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Home My WebLink AboutPermit Electrical 2005-4-21 " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX ELECTRICAL PERMIT APPLICATION City Job Number (ow 7.0 0 S- - 0004 <=>r Dale Ii'L"O'C"";'T'.'1"O" "'z'O.'dJN,' 'S"T.':41[)i^;rT''1-0.:>:i~JV,''-.'..;1Jd I r,....!'y.. ";".l'lio, . ...., _. ...",,!..J::.#,\"'illl:iii /436 Cl-f(:-~t'::: s., LEGAL DESCRIPTION {703 283 ~ 00r03 JOB DESCRIPTION ADD ::5 C( iLc.u-\ (, Permits are non. transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 3 Service Included 1000 sq ft or less Each addll10nal 500 sq ft or portlOn Ihereof Each Manufact'd Home Or Modular Dwellmg Semce or Feeder $50 00 ftw~, -~$;"'h4'f-'~IMr...M"~'~'~ ,",\,''";'i.. ""'''''M%'''4!'\''''@~~ tWX,~,,"VWii';f~,~"-j~;".,.;1tl'UP1.--r,:a4~1bAi1AZt~,.,.-~~1;l~'Tfll_i!4'1"J\C'~t11 2 ~CONTRACTOR1NSTALCiA'FIONONhY: B .i$~.ITJ~~~.~lo"."r.>l F. "~~9,;~wi6-J.n~_ta. !!;l!~~n. ,rt:\lte.ra.,~~Q._!!~l~~$v~o,~~,t.~~J 1 ~"0{,,, ~fh1. Al ",gAt_., ':""ItiL .<1'" ~~,)...,.\~" _~,.k 'k,1. ;nJ~\",.,_.J" ,,"' ~ ~" ,.". .,. M",",,"",< ..Ai.. ,,~O _ ~". ~""., w,,~. .,'~ _, "~,,o, "" 0',,"" ",~~a h"""" ,,,_,",,.-,, Electrical Contractor gAJb() ~ ~ J Address dJs;( (l//AN k yee..c; CIty _h~~J Phone !&fIJ3r;{7 SupervIsor LIcense Number ~l<;/~ EXpIratIon Date /6-(-(// /4/ca3Y /:;2 -;/, ~- ~ Constr Contr Number EXplratlOn Date SIgnature of SupervISIng E]ectrlclan ~_tAk-' ..4~ c . c:::::;::::::>' Owners Name bea.A-( J T A ~N Il{ J G CI+Et=~ s+ '::::;j) e;\ Address City Phone OWNER INST ALLA nON The Inslallal10n IS bemg made on property I own whIch IS not mtended for sale, lease or rent Owners SIgnature ~ Inspection Request 726-3769 200 Amps or less $ 63 00 20] Amps 10 400 Amps _ . ~ $ 75 00 40] ~~~~ I~?p~,"'mps'J r8qulre~'~~~""J $12500 60 f Amps 10.1000 'kmp;118 Oreg _ ~~. fnr).t$] 63 00 J "-" .~, "10 e rules ak - Over 1000 At;I1ps/V'olfs" OAR ~')?_OOU375 00 , I'" ,\lIUI I v"'" gh ' , RecQnneCl-OnlYJ1 0 throU t _ ,,'~o h'l50 00 ,,1 OAK ~:JL-UV' '0 n caples 01 t ,~ r" O(,PO~~'flii,li~"~J.>''''''''',:<np'(''''oP.r~-_m;..';iii.1 \: e R~~~''''llSJ~mi~~I~w~;n~1I'_.A''ll ca 1 r the Oregon u I '1 n~M\~~'iRafl!"taOOih1'r3lt~11\);n ' 200 Amps Or less 20 I Amps 10 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D $ 50 00 .$ 69 00 $10000 New AlteratIOn or ExtenSIOn Per Panel NOTiiDt:clrcult t:VDIQ!= ~T\jC 'Mnl'll\$ 4300 TH\Sl\a~1pMq,IfOh'a'l.'drOUlfdt \V11 .- . NOT AUTo!!emlcecon~M~(\"'ifmiS Pt MIT IS $ 300 Ilvn'LLLI' WJ.Ql\IFf1 FOK cr'~i\~El-RI.\li>t~Ao/"-\,,,,,.,, 'J",' ,,'~. b",w"*~'.'J.'.\044'r'-;'xtl ANY .ffil~B;\~~I~~!s,eIJ'~tde~ ~ot ,nelude!!) ;:.E~~Mn~tal.!a!'J>~_ j Pump or Imgal10n $ 50 00 SIgn/Outhne Llghl1ng $ 50 00 Llmlled Energy/ReSldenl1al $ 25 00 LImited Energy/CommercIal $ 45 00 MIDlmum ElectTlc Permit InspectIOn Fee IS $45 00 + Surcharges L_'!if"W\1'~M7'V~"ii:>i\1ft;;;"~;'':'', . *,'-;~j1\!HltW' ::.,"t" 4 ~~!{!!~~l'1~J}2!:~R~~~,~,~~,ll:> y9 3'fJ 490 ')75) 7% Slate Surcharge 10% Admmlstral1ve Fee TOTAL Shared Dnve(T )/BUlldmg FormslElectncal Pernut ApphcatlOn 1-03 doc CITY OF SPRINGFIELD" Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED: EXPIRES: VALUE: COM2005-00049 01114/2005 0111412005 07/19/2005 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIon Lme SITE ADDRESS 1436 CHEEK ST ASSESSOR'S PARCEL NO 1703243300103 Sprmgfield TYPE OF WORK HeatlDg System TYPE OF USE AddItIon Resldent..1 PROJECT DESCRIPTION Gas Fnrnace Owner JAHN GERALD R & SHIRLEY A Address 1436 CHEEK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION , Contractor Type ElectrIcal Mechamcal Contractor LIcense ExpIratIon Date MAG ELECTRIC INC 149834 es ~{JW.005 ASSOCIATED HEATING & AIR CONDI,TIWI0627S" r9~~~nnrP~~~Y9005 BUILDING INFORMATION I~s~ ;u\~s are set lortf. ~ ,>, nU " .