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Home My WebLink AboutPermit Electrical 2006-4-6 L'Qe- I ' CITY Of ~ UNGFIELD. OREGON .' , roject as su~~itte9 has ttw)e~owing as not req~jft'C Wi~se tJl'V' - I~F:1 225 FIF,TH STREET. SPRINGFIELD, OR 97477 . PH:(541)72~-3753 . FAX: (541)726-~~lI,g 'ELECTRICAL PERMIT APPLICATI[ Date Cilv Job Number "....,.. "'''''''0 r -00 lDD te II - b - c..rb _ L>-"rv\ ~ 0 , Authorized Signature 1000 sq. ft. or less Each additional 5.00 sq. ft. or portion thereof _ , \0 . "S \. ,- Eac~ ~anU~~!;~,slom~\p;(\\i Mod\l}ar DwelhI)ge>"rvlCe ,0\ _ $50 00 Feeder ,,(,ISS "'"" 9,,2.00 ' .' \\, ,':... '_ r. \\ ._r- ',\J 2, I'CO~~~''EO){~~l~__C.)\Bi~!"kl1t~i~'!${g'~ii!:!t~J:~'~1 /l c:.. /.' I _ ,...; rl'c,all' V~\~. \\,e "'~ lIeatlOI' Electrical Contractor ~;.)., ) v<'#('.-::rr; G-J :.Ljj(!, 200(Ai!1p~ "r.less \,\0\1 $ 63.00 . - - - ''';', ~ :,611\...... nnn \.)\.1"-' ....114\. ~ So '.' J \ I'l'. ,I ,u . 20brUril's t0400'Afups S 75.00 '() )( J I J 0'. - ',\ v { \\\C. RU\.)~..J""'- Address 7 7> d- VU",uet \0 \4,O,i;Ariips to 600 Amps $125,00 . ,w cel''' c:..o, r. II 7L1 J 6 601 Amps to 1000 Amps $163.00 Ci~r-::r II ()~17eJo_ Phone JY - c7 :;)3 Over 1000 AmpsNolts $375.00 J Reconnect Only $ 50.00 lfrr:fiVS /O-oJ-'dotJ7 200 Amps or less $ 50.00 Constr. Contr. Number :s R Y 1 201 Amps 10 40q Am~ 'NOW~' $ 69.00 CJ \O~\C~:. 40Mnms\l6\'100V~p; IS \'\01 $100.00 E . . D - J - "Irl,., q.. \ "11" SI'If\c.\- ~ II" \,\:\,\1"" ~Q Xpll"3tlOn ate dl.lLl ('\, - Pt.?w' I 0 -/lbo \'I. " , OQ(rV:;lts "B" b \,",\0 . r\ verv mps, or _,osee a Dve. OOllt." -.'." ignature of Supervising Eleclicia f',\\1r1 "\,\cfu B1a~~_.~r. uit ~"'~'~: ,-':1 ' _ I ~ ~O~~~\J \)f','Ne~'?Atf)eration or Extension Per Panel I ? f',\'\'1 ~ One Circuit $ 43.00 -. ' Each Additional Circuit or with Service or Feeder Permit 2. $ 3.00 I, 1_1.'.OcA'l;IO~(i}FilN~\l~~~~~l 23 S? 'bV\C3~1V LAi L17~ D-33lbr I JOB DESCRIPTION 04bOO A-clJ, "3 C. \ rc.........: f--cz Permits are non. transferable and expire :if work is not started within 180 days of issuance 01' if work is Suspended for 180 days, Supervisor License Number Expiration Date Owners Name v11 (I(l..I(;r r./JrU L.OU Address Z'3 S' Z. ~ q t7II~ LA ( So ~,c~ Phone 7c( 7- gg z. 7 City OWNER INSTALLATION Thc installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Reqllest: 726-3769 3, 1~!P~~@;'fiJtit6w,,' A, ~a..~m:~~f;fifj'i'~~~e;'~ir~lii~glr{~il'".."j Service Included $106.00 $ 19,00 c, m~~~"~J,\!;.~".,',*'.~'~:t:'lf;~~;..;:4"1 .C' ,Y...":':, ."..~ 1~~~_j."Y;" .,-,.' ." ~,:""N ,if<, . '-,' " Installation, Alteration or Relocation L(") h E, ..n_"~Q~it~~d~~El~liJ~1tif*tl~ii~.1 , .' ..' 'C~":"9;.~~,*;Z . ,. '- _)p, ""~.,,..,.,J""~~"P".':rP~'). ."'. ~ .1 Pump or irrigation $ 50.00 Sib'lliOutline Lighting $ 50,00 Limited EnergylResidential $ 25,00 Limi.ted Energy/Commercial $ 45.00 Minimum,Electric Permit Inspection Fee is $45,00 + Surcharges 4 11i:s.rj;lJ;~ltfJ~'mr~W}?:;:~]r;;,' ._:'o.