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Home My WebLink AboutPermit Electrical 2003-6-26 225 FIFTH STREET .. ePRlNGFIELD, OREGON 97477 lNSPECfION REQUEST: 726-3769 OFFICE: 726-3759 I. LOCATION OF INST ALLA TION 4252 Cole Way LEGAL DESCRIPTION i gDt:... 0 5'l '-( o 8'70b JOB DESCRIPTION Heat pump installation Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 2, CONTRACfOR lNST ALLA TION ONLY Electrical Contractor JB ELECTRIC INC. Address 4685 Isabelle 51. City Euoene. OR 97402 Phone 541.687.5770 Supervisor License Number 38725 Expiration Date 10/1/03 Constr Contr. Number 37587C CCB 104929 Expiration Date 10/1/03 3/14/04 Signature of Supervising Electrician ~= Nwne ! =1 Cisneros Address same City 5orinofield. OR 97477 Phone 988-0802_ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. \~wnersSi~ \lO~ ) - JB Job # _03-410 ELECfRICAL PERMIAPLlCA TION .. 101l0"'llIQ City Job Number WW\ 'Z..oo..J -00 '-f7-:J.,8S\'l\B lIa IlSB 1Oll\\\\B ellle \8 \..s sll "e slle 3, COMPLETE FEE SCHEDULE ~~lIO' le<\1l 10110'" A aoes l\ "",:,c;' a.(\U e. A, New Residential-Single or '''\~~~..I. . r.; I.. '() Multi-Fwnily pei'\l~ellingzelllI.Q. U Service Included: Ille p?,B 1.\eBQ"B\ {\t9 r\.ll\\V Cost Sum 1000 sq, fl.. or less Each additional 500 sq, fl or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 $ $19,00 $ $50.00 $ B. Services or Feeders [nstallation, Alterations or Relocation: 200 wnps or less $63,00 $ 201 wnps to 400 wnps $75,00 $ 40 I wnps to 600 wnps $ I 25'.00 $ .11)'" 1 601 wnps to 1000 wnps ",eS$163.00 $ ..\1"0 Over 1000 wnps/vo[ts , ~'N le~' _,,~C$3r~QO)' '$ Reconnect Only \ e~o'" "y\e ~ ~ '3-1($50.00;)~$ ,,\~..0 ~e6 v, (I)\v' II..~ 9';l"'es v. . ., ,IV . \O~ ~'0-0se ~ Or II)' C, Temporary Serv,lces'or F~= el, \ ,Oll~ 0\ \'0-e ~O~e t". N'l IIl'" ce~~ :\I)\~ ~eS ~e~ '!.IO~ \0\\0 .\IO~ <;:):\_00 ,~CO~ ,\'0-13\13 ~~IC'O- 200 wnp'S'~~\~:sg<:,~-~\'3-'l O~::~, \.~O~~~\\\I\'l;;~iOO $ I )r' \ ,\ f. ,~ J" 201 wnps.toc12Q'am\ps~ece f'\,e~v:" .,,':)~'$69.00 $ Over 40Iitb'600'!iriiPS'\01\'0-l... ~_'6v" $[00.00 $ Over 600 wnp~':,..'1 OOO(voltSrsee- {\\)\\ ...... B above $ D, Branch Circuits New. Alteration or Extension Per Panel One Circuit I \~:dIP~ 43.00 Each Additional Circuit or with S~~\\\\: ,'i- ~1 \S \~ or Feeder Pmc~'. S\\~\..\.. -\'Ie. \It\\l~t'~\\ $ ~\)" \l~Y'~\\ ~\)t.'(\' ~\)G~'" E, Miscellaneous ~~~~~hlilelt~!>: -Each ins"lQl\li~ x.tAc,t\) t.\\\G\)' Pump or irrigation c,G~WI \l,\) \)~i \l $50.00 $ Sign/Outline f.,Wltihg _ $50.00 $ Limited Energy/Res $25,00 $ Limited Energy/Comm $45,00 $ 5, SUBTOTAL OF ABOVE MINIMUM 7% State Surcharge 10% Administrative Fee .....00 $ $ $ 45.00 3.15 4.50 TOTAL $ 52,65 . . CITY OF SPRINul'll!,LD Building/Combination Permit PERMIT NO: COM2003-00477 ISSUED: 06/10/2003 APPLIED: 06/10/2003 EXPIRES: 12/23/2003 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4252 COLE WAY ASSESSOR'S PARCEL NO.: 1802052408700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: CISNEROS RAFAEL P & LUZ M Address: 4252 COLE WAY SPRINGFIELD OR 97478 I. CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Owner Contractor License Expiration Date JB ELECTRIC 104929 03/14/2004 MARSHALLS INC 25790 1~~~~ CISNEROS RAFAEL P & LUZ M _(. ,~\'f\ _ ,c. "\)\ BUILDING INF~ATION"- 't.'j..