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Home My WebLink AboutPermit Electrical 2007-8-29 ZON \. ~\L INITIALS (~ DATE -0\ '/>"',,0 7 SOURCE ,) .<SV{2 <"" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PE~T 4!t~CgION City Job Number \ ':-\. Or GL .;.J -' ...-, 1. L6CATiONOFINSTALLA.TION-:;,:'!;2r'\~,!: 3. COMPLETE FEEBCHEDULE BELOW ,0_. ~.'..', ._,It..iilJ.;.'~;''~'~>''-4,_:",~-,,\',;,.~w.;_1<'''''''''':-~~-:.'~~'~,'~:,,:,~,_,,';, '.__'".:, '.~I' ._. ',". :- ' ." ':"...;. '.."~ ......;.:.,;.., ' ,~.;.,,,,i:A'~ (P013 io~~,J LE\~~~lt'L n4:a) New Alteration or Extension Per Panel One Circuit ) Each Additional Circuit or with _ ~ Service or Feeder Permit . $ 4.00 :=~~~~: :~ ~~o:~:;::~~~notlnd~cde;ji~E~~~Inna~atinn OWNER INSTALLATION NO~i~~a:~~:~t~~lUtmty $ 28.00 !he in.stallation is being made on property I ownf~\iMR 952..QO'-:.lW1rJ1ntt_irSBt forth $ 50.00 " not mt~doo fo, sale, lease 0' renl. O:ilnYo:m"ef!'!<<i~'i!B/iI.:v.~j,~l1i eo ;s 550.00 +S""ha<ge~ Owners Signature: . numb~ fO,.=~m. ~~'fflfuJJ: . . So , Centerlf~ tJ~3~W!~J1otmcat'on 4 ~ r~aTrCE: 10% lYminiJ~a~~fh S --- T~I!S PERMIT SHALL EXPIRE ~F TliE WOHK 5% Technology Fee ~, Ins~J!1iM~liDtUWJatfl6~li!S PERMIT IS NOT TOTAL' ~=I 0 t 9:-0 COMMENCED OR IS ABANDONED FOR ' Shared Drive(T:)/Building Forms/Electrical P 't Application 7-07.doc ANY 180 DAY PERIOD. . -- JOB DESCRIPTION: J 0 {LoLA Ao"" ,J2J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. '~Eqfij5i8S!g~l!ffit1!Z0fXgJrq~i:fs Electrical ConnGR&GOi~ l:LE;:";'~iC ~~nVICE P.O. BOX 2237 Address FU~t:;Nt, Q~ Q1.4.O.2 City Phone ~'-l ~ ' Il..o Y I Supervisor License Number 12Jq~S .L_ Expiration Date I n - (... OJ , Constr, Contr, Number (to I S I V. Expiration Date ~, -~X-O) Sigr'<lture of Supervising Electrician '7 ~V~"tGl~,^j(~ ~ ~~iAj L ~ Date )(-~q-07 A..Ne~Residential-Si'ngle or Multi~Faniil~ pe~ .d~e.lling unit.. '. "'~ .,._;,.,,,.._"';......~_,;.,;....."'...... "~. ,"'.,.~.,(,,'_ "'_', "_"A"-"'_'~_'_ '","'"~_ _,-A-, . .< .;........."'..~;...;~ '. ,.....7,1_..."n._~. ,<..'-'...: 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 $55.00 rr:B>Dif~Y':;;:17;Itr'<--'t~-,;;: :",::'/ ", ;;>;:' '.,: .;: ~"':,,~..'~ .~-.:"': ,~'. B. ~ .$ervrtesor Feed,er{;.;Jns'talIation, Alterations or Relocation: :.".~~':;..,~d;!I.Ai.'.,;;....;ii:..;"~: s:s::....:..::~;.{:...~-'. ~~..;'~-"_'_ ; '; J ., ',' . -, '.:.~ . ~';;:.......' ::~ "f- -:- i;.~" -.' --,~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. .Tfrii~~'~i;y.'s~;;~~~~or'Feeders ,"'-J>.~",&),~"~.~",,,,.,;..<.. .,..~",__.-t-..-." ~,,-,t~ ,..-.... ,~:~.._',., '. .~,,-,'. ,', - 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. ~t::"Kr:' .:;,:~/,"7.>~;'t":.' "T:; .1-:-:: ~:;:':' ;,,~": J." _W_,'_"_'UV -.' ~~ D. ;'~l;~llChCircu!~s',', ...,',,: ";,;,~~'~~I_",-,,,..........--,,,t___..,:.. "'''''-''''_~_ ,A'-............. .. $ 55.00 $ 76.00 $110.00 $ 48.00 lt~~ , ., , -' . . " . ':. '~ " J , '.' .' . . . . " '" SPilINGi'IGUlI ~ll1 ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01225 ISSUED: 08/31/2007 APPLIED: 08/17/2007 EXPIRES: 02/29/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6893 GLACIER DR ASSESSOR'S PARCEL NO.: 1802022204500 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install New Furnace and coil to replace existing Owner: STREUR TABER T Address: 6893 GLACIER DR SPRINGFIELD OR 97478 I CONTRACTOR 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 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 1st 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: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pal!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 Furnace - Unit Heater Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $20.00 $5.00 $2.50 $4.00 $14.00 $36.00 $5.00 $2.50 $4.00 $48.00 $2.00 8/17/07 8/17/07 8/17/07 8/17/07 8/17/07 8/17/07 8/31/07 8/31/07 8/31/07 8/31/07 8/31/07 Total Amount Paid $143.00 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01225 ISSUED: 08/31/2007 APPLIED: 08/17/2007 EXPIRES: 02/29/2008 VALUE: Value Date Calculated Receipt Number 2200700000000001310 2200700000000001310 2200700000000001310 2200700000000001310 2200700000000001310 2200700000000001310 1200700000000001139 1200700000000001139 1200700000000001139 1200700000000001139 1200700000000001139 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. lJeouire<Vnsnections 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: COM2007-01225 ISSUED: 08/31/2007 APPLIED: 08/17/2007 EXPIRES: 02/29/2008 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 Pae: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 COM2007-01225 COM2007-01225 COM2007-01225 COM2007-01225 COM2007-01225 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001139 Date: 08/31/2007 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OREGON ELECTRIC SERVICE Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 21157 By Mail Payment Total: Page I of I 12:45:55PM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 8/31/2007