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Home My WebLink AboutPermit Electrical 2003-5-21 ,. 2251\lFTH STREET . SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726-3769 OFFICE: 726-3759 I. LOCATION OF INSTAlLATION 680 Lockhaven LEGAL DESCRIPTION 1703 Z 7 Z-,Lj D730D JOB DESCRIPTION Elec to elee MH Heat pump Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACfOR INSTAlLATION ONLY Electrical Contractor JB ELECTRIC. INC. Address 4685 Isabelle SI. City Euaene. OR 97402 Phone 541,687,5770 Supervisor License Number 3872S Expiration Date 10/1/03 Constr Contr. Number 37587C CCB 104929 Expiration Date 10/1/03 3/14/04 Signarure \j~ls~ E~iCian ,;np' ~ Owners Name Ii Jane & Paul Dillon Address _same City Sorinafield, OR 97477 Phone 726-4966~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ' Owners Signature: JB Job # _03-267 ELECfRICALPERMI&L1CATION ~ I:JJ City Job Number CO~-z.oOJ- oO'3/b c::,'~ 3. CONWLETE FEE SCHEDULE BELOW \]V' A. New ResidentiaJ..Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq, ft.. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 $ $19,00 $ $50,00 $ B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 amps/volts Reconnect Only ,,'\,V 10v '1-.'\ C, Temporary Services or Feeders ~e"''' '\)~' o<'S ~-v' 0'<' ~~' ~' >II ~e O~e~ ~e ",e ':If>r:J 'Q'; \'l> e 'l> oJ;' '" 200 amps or_I~~~O~ 'Q'\'\<" ~-v\e"'_'>..<?- . (,s,e ~~50.00 $ 201 amps to.400, amps o",e (1'(\" .~v ^'(\O ,$69:00 $ .1)'''''. .0'"- A'('\: ~-' ,...,,- Over,401 to600'amps ~~O ~<>%> v .\0\V,:,,\\C$100,OO $ ....~' c.V' _"'~" t:\ ~< ,,__ .....\.vv ..,Over 600:amps.or~000 voltS see ~ \ ,- " ~B ~*\o'<' \j~\:i\' ;\.<iY\'~O'~~~~'nn.,':.':. . ,,0", . v0-" ",'t ;-\ 0 e~' 0" n:V ,,\' '" ~'J ~'l> ~'Il e~ !OJ D. Bran~h~Cir!'ui~o-v eve eO~ .cc,\J\:)' Ne~ Alteration'1,;. EXlensiori- Per Panel i:)':J ~\\' -- \cr e" {J C'l> 'SJe~ e'<''Il One Circuit;'<' CJ '" Each Additional Circuit or with Service "'- or Feeder Penn it I $~~'} "\y,,<;;' ~\l' E. Miscellaneous (Service/feeder not included\~<;;' ~ ~~ {;> ~ -Each installation <;;.i--~ ~<;;.,:,~\) ~~ Pump or irrigation . ~'r-\'\' ,\y,,\~ 5'1\)\'$50,00 $ SignlOut~in ,,~~\~~ \~'Vv;..-:: ~~'r-'" $50,00 $ Limited ~1..<;;'\) f;)90.. \-:J ":l'\ $25,00 $ Limited En ~rv<;;'\) ,,~,?-\v. $45,00 $ 'r-\) t\~~ \)~.'- 5. SUBTOTAL OF ~fl, ~UM S45llO $ 7% State Surcharge 'r-~ $ 10% Administrative Fee $ $63.00 $ $75,00 $ $125.00 $ $163.00 $ $375,00 $ $50.00 $ $43,00 $ TOTAL $ $ 43.00 3.00 46,00 3,22 4,60 53.82 . . '--11 l' UI' ~rtOl"GFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00316 ISSUED: 04/29/2003 APPLIED: 04/2912003 EXPIRES: 11/1912003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone: 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 680 LOCHA VEN AVE ASSESSOR'S PARCEL NO,: 1703272407300 Springfield TYPE OF WORK: Heating System TYPE OF USE: ' New Residential PROJECT DESCRIPTION: Install electric furnace and heat pump Owner: PAUL DILLON Address: 680 LOCHA VEN AVE SPRINGFIELD OR 97477 Phone Number: 541-726-4966 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Owner Contractor JB ELECTRIC HOME COMFORT HEATING & AIR PAUL DILLON License 104929 84164 Expiration Date 03/14/2004 06/25/2003 Phone 541-687-5770 541-345-2838 541-726-4966 I BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure ,-OSq Ft Ist Floor: ,.