HomeMy WebLinkAboutPermit Electrical 2006-8-15 CITY OF ~)I'RINGFIELD, OREGON t.-D2- NM. sPR'NGF'''-LDl)-':f=l58/ 0,(,0 l--^^---~~n'l ~ ~ "-J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION C'tyJobNumber ~?A7I/~ - (rD/';("c.t I r LOCATION OF INSTALLATION- I 3!P('6 ~(C.'" Date ql/t./-/o(, 3 I CO~PL!!TE FEE SCHEDULE BELOW LEGAL DESCRIPTION 1(02- 0(;, I), o,<{O() JOB DESCRIPTION A I New Resldentlal- Smgle or Multi-Family per dwelling UOIt. Service Included \ ~~ Gr-cu.-<-::l 1000 sq ft or less Each add.tlonal 500 sq ft or portIOn thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder $106 00 $ 1900 Permits are non-transferable and expire If work IS not started Wlthm 180 days of Issuance or If work IS Suspended for 180 days $50 00 2 I CONTRACTOR INSTALLATION ONLY I Electncal Contractor 11'Y)" ~ ~\ec:\ t'lc-1f',- Address Qs7 rh-thl'\d.",e...,A~ CIty ~ ld Phone ~&J' 8'60 L 8 I Service~ 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 AmpsNolls Reconnect Only $ 63 00 $ 75 00 $12500 $16300 $37500 $ 50 00 SupervISor LIcense Number <-f 'i? 7 't =::, c I Temporary Services or Feeders /0/07 / Constr Contr Number0l0-:"i~ 7C--, c.~ ~ / v,;?,fq I' , Exp'fallon Date / 1/1"1/00 / / SJgn~tu/re OfSU, ervls1',ng Electnclan , New Alteration or ExtenSIOn Per Panel One CIrCUIt Each Additional CirCUit or with /1 /1 Service or Feeder Permit Owners Name L.d.>u.L fnel A.......-~ Address 3<- I g ~ (CLe- ~ E I M,scellaneous (ServIce/feeder not mcluded) -Each InstallatIOn I CIty -.5f ~ Phone 72(, - g ({for Pump or "flgatlOn $ 50 00 AFE"JTION 0 Slgn/Outilne Llghtmg $ 50 00 regorl law reqll'rp<:, "".. tn OWNER INST ALLA TI01l'o 1""'1 rUIGF adopted by the Or;~~~er,;:~~gy/ReSldentml $ 25 00 The mstallatlOn 15 bemg made"'on propertG flOwn whrch I Llmltdr fJ\.ergy/Commerclal $ 45 00 _ "J' - ~se ru es are set forth IS not IOtended for sale, leaselOr ren1'52-001-001 0 tl1rouMmlmnm,F.leclfl< PermIt Inspecllon FeelS $45 00 + Surcharges ~'l """"111 i.::J:i.::-uV 1- ';190 You may obtalrl caples of tbAJO.UA.",,", - --l co", th 4 [SrJlN'trlH'LOFABOVE ,(,r ..- c.,r,ng e center (Note the telephoh3 't~ number_for the Oregon Utility l\8%fSlale<SlJrchar e 3 100 '-''''"l'''l I~ 1-800-332-234j1iJ , l'I~T~~E' vf 5~:d'L::t:1!I~e~,p~.M!J SHALL EXPIRE I, T~, cz~ TPTAU AUTHDRIZED UNDER THIS PERMIT I>{~~<- , I'''''Hpr~lr_cn no Ie: IIBANnONED rUf{ Shared DnWfJJ)fl1ullahlg..tlefttJsrele\;tHcaf PermIt AppllLatlOn 1-06 doc ANY 180 DAY PERIOD EXpiration Date InstallatIOn, AlteratIOn or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50 00 $ 69 00 $10000 Over 600 Amps or 1000 Volls see "B" above D I Branch ClflUlts $ 43 00 4'5 ". $ 3 00 Owners Signature Inspechon Request 726-3769 ~ A" .. . ~, ij -~jiiI _ei I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00864 ISSUED 08/14/2006 APPLIED' 07/11/2006 EXPIRES 02/14/2007 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3618 CHEROKEE DR ASSESSOR'S PARCEL NO 1802061201400 Spnngfield TYPE OF WORK Heatmg System TYPE OF USE New ResIdential PROJECT DESCRIPTION Install gas furnace and heat pump Owner CARA MCCAULEY Address 3618 CHEROKEE DR SPRINGFIELD OR 97478 Phone Numher 541-726-8461 I CONTRACTOR INFORMATION I Contractor Type Electrlcdl Mechdmcdl Contractor MNB ELECTRIC INC COMFORT FLOW LIcense 162191 460 ExpiratIOn Date 11/19/2006 06/27/2007 Phone 54t-726-8601 541-726-0tOO BUILDING INFORMATION I VN # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path Spnnkled Bmldmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Gdrdge/Cdrport Sq Ft Other Occupant Load # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary Constl uctlOn Type Secondary ConstructIOn Type # of Bedrooms R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Sethack S,de I Sethack S,de 2 Set hack Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % 01 Lot Coverage Total HandIcapped Compact Street Improvements Storm Sewer AvaIlable SpeCIal Instruction I PUBLIC IMPROVEMENTS I I ODilia",' requires you 0 ATTENTION Ore, S,dewalk, Type ty d tn(J 0" t _ v f 11 w rulc~ a 0') v , 1 o 0 Ce'ltcr 1 i'JccDownspoutslDrams Notil cat'on ,,' O,\n ,,"_'l 001-081C I, ' In r Ii .........