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Home My WebLink AboutPermit Electrical 2006-1-6 CITY OF SPRINGFIELD, OREGON ~i~~~:,:4t~ 225 FIFTH STREET. SPRINGFIELD, OR 97417 . PB:(54I)726-3753 . FAX: (541)726-3689 .~eC'~~~: ;"'~;. ELECTRICAL PERMIT APPLICATION ~~.,,<S' '/> ~q"",cr""",,"'. 'I City Job Number ~ -z.r:so6 - 00031 Date .\'/>C' '1 ~ - 0 3. ;:9fiMP4.~1~?Jtti:~~.:,,0~:~;:~~f~~~ -<,,"f'>.0~,~~~~. r.\~~ A. ;J'I~~~11~:~1\~1l~~tf::~~ll~iiJJ#:~~'e'!1r~'g~~~~~ o b '00 Service Included Q'I>~'/> i'''/' ",0 I 000 sq. ft. or less \'~ Each additional 500 sq. ft. or portion thereof Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 !lays of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder !11CoN:rRAcroii~T;fi'4.'iioN:olJArTENTI rIl.-l ~~;~i~'~:of~j~;s~~r:st~lt~~~~ii~~~t:Jitt/h~6'i:ti~1i~t~ 2. ......~':\':'.~~~. ..:1*_ .l_..".::i- .;..~'. ,;-.:,,;.?_: '\ :{):;; 1 '-.:, ~ LJr\i: t.:JfegoR"awrequires:--youib-~' ~;\,-r..':;'::::"-;;'!.J.":;'1:..J.~~''''''1.':....:..~,::,.<::~tj follow rules arln~t"rl hI' 'ho 0 Electrical Contractor MnB Electrio-l.Jinc:rt" C 200 l\:ll!Ps'or less regon Utility $ 63.00 in -OAR ~~~ 0~~'f1~!q(jfil6liIA1npse set forth $ 75.00 Address 957 Northridqe Avenu6'1nan You - 4oY~mJNJl/;oo'\{,l.W952-001- $125.00 calling th~j,9:flar::!i.8ilio&P..{M'~ rules by $163.00 ler. c!,qte' tho to'ephone Phone 741 - 736 9'Jllber for tlRl"/J 1 OuO ,"Im~s/Volts $375.00 C Rec01~~{b~Wlty Nolification $ 50.00 726-8601 entens HlUU-332-2344). Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minim~~ ~1~c:~,~e~~~,I:S!:,~~.~:"'_~~~UrCharges 4. 'sVBiOT4iF;Dii,MfOVE:;-ij,'"'.~;?~.:::;<:c,;". If -..... .01\~S"~E m;:~s~_. 3~. ~1I'\OR\1~D \l~Dt.R ~~rme"ilPiE~tive Fee '(SO COW.Mt.~~~ ~~~~D, TOTAL 5" S 10 A~'{ '\6 Shared Driyc{T:)/Bu;/dong FonnslElcctrical Pcnnit Appl;calion 1..o3.doc 1. :rw@TIQN:o.f~Si4Lt.ATi6N;:;~X';~}~:. l'O~.:rG)~~tt~Rf\- -. . .. LEGAL DESCRIPTION 17D3 Z.72l( JOB DESCRIPTION Ad~ LL ,c..I.A.-;' t- \ City Spfld Supervisor License Number 4874 S Expiration Date 1 0 -/ 0 7 Constr. Contr. Number 1 621 91 Expiration Date 11/19/06 Signature of Supervising Electrician n/7W. /' ~ . AliA-'^- . (WI ,ft. Address h1t( lo~j,vCiv /+-1 ~~~ Phone L{ 8'r - 9'ISb Owners Name City OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: In.....:... Request: 126-3769 $106.00 $ 19.00 $50.00 c. :..~.t~~p~~lf~i~~~l~!~1~~$~ft~(iSZ~~~::~7>~~(,:~,~~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. .""..-,......~;mr-~ "5!:7'M--..---..--::....,...~- - D. ;~mif;ncli~irCi'i.mj$.fl~~r~~\W~~~~~~~~~~:~~~~J;~~ ;w."'\''''''-''': ..~".~r,,~~....' ~~'t:...~;:.:.~~xi...i!i:.f'~~~~~J.'~~t'~~ New Alteration or Extension Per Panel One Circuit . \ Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 4'YP '.""""""~"'-:.,.~~"""_~. __;,"'~~'~"'. _' '. ," . : 'cP_- _, . _ .' ,'_ _ -~..,,,.,..,.,,........, E. ~'.Ji.iiScclri;,;;.~t{S~iili~~;~;;t'it<fiiill~r":'~t);'1;,'ibfiiiti'o'~ _'. .. _ ~ .;..'.',.." r_~ ..":1..;'.';", ...,}r....,-:;;.-l;.. ,~.... ;<,_''''''''_~~..a.::;.. ;-:..~'_:=-~::.::t:.l.''>:.~::;'':-~'t'>.'):'i . