HomeMy WebLinkAboutPermit Electrical 2006-11-28
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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
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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
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Phone 1.//"/-lJ3r1
Address a...~d. ~
City~
Supervisor License Number "17 'f:l 5
10-1 -D7
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Constr, Contr, Number /19 2'. ~ ~'
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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,
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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- ..
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lustallation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$'50,00 ,
'$69.00
$100,00
Over 600 Amps or 1000 Volts see "B" above, ,
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New Alteratiou or Exteusion Per Panel , I '2
One Circuit l '$ 43,00 ~
Each Additional Circuit or with
Service ar Feeder Pennit
$ 3.00 I,
E; rrJ~fIiciiil~~Wrrilr~diffiiri1icJ~diti~). :iitci
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$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 $45.00 + , rcharges
4. ~~1F~",,~~;:;~~~,(f~ ~ 5 to-O
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: c$% State Surcharge '., , '< . I" 0
" : 10% Aominisiiaiive Fe~ ' , - '-/. 5 b
, , "!r-" '1 C:"1:':: '" ,': ,',', ci t:t ~S- , 6S
" '., ~TOTAL i," ";,'0,':,,--3 ~'-J
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h,:" . \ . - . Shan:d Drive{T:)lBuilding FoirrisfElcctrical Permit Applicanon 1..o3.doc
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. 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:
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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
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Pa~e I of3
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. 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
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<;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