~'.~":\-'-. 8P/o State Surcharge 10% Administrative Fee TOTAL ~7 3'Z. lJ '70 S7~ Shared Drive(T:)lBuilding FormslElectrical Permit Application t-03.doc -~ . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00204 ISSUED: 04/07/2006 APPLIED: 02121/2006 EXPIRES: 10/07/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2352 DUBENS LN ASSESSOR'S PARCEL NO,: 1703361104600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: MARIE CALlCOTT Address: 2352 DUBENS LN SPRINGFIELD OR 97477 Phone Number: 541-747-8829 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor C & SELECTRIC PACIFIC AIR COMFORT INC License .. Ei~~\rdlJi~,n Date 3849 . GcgoN~~.!!~008 39.237, ~ _..I~~ "_aI!3j7~/7Ql0 Phone 541-741-2.236 541-672-9510 VN BUILDING INFORMAifIONII.rough OAR 952-001- O\~:;,J. You may obtain copies of the rules by # of S~~r,\~~~ the center. (Note: the tel)\l.tBize: Heig,~Mfl~Jf~.slu,r~d Oregon Utiiity Nc.~""fJtl~IjFloor: Type of Heatenter is 1-800-332-2344S!I Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot tferage: . ~,~!ID'c~~m "HALL EXPIRE IF THE~~~~ I PUBLIC WI1RQ\\EMENII'S~.r:R 1 HI~ t'trllVII I '" 'W' . I,. . '''' I IS ABANDONED FOR COMMtNvtU un I Sidewalk Type: ANY 160 DAY PERIOD, , Downsp~utsmralOs: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvne of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Heat Pump Minimum/Adjustmeot Mechauical + 100/0 Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid -- . .CITY OF ~rKll~uNJi,LD . Building/Combination Permit PERMIT NO: COM2006-00204 ISSUED: 04/07/2006 APPLIED: 02/21/2006 EXPIRES: 10/07/2006 VALUE: I Valuation Descriotion J $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number 3200600000000000080 3200600000000000080 3200600000000000080 3200600000000000080 3200600000000000080 1200600000000000438 1200600000000000438 1200600000000000438 1200600000000000438 $10,00 $4.50 $3.60 $12,00 $33,00 $4,90 $3.92 $43,00 $6,00 2121/06 2121/06 2121/06 2121/06 2/21/06 4/7/06 4/7/06 4/7/06 4/7/06 $120.92 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. ~rI In~nections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Fioal Electric: When all electrical work is complete. Paee 2 of 3 - . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00204 ISSUED: 04/07/2006 APPLIED: 02/2112006 EXPIRES: 10/07/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 - Paee 3 00 - 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . . L;Q:~ Wit C.iii..of Springfield Official Receipt "Iopment Services Department Public Works Department Job/Journal Number COM2006-00204 COM2006-00204 COM2006-00204 COM2006-00204 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200600000000000438 Date: 04/07/2006 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By C&S ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 014953 In Person Payment Total: Page 1 of 1 2:24:55PM Amount Due 3,92 4.90 43,00 6.00 $57.82 Amount Paid $57.82 $57.82 4/7/2006