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Home My WebLink AboutPermit Electrical 2008-1-17 U/J ~,'6('{!/ 61 lYT ~I~" " . ~PR,.,..'d"laLD-=--""tf<~ '" nIT" ""IT . '''''''G'''',~ OR "'" . ,."""".,". . 'AX, "i..",.'.... ~" -)~ ELECTR1CAL P~lT ~.IJ;A..TlON , I /7 - 6 Ci<y Job Nwnc..r \,JI)" ( 0 11 Qh Date --- I' i '!, ".,;~,.,,::,"~'C',,';^,',',',l,;i".'i,''i','',''i'',:hl~,,~",',',,'+','~,i'$,',~~r',:#,wlll,:"';~',',;,'''':',',,.,.~".,.,""'*",h.'~",',.,:'.,':A",','"i"t~',',:(1','',",:,~":":",",::~",',,,'~:~," "',:~:,,',i,,:;ft,,,:"'i,.,:'!:,,!,!,',:l,::,i":';'~"~i',_:;,,~.:'.:t,~,'~I'lr,!;,~,','~,' 3' ,~~,~~Wf~~(:l" -'X ,,,.. ,r.,. " ". .. ",~~~.~~~~~~d:"."'/~1~1 . . ~!;~~;~Mi:_fi~;,;;;;:~~;j;~~t~}~~Q:;;::~!r~t~~~'f-~:~;, lo~m ~ A. :~t~llJJ~il:llki1~:~~~i;;I('llh';:<'~';;I-~' ~"';~i'~ ~lli l\T~~f~ijiih~'(:;:i "'~"l":' I~.",;jf"~'''''~''-I. .... . ,,:mt,., ~r" I, > :;II; """,.:.1 >~f~o;..,:,,:;:.-:-< lE(~~r-)l~\~ rr~4~ Service Included JOB DESC~lPTION 1000 sq. ft. or Ie.. .ltn \ 'liJ.Q,lltts r;- W ~(( ~j'f{U~~~~r~ 500 sq, ft. or Permits are nOli-transferable ~~ :lPlre If wor~!a ElICh Manufact'd Home or Dot Itnrted ",ithln 180 daYI of Ilsuance or If work 10 Modul/lf Dwelling Service or SUIp"ndnl for 180 days. Feede: 5106.00 519,00 550,00 :;p:riil~'~"""""'~,i~Tii~~_"':"';:' , ",",,, ",j . ,.", ,.&;<t'i~~'i, 1:-" .... ,;l...,!.",,~,,:,!,!.~.. :,,-;.11{< '," I~.' ::"",,,',,;\;1 :__: :,;l;:..:',-"~.,:),, ,:,; ~.,:"'~,0l..'/I.~.~":,>",, ;'-'.. ,:H~ B. .,.~l:i:;~~;i,~~~i,~~..~~~~.1tL~li~~~~?'i! ";,!.,~",,,:/.I,'~:m'j!,..~~~~lirl~i,~1.~,;i,';,,,, Electrical Ccnlractor '-'I AI IJ 5 15.1fc.~"- Address &# f\- Cily Mil ~ Phone '7Z(,-'l$..f5- 200 Amps or IC$S 201 Amps to 400 Amps 40 I AlI1l's to 600 Amps 60 I Amps to 1000 A:nps Over 1000 AmpsN oils Reconnect Only $ 63,00 $ 75,00 512S.00 $163,00 S37S,oo 5 SO.OO Su~isor License Numbcr 1-';;51-:> c. :t.rr~~~~IIM~a4r~t$~,:~~~~~ir~~tb$~;f~E.8i:.t!~~~:,;:~,;!:'.~ Expiration Dale I 0 /0,1 D 7 . ' I Constr. COIltr, Number lo.z.. 3 I (., 10 IN f-r4 IDltaUatloD, AlteradoD or R.lotadon 200 Amps or Ie6s 201 Amps to 400 Amps 401 Amps to 600 Amp. $ 50.00 $ 69,00 $100,00 Expiration Da~ Over 600 Alr.ps or 1000 VeilS s.. "B" above, D ~,~="",;II"~'"ie :l"'"l"''~r'''RJIIili<I''itfIi''''\Ii)lI''''' e' Sigmrure of Supervising Electrician . ,,~~~~it;:i~:l~;~ ~~;;n\~~:~1:',r~t:i0~\~ ~11~m3:~,,-,~t~~~'1!;~i;~~:'~: ,: () ) A A, _ _ New Altentloll or Extension Per Panel ~ One Circuit \ $4S00 ~ro Each Additional Circuit or with \ s 4,00 4.. .00 ::-~~~h ,~~~~~~;:.L".::t"~"; OWNE"'~.&N1hMili\<b110through OAR 952-001'. limited EnergylR~frr:mfl RMI, SHAll, 1iX'P1l'f!: '''' TII": . The inr,~ )lmlRl~;G.Il!!l'1 P~,tb.EllM~ by Limited Energy/C~lt~ZEU UNDER JH~ER^1'/13vUHK i'notin~lft9 ltM ;rN*P.le:"ihefeiep"fione Mil E .....hI Ct\;lll~l1."A"'=" IvuT number' or'tne. regon Utility Notification n mum Ieccric pe''':'~,~~,~Y,J,~l ,SlIS,'"l\lV:'''~~OR Owners SignatUnlPenter IS 1-800-332-2344). 4. ":'. ~, . "':1,~~;I~!!,J~~~~I,,~ '~~ v.. (L (JJ _ sfiJ \1Al'%StateS~hatse "","",.,,[:f;,~",~.,"'''' ,,1_ : \O.1.! ~ \ C) 10% Administrative Fee IQ if} !DlpecdoD ~ues::~R~ \~~ ~ 1'OZM. CJ1v,eo- 'l- :VO ~~ ~~~\ -~"'~~'_...~~,O\ '\ '-,*€ir-~[I!'l!'\!lI'!!\'Br 'I " ",.".'......... CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00068 ISSUED: '01/17/2008 APPLIED: 01116/2008 EXPIRES: 07/17/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 468 65TH ST ASSESSOR'S PARCEL NO.: 1702341300442 Springfield TYPE OF WORK: Heating System TYPE OF USE: Remodel PROJECT DESCRIPTION: Heat Pump and air handler with dnct work, Residential Owner: Address: WERNER MATT D & WENDY V 468 65TH ST SPRINGFIELD OR 97478 Phone Number: Unlisted I CONTRACTOR INFORMATION I Contractor Type. Electrical Mechanical Contractor L YNNS ELECTRIC CHARLES ISAAC OSGOOD License 102316 168942 Expiration Date 10/14/2011 03/0712008 Phone 541-726-7895 541-988-5674 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I 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 I Street Improvements: Storm Sewer Available: Special Instruction : Sidewalk Type: DownspoutslDrains: Notes: Page I of 3 __~;~_~li~q)~IJ~gr ':i'~A;;;i~'I~,1 r i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line i I Valuation Descriotion , Description $ Per Sq Ft or multiplier Tvpe of Construction , ~ Square Footage or Bid Amount Total Value of Project FpP~, P~UiLI Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Miscellaneous Mechanical Amount Paid $20,00 $5.00 $5.20 $6.00 $6;24 $2.50 $2,60 $48,00 $4,00 $9,00 $14,00 $10,00 $17,00 Total Amount Paid $149,54 i Plan Reviews I Date Paid 1/17108 1/17108 1/17108 1/17/08 1/17108 1/17/08 1/17/08 1/17/08 1/17/08 1/17108 1/17/08 1/17108 1/17/08 CITY OF SPRINGFH.LU . Building/Combination Permit PERMIT NO: COM2008-00068 ISSUED: 01/] 7/2008 APPLIED:, 0]/]6/2008 EXPIRES: 07/] 7/2008 VALUE: Value Date Calculated Receipt Number 2200800000000000058 2200800000000000058 2200800000000000062 2200800000000000058 2200800000000000062 2200800000000000058 2200800000000000062 2200800000000000062 2200800000000000062 2200800000000000058 2200800000000000058 2200800000000000058 2200800000000000058 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. '. R'p'W.irprllnsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Paee 2 of 3 ___~;~~~!!!~~~~!;,"~)' L'J:~~)!U~I I " f Status Issued CITY OF SPKIl"\.JFIELD' Building/Combination Permit PERMIT NO: COM2008-00068 ISSUED: 01/17/2008 APPLIED: 01116/2008 EXPIRES: 07/17/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691uspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all informatiou hereon is true and correct, and I further certify that any and. all work performed shall be done iu accordauce 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, Buildiug 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 inspectious are requested at the proper time, that each address is readable from the street, tbattbe 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 Pa2e 3 0/'3 225 Fifth Strllet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00068 COM2008-00068 COM2008-00068 COM2008-00068 COM2008-00068 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000062 Date: 01117/2008 12:26:57PM Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 48,00 4,00 2,60 6.24 5,20 $66.U4 Item Total: Check Number Authorization Paid By' Received By Batch Number Number How Received LYNN MOORE/L YNNS ELECT IIh 984075 Phone Payment Total: Amount Paid $66,04 $66.U4 Page 1 of 1 1/17/2008