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Home My WebLink AboutPermit Electrical 2006-6-22 SPR...,.,D ZON UY2- wt~ ", INITIALS NYVj . " ,'~. DATE <.otaJ lCIDlo 225 liFTH STREET. SPRINGFIELD. OR 97471 . PH:(541)126-315l. FAX: (541)126-3689, ...:' iv, YAJI SOURCE ~ I:. /Zz-~(b ( i'~_'\ ','c- ',; '.' " ,," "~''':''-''..:!",''",::;':A.;.,,,<,'':"''''''-'',"'~h,-~:':' :' _ ".~.'.N"F""'.'.-. '-~'<lI...,.....I,'.,;~~~'~f.'.'_".::.>t~.~' ".f"" 3.;COMPLETEFEE SCHEDULE BELOW'hi'?:::.i;/:!~!'&t,t~t,,\\'i I;"';:"'f;.":""" i Ii" .' ,...:~_}~ll..t:.~.%..;..~,;:;.,,;.\ ,;.;._ ~~~~,' .;,~';;.;" ..:.: .".",.'...~'~-c;:l..t.'trlt~.;~a':,1',",;"~;"i.Glt~ ELECTRICAL PERMIT APPLICATION City Job Number COW\ -z..CfOb ~ c:ro ,t( 3 '. '. -" _ ~ ' ';:", ';'.', ", .' I' ~ :,_ >. '. '. ':', ,~..;,.~;...'. :", :.-,,~',':'''' ; -'i<;;:;I;',:<il'l;;"'~~ 1. ; LOCATION ORINSTALI.:ATI01\{i.:~;'l"j?jir;1 ~~ " . .. .:" ~"".:.~'.... :_-,:,"~,:~_:.... ,:~-:;~~t -,;' . ,..~( ..'.::.;,~ ,:,:',:;.:...~~e';"";::.;,;;:;~" .1& '3 "T Irs f t!(l.. .(2 h LEGAL DESCRIPTION J80Z. 0(;13 JOB DESCRIPTION A-el J I 10001 r, r '-'^-: -h Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ',' , ~',:>".L "7",~r',,,,), "~"'.."'1:,:",",-~....",....J.' .l!-'"A::,.~.:';;1i;l.,~;-,fI~:';;',~,:,~,: ;,;.: 2 ~; (;ONTJci,cTOJ!. IN.STAtI;AtrOfi,QrvLtl . ,,"i;,,\.~,""i"'1'''''~:'','':'i.,-,,'ri,'''~tr.,t;:.,~\~;,t:..;l.'~,'l..''''~''';;'~;;{'..d;'Q';t.-..:.J~;-...... Electrical Contractor () V (Yi ) I lJ.... 0 5 AddressP 0 bO-f. (PQ7 ' City vJ 11 /1'uv)!lf Phone 1!iJ - ;). 71, + " 1;- 47)J0 Supervisor License Number /0/07 Constr. Contr. Number / ~ (p <-I ~ ~ ID (07 Expiration Date Expiration Date fignD~isi\')~L Owners Name ~ L~ot~ Address '3SS'3. :rITe; fell ,e.J S t>f'\~ Phone 72' - S 7lS' City OWNER INSTALLATION , The installation is being made on property 1 own which is not intended for sale, lease or renl Owners Signature: .~ ro.~~J-~~ ~~~ Inspection Request: 726-3769 Date ~i,.~,.." ,<.:, ."",\~N:4f:1. '?t ~'Sf!.;,""'~ '~,.t":"'/ ~:,,",: :';~~:.~ ~'i:\~('''' !\'.~''; 'l'ff~"",;,,~;~;:::..Y:ft,~;,"1.<l(":;'i::r.;;'t~.;~.;;. A. f,!~ ew Re;id~ntia)'-'i :~illgleor Multi' Fa.9iily'per;i1 welling"unk';c",?; ."'''...:. ":-~., ."-...-,.._'IO'1~;_~'d.u."",,,,.,,,,,-:,':'~'''''''Il.'~''''-'",,.;,",.......,.~,''..:J.....,..!.;';,:...""",;..:,>. ..J,or".....c.:..',.W...Ji Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B.. ~~:~:~i~!~~}d;1~t.if~~~~tt@~0M!~t~i~~#t~r;~1F]I , .,;i)gonU\illt':f' 200 Amps or les~'e;5 are set fortl'll_ $ 63.00 201 ~mp~ Wo\93:N!iP~19.52.001- $ 75.00 401 A'!ipn~~Q9#P'se rules by $125.00 601 Amps\to)lOOO'Amps'lphOne $163.00 , 'O~e~"liioOIAnipSN61~0\ilication $375.00 G~~~iF,:,~;<;.~~0nlYJ2.2344). $ 50.00 ~,~~,~:&.~1"t';'~--'I':>,r;.,:,~:~"""",,~""'l,ol:~ 'W' -*'~~~ '~.""~_.~ - ~1"'''' .., C. ...-T,~~por~ry..'S~ry~c"~s=or}~~e~~r.~""~~~(","K:i.:. .." ~,~~~ . :~" ~H.;;".,w~"~,~...~.o1N'...,...~..,'1,1,(~OI,,.}~1 ~'d<"''JIl, .,~l::t;{:'-- .. {",Jm Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps , 40 1 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. (.: . ; J,....>_-=;:',.~~ :':':-~'$~_;r"!l''''a.=''~.;';'--X'r,f€~r-:"'t';~.t,;;:~~:'';'''~.m...~i1'~''t~'~::.tf:i- D. O?Brao:ch~Gi~cUit~'k'. ~~'"f~~'t~~ciV!;'t>\i,'~";'"'%>""ft....",,1t~~ N' ,'\et~,",..:l.'I.I''''''''~~n....:n ':. i'!J"~e~n.\11::.)vV\J-nr(I""!.~>'u'J~i&,~ TNe.W'A;ltPt.lItloii'dAE~tg~f;J~respaneIK "OT . \ MI;) r...'.... ' 1\-IIS I'tnWII1 I " I A9N'r~j;WlED UNDER Q \ '['3 f Q. $ 43.00 t.f] (t~CM\E~~8~q}lrniralri~OPMIQOI\ b ' , / ~ s~~,ceBor FeerleniP.......\!l. $ 3.00 0 f\NY,\ U Ut\n ~rn" ;:~....,~~s:1~1!,r.:t~~'t1'..:!q.;:.f~.~!\O,:.-"!:,;{:~(;-i;.t.:..->.--'-.:.