} , Type of Heat: ,,0 ,~Sq F,t 2nd Floor: eo"'"~ V~ " Water Type: ,.}\\ O~ ,Sq'I;:!,Basement: Range Type:" \e~O,e'0 e""eSq:Ft Garage/Carport ~, " :\ (0'... "J Energy Path: ^\'l> ",e ",,'l> a<?iSq,I:fOther: ....0'. ,,'I/o' ."e M- ,,,' " , .",0"'_.>. 'O'."e\'-> or' ~Impervious Surface Area: \ J" _"-,v -. .....'(\ ..~ "","'-I ..\o\~ R-3 SETBACKS , I DEVELOPMENT'iNFoRMinor.q}"";e ,-e\~~\Gv :(\ v \-v\V CP' R)\l' \<:0 v ~e'~~v.'1 ~ r>.~' REQUIRED PARKING ~ ,,,>11 'r\~ ",Cj" ~,1> ~o V~ ':1.'?:J O{srlay,pist:?; 11 0 ~e\' 0<:0 :0'1: # stre'ei'Tr~ Riid; c;e'C' O~e'0 ....r:::,.<:> N"" ,!\t.,... I.....V 0 !O'V Paye~,Drive,Rqd:" '$'e, 'i> " \' C\t;?)\)' ~\<:O'<> ....0\ <, \ % of'Eot C6verag'e:, ,,<;:o,e -~" VV ~~ oJ ,,,Q.'I' I PUBLIC IMPROVEMENTS I X. \'\- '\~~ ~S ~\) \ Sidewalk~~ '\l't."~ \) ,\-\)" ~ D~\.\. t~S .~~~ ~,\\f\J ~~\\ Y:,~~ 'r,:Q~~ . ~ S'\l~ ~'t.\) ~\S ,\Y-'\ Y-\)"\'" x.\) CS ,,\\)\). ' ~Y:,\~~'t.~\~ '\l~ (Ji c{ \'0'0 \>.~ Total: Handicapped: Compact: Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Street Improvements: ; Storm Sewer Available: Special Instruction: Notes: Paee 1 013 . . CITY VI< ~rKll~\.JI<IELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00316 ISSUED: 04/29/2003 APPLIED: 04/29/2003 EXPIRES: 11119/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project I Fpp. PIilLI Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fe..... $10.00 4/29/03 1200200000000001093 + 10% Administrative Fee $4.50 4/29/03 1200200000000001093 + 7% State Surcharge $3.15 4/29/03 1200200000000001093 Furnace - up to 100,000 btu $12.00 4/29/03 1200200000000001093 Heat Pump $12.00 4/29/03 1200200000000001093 Minimum/Adjustment Mechanical $21.00 4/29/03 1200200000000001093 + 10% Administrative Fee $4,60 5/20/03 1200200000000001266 + 7% State Surcharge $3.22 5/20/03 1200200000000001266 Add, Alter, Extend Circ $43.00 5/20/03 1200200000000001266 Add, Aller, Extend Circ Ea Add $3.00 5/20/03 1200200000000001266 I $1l6.47 Total Amount Paid 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. I I?p~p,.tim;J 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 . . Ll1 i' OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00316 ISSUED: 04/29/2003 APPLIED: 04/29/2003 EXPIRES: 11/19/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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. 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 Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00316 COM2003-00316 COM2003-00316 COM2003-00316 Payments: Type or Payment Check 5/20/2003 City of Springfield Development Services Department" Public Works Department, Official Receipt-, Receipt #: 1200200000000001266 Description Add, Alter, Extend Circ Add. Alter, ExiendCirc Ea Add + 7% State Surcharge + 10% Administrative Fee Paid Ily JB ELECTRIC Received By djb 3:19:43PM Date: OS/20/2003 Amount Paid Item Total: 43.00 3,00 3,22 4.60 $53.82 Check Number Confirm No How Received In Person Payment Total: Amount Paid . 53,82 $53.82 . Page 1 of 1 cReceipt.rpt