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Home My WebLink AboutPermit Electrical 2005-3-8 2, CONTRACTOR INST ALLA TlO}! ONt. Y B. S.rvices or Feeders " {\()...,. ~\""'''' IDstnIlaIioD,AII,,,' ,'or Electrical'CoulnlClDrl Xl JU)\ I L ~ 'UelocatiOll: ..' , A.~A\ \Q ~,Jf\ c..-- 200 mnps or Jess , ::!:J!:r:itc,1fP!;':$ .~, :' ,.10'/-, ,0:7:../',.. ~',C ','" , :R______Onlv E:q,imrioriDate 'Ii) ';'()./,j',~',;, ,~~' '" '" ,',' :,' ..,'.",.." . ' '~:':_--'J "."-.::''> C.".T """'''"'1,SenicosorFealcn .. Constr Contr,Number /'/ 9"V.1/t:: :':';; 't-d!'i~~~OD, AI!,":':' or Keloation ,E.'!'irationDale-12J '/8 ~:)i5~;/t: ~r:::S',::~~~~;O;::~ EXPJRE IF THE'^.'6R~0.oo ~ :", '..' At):bi.l2ql'~,!9.~,\~S PERMIT~,f69.00- CUM.':'o..;,;:Wl<lo600 'v "LSlOOOO IIH ,,-JC;...."'n '.) ~.Innhlj:n .UK' :,',,--:-- AN o..:rouu~orl000WlIS'.... " , y 1 ?-B~idlJ\i'tHIOlJ.' , , '.': : ".' , Dec-19-01 04:46P " .' . 225 FIFTH STREET , SPRJ!'lGFlELD, OREGON 97477 ' INSPE.... 'v'_ REQUEST: 72,6-3769 , ,OfFICE: 726-37S9 '\' J. LOCATIQN}OF INSTALLATION ' ()o. <3,' "'" I ~ +- z I 'P1 \ \ LEGAL DESCRIPTION 00'").. 0., v-t 0 -:::l. 'i<t~ \ ~ ..JOB D~RlPTJ~ S Ee..lII.. <:..e.- \U9n:f" 't'o.ttv\,l Ol L1if- Permils arc non-unnsfemble and c.~pire if work is nOC staned within 180 da~"S ofissllane. or if work is SlIspended for 180 days, " ,: ,:')Signa~ of S '.:. ,-,,: Dg Ela:lriclaD >';:~~:', ' ~it~ A- ~ ",,' ,,' /llC:" "p'. ~ :~,'~Naioe.:..p)'''''"t~ :"'WI u+.T8" "~:Addreso\~ Kl';'~B~ : ~/~~~~L" ~;%'3> - d-S~O ,'..,<..OWN}:RINSTALLATION: ':;';" ' ;:,':,1bc instaDalion is belDg made O(! , ,":, \'~".r .~\O.,' I oWn wbich is not """,..~j~.:J. " ':forsa1e,"kase'orl'OllL " '. ,:.' O\~ners Signature: P.02 E~ PERMIT APPLICATION "City Joh ND1Db~2.L~ ~'r()\q 6 , " "':'c't?;: 3: COMPLETE FEE Sc'~yL'&J!ELOW . . ~ ~ 0 : ,,' , q/ ;fJ",;:9.o A; New Re&idelltit~ingle or 0'0/% Multi?FaDtlly pc1>,,-,w.Ili1I'~~~ .~ '" ,,~ ATTefm~r~f.!!l~,d~)n"faw req~e&"xou to follow rules ad~te y t Or tqnl\..~~ Swn Not'iiloot~!t\,C6t~i'''i,hO l:.U ' )~ in Cl!l.61I~(/iC6MI~oO~ rou . ,- ~ "0;-- 009fj, f(tDrJpbltl\ln?btain c ' es tlY:-~:~~ dh~,the center. (Note: ) t 00 _ nNJ~~1~~~~'l!J1'eC?fon Utility tic ~lV~~~~WJ~ 1-800-332-23~ $ 63.00 , , $ 75.00 5125.00 ,$163.00 ' ---.:.... $375.00 - $ SO.OO D. Br.mcb C~1s '" " New:,~~oaortixtensionPer""""', :,' ",', crv On~cifi.u~ ", L-$43.00$, ,.- .." ' - , , E8cb ..";;;,i';"'" CiraJit or "ith Sg:yice " or f~ Pr:mIit.. 2L- 5 3,00 !o,crv , -. ': ,'Z'. E.. ~fiscl<i1aDeoa" (Senia/feeckr nat included) : :E8chinsridlation , ~'or irrigation . ~lIineUghting Umlttd Eril:rgylRes : r.i~tr>d Euorgy/Comm 550,00' $50.00 525,00 $45,00 , " . , ' ~1inirmim Elr:ctrie Permit Inspection F.e i. S45,QII + Surcharges .L-jq. (Jb , ~,'1o (;., . c-r'O cJJS7.33 4, SUBTOTAL OF ABOVE 7% Stote Surcharge 8% Adniinisrrath'c Pee TOTAL . . CITY OF SPRINGFIELD .' Building/Combination Permit PERMIT NO: COM2005-00190 ISSUED: 03/0112005' APPLIED:' 02/17/2005 EXPIRES: 09/0112005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1095 KINTZLEY AVE ASSESSOR'S PARCEL NO,: 1802062402800 '---:\..