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00031 ISSUED: 01/06/2006 APPLIED: 01/06/2006 EXPIRES: 07/06/2006 VALUE: Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone < 541-726-3676 Fax ' 541-726-3769Inspecdon Line SITE ADDRESS: 634 LOCRA VEN AVE ASSESSOR'S PARCEL NO.: 1703272406900 Springfield TYPE OF Heating System PROJECT DESCRIPTION: Replace heat pump TYPE OF USE: Repair Residential - Owner: ALLAN SMITH Address: 634 LOCHA VEN AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor License MNB ELECTRIC INC 162191 COMFORT F.LQ\y _ _ _ '^'" .M' ,;rp~ vnu to 460 AIICI"'I"""'.' ....,,~~- .... follow rules adcl-BUlhDING.INFORMA T-IONI tlcation Center. Those rUles 'i1" ~'" 'v',,. # of Units: ~o I ~R Q'i;>-001-001 0 ~ p!jS~ries:.R 952-001- PrImary Occupancy Group:'1 0 y~'t~nay obtainl!~~!Jkoljf the rules by Secondary Occupancy 0090.. the center. irYJ~!;!lfl~ClIt:3phone PrImary Construction Type calhnlVN h 0 enWlaterlfl"pe:,tificatlon b for t e r "", v .i~;-'l . . , Secondary Construcdon num er . ~l?nge-Type:l) , # of Bedrooms: Centefls 1'-E~~rgyPath: . -, Sprinkled Contractor Type Electrical Mechanical 'DEVELOPMENT INrunJdATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: !pUBLIC IMPROVEMENTSI Street Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, , Notes: 1 of 3 Phone Number: 541485-8686 Expiration Date 11/19/2006 0612712007 Phone 541-726-8601 541-726-0100 nla 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: Downspouts/Dralns . Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Aller, Extend Circ Minimum/Adjustment Electrical Total Amount I Valuation Descrintion I . $ Per Sq Ft or multipHer Square Footage or Bid Amount . CITY OF SPRINGFIELD Total Value of Project Fp.p.sPaitlJ Amount Paid Date Paid Building/Combination Permit PERMIT NO: COM2006-0003I ISSUED: 01106/2006 APPLIED: 01106/2006 EXPIRES: 07/06/2006 VALUE: Value Date Calculated $4.50 $3.60 $43.00 $2.00 1/6/06 1/6/06 1/6/06 1/6/06 Receipt Number 1200600000000000025 1200600000000000025 1200600000000000025 1200600000000000025 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. $53.10 I Plan Reviews I IR..n~ 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. 2 of 3 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Spri!,gfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Building/Combination Permit PERMIT NO: COM2006-00031 ISSUED: 01106/2006 APPLIED: 01106/2006 EXPIRES: 07/06/2006 VALUE: 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 wiD be made of any structure without permission ofthe 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 wiD remain on the site at all times during constructiolL Owner or Contractors ,Signature Date 3 of 3 225 Fifth Street Spriilgneld, Oregon 97477 541-726-3759 Phone. . ~.m:. ~i _ity of Springfield Official Receipt _evelopment Services Department Public Works Department Jnb/Journal Number COM2006-00031 COM2006-00031 COM2006-00031 COM2006-00031 Payments: Type of Payment CreditCard ... :1 . ~l ';:1 ! .) " .\ :1 :J 'f' '( ., 1/612006 RECEIPT #: 1200600000000000025 Date: 01106/2006 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Paid By MICHAEL GOWINS Received By djb I of I Item Total: LnecK Number Autnonzation Batcb Number Number How Received 006188 In Person Payment Total: 2:26:19PM Amount Dne 3.60 4.50 43.00 2.00 $53.10 Amount Paid $53.10 $53.10