~~~ \>'t.~~\~ TIJ~ ()'\\le ~,'\ ;).t :'C.~\~I ~'V\)~<;; # of S~~ \>'t.~ 't.'V 'U~'V ,S \>-'O~. Lot Size: Heightb "'1'\~c.'t.'V \j~ ~\j'V. . Sq Ft 1st Floor: Type of ~~'t.~ \>-'{ \l't.~ Sq Ft 2nd Floor: WaterTypl;) \ 'O\:) 'V Sq Ft Basement: Range Typjl.~'{ Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: Phone 541-687-5770 541-747-7445 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING "O\,,\'u" \,..,5 ,\,." Overlay Dist: ... IOV.\l Total:u\\ \., '.' \'3\1'1 "IU" .,...... # Street Trees Rqd: .\.J u~l.ii\ ,';Ill 01 Handicgpped:, Paved Drive Rqd:" ~IIU\'" , ',,\eO O~ (\l\8Coinp~ct:,.()() \ rs:n v' a.OOy ,DolCe " 1),.-. -'-' s '(:' % of Lot Coverage" (\l\esCt.I'\<'/' ~,,\~O\\"\'I' ':, 'r') 1,)\0 e ' \0"'" ',01' . C()'\C' . . Q\<; 0\ . \,,<)\,\0(1 ~\f"\uhv""'~.c....)..iJlJ\- l._".....;.~\cc. . ".,,~\e .......,......':::\\\0'(\ 1 PUBLIC IMPROVEMENTstl.l.\1~~~(I'\e( ~~~~~\\\\\--: ~'~~). Vv- '(\ ,DJ _ 0<,.... ,,"2-'?-"> c.'\\\(I" "Sidewalk Type:;)'" 'h"{ \\oJ' 'r. ,.... \l '{\U.... ....1tp;{ \~ (I' CDownspoutsmrains: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of3 . . CITY OF SPRINl;l'lELD' Status Issued Building/Combination Permit PERMIT NO: COM2003-00477 ISSUED: 06/10/2003 APPLIED: 06/10/2003 EXPIRES: 12/23/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Deserintion I Description Tvpe of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project )?pp< PiWIJ Fee Description Amount Paid Date Paid Receipt Number -Mechanicallssuance Fee- $10.00 6/10/03 1200200000000001482 + 10% Administrative Fee $4.50 611 0/03 1200200000000001482 + 7% State Surcharge $3.15 6/10/03 1200200000000001482 Air Handling Unit Up to 10,000 $8.00 6/10/03 1200200000000001482 Heat Pump $12.00 6/10/03 1200200000000001482 Minimum/Adjustment Mechanical $25.00 6/10/03 1200200000000001482 + 10% Administrative Fee $4.50 6/23/03 2200200000000001105 + 7% State Surcharge $3.15 6/23/03 2200200000000001105 Add, Alter. Extend Circ $43.00 6/23/03 2200200000000001105 Minimum/Adjustment Electrical $2.00 6/23/03 2200200000000001105 Total Amount Paid $115.30 I Plan Reviews , 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. I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Paee 2 of3 . . CITY OF .srKlJ'\jl:.'1<u,L1J Status Issued Building/Combination Permit PERMIT NO: COM2003-00477 ISSUED: 06/10/2003 APPLIED: 06/10/2003 EXPIRES: 12/23/2003 VALUE: 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 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 ofany 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 Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00477 COM2003-004 77 COM2003-004 77 COM2003-004 77 Payments: Type or Payment Check ..~... "...... Wi~. "''':'c.=c,.=__~.~... .'. ," I ;'""A!,;: 1 ~J'_J ,-..7~ -, Receipt #: 2200200000000001105 Description + 7% Statc Surcharge + 10% Administrative Fee Add. Alter, Extend Circ Minimum! Adjustment Electrical Paid By JB ELECTRIC Received By djb (;beck Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Departmept Public Works Department Date: 06f23f2003 1l:56:28AM Amount Paid Item Total: 3.15 4.50 43,00 2,00 $52.65 How Received In Person Payment Total: Amount Paid $52,65 $52.65 . .