HomeMy WebLinkAboutPermit Electrical 2006-8-28
CIT'{ OI:\I'{RINCiFIEI.D. ORECiON \j
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225 FIITH STREET. SP.R1NGFIELD. OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~~
ELECI1UCAL WiRMIT..-.4PWCATION
City Job Number \ ')J) , \\..UM. Date 1;/ L:6 2-lm~
I. ~O~~\~N
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Permits 8fe DOD_traD~e Ie and expire irwork is
not started within ISO a of issuance or if work is
Snspended for 180 day
Supervisor License Number '-I-Y '7 <+ S-
/0/'1 Installation, Alteration or Relocation
I 200 Amps or less $ 50.00
dey 5;} IC- 201 Amps to 400 Amps $ 69.00
~Z:n~E: 401 Amps to 600 Amps $100.00
II r.q ..~~~.~:-:- :HALL EOV",\60n,"Am IlS or,IOOO.volts see "8" above.
,\I"....iT"'1"jrc.~V'unf\ . .
isi Ig Electrician AUTHORIZED UNDERO;HI!lrfl'lc'l'llm~I'!,~~OT .
I ~?~MENCED OR IS AfNe\v.'AitenftIon~Q~ Eltension Per panet
. ",,+-180 DAY PERIOD. One Circuit \ $ 43.00
Each Additional Circuit or with
Service or Feeder Pennit
. "
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited EnergylResidential $ 25.00
The installation is being made on ,"r":, I own which Limited Energy/Commercial /_~5.00
is not intery~~(H~'1",si'!E!lI~I'1fgl',q1'law requires you tcMinimum Electric Permit Inspection Fee~ Surcharges
Owners Slollow [ules adopted by the Oregon Utility 4. ' S[;>>J ';JAL OF ABOVE A.c;. (f)
N~,on Center. Those rules are set forth ~. . -. . u.. --f.J....J' . .
in OAR 952.001.0010 through OAR 952.001- 8% State Surcharge 1( ~
uu~u. YOU may omaln copies OJ me rules by 10.' Adm' . trat' F -
,0 mlS lYe ee .
calling the center. (Note: the telephone " 1\ c::.
Inspection)IUcluestio726:-37~gegon Utility Notification ..~ TAb- ,:,01/) ---CJ. -~ )
Center is 1-800-332-2344). Shared Drive(T:)IBuiJding FonnslElecuical Permi. App""'''.n .-W.Y.. ..-/
O~.~
2. ) CONrRAcroR INSTALLATION ONLY
- - . Go .
Electrical Contractor 1Y\ l\ -e:, '2..-\e.:... -\ 1'-\ <-.J
Address 9~ 7 Y\Ot4-~"t'l~ €-,
City ~ Phone 7d~' fidJl
Expiration Dale
Constr. Contr. Number
c:.c.. ~~. I<":'~\ "II
Expiration Date
City
C\~<t>. \00
3.
COMPLETE FEE SCHEDULE BELOW
A. I New Residential- Sing~e or Multi-Fnmlly per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
$19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. . Services or Feeders -Installation. Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 1 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. l !emJ)(,rarySe,:"ic.es or "eede!,
lfb.cfJ
$ 3.00
E. '. Miscellaneous (Serviee/feeder not Included) -Each Installation
l _~. .~. _. ______ _ . ,-,
'SF!AINQIlIE&:D;
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CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT'NO:COM2006-01069
ISSUED: 08/25/2006
APPLIED: 08/18/2006
EXPIRES: 02/25/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 750 ISLAND ST
ASSESSOR'S PARCEL NO.: 1703341204100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: AFRIKA MUCHA
Address: 750 ISLAND ST
SPRINGFIELD OR 97477
Phone Number, 541-913-8534
I CONTRACTun mrvl<.M:ATION I
Contractor Type
Electrical
Mechanical
Contractor
MNB ELECTRIC INC
COMFORT FLOW
License
162191
460
Expiration Date
1lI19/2006
06/27/2007
Phone
541-726-860 I
541-726-0100
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Slzc:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garagc/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOP!\>,,,,,, J1uUNvIATION ,
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dlst:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total,
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvcments:
Storm Sewer A vaifabie:
Speclallnstruclion:
Sidewalk Type:
DownspoutslDrains:
Notes: NOTICE:
THIS PERMIT SHALL EXPIRE IF THe WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION:Oregon law re4U'I"t:lS you to
follow rul96 adopted by the Oregon Utility
Notification Center. Those rules are set fort~
in OAR 952-001-0010 through OAR 952-001
0090. You may obtain copies of the rules b\
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.Ron-31?-2344).
Paee I of3
.
. CITY OF ~rKll"'llJl' l~LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01069
ISSUED: 08/25/2006
APPLIED: 08/18/2006
EXPIRES: 02/2512007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
-Mechanical Issuance Fee--- $10.00 8/22/06 1200600000000001325
+ 10% Administrative Fee $4.50 8/22106 1200600000000001325
+ 5% Technology Fee $2.25 8/22106 1200600000000001325
+ 8% State Surcharge $3.60 8/22/06 1200600000000001325
Air Handling Unit Up to 10,000 $8.00 8/22/06 1200600000000001325
Heat Pump $12.00 8/22/06 1200600000000001325
Minimum/Adjustment Mechanical $25.00 8/22/06 1200600000000001325
+ 10% Administrative Fee $4.50 8/25/06 2200600000000001197
+ 5% Technology Fee $2.25 8/25/06 2200600000000001197
+ 8% State Surcharge $3.60 8/25/06 2200600000000001197
Add, Alter, Extend Circ $43.00 8/25/06 2200600000000001197
Minimum/Adjustment Electrical $2.00 8/25/06 2200600000000001197
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.
'Rp~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is completc.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paec 2 of 3
.
. CITY VI< ~rKll~t.I<I~LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01069
ISSUED: 08/25/2006
APPLIED: 08/18/2006
EXPIRES: 02/2512007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hercby certify that all
information hereon is truc and correct, and I further certify that any and all work performed shall be done in accordancc with
thc Ordinances of the City of Springficld and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withoufpermission of the Community Services Division, Building Safety.
1 further certify that only contractors and cmployees who are in compliance with ORS 701.005 will be used on this projcct.
I further agree to cnsurc that all rcquired inspections are requested at the proper time, that each address is readable from the
street, that the pcrmit card is located at the front of the propcrty, and the approved set of plans will rcmain on the site at all
times during construction.
v
Owner or Contractors Signature
Date
Paec 3 of 3
225 )fifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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._",_.".'. -' ..
<:aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 069
COM2006-0 I 069
COM2006-0 I 069
COM2006-01069
COM2006-0 I 069
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 08/25/2006
2200600000000001197
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MNB ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 192217 Phone
Payment Total:
Page I of I
9:38:13AM
Amount Due
43.00
2.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
812512006