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Home My WebLink AboutPermit Electrical 2005-7-8 f/ , Zoning L-LYL 7-r:, -OS; /Jrv( 7i/;:3~~~.O Signature . ~ M~.sp(2.~ 225 FIFTH STREET. SPRlNGF ,OR 97477 . PH:(541)726-3753 . FAX: ELECTRIC.N_ PERMIT APPLICATION City Job Numbel 'iiJrY\2()l)S -Oa~e {- 8"'- 2G'CS I, &Wg~&~m~ 3, ~~~g~~~~ ~t::,~ fY\a~) (-~ ,t:'l., 't. ..,..._,.... ... . .- ---.'-:--....''''"' -;:;;;'~;"'F'''''''''H LE9^k.p~E~.q,IP,TIOl;i' C:'~>:uq;'''':;'::;r.:4f:~~~1k;'''''~~lt\Ilgl!!n.!J;j '! \-. .~i,;t'';'J:}\';~'I'jjr.I:'>' :f..\i~~~i~!.Ii'k,~iU:'IJV'l'~:h"~'il>ft'f' ~-:'\:'~rn~iiI'.:r,-,,,~.,,",, ..""'..... I }1'J.ti!)il-2.l~\;.)t .;=r:;,~'4S~F(,:r1~~... ip.fi~",~~&~3Ser.vlwlnclu9.ed'. _ -;_i~ ,:-~ _ .._ __ " . 1" .. _..' _ . . ..... ........... ~.~.'. . JOS-E>ESCRIPT10N-" ..- . ~- ~ n.....-_ ~ Permits are non-transferabl;-;nd expire ~f work is not started within 180 days of issuance or if work is Suspended for 180 days, ~jfji_""''':'.'':.o:!:I'"""-"",,,,,,,-,,,,,,,, 2. ~~...:.:- ~ Eiectrical ContracmlE60N ElECTRIC SERVlnE P.O. BOX 2237 CllGENE, OR 974il2 Address City Phone ~- \~~l. Supervisor License Number .{ Sq~-0 Expiration Date In - I - 0') Constr, Contr. Number Ito I~ (q Expiration Date a. - ~'ir - 0 lR Sign;,ture of Supervising Electrician ' 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof $106,00 $ 19.00 Each Manufact'd Home or ^""'-Ft'''''I~ Mooular Dwellihg:S~i9~ ?.!iw req . -~50 00 F '~d "N r I U1res VOII to" . ~r:~,,;r...,:'_e: adopted by the Oreaon 'I ' , . ..... . ",- ".,~ ' '. .. ~\'{l\~:'~:~~1~ B~'1 . _ &Lp.F~h.qn.,;1l;;;:f 'e'"'' " ". " ~ . , ' TaU may obtain' -. 200'Amp's.orJess copies of the rU/e<.-l:ffi.,OO O~"" 'OJ (, '" "!:Inter (N t ' -'7" 20JrAmp'sjtoAOO Amils 0 e. the te/ephoM 75,00 401 ~~;;;I~O'~'p~on Utility 1'/0tlficatio$D25,OO . ,", t'lll" I:." oiJO-332-:O,j4<j 601 Amps to 1000 Amps ). $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50,00 C.~~..~~~ - ,-:::' ~ 1 .... ; _Installation, AIteration 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 "S" above. D. 7 New AIteration or Extension Per Panel r~ 111 b One Circuit I $ 43,OU L/ f\6-0 Eac~Additional CircuiDo!Jwith. LI ;, lO\s ,eJ-':'F" II!,'" po. C -JQ "".0 nn, $ 300 . I er;vlce or eeuer' enmt tJ - }.I I. '\1 . Owners Nome _ ,.,QA A -" --<... ~ '>/110';, ';" .LlVVH~rI C'II,; .,..., 0 O~.')M~",,;:~, . ",,' .. .. . "",~,.' Addr~r; f\.A.auu LV) -#'.g1 E. _~~ - ~r I. '. "" .LII/I!/ij .. c~l-Q~ Phon(/J7:). -\.QQg. Pump or irrigation :"~~ !ifHl $ 50.00 - U Sign/Outline Lighting ~vlJ.;"I\f $ 50.00 OWNER INSTALLATION Limited EnergylResidential $ 25,00 The installation is being made on property I own which Limited Energy/Commercial $ 45,00 is not intended for salc, lease or rent. Minimum Electric Permit Inspection Fee is $45,00 + Surcharges Ovmers Signarure; ,',",..T - P' l .1' Inspection Request: 726-3769 i, 4, .Lls~ I.S 7~ State Surcharge 10% Administrative Fee -:-- j :;;-0 ,"'~ It,,S TOTAL Shared Drive(T:}lBuilding FormslElectrical Pennit Application 1-03.doc .:..... .