~-:;-~--:'?.~~~a\.y:.i~.'~1.~':.'~,~.;.,.. E. '" Miscellrii.eous (Service/f....derllofincliided) "-Each. Illstallition; . ;.u'~"" ~.!'l':"'~ .;;:.;~'~7~,;.,~b.oJi.Il:$.'W ;..:;;..;;r-df} . ..:\~;.~..." ~!:('l.o. '...;..:bOO ,:~,.;",:1'l ~i ~: -;:'~';~,i".l.!.:~;:....t.:,;,.,;,~~,:.1_~ Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~,~?T:I~fi~~1~~~t.1i~~2i;~'~i~~\1~i;;} b/ 'I8'l> 6'0 71ft 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnslElectrical Pennit Application I.06.doc .\...11 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00743 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 1212212006 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3853 JASPER RD ASSESSOR'S PARCEL NO.: 1802061310001 Springfield TYPE OF WORK: Heating System' PROJECT DESCRIPTION: Install air handler and heat pump. TYPE OF USE: Repair Residential Owner: LEMOIGNE LARRY T & ELFA N Address: 3853 JASPER RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical , Contractor License BURRELL BROS ENTERPRISES lNC 136446 RONS HEATING AND AIR CONDITIONING 169680 I BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: ( Energy'Path:iquires you to Sprink!~d.,B!,i1ding:)n Utility n/a . ~ - _.. I......... Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: I DEVELOP.MEN:r,.lNFORMA;TI~)N"' ", ,J n1ay obtain copies of the rules oy (;,11119 the ceIOyerlay(Dist!he t~lephone number for thc#;'StrtetlTi:eest~qil~tlflcatlon Center !,,pye!.lcp..rlv.e;RijoS4). % of Lot Coyerage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-729-5725 Expiration Date 08/20/2009 05/04/2008 Phone 541-747-2724 541-343-6829 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: M01ICE: P\RE IF 1HE WORK 1HIS PERMI1 ~~~~~ VH'S PERMI11S N01 ~~~~~~~~D OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Pa2e 1 of 3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fppli', P...W Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Air Handling Unit 10,000 & Ovr Heat Pump Miscellaneous Mechanical + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.60 $15.00 $12.00 $18.00 $6.10 $4.88 $43.00 $18.00 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 6/23/06 6/23/06 6/23/06 6/23/06 Total Amount Paid $135.08 I Plan Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00743 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 1212212006 VALUE: Valne Date Calculated Receipt Number 3200600000000000330 3200600000000000330 3200600000000000330 . 3200600000000000330 3200600000000000330 3200600000000000330 1200600000000000948 1200600000000000948 1200600000000000948 1200600000000000948 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. ~rp<ll~tinn< I Rough Mechanical: Prior to Cover . Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00743 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12/22/2006 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 ofany structure without permission of the Commnnity 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 reqnired 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 Signatnre Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone . -inii'" "...0' ~;""':."""',.,i ~. :;, . . _.,..' ',~' .. ~. .,. -'. c;aof Springfield Official Receipt _lopment Services Department Public Works Department .' Job/Journal Number COM2006-00743 COM2006-00743 COM2006-00743 COM2006-00743 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 1200600000000000948 Date: 06/23/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By JASON BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 03211 B In Person Payment Total: Pa/(e I of 1 11 :09:38AM Amount Due 43.00 18.00 4.88 6.10 $71.98 Amount Paid $71.98 $71.98 6/23/2006