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Home My WebLink AboutPermit Electrical 2003-6-18 ltfW!:, .. '~ ~(.~;~. . ~ 6 o' CITY OF SL_dNGFIELD, OREGON 0., s th9~1I0Wing submitted h~ c \and use 225 FIFTH STREET. SPRINGFIELD, OR 97477 .. PH:(541)726-3753 . p")l~!,~gr,\'1~~ti89requ"e specll zoning. ~ ELECTRICALPERl'UT APPLICATION ...el?J'rooJ~~ing_, - -Lf....lq; /()~ City Job Number LOM200 1- 004gb. . Date 0 6 (7 OJ ' ~. Cf'lW Uf;:\~e - .-, -.""" COMPLETE F~&\~~'ll."lrnLUJr -, " " LOCATION OF INSTAI:LATION , 3. 5~oI-~lJr A. IWZ.02-Z ~ () 9700 JOB DESCRIPTION I _\ ,O...."I\/"II\ {1 (y..cu ~\-LA(I Ce,h-d -- f . Pennit"i are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~ J..1/ r LEGAL DESCRIPTION 1. ~1:l. . New Residential- Single or I\1ulti-Family per dwelling unit. Service Included . .~. - .. 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each M'lRufact'd Home or ' Modular Dwelling Service or , Feeder $106.00 ...., $ 19.00 $50.00 ? CONTRACTOR INSTALLATION ONLY' ~ R Electrical Contractor ~....~ MQ~(" k.~ ~.,?~ -bJOO Amps or less , / J of' H-l1'A:::::" 20 I Amps to 400 Amps Address q '1'1(0 ~ /fiu", ,for i?..-( 40 I Amps to 600 Amps _ 1 601 Amps to 100~Amps" City ~ hv,i.."b '"" Phone q (~- 4 8 ~ 3> Over J.Q9ll ~~ olts . ,~J.inAr,rOn~O . . ~'I.?,\,\:.~-o.y,,\ \ TJ ': ' , Supervisor License Number ~Eitr^~ ~\'t S\\~\.\. ,'f\\'2> \'It<'I~t\fyo?t;ervlcc~ or Feeders / \~~\, 't.\) \}~\J't.? ~'O~~tlOn, Alteration or Relocation Expiration Date 5 ./? 3 ,,,:(\-\a?\-r~~f\ ()? \'2> ~ "va\-M~'i:S-Nv~i \l't.?'\O . 200 Amps or less $ 50.00 Constr. Contr. Number ~ '\ 8'8 f9:.~~':I '\ 'O(} \) 201 Amps to 400 Amps $ 69.00 '? / / 401 Amps to 600 Amps $100.00. Expiration Date ? / ;:) 4' IO~ Over .600,Amps or 1000 Volts.see "B" above. _::- D. . Bra~~h ~ircu~s_, .. Signature O"Jsupe ising Electrician ,ro\\ \0 -f ~/ Tb~_w;J\lteratio~\or Extension Per Panel Ofl ,aIN ",,~~of\ U\Il , . / '{. Z '/h h ,.A_. / '- .. J\cg db" t\'\E.0neGircuite\\ort' $43.00} '-1/ .. ',". te' saJe" 0'\ />0' ~J-' adO? e (ule '" 'Ifi2-0 '\1\ ~'j( iulesr-p.n\ef .1\'\05 ~~f!!lAaaiti9.~'!lfj,r:suit or with Owners Name 10"''- h~w-. V7YAf'V. nMO\\,\fOUService:or:FeeaerJ'ermit $ 3.00 " \'iV'" (\5'i!--,1J'. '~cO?\e""" '00\,\01'1 - ." -..._- Add / " <=, "7 1', ~ Op.,I-<$ I'~ rl\"" ob\al-'N EO' 'l\1is~:;llaneous (Scrvicc/feeder not included) -Each Installation ress (? l> / '- -L-1.7."",, J::..l\ \\ Vo' ~ l' j ,o;;;}'. t\.'O"illvtoo.'" , (,G'::lv, : - ,\,\e Celli"''' \ on DliliW I' ~~. - -- -," --- _. -- --. - :5 P ~ Phone ci\l\ln9 ... .he Ofe~ 1)_~\'mp'?3(irrigation $ 50.00 nll,flPlJ1 C-;:"-\"~ \ - ~ - ,('I Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Services or FeE:'ders - Installation, Alterations.or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 <~ ~'; City OWNER INSTALLATION ,.,. The installation is being made on property I own which is not intended for sale, lea,se or rent. Inspection Request: 726-3769 l\1inilltum Elec_t!ie Permi! !nsp~~tion Fee(sS45,~~-"reharges _" __, 4. 'SUBTOTAL OF ABOVE If r ' 7% State Surcharge )1'- 10% Administrative Fee L( ~- TOTAL ~6~ " . i Owncrs Signature: I" Shared Drivc(T:)/Building Forms/Electrical Permit Application )"()3.doc Status Issued .. