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Home My WebLink AboutPermit Electrical 2007-8-13 ZON L.D2.- INITIALS ,J 1-" \ DATE <K-z.v--O f SOURCE ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO""",,, "2..00 7- 0 (08') Date ~ - r...~ -OJ ~~"., ',.> "0 .~;_ "_" _.... _?;'=:"'~ ':ry,,,,"':':_'<'f"~""'i""'-.~...;'1.l,~'" '.t]!''t......,'~. ,~^"", ./::J:'-~'-r'_''''",<^ ~_"_' ,"" y ,'~':' ~)'"",~.j''''<? .,:,<<,,: "~~'~:"-""':":",,'''''F /~,_~'i;'1''':'::~'?:':7~'''-:'''''''<1 -', .',' ,',.. : :::"c^':::,.~'\~i''''''_ 1. . iocitib&.oF'TNSXAIiLATIO ",' 3. "'COMJ'LETEFEESCHEriizCEBELOW':'i _' ;!...:..:"'.'<.; Ao;;}:il.~\.~,(~::';:;.]:::.(..~,:;;d;i,,;:,"~,~:t>.i~;;-~;>,,;;~i;;'-'l)..~;::,;.,D~ :~>~. .,-', ~~".#:';:';~;"-~~,:':.l\~,,,'_::L~,1;1i;,x';>-.: _~'1.:d''':' ,',' ~"'~" :;d~~,(,>..;""~;;':,'-~- . -,',.... ';_~(,---::;~f.{..".;k,F \05(p S ~ LEGAL DESCRIPTION: ~ 1703 Zb(L( L/{(oa JOB DESCRIPTION: ~\o ~~~et RD Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. :< ,~.~:,0:i"::';:f;"+C~"'t'''}:'}~',::fr~~r-il'e:~F;iYf$J8!~{::{:'?0~?~Pf~i7~o/:;1'>7;n~:;,ti'r\\rtt}~?'f:iW-::D~::'$:";'~~ , ':CONIRA.CXO:R.INSTALTJATIQN;:01iL}$~[ 2. ;.,...:. ;-..._:.c';:':'i.J:;J.-:-:;o;.'M~:@:;~~.'tJf..;.;Mi;J:~nr$it]:~,:,.ti_~~:;;,0t~Y,.h40ilfA::;j,crz:~t(1'R,;Mit:l: ElectricalOOliGQUflECTRIr. SFRVIf.E P.O. BOX 2237 . ~ Address EUGEN~, OR 97402 City Phone.34:2J -[10 ~ f Supervisor License Number t~~:S Expiration Date La - l - O-J Constr. Contr. Number l Co (s ( <i Expiration Date q - d.- ~ - 01 SA:::Z[N Owners Name t ~ ~L() o..c\:.) Address ~~ r't'CJL/O S""b'. '.s sf City. ~ ??(\ Phone~ OStfh OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature:. 4. ATTENTION: Oregon law requires you.t,o follow rules aaoptea uy lil~ 61 C18vn UtIlity Notification Center. Those rules are set forth In OAR 952-001 ~001 0 through OA.R 95~-O~\- I t' _rrtilJ:lO. v.-.U7_Mk...htain conies 01 tne :Utes :\, nspec IOI~esr.;t ~"'':71ff'J' J., ' , calling the center. (Not.e:,t.~e :(et~r.n~.~\:., number for the Oregon Utlllw :\!OLlllcai..,J;. Center is 1-800-332-?34L,), J: .:,',', ," ,', ".~.'" ., ,. . A. 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 $117.00 $ 21.00 $55.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 ;?'~G~?";-V(~:?f;~;. ,~,,;. ,),' ,?"'':~, ~:~, :-'~~-' ~:'>:oy%~.-t>::-,::~~,,,,.,,?~>:.~t;'77 C .?,T~qJP9r,ary$erxic~s9,r .Fe:e~~, i<.""....~"'W4,~j,c.;;.~:&.:,~.:.~ ~';~. .-.''''~' ^..,..,.;-......,~;_.......,:;..:.".~:-, ...."""':" :0....:..- .'''<- :x_,-""':__, M'lTH"!:. ~ t': ~.i t w'd!'w.. Installation, Alt...e.....rJ~ ~i()f!jOf ,.Re'.-9oC/l.t,illPLl EX~~I' " 'ill J tl"llVlll '>HA F THE WORK 200 Amps or le~Il.UTHORIZED UN-BIn TH IVT" '3 1"roT 201 Amps to 40P:AmD\S,ENCED 11.O..J."! At" . ,I I ~ p ,~I'.'rI'.'1 U f1 Iv I:) Eu rut{ 401 Amps to 60~:tr~s80 DAY PEHIGij:- . Over 600 or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit , Each Additional Circuit or with / Service or Feeder Permit $48.00 4~~ Ll6-<J $ 4.00 (' E. Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges ~ &"0 ~ I fp ~~ ~~o 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL C1 ~ qto Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc ...;, , :-: '.';':' ~ " ,.;" " ' 'i:~.',;. \: ::;~:;,.,:.:,>', ,.; >: :": Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01085 ISSUED: 07/23/2007 APPLIED: 07/23/2007 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: 1056 S ST ASSESSOR'S PARCEL NO.: 1703261401100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Gas furnace and heat pump installation Owner: STEED BOBBE LEE Address: 1056 S STREET SPRINGFIELD OR 97477 Phone Number: 541-726-0546 I CONTRACTOR INFORMA TlON , Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR License 84164 Expiration Date 06125/2011 Phone 541-345-2838 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Se.condary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: ~~OTICE: Sq Ft Base~rwn\~ t~ WORK Range Type: THIS PERMIT S~~F\.m ~rdfrl~t IS NOT Energy Path: AUTHORIZED U~ERdiW~ . PER~ Sprinkled Building: r.OMfVff[~CED otfq~p~ti~ijNED FOR , I DEVELOPMENT INFORMIDONUi DAY t'thluu. REQUIRED PARKING R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Stor~ Sewer A~aila~ENTION: Oregon Jaw requIres you.~o Downspouts/Drains: Special InstructIon: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth Notes: . OAR 952-Q01-0010through OAR 952-001. ~?,:,n v"" mQV nhtain c~pi~S ~f ~,~ ~~~:,~...bY calling the center. (Ntt6. tn- L.I.. I number for the OregoJll\l1HittiltmW'N~~8-iption Center is 1-800-,:)"",-'v......,. Description T f C t f $ Per Sq Ft Square Footage Value vpe 0 ons ruc Ion or multiplier or Bid Amount Date Calculated 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 Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Furnace - up to 100,000 btu 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01085 ISSUED: 07/23/2007 APPLIED: 07/23/2007 EXPIRES: 02/20/2008 VALUE: Total Value of Project ~ Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4.00 $9.00 $14.00 $14.00 $13.00 $5.20 $2.60 $4.16 $48.00 $4.00 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 8/20/07 8120/07 8/20/07 8/20/07 8/20/07 3200700000000000493 3200700000000000493 3200700000000000493 3200700000000000493 3200700000000000493 3200700000000000493 3200700000000000493 3200700000000000493 2200700000000001321 2200700000000001321 2200700000000001321 2200700000000001321 2200700000000001321 $145.46 I Plan Reviews I 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. ~eouire<Unsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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: cOM2007-01085 ISSUED: 07/23/2007 APPLIED: 07/23/2007 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 Pa!!e 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 COM2007-01085 COM2007-0 1 085 COM2007 -01085 COM2007-01085 COM2007 -01085 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001321 Date: 08/20/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received OREGON ELECTRIC SERVICE djb 21106 In Person Payment Total: Page 1 of 1 2:12:05PM Amount Due 48.00 4.00 2.60 4.16 5.20 $63.96 Amount Paid $63.96 $63.96 8/20/2007