HomeMy WebLinkAboutPermit Mechanical 2007-3-30
.
.ITY V.. ~n(H~tJl'1t',LD
Status
Issued
*
Building/Combination Permit
PERMIT NO: COM2007-00453
ISSUED: 03/30/2007
APPLIED: 03/28/2007
EXPIRES: 09/30/2007
, VALUE:
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 655 LAKSONEN LP
ASSESSOR'S PARCEL NO,: 1702352302300
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Add New Heat Pump
Owner: HILL TIMOTHY A & AMANDA L
Address: 655 LAKSONEN LOOP
SPRINGFIELD OR 97478
Phone Number: 541-746-1424
I CONTRACTOR mrvn.n1ATlON I
Contractor' Type
Electrical
Contractor
MAG ELECTRIC INC
License
149834
Expiration Date
12113/2009
Phone
541-461-0387
BUILDING INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled ~ui!~.ing:' . '0/.0' ~ ;.
~. . II.". . ..nO ()rea .
I DEYEL0PMENT~INFORMA'1I10N' ,.re S;~~~C
otilicatlOIl ':::;:;~'~0010 lnrougll Vlnt~e9 rules'
.. 01;"-",--, 1 les 0 .'
,Op.t~~~~!~~,!?i,S~btain cop. 'e:ep\1One
)090# S,treetT, r,ee'Rqd:\'lot~, the N"' .,l'\,-ation
". ,,) ("t:jTt\'-" ., "'t'1 0.. OJ
caP.aved.'Drive Rqd:,"'on Uti \ J
.' .io'oiEoft"oW?~ieYr'f'_332.13:;4).
,'l{..... . w T:~ . .'(' l\.
Ct;l",A ~
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Oc.cupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
NO"iICE: IRE IF 1HE WORK
1 \-\IS PERMI1 SHi\l~ ~~S PERM\1IS N01
1l.I\1HOR\IEO UND~ . n H,nnNFI1 FOR
\jUIVIIVIL;~~:"O; ','- ., I,~...
I Valuation,Desc17iDfiiilOl.
Notes:
,.',,,.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00453
ISSUED: 03/30/2007
APPLIED: 03/28/2007
EXPIRES: 09/30/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fl'l'SPllW
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 2 of2
(;11 Y lJt" ~JNUr ~c.LJ,.I .,.....1"T:7- n
.~~.. <-IF_
. 1Nrr1ALS" r--
DAn <-.50 - 07
SOURCI! .J:1J <.
VIm 0 m(S4J)7JW1Sl oFAlt:(Sf1)126-36b
ELECTRICAL PfiRMIT APPUCA710N
City Job Number (/ -- OO.L./ 5.3
I. ...,... , .. ,. . . "1'" ...,.;, ........., 3. 1i'~..~~~~~tI~-
&55 -LA-I/,oONPnJ LP
LEGAL DESCRIPTION:
/'1 {)J, 35 d3 6 ~3O-V
10B DESClllPTlON:
({1nI (l ir2c,U J- / )j ()j- ~;o
Permib arc non-traDtlerable aad expire jfwork is
Dol stllned within 180 day. of IssnaD" or If work it
So.pended ror J 80 days.
2. ~~,
Address ~
City ~
C
'\I~G
Phone ,q(? ifl,l,tf&7
SupavisorUeenseNumber A.f7'1r95
If) h / /) 7
I I
ConSD'. Conlr. Number /'f9X '1 '"i
I~ /3/1)9
Siguabm;l)'~" ",E_-:':':_
'-M JP-~
~< C{;_
. 0wnenI NDDlll I Lm () Tn U . !--h.IL
Address {,-.55. .4M<-:?f-VN/?10 L.p
l~~'~ "f; ;>f,)~e-:l b)j~::I2.~~'d,'7~'-f
. . 'j -:;~nTer. 11Iv"e IU ~--
\jotlflc~ . . I TIONrough OAR 952-0C
n dl", ,~-- . . . s of the rules
The _Jail ... 1M\;,\"lii'adeoOle .
. QO<'\ullOt. .;;;.:....!.':)S ~ 81 ,.._~~J;.~\~~
IS !I~~ 1O!J1RUe.! ease or.rent.! . . .
c. allil'\i. "'V ~ . '0' . ~n lJl'llilV ~!otif;i;allon
. ..f,.\,'_~h~ r,,:,~Qv '.-
f~S'tgn1lIUR;'., 3- n"'-'.'32. '~3:A).
Cerl\sr IS ," \1\. ..,
Expiraliun Dato
E.,: ..:.. DalB
ID......llon Roqqest; 726-3769
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Dale c;l3o IOf
A.
0:, \'
SeJ-viee JDdoded
1000 sq. ft. or 1m
Each additional SOO sq. It or
ponion Ihcfeof
5106.00
5 19.0D
Each Manufact'd Homo or
Modular Dwelling Service Of
Feedor
S50.00
B.
200 Amps or lea
201 AmjIS lD 400 Amps
401 Amps lD 600 AmpS
601 Amps 10 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
S 63.00
5 75.00
5J2S.00
5163.00
5375.00
5 50.00
c.
~: .;'.'~ l~~,~.::'.~~I~~;.. ~.~~.~1 :.:.:\~ir~..: :l\'! .~. ..:':IJ,:,r,~'~(~; <.~,,::' .:,~, '. ,J,: or,: ;':. . ~
IDStaIbtIoa,A.. . .... orll... . .,..
200 AmpS or less 5 SO.OO
201 Amps 10 400 Amps .569.00
401 Aqlo lD 600 Ampc 5100.00
Over 600 Amps or 1000 Volts.... "sn above.
D.
"
:,~.:~_.i\=~'.::...:::~:J'..: 1 11.: ~~._.~.__~:.~;.;">:~:~~:. 11," '': / "~,:.;
N rwv Alta-atlon or ExtellJioa Per PaDtl
One Circuit /
Each Additional Circuit 0' with
Savice or Feeder I'!!t1rUt
543.00
. 5 3.00
42.
E..
"""" or itrigati... S 50.00
SignIOuIIino Lighting 5 50.00
Limited P.ncruIR ~,,~1..":J1 S 2S.oo ~.'.
LimitedI!na&Y/C...".._.jaJ 545.00 \'Il.
Mlulmam E1_ PamII JuopeetIlla Fee Is S45.00 + Sa~;~ .
4. -</ Sl~~ (5V
8% S1llle Surchuge OJ" d J
100AclmiDistntiveFee ;So' '" 0
5%T.":. .:... Pee .....,,~ 0
116"5. sS
Shared Drin(T:)/Buildma FOfJIBIElecuical PelTlllt AppIN:ation 8-06,doc
:.S'i.~':'&~:, ..'i~I:S~:;.:~<~I;~~.i~I~~"~ >~'(l~~~;;-:.i.:;l~:/~;'
TOTAL
."
225 Fifth Street
Springfield, Oregon 97477
54I-726-~759 Phone
.
~
~
<A of Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00453
COM2007.00453
COM2007-00453
COM2007-00453
COM2007.00453
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
2200700000000000431
Date: 03/30/2007
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LISA ORA Y
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
njm 052735 Phone
Payment Total:
Page 1 of I
9:42:49AM
Amount Due
43.00
2.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
I
3/3012007