-18"1- ^~-_...... I"",.. ponlllrp,c: vnu to r\1.....',,'\\ .. -. -..... " SpriRll~j1nI~f!i&l3t~~I1B,QlIng:syLtmiN Notification Center. Those rules are set forth In OAR 91f~6!hQJOIjJ~thro~lnOAR 952-001- Residential PROJECT DESCRIPTION: Install heat pump and air handler 0090, You may obtain copies of the rules by , _~I"ftg tho ,.",nt"", INote: the telephone n~mber for the Oregorp\Jbijjwt.'iltg~~utgll-746-5564 Center is 1-a00-332-2344}. CHRIS WILHITE 1095 KINTZLEY AVE SPRINGFIELD OR 97478 Owne,: Address: Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor License MAG ELECTRIC INC 149834 ASSOCIATED HEATING & AIR CONDITIO 106275 Expiration Date 12/13/2005 08/31/2005 Phone 541-461-0387 541-683-2590 VN BUlLDIN.. ",.u",>iATION, # ofSt~ries: NOTICE: Lot Size: Height ofSt,ultfi'f~ PERMIT SHALL rS(fF.t~s~Fl<<i\l!:WORK Type of Heat: AUTHORIZED UNDER 'f!ql!ltI2e~:m~or3 No'T Water Type: COMMENCED OR IS ASq F,t-Basement:~ u, ,1.U '1~LU I, Range Type: ANY 180 DAY PERIOD Sq Ft Garage/Ca port 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 Front yard 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: Downspouts/Drains: Notes: Page 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 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . I Valuatinn Deseriotinn I $ Per Sq Ft or multiplier Square Footage or Bid Amount . CITY OF SPRINGFl~L1J' Building/Combination Permit PERMIT NO: COM2005-00190 ISSUED: 03/01/2005 APPLIED: 02/17/2005 EXPIRES: 09/01/2005 VALUE: Value Date Calculated Total Value of Project Fpp~ tIi4.I Amount Paid Date Paid Receipt Number 2200500000000000224 '2200500000000000224 2200500000000000224 2200500000000000224 2200500000000000224 2200500000000000224 1200500000000000268 1200500000000000268 1200500000000000268 120050~000000000268 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. $10.00 $4,50 $3.15 $8.00 $12,00 $25,00 $4,90 $3.43 $43.00 $6,00 2/25/05 2/25/05 2/25/05 2/25/05 2/25/05 2/25/05 3/1105 3/1105 3/1/05 3/1105 $119,98 I Plan Reviews I ~prtinn~ I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Paee 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00I90 ISSUED: 03/0112005 APPLIED: 02/17/2005 EXPIRES: 09/0112005 VALUE: By signature, 1 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, Ifurther 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 .11 times during construction, ~Cyv\ L~ ~ ~~ Owner oMontractors Signature Paee 3 00 03./ (:)1 { '0"1 ~tr-- Date 225 Fifth Street -Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00 190 COM2005-00 190 COM2005-00190 COM2005-00 190 Payments: Type of Payment CreditCard " 3/1/2005 . RECEIPT #: B "aty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000268 Date: 03/01/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By LISA D. GRAY Item Total: Check Number Authorization Received By Batch Number Number How Received njm 077864 Phone Payment Total: Page 1 ofl 9:19:48AM Amount Due 43.00 6.00 3.43 4.90 $57,33 Amount Paid $57.33 $57,33