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ': 541-726-3769 Inspection Line . . CITY OF ~rJ:uNGFIELD . Building/Combination Permit PERMIT NO: cOM2005-00800 ISSUED: 07/08/2005 APPLIED: 06/24/2005 EXPIRES: 0110812006 VALUE: . l("nn I~"J ......_. _ ., '-.........,UUlU Springfield TYPE. OF,-WORK:'Heating,Systemj'ty -C,l:ec Th -,,~ 'VIII ,^_ __' ose rules are selforth TYPE OF,USE:JrOlN~~JAR 952 00 Residential J , ,nay obtain COPi:s of the - 1- . " 'i; the ceniec (N. rules by ,_ . ate. th.a to.l.......'-_. - ~c'~~t~~~ u1re8g0nPiMite'Nnllibe!lli~~I-484-6467 IS - 00-332-2344). SITE ADDRESS: 2288 GREENBRIAR ST ASSESSOR'S PARCEL NO.: 1703252100500 PROJECT DESCRIPTION: Install heat pump nnd air handler Owner: Address: WESLEY DEJONGH 2288 GREENBRIAR DR SPRINGFIELD OR 97477 I. CONTRACTOR INFORMATION I Contractor LicenseM Exp'itQHb1t-Jriate09Plioiie CIDTIIM ENTERPRISES I INC )'4(,~'96~~,,~~~,\o'~113/08/20073JN3tS419191-2101 BUILDING INFORMATIONIU jl-3~ildx311~~~' ~~~~~~f-Js~~1 # of Stories: Lot Size: :3:JIlON Height of Strncture Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: , Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction R-3 VN 1 DEVELOPI\'lJ'lu INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 .. . . CITY OF ~rK11~GFIELD Building/Combination Permit PERMIT NO: cOM2005-00800 ISSUED: 07/08/2005 APPLIED: 06/24/2005 EXPIRES: 0110812006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fpp~, PiWU . , Fee Description -Mechnnical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000' Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 6/24/05 6/24/05 6/24/05 6/24/05 6/24/05 6/24/05 Receipt Number 1200500000000000903 1200500000000000903 1200500000000000903 1200500000000000903 1200500000000000903 1200500000000000903 Total Amount Paid $62.65 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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. ,::::5,,~c9- ~ .t:<\;. "-CLL~ Owner or:Qontractors Signnture (-~-os Date Pal!e 2 of2 . " 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00080 COM2005-00080 COM2005-00080 COM2005-00080 Payments: Type of Payment Check :' " 7/8/2005 " . _~NGF11lU> , WiL;.'- .."... .~.---...i.. .,..~ I .., RECEIPT #: ~ity of Springfield Official Receipt .velopment Services Department Public Works Department 3200500000000000418 Date: 07/08/2005 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By Received By OREGON ELECTRIC SERVICE njm Page 1 of I Item Total: Check Number Authorization Batch Number Number How Received 18765 By Mail Payment Total: 3:04:03PM Amount Due 43,00 2.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65