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Home My WebLink AboutPermit Electrical 2007-8-20 ZON L-"D2- INITIALS f'J IV\. DATE 5' -?e......or SOURCE fJ\PSf?~ ~ /2.0 (07 ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54])726-3689 ELECTRICAL J?ERMIT APPLICATION City Job Number ('J)V\I\ 2.lTI)1- t) 111" Date 1. LOCATION OF INSTALLATION: 30fo ~~ LEGAL DESCRIPTION: l,()'~ ~~ ~Lj O'/gOO JOB DESCRIPTION: ?J(iYCl~~.-fDy~JdinU\ Sitb~ Permits are non-traJsferable and expwJ if work is not started within 180 days of issuance or if work is Suspended for 180 days. , : s_ ',' :,' CONTRACTOR INSTALLATION ONLY 2. //0(/ -. Electrical Contractor (J .rc~A{!.,{/ (.()(' LI('":e~c.. Addressl?!J. cf{/)X / / R3 City eAe4..l )<.d! Phone %75 - '-I Y' t: ~ Supervisor License Number ;2. 7 'l () ~ 5' Expiration Date /0 . - c.l I - 0 7 Constr. Contr. Number / r' C; .- -) ;, ~7 /' ,<:,.....J ,r Expiration Date 51 - /S - d Y Signature of Supervising Electrician f)~ -f2L- Owners Name~. -1 ~LAl- Address 31dP '"P:>la/~ _ City ~;r&dJ~Yhone 24b!'~ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. NOTICE: OwrmssPePlMtT SHALL EXPIRE IF THE WORK ^UTHORI7EO UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Inspection Request: 726-3769 3. COllJPLETE FEE SCHEDULE EELOlV A. New Rcsidential- ~ingle 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 <,", 'E. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 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 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits $ 50.00 $69.00 $100.00 New Alteration or Extension Per Panel . r'I'\ One Circuit I.~ -M. Q U Each. Additional Circuit. or with :L '. ,., :" / /1 db ServIce or Feeder Penmt $.~" I E. Miscellaneous (Service/feeder not included) -,Each Installation Pump or irrigation $ 50.00 Sign/~~!Oregon law reaulres y~tl<tU>>o LimiOOlIBW:6'~~r;t~~d by the Oregon ~~\t}~ Mmi~:I'J!t!!J;i:~~~h",g~ 4. sUBmVirUJ, "F9flB~vRNote= th(7 telephone ~ 8% St~g~~~~~t~~i~~::g~_~:~~3~~)~noatio" - Ll2i 10% Administrative Fee Cf;h 7) 5% Teclmology Fee '2-. <6D TOTAL 0~,S'1 Shared Drive(T:)/Building Fonns/Electrical Pern1it Application 8-06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01187 ISSUED: 08/14/2007 APPLIED: 08/13/2007 EXPIRES: 02/20/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 366 BLACKSTONE ST ASSESSOR'S PARCEL NO,: 1703233407900 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Changeout heat pump and air handler Owner: BOGART BARRY L & DEBRA S Address: 366 BLACKSTONE SPRINGFIELD OR 97477 Phone Number: 541-746-7116 I CONTRACTOR INFORMATION I Contractor Type, Electrical Mechanical Contractor C PERKINS ELECTRIC INC MARSHALLS INC License 159537 25790 Expiration Date 04/15/2008 12/23/2009 Phone 541-895-4466 541-747-7445 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # 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: R-3 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 I Street Iq,\,. L~~~~ Oregon law requires you to St ~"0W rU'RA<<dopted by the Oregon Utility S or~ BlW'c~fgR'C~l\ter. Those rules are set forth pecla ~A~':001-0010through OAR 952-001- 0090. You may obtain copies of the rules by Notes: caJling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 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 Tvpe of Construction Square Footage or Bid Amount 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 $20.00 $5.00 $2,50 $4,00 $9,00 $14,00 $27.00 $5.60 $2.80 $4,48 $48,00 $8,00 Total Amount Paid $150,38 I Plan Reviews I Date Paid 8/14/07 8/14/07 8/14/07 8/14/07 8/14/07 8/14/07 8/14/07 8/20/07 8/20/07 8/20/07 8120/07 8/20/07 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01187 ISSUED: 08/14/2007 APPLIED: 08/13/2007 EXPIRES: 02/20/2008 VALUE: Value Date Calculated Receipt Number 1200700000000001035 1200700000000001035 1200700000000001035 1200700000000001035 1200700000000001035 1200700000000001035 1200700000000001035 2200700000000001311 2200700000000001311 2200700000000001311 2200700000000001311 2200700000000001311 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. 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 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2007-01187 ISSUED: 08/14/2007 APPLIED: 08/13/2007 EXPIRES: 02/20/2008 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 RECEIPT #: 2200700000000001311 Date: 08/20/2007 9:01:57AM Job/Journal Number COM2007-0 1187 COM2007-01187 COM2007 -01187 COM2007-01187 COM2007-01187 Description Add, Alter, Extend Cire Ea Add Add, Alter, Extend Circ + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Paid By C. PERKINS Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 016337 Phone Payment Total: Amount Due 8.00 48.00 2.80 4.48 5.60 $68.88 Amount Paid $68.88 $68.88 cReceintl Page 1 of 1 8/20/2007