The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-6-15 ~ r ' \ en '{ OI'\I'RINCiFIEL.D. ORU,ON \. / 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTlUCALP~ITNr"ICATION /_II.c::::..\ City Job Number \.'1\0, \~IV DatelO~ 2GoCp ~\__ I. I uX:ATioNfJi,.lNSTAT.T.Aiio'N- t)-h .f: ~WMPLETEFEESCHEDULEBELOW --: ..~S'5> -6.~ ~(\1iYl ~u.;Fl..j------ - LE\G1A(L"'~IES\C~~~~ AI.l.\,....r ) A. INew-aesidenlial- Single or Mnlti-~i1y per dwelling nniL-.-J i} :c '\, J I} 0 v--' Service Included - - ~DESCR llilON . J ~ 1000 sq. ft. or less ,l A 1ft. - A C'" J fL ~~.1 LEach 3\lditional'SOO Sq.(}, or , nn.,. \lJU1) lY n rr portion ihe~oof ','V'", regon law reauir,,< $d9.OO :U,.uvv ru c>; adopted b th Y 0 [0 Permits are non-transferable and expirJid.ork is EadManufact:dJH.9m~:m', Tho~ e Oregon Utility not started within 180 days of issuance ~~work is Modular q,!,"'~!'.g()ServJ _ice or .,e rules are f$~5'ofo"oth S d d ~ 180 d F d " uUlO thrC"~h ~ . - . uspen e or ays. ee _e!90. You ' . ." ' ~~" ,,52-001- mav ()Ol,:}rn ^"" I:c~'" H., -F-::.. vi lilt:' rWe.c:: b.." B. ~~lces or ~eea~~-SJns~~Ie~~.D~I.ftJte~a!ionS or mlocation: flUr;,Lc, ,to, IneUregon Ut'l ~c,,~ ~ Ilty Notlf rF( 200 Amps or lessnter IS 1-800-3')<' ~_ $'03.001 201 Amps to 400 Amps ~- ~u"'fl. $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50.00 IDstallation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 407 Amps to 600 Amps Over 600 Amps or 1000 ,Volts see "B" above, D. rBranch, C lrcyjts '" , -". .' ...., ~!J.t-IIi'E: ------ New Alteration,orHExtension Per Panel ~ W ""U'L IVlII SH ' Oile Circ!1Jti/i(lf,1I71' ~LL EXP/~ IF$M€<W '. rJ EachA\'.~iHPn~l(q~€dl~[tJf:R THIS PER" UHK ' Service orFeederrpennit OR IS A" ",,jilllllS W'IT ' ANY 10n ' UfI/VUUNE - ~--J.UU--DAY-PERI()n-- ..., D-fOR , 73' Miscellaneous (Servi<elf.eoe'l''not included) -Each InstallatioD i Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25,00 Limited Energy/Commercial _~5.00 Minimum Electric Permit Inspection Fee i($45.00~urChargeS 4.1 SUBTOTAL OF ABoVE - - I 45 ,CO -;\.~ nf<1u 2. I CONTRAcroR INSTALLATION ONLY 1 Electrical Contractor ,rY\ l\. ~ Z \cd r-:.\ c..J I ' City CJ 5'7 ~\d I , f\o l'{h t'I. c\.tj 1(2 Address Phone '7 d..~' <i (oJ I Supervisor License Number 4-~ 7'i S Expiration Date /tjCJ 7 Constr. Contr. Number rYo- 5~ 7 C-- ccB.1d-- /0d-1"1( I Ci .t Expiration Date / ~ /1 'J' oc:' ':";;P;:~;';" - City The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $106.00 c. rre~porary Services or Feede~--~ ---I $ 50.00 $ 69.00 $100,00 ___J 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T: )!Building FormslElectrical Pennit Application 1-06.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12/15/2006 VALUE: Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3530 GAME FARM RD SPACE 73 ASSESSOR'S PARCEL NO.: 1703154003100 Contractor Type Electrical Mecbaoical Contractor MNB ELECTRIC INC HOME CO]\1FORT HEATING & AIR Springfield TYPE OF WORK: Heating System ..q "7"~. "", 'T'y~E'OF'USE: Addition tv .. ""..'. ..... " e /" Ii." ',() Ir: '/'('"..' ... r':!.... ....'0/_(/<". ').,,/... -"oJJ '-':: "J _:1:) -~., rt-~ . I.. ....~G..., _ .......1. )- '-'1" ~{)I' Cq/I.' fGlJ '" V, _(j,-, 1/10' {,:~,. U/reS 1/ 11/9 "'qy vIO So r l'-e YOlJ lJmo tho oOt.' thro (j,'es 901/ I. , to Or fn_ cel/l~ qll/ (O~ lJ9h ~ qro" vb/Ii,. C",", "10 n " (/Va ~'es 0 -"'Ii 9 '( fOrt. I CONTRACTOR INFORMATION, f090l/ ~o:' the ftho rlJ'S<-oO/1 800_ bltiy t%/)h los 0 License Ifxtih,ati'{ro'iDat'€o Phone 162191 tt/19'J200'6"'tIOI] 541-726-8601 84164 06/25/2007 541-345-2838 ~ PROJECT DESCRIPTION: Air Handler & Heat Pump Owner: Address: NORMAN CINDY L 3530 GAME FARM RD SPACE 073 SPRINGFIELD OR 97477 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories: ,jOef. Heigbt of Structure 1,{S PE . Type of Heat: ii/THOR RMI,w.:,aterType: COMIvJ. IZEDRa'r1'iTYfeh "INy I 'ENCED Ea"rgt/PaI'~lRE IF 80 D.o/y ",S'{lrI!lW!{BGilatol(; rHf W.V nla rl:n._ 8il,," rfMl.,., {:)", ~tJ...~ ;:--"'m~~:. t:- t. \ I DEVELOPMENT INFORMATI(l)Nrl Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: 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 I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of3 . . CITY OF SPRlrlltJl'lJ!,LlJ Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12/15/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Deserintion J Description Tvpe of Constroction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp<. PiiliLI Fee Description + 10% Admiuistrative Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $4.50 $3.60 $43.00 $2.00 6/15/06 6/15/06 6/15/06 6/15/06 2200600000000000843 2200600000000000843 2200600000000000843 2200600000000000843 Total Amount Paid $53.10 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. UeolliredJnsnections I Rough Mechanical: Prior to Cover Final Mechauical: Wheu all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12/15/2006 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, I state and agree, that I have carefnUy examined the completed application and do herehy certify that aU information hereon is troe and correct, and I fnrther certify that any and aU work performed shaU he 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 witbout permission of tbe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. I further agree to ensure that aU 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 aU times dnring constroction. Owner or Contractors Signature Date Paee 3 of 3 , 225 Fifth Street Springfiehi, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00742 COM2006-00742 COM2006-00742 COM2006-00742 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: . "~"'J""'ft" WIt'. """:,.,'~-., "," '., ." , . " ~~.~ . ",} <a of Springfield Official Receipt _Iopment Services Department Public Works Department 2200600000000000843 Date: 06/15/2006 II :53:40AM Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By MICHAEL K. GOWINS Amount Due 43.00 2,00 3,60 4,50 $53.10 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 976126 Phone Payment Total: Amount Paid $53,10 $53.10 Page 1 of I 6/15/2006