- 10 through OAR 952-00 # of StorIes'. ".j-UO oittffilflSll% by I , btaln caples He~~t of Structure 0 (Note the tEJ$q~ilFloor Type?f Heat ,'ib center n UtilitY N6\1IRlailllllFloor Watef,JYPJU lor the Orego _ 32.234~,Ft Basement Range Type Center IS 1-800 3 Sq Ft GaragelCarport Energy Path Sq Ft Other Sprmkled Bmldmg nla Occupant Load Phone 541-461-0387 541-683-2590 # ofUmts PrImary Occupancy Group Secondary Oceupancy Group PrImary ConstructIon Type Secondary ConstructIon Type # of Bedrooms I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Sethack SIde 1 Setback" SIde 2 Sethack Rearyard Sethack Solar Setbacks Overlay Dlst Total # Stree!iIr.eq~qd ,I;I,an,*apped Paved f)~y~*qa' M\T SHf:lll EXPIRE IF THE ~mrrct % OfLd-.r(f,,~~' D UNDER THIS PERMIT IS N ~~:~.~~:\;m OB, IS f:lBf:lNDONED FOR I PUBLIC IMP~QYliW:~iIS fERIOD S,dewalk Type DownspoutslOralDs Street Improvements Storm Sewer AvaIlable Spec..llnstructlOn Notes Page 1 of3 Status Issued CITY OF I'lrIuNGFIELD ' Building/Combination Permit PERMIT NO: COM2005-00049 ISSUED: 01/14/2005 APPLIED: 01/14/2005 EXPIRES: 07/19/2005 VALUE: 225 FIfth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection LlOe I ValuatIOn Descrmtion , DescriptIOn Tvpe of ConstructIOn $ Per Sq Ft or multiplIer Square Footage or Bid Amount Value Date Calculated Total Value of ProJect L.F""< P~HI . Fee Description Amount Paid Date PaId ReceIpt Number -Mechamcal Issuance Fee- $1000 1/14/05 1200500000000000060 + 10% AdmlOlstratlve Fee $450 1/14/05 1200500000000000060 + 7% State Surcharge $315 1/14/05 1200500000000000060 ApplIance Not Listed $45 00 1/14/05 1200500000000000060 + 10% AdmlOlstratlve Fee $490 1/19/05 1200500000000000069 + 7% State Surcharge $343 1/19/05 1200500000000000069 Add, Alter, Extend Orc $43 00 1/19/05 1200500000000000069 Add, Alter, Extend CIfC Ea Add $600 1/19/05 1200500000000000069 Total Amount Paid $11998 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. wtll be made the following work day. IRPnI~ Rough Mechamcal Prior to Cover FlOal Mechamcal When all mechamcal work IS complete Rough ElectriC Prior to Cover FlOal ElectriC When all electrical work IS complete Paee 2 of3 Status Issued CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2005-00049 ISSUED: 01114/2005 APPLIED: 01114/2005 EXPIRES, 07/19/2005 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerllfy that all mformalIon hereon IS true and correct, and I further cerlIfy that any and all work performed shall be done m accordance WIth the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be made of any structure WIthout permIssIOn of the CommuDlty ServIces DIVISIOn, BUIld 109 Safety I further cerlIfy that only contractors and employees who are m comphance WIth ORS 701 005 wIll be used on th,s proJcct I further agree to ensure that all reqUIred mspectlOns are requested at the proper lIme, that each address IS rcadable from the street, that the permIt card IS located at the front of the property, and the approved set of plans wIll remam on the Sltc at all tImes durmg constructIOn Owner or Contractors Signature Date Page 3 013 225 Fifth Street Spnngfield, Oregon 97477 541"726-3759 Phone S~~RINGFI~'~ .. ~, ....... : r"v of Springfield OffiCIal Receipt ;elopment Services Department Public Works Department Jnb/Journal Number COM2005-00049 COM2005-00049 COM2005-00049 COM2005-00049 Payments Type of Payment CredltCard 1/19/2005 RECEIPT #: 1200500000000000069 Date: 01/19/2005 Description Add, Alter, Exlend Clrc Add, Alter, Exlend ClfC Ea Add + 7% Slate Surcharge + 10% Admmlstrallve Fee Paid By LISA GRAY Item Total Check Number Authorization Received By Batch Number Number How Received dJb 043576 In Person Payment Total Page 1 of1 9 45 48AM Amount Due 4300 600 343 490 $57 33 Amount Paid $57 33 $57 33