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Home My WebLink AboutPermit Electrical 2004-10-21 ~ ' ,6'-0 SPRINOFts:LD ~ 225.1'll' 1.1:1 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)~k-3689t-~,/ ~ , ~ 6' ELEc.;LKICAL PERMIT APPliCATION '. <:<0 " ~" City Job Number C.OV\;\. "2..0"6 Ll - 0 11..-:::' b Date) 6/ '2 ~ ltJ>(Y'J,"'- ~<9, z 2. Electrical Contractor,,)t\5~ 'f)i;Wt..{\ ~ OCr .tnc 200 ~P~~~\5S$ ,{ x-~~p's~ 400 Amps Address 1525Wil Dne" Dr ~~\~~~~~OOAmPS ~ e)().tg~~ \~S~60~ps to 1000 Amps City E\A(\Q.,Y\,t Phon~ # ,,~~'s ~~~1)~er1000AmPsIVolts \ ~ ~S <( ~x-'0 - \)~\ ~\). Reconnect Only \~~\)~ ~\J~\)~ <(~~ Supervisor License Number tf 7 %~(\ \)'f. , c. . f" ~" \ Expiration Date J C) I 01 0 7 ~ Ii. .. I Constr. Contr. Number 2-0 - % ~ Lj /Sb?G I Expiration Date 10 / O~ / ~ /07 / 1. l-f IZ -, U(IIA. t- { /i,4.. S:. +- LEGAL DESCRIPTION \ 70'2. 3:23> 0.370 ( JOB DESCRIPTION A~)\ Lei ~,-,~-Is .. Permits are non-transferable and expire if work is ,/" not started within 180 days of issuance or if work is Suspended for 180 days. S"([/~;rwWn l ,; OwnersName pe~ / L{lI-, City 5"? I~ Address ~(/~(;:j (e- C~~{ Ic /l. Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~..~ ~ 3. 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 $50.00 B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps ,$ 69.00 401 Amps to 600 Amps $100.00 Ove~ 600 Amps or 1 000 Volts see" ~ve. D. New Alteration ~o~e~i9~~~~<ft~()()\~ One Ci:~~. O'0~ec'Qi S0 (,u\0 O~~ ~~.~eS ~ ~3.00 ~'ttdi~~~~oxiQl' 0\ ~e ",'~..o(\0 l>-~~~!6~~~~ R\eS ~\~ rlJ.~00 \0\\0 \ ~ }J.. cO . \'(\~ '~.:~\V ~ \(\~. ~e v 0,0 ~c;)'~ ~ O~\~~\B,~e 's Vij . $ 50.00 sign/8~~~(," . $ 50.00 Limite~ EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges LI5 3 4. LIb 3ZZ. L/bO 53E:- 7% State Surcharge 10% Administrative Fee TOTAL ,..... ""Y"Irro_.~1.1~__1':'__...'t:\.,...."":.......1 D~;t An"I;"'~f'nn 1."'1 nnr. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01236 ISSUED: 10/05/2004 APPLIED: 10/05/2004 EXPIRES: 04/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4127 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702323303901 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: SCHIELE BETTY A TE Address: 2316 15TH ST SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical , CONTRACTOR INFORMATION' NO. 1\1&. ~i!JE WOR~ Contractor THIS PERMIT SHALL EXPIRE . ~~<<s Nofxpiration Date JOSEPH BUNC~mO tmfJER THIS P ~t 08/21/2007 MARSHALLS IN~MMENCED OR IS ABAND~~~ OR 12/23/2005 AN\rMihYnN~ATION I Phone 541-344-8745 541-747-7445 VN # 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 GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive}~.9d:'oregon laW requires you. ~ompact: % oMifBt-OW~. b the Oregon Utility follow rules adoPte~h:se rules are set 'orth ..' ,,";r-n rpnter. . C'P nc;I).nf)1- I PUBUC~~~~n\~:~~' ol'\~IU\eS by 0090. ou nlCiY &IIk\\tatkt~O~ calling the center. {N ti\i!,y NotiticatiOn number for the. OregOfi~~~~Sl\~rains: Center IS '-800-33 Frontyard Setback: Side 1 Setback: Side 2 Setback:' Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriPtion' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 ~~~~',:~~~gJ, ~ . . l " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01236 ISSUED: 10/05/2004 APPLIED: 10/05/2004 EXPIRES: 04/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project LFees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum! Adj ustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $10.00 10/5/04 1200400000000001433 $4.50 10/5/04 1200400000000001433 $3.15 10/5/04 1200400000000001433 $8.00 10/5/04 1200400000000001433 $12.00 10/5/04 1200400000000001433 $25.00 10/5/04 1200400000000001433 $4.60 10/21/04 1200400000000001497 $3.22 10/21/04 1200400000000001497 $43.00 10/21/04 1200400000000001497 $3.00 10/21/04 1200400000000001497 Total Amount Paid $116.47 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Reouired Insoections 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. 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 2 of2 225 Fifth Street Spi"irigfield, Oregon 97477 541-726-3759 Phone rity of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200400000000001497 Date: 10/21/2004 2:48:38PM Job/Journal Number COM2004-01236 COM2004-0 1236 tOM2004-0 1236 COM2004-01236 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Payments: Type of Payment Paid By CreditCard JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 559235 In Person Payment Total: Amount Due 3.22 4.60 43.00 3.00 $53.82 Amount Paid $53.82 $53.82 10/21/2004 Page 1 of 1