 53RD ST ASSESSOR'S PARCEL NO.: 1802042102700 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace Heat Pump System Owner: STRINGFELLOW LIVING TRUST Address: 578 S 53RD ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC INC EUGENE HEATING & COOLING License 159537 149452 Expiration Date 04/15/2008 10/22/2007 Phone 541-895-4466 541-726-7654 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: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. 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: Sidewalk Type: Downspouts/Drains: Storm Sewer A ~Ifl'ION' 0 Special Instru . . regon law requires you to ~ r~'es adopted by the Oregon Utility !'JOfIfJcatlon Center. Those rules are set forth Notes: 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). NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa!!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ 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 Amount Paid Date Paid $10.00 $4.50 $2.25 $3.60 $8.00 $12,00 $25,00 $5.60 $2.80 $4.48 $48,00 $8.00 4/19/07 4/19/07 4/19/07 4/19/07 4/19/07 4/19/07 4/19/07 8/20/07 8/20/07 8/20/07 8120/07 8/20/07 Total Amount Paid $134.23 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00577 ISSUED: 04/19/2007 APPLIED: 04/19/2007 EXPIRES: 02/20/2008 VALUE: Value Date Calculated Receipt Number 2200700000000000557 2200700000000000557 2200700000000000557 2200700000000000557 2200700000000000557 2200700000000000557 2200700000000000557 2200700000000001312 2200700000000001312 2200700000000001312 2200700000000001312 2200700000000001312 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.jeouireqJnsnections 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 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00577 ISSUED: 04/19/2007 APPLIED: 04/19/2007 EXPIRES: 02/20/2008 VALUE: 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 Page 3 of 3 Date 225 Fifth Street Spr~ngrteld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -00577 COM2007-00577 COM2007-00577 COM2007-00577 COM2007-00577 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001312 Date: 08/20/2007 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 076490 Phone Payment Total: Page I of I 9:09:51AM Amount Due 48.00 8.00 2.80 4.48 5.60 $68.88 Amount Paid $68.88 $68.88 8/20/2007