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HomeMy WebLinkAboutPermit Electrical 2006-11-28 -.: '<-t'" ,(t"' ~.. .,..; . --::.1 ,\ ',~'" I, ,- ". ' '. .: ~', (,., .... ~ ~~r;~;..'::/,:,:'; -CI17\f::QF~SI:'IUNGFIELD OREGON" \ jl' ':' ~~~~"7"''''::'I'' ",;:, ~,1 ".',~'_".>-:_~' '>, ..'. '.-' -' ,', i LDZ NI'^ :;p.....pt'~1'p,~ ':\ J,)\I'^~, ' ,;,:;""" ,'~ k "...",rv'\ ""..~, I'-J , ~L~~~:t~~t~~. .' ":~{:'~fi 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPpCATION City Job NumbeC..rm'Lri:n(/J - '0/40'-/ Date \\ -L)( - ? n-o 1.0 . . , 1. '''''iOCATlij'N:OE;;iNS'iXfiii4.Tii5NftI'>>;~4 ~..<t::~""""":':;""'J.i ~~ "~"'..,"-,~~,~,~~ ~ d-. 'd-o L.()( h 'N2- , LEGAL DESCRIPTION \ 10 s ?S \'")... () L- m-v Service Included l~:D~:N0 1000 sq, ft, or less r: c\^. (l:v". , ~ Each additional 500 sq, ft, or r g ./ -{ fIR J \.. J .,U...U.L--t portion thereof Permits are non-transferable and expire if work Is Each Manufact'd Home or not started within 180 days of issnance or if work Is ' Modular Dwelling Service or Suspended for 180 days. Feeder Electrical Contractor 'u G Phone 1.//"/-lJ3r1 Address a...~d. ~ City~ Supervisor License Number "17 'f:l 5 10-1 -D7 . . Constr, Contr, Number /19 2'. ~ ~' 1<<. /J.'2, / aq . " v1;;f:p;~cian . .--!-' CJ Owner.; Name 1 >fu':H^- l). '\ D~l S{ l/\/\ Address d- ~::tO I_oc..h b7_ City ~r ~rt ./ Phone 7iflo -[0-;)./'1 OVVNERINSTALLATlON Expiration Date Expiration Date, The installation is being made on r' -r-':/ I own which is not intended for sale, lease or rent. Owners Signature: NOTIr.F" THIS PERMIT SHALL EXPIRE IF THE WORK AUTlIGp'eic1li.\l iWIJ,f*- mi6!3ffiRMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, I;iIC.OMPilEi'ifFEit:'SeliiIDrJiii;lijEi!iJW};J<:..,.~~' '""',:.,;t,rF'~.' f 3. ~~:~~2d':&~~~... . k A. ~~'~?!i~i~~t!iln~~:~~~~rrM9!ti~1:atW~ft~!!!ii~tr~!!.'.;j~ $106,00 $19,00 $50,00 B. ~~~~~,mt~~J!1~Ji1rJKi!~~m!=J{1 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIV olts Reconnect Only $ 63.00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00- .. c. ~JeffiRO;~S~~i~ioi;F~(rets~~M~f~~&~m~ti~Jj ~-. ~--~. _...~......" .~....~~~~~-~_.~' ~~ lustallation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $'50,00 , '$69.00 $100,00 Over 600 Amps or 1000 Volts see "B" above, , D ~B""-chtr..~;~.1IS1'~l!1.~f~fi~~"li~1lifi~'I1ffii'-t'll . ~J~~..,~_:...~~!f~.~~~. ~,"'~i;:~~~~~;~{:'i New Alteratiou or Exteusion Per Panel , I '2 One Circuit l '$ 43,00 ~ Each Additional Circuit or with Service ar Feeder Pennit $ 3.00 I, E; rrJ~fIiciiil~~Wrrilr~diffiiri1icJ~diti~). :iitci ~-<,""_""""_""'--"""~"'c"""'" '.~"-'l!I..-r'::-~~'iO~~~::;:- $50.00.ittt s 50.00 ~~;:_ $ 25.00 f Pump or irrigation Sign/Outline Lighting Limited EnergyfResidential Limited Energy/Commercial Minimum Eleetrlc Permit pectiou Fee Is $45.00 + , rcharges 4. ~~1F~",,~~;:;~~~,(f~ ~ 5 to-O .> ~ ,:", . ~ ,c;...:;~:a.~J;j;.7.'M~~;:~....v~i.r.';~.~' 1fitt"Ft:.~~ ~ . """'"'\ 0:::- J ':' . - .-.-:~----<,_.""~ -~ -. : c$% State Surcharge '., , '< . I" 0 " : 10% Aominisiiaiive Fe~ ' , - '-/. 5 b , , "!r-" '1 C:"1:':: '" ,': ,',', ci t:t ~S- , 6S " '., ~TOTAL i," ";,'0,':,,--3 ~'-J ,. .' . - L., " ," ., ,', _ _..'. " c: "-I'::,r' " h,:" . \ . - . Shan:d Drive{T:)lBuilding FoirrisfElcctrical Permit Applicanon 1..o3.doc ~ ' "'i, t:- . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01404 ISSUED: 11i28/2006 APPLIED: 11/01/2006 EXPIRES: OS/28/2007 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2220 LOCH DR ASSESSOR'S PARCEL NO.: 1703251202800 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace gas furnace Owner: TERESA WOODSUM Address: 2220 LOCH DR SPRINGFIELD OR 97477 Phone Number: 541-746-6214 I CONTRACTOR INFORMA TION I Contractor Type Electrical Mechanical Contractor MAG ELECTRIC INC ASSOCIATED HEATING & AIR CONDITIO License 149834 106275 Expiration Date 12/13/2009 08131/2008 Phone 541-461-0387 541-683-2590 I DUILUIL__..... uilrDRMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: ~ ,......... , , ....- 1 ':';l>} '",' ,tb,,, Notes: NOTICE: THIS PERMIT SHA AUTHORIZED UND~~ EXPIRE IF THE WORK COMMENCED OR IS THIS PERMIT IS NOT , ANY 180 DAY PER/o;BANDoNED FOR ',". , ,. C' \.-.'-' ' ..,e. ""..\"; , ':'''' ~. '~i. '.~ ~ ~....\" ~". {.' . .... r~ '(::I.;):~OI13 ."'-=: r"~ ".", '.," :-:-:;..;aLGn I......; _ . '1'... ;; ~JI . ... _~.:. l_ '_,)'-' ..;', Pa~e I of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01404 ISSUED: 11/28/2006 APPLIED: 11/01/2006 EXPIRES: 05/28/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Deserintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Meehanicallssuance Fee- $10.00 11/2/06 2200600000000001538 + 10% Administrative Fee $4.50 11/2106 2200600000000001538 + 5% Technology Fee $2.25 11/2106 2200600000000001538 + 8% State Surcharge $3,60 11/2106 2200600000000001538 Appliance Vent $6,00 11/2/06 2200600000000001538 Furnace - up to 100,000 btu $12,00 11/2106 2200600000000001538 Minimum/Adjustment Mechanical $27,00 11/2106 2200600000000001538 + 10% Administrative Fee $4.50 11/28/06 2200600000000001628 + 5% Technology Fee $2.25 11/28/06 2200600000000001628 + 8% State Surcharge $3.60 11/28/06 2200600000000001628 Add, Alter, Extend Circ $43.00 11/28/06 2200600000000001628 Minimum/Adjustment Electrical $2.00 11/28/06 2200600000000001628 Total Amount Paid $120.70 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. UeolliredJnsnections 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 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rK11~ld'lf,LU Building/Combination Permit PERMIT NO: COM2006-01404 ISSUED: 11128/2006 APPLIED: 11/01/2006 EXPIRES: OS/28/2007 VALUE: By signatnre, 1 state and agree, that 1 have carefully examiued the completed application aud do herehy certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 Paee 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1404 COM2006-0 1404 COM2006-0 1404 COM2006-0 1404 COM2006-01404 Payments: Type of Payment Cred itCard cReceint 1 . RECEIPT #: Description Add, Alter, Extend Circ M inimum/ Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LISA GRAY ...,'=P'1!-';.'-'i1A -.," ;... Wi, , , - , , ,.-_) J ,.._,~.....w"",,,....-1 . <;IIi. of Springfield Official Receipt _Iopment Services Department Public Works Department 2200600000000001628 Date: 11/28/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 617031 In Person Payment Total: Page 1 of I 3:08:02PM Amount Due 43,00 2,00 2,25 3,60 4.50 $55.35 Amount Paid $55.35 $55,35 11/28/2006