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00486 ISSUED: 06/12/2003 APPLIED: 06/1212003 EXPIRES: 1211712003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6892 IVY ST ASSESSOR'S PARCEL NO.: 1802022309700 Springfield TYPE OF WORK: Heating System TYPE OF USE: ' Alteration Residential PROJECT DESCRIPTION: Add heat pump Owner: MALONEY THOMAS C & BETH A Address: 6892 IVY ST SPRINGFIELD OR 97478 Contractor DEAN HEATING JAMES T FARMER JR R-:~ DEAN M SCHULTZ ~*"!~'+\:)'\ MALONEY THOMASP'~~1l'-'H'.i) d~ IBtllff:I,Nl} INFORMATION I '(..T'" . '1 ~I ~" ,\'<"w ~\)' # of Buildings: ~. i'.. S~~'V\.Q;.. 8:J~~fI of Stories: Lot Size: Primary Occupancy G~&' &-Q;..~ \:)~ R- '? ~<;). Height of Structure Sq Ft Ist Floor: Secondary Occupan~b'r(!gp, '!J,~ <&\S ~\S Type of Heat: Sq Ft 2nd Floor: Primary Construction 1Y~~~\:)~\.~"~~ ~~ Water Type:. Sq Ft Basement: Secondary Construction ~\~~ 'i::; (;) Range Type: Sq Ft GaragelCarport # of Bedrooms: T\:.,~~ \~ Energy Path: Sq Ft 'Other: f' Impervious Surface Area: ." I, DEVELOPMENT INFORMATIONr.,,"'l00\~\\'l ~ ' (ev..~ "o~ 13\\0 :\' REQUIRED PARKING '0-'1'1 0(13" 13 <;> fJO Overlay D1st:, r:>,O~' \'013 ~eS 0-( f?,S7; S 'Q'; Total: # Stree! ~r.ees~,q!l:'O'l ",13 (oJ ((\ O~~ 13(\)\13 13 Handicapped: Paved Drive'Rqd:,\'00 ,O\)<:$ 0\ \~ ~'00{\. O~Compact: ...'\':/,. ,13'" v (\\13\' 0 \'{\, '~eS \13\13. c0-\\ ~"%'9N~ot\€over~ge~. CO~. \'013 ~o\\'\ ~~~~\C~\~~7;\)\)~ o'Q~~:~ ~0;0\~~'t",~~", I PUBLI&iMPROVEMENis'.'~~-;\\"o':>v \)V- C~\\';;.,~( \0' ~Vi'i\"> . Sidewalk Type: ~\)\-(i. C3 Contractor Type Applicant Electrical Mechanical Owner SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION , License Expiration Date Phone .' 541-767-0626 541-915-4883 541-767-0626 89886 133733 03/24/2003 02/23/2005 , DownspoutsIDrains: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical + 100/0 Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00486 ISSUED: 06/12/2003 APPLIED: 06/12/2003 EXPIRES: 1211712003 VALUE: I Valuation Descrintion I $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project FpP~ PqirtJ Amount Paid Date Paid Receipt Numher $10.00 $4,50 $3.15 $12.00 $33.00 $4,50 $3.15 $43.00 $2.00 6/12/03 6/12103 6/12/03 6/12/03 6/12/03 6/17/03 6/17/03 6/17/03 6/17/03 2200200000000001051 2200200000000001051 2200200000000001051 2200200000000001051 2200200000000001051 1200200000000001570 1200200000000001570 1200200000000001570 1200200000000001570 $115.30 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. IRpl1~ 1 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 00 . . ulfOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00486 ISSUED: 06/1212003 APPLIED: 06/12/2003 EXPIRES: 12117/2003 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 descrihed 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 City of Springfield Development Services Department, Public Works Department Official ReceiPt . Receipt #: 1200200000000001570. Date: 06/17/2003 Job/Journal Number COM2003-00486 COM2003-00486 COM2003-00486 COM2003-00486 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Item Total: Amount Paid 3.15 4.50 43.00 2.00 $52.65 Payments: Type of Payment CrcditCard Paid By ROBERT ROGERS Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid 52.65 $52.65 . 000097 113036 . 6/17/2003 1\:27:12AM Page 1 of 1 cReceipt.rpt