(.... 0080 YOJ rrzry 0../ ~ 1 ~, co ~ call lC t'l~ eel" -I nU~~:1 f~y 'l\W C~ Cc ~\..., ,~ ~j _hLlhCE I HIS pE:RrvilT SHALL EXPIRE IF THE WORK IJTHORllClJ UNDER THIS PERMIT IS NOT 'Ie NC~D CiR IS AFJANDONED FOR Notes " I ~ l-11~~ P d2e I of 3 . -. - " Status Iss u ed CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO. COM2006-00864 ISSUED' 08/14/2006 APPLIED 07/1112006 EXP[RES: 02/[4/2007 VALUE' 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 54t-726-3676 Fax 541-726-3769 InspectIOn Lme I ValuatJOn OescrmtJon I DescriptIOn Tvpe of ConstructIOn $ Per Sq Ft or multIplIer Square Footage or Bid Amount Value Date Calculated Total Value of Project l..Fpp< P.."r1 I Fee DescriptIOn Amount Paid Date Paid Receipt Numher -Mechamcallssuance Fee- $1000 7/14/06 1200600000000001068 + 10% AdmmlStratlve Fee $450 7/14/06 1200600000000001068 + 8% State Surcharge $360 7/t4/06 1200600000000001068 Apphance Vent $600 7/14/06 t200600000000001068 Furnace - up to 100,000 htu $12 00 7/14/06 1200600000000001068 Gas Outlets t-4 $400 7/14/06 1200600000000001068 Heat Pump $12 00 7/14/06 1200600000000001068 Mlmmum/Adjustment Mechamcal $11 00 7/14/06 1200600000000001068 + 10% Admmlstr.tIve Fee $450 8/14/06 2200600000000001132 + 5% Technology Fee $225 8/14/06 2200600000000001132 + 8% State Surcharge $360 8/14/06 2200600000000001132 Add, Alter, Extend C1rc $43 00 8/14/06 2200600000000001132 Mmlmum/Adjustment Electnc.1 $200 8/14/06 2200600000000001132 Total Amount Paid $11845 I Plan Reviews I To Request an mspectlOn call the 24 hour recordlUg at 726-3769. All IUspectlOn requested before 7.00 a.m. Will be made the same worklUg day, IUspectlOns requested after 7.00 a m. WIll be made the followlUg work day. I ~p,nL'lrprl Ini.nprt'gw G.s ServIce After hne IS mstalled and hne has heen connected to a mmlmum of one apphance mcludmg required testmg Presure test done at this pomt Rough Mechamcal Pnor to Cover Fmal Mechamcal When all mechamcal work IS complete Rough Electnc P, lOr to Cover Fmal Electnc When all electncal work IS complete Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO' COM2006-00864 ISSUED: 08/14/2006 APPLIED' 07/1112006 EXPIRES' 02/14/2007 VALUE: 225 Fifth Street, SprIngfield, OR 54t-726-3753 Phone 541-726-3676 FdX 54t-726-3769 InspectIOn Lme By SlgnatUl e, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all mformatlOn he. eon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmdnces of the CIty of SprIngfield and the Ldws 01 the State of Oregon pertammg to the work descrIbed herem, and thdt NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the Commulllty ServIces DIVISIOn, Blllldmg Safety I further certIfy that only contractors and employees who are m comphdnce With ORS 701 005 will be used on thIS project I further agree to ensure that all reqUIred mspectlOns 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 remam on the sIte at all hmes dUring constructIOn Owner or Contractors Signature Date Pa~e 3 01 3 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone c.", of Spnngfield OfficIal Receipt l "Iopment Services Department PublIc Works Department Job/Journal Number COM2006-00864 COM2006-00864 COM2006-00864 COM2006-00864 COM2006-00864 Payments Type of Payment CredllCard cRecemtl RECEIPT #, 2200600000000001132 Date' 08/14/2006 Descnptlon Add, Alter, Extend Crrc MinImum/AdJustment Electncal + 8% Slale Surcharge + 10% Administrative Fee + 5% Technology Fee PaId By MNB ELECTRIC I tern Total l:heck Number Authorization Received By Batch Number Number How Received Ikw 755473 In Person Payment Total Page I of I 9 46 43AM Amount Due 4300 200 3 60 450 225 $55 35 Amount Paid $55 35 $55 35 8/] 4/2006