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Home My WebLink AboutPermit Electrical 2005-12-13Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01715ISSUED: 1211312005APPLIED: 1211212005 EXPIRESz 0611312006 VALUE: SITE ADDRESS: 3147 WAYSIDE LP Springfield TYPE OF WORK: Electrical Work Only ASSESSOR'S PARCELNO.: 1703224101400 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add one circuit. Change Gas Furnace and add A/C. Owner: Address: Contractor Tvpe Electrical Mechanical JEFF OSBURNE 3147WAYSIDE LOOP SPRINGFIELD OR 97477 Phone Number: $Fl[iltr,yR3[ s41-510-2695 Phone 541-726-8601 s4t-726-0100 NOTICE: THIS PER SHALL EXP AB MII Contractor MNB ELECTRIC INC COMFORT FLOW License t62t9t 460 Expiration Date tutgt2006 06t27t2007 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: nla Sidewalk Type: Downspouts/Drains: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Notes: Page 1 of3 E r n u rl-I-rlr\ u rr\ r \,ruYl{1!]vll] ITY F FIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-01715ISSUED: l2ll3l200s APPLIEDT 1211212005EXPIRES: 06/1312006 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + llYo Administrative Fee + lOoh Administrative Fee + 7Yo St^te Surcharge. + lYo State Surcharge' Add, Alter, Extend Circ Boiler/Comp Up To 100,000 btu Furnace - up to 100,000 btu Minimum/Adj ustment Electrical Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date Paid t2n3t05 t2lt3t05 t2n3t0s 12fi3105 t2lt3t05 tzlt3t05 tzt13t0s t2n3l05 t2lt3l05 t2n3t05 Value Date Calculated Receipt Number 2200s00000000001693 2200500000000001692 2200s00000000001693 220050000000000r692 2200500000000001693 2200500000000001692 2200s00000000001693 2200500000000001693 2200s00000000001692 2200500000000001693 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $4.50 $4.50 $3.15 $3.15 $43.00 $12.00 $12.00 $2.00 $21.00 $115.30 Plan Reviews To Request an inspection call the24 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 Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired fnsnections Paee 2 of3 Valuation Descrintion Bees Pard I Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 lnspection Line PERMIT NO: COM2005-01715ISSUED: 1211312005APPLIED: 1211212005EXPIRES: 06/1312006 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon ls 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 Springlield 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. \-ioAre /6*=la Owner or Contractors Signature Date Page 3 of3 -!ty of Springfield Official Receipt revelopment Services Department Public Works Department RECEIPT #: 2200500000000001693 Date: 1211312005 11:54:20AM J,'b/Journal Number c'oM2005-01715 coM2005-01715 coM200s-01715 coM2005-01715 coM2005-01715 coM2005-01715 Description Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu -Mechanical Issuance Fee- + 7oh State Surcharge + l0o/o Administrative Fee Minimum/Adj ustment Mechanical Amount Due 12.00 12.00 r0.00 3.15 4.50 21.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid C heck COMFORT FLOW HEATING co. ddk 32202 In Person Payment Total: $62.6s $62.6s o '.(. ,'l \ t2lt3/2005 Page I of I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone lHmrlll^o CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET . SPRINGFIELD, OR 97477 t PH,(541)726-3753 o FAX: (541)726-3689 ELECTRICAL APPLICATION City Job Number -lrs Date TION 3. COMPLETEFEB \ 1. .q9'o\, .O Address 957 Northridge Ave1tlte City Spfrd Phone 741 -73 69 726-8601 74 S Expiration Date 't0/07 Constr. Contr. Number 1 621 91 Expiration Date 11/19106 Signature of Electrician Owners Name Address OWNER INSTALLATION The instatlation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 72G37 69 4 rB.t8 .-( ^ei:A. Nen' Residential;Sj$le or Service Included :' .,iS 1000 sq. ft. or less Each additional 500 sq. ft- of portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder Over 1000 Amps/Volts Reconnect OnlY C. TemporarY Services or;Feeders New Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sigrr/Outline Lighting Limited Energy/Residential Limited EnergY/Commercial Minimum Electric Permit Inspection Fee 4. SUBTDTAT,.OFABOUE 7o/o State Surcharge l0% Administrative Fee TOTAL dwelling unit $r06.00 $ r9.00 $50.00 $375.00 $ s0.00 - : -:i--- - :"-' - .''l"j ' ': 1- - " ::--': i'- !-j43 N (ElQ&i-r,i"* or F.re.ters - Instrillation,.Alirations:or,lelQgatiOn: ' , THIS PERMIT SHALL EXPIRE IF THE WORK AUTrufiEED H{BER THIS PERMIT]S-AIOT $ 63'00 i o r,,rtpg rtg,E$ g PtsAABA N D0 N E DJo&- $ 7s'00 ;NY 4go^gRf PffilnPs $r25'oo 601 Amps to 1000 AmPs $163'00 Supervisor License Number 4 Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs Sl00'00 over 600 Amps o1 I Qoo.v9l5.99-9. '.pi''1boY-".,,, D. Brancb Circuits rane[4N$ 43.00 $ 3.00 E. Ilfiscellaneous {Service/feeder not included) -Each $ 50.00 $ s0.00 $ 2s.00 $ 45.00 Surcharges TD $4s.00 Shared Drive(T:)/Building Fonns/Electrical Permit Application l-03'doc ") Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for I80 daYs. 2. coIurR.acToRrNST:ALTATTONONLY Electrical Contractor I'lnB Electric Inc. Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-0I715ISSUED: 1211312005APPLIED: 1211212005EXPIRES: 06/1312006 VALUE: SITE ADDRESS: 3147 WAYSIDE LP Springfield TYPE OF WORI(: Electrical Work Only ASSESSOR'S PARCELNO.: 1703224101400 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add one circuit. Change Gas Furnace and add A/C. "^ Owner: Address: JEFF OSBURNE 3T47 WAYSIDE LOOP SPRINGFIELD OR 97477 PhoneNumber: 541-510-2695 SHALL EXPIRE IF THE WORK IS ABANDONED FOR r NY 1 8?,P$[S.ERloBipi."tion Date }IOTIGE: J Contractor Type Electrical Mechanical Contractor MNB ELECTRIC INC COMFORT FLOW t62t9t 460 tutgt2006 06t27t2007 Phone 541-726-860t 541-726-0100 MATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARIflNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/I)rains: Notes: Pase 1 of3 alia )r lne F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone S4l-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-0I715ISSUED: 1211312005APPLIEDz 1211212005 EXPIRES: 06/1312006 VALUE: Description Type of Construction Fee Description + l0%o Administrative Fee + 7Vo State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200s00000000001692 2200s0000000000r692 2200s00000000001692 2200500000000001692 Amount Paid $4.50 $3.1s $43.00 $2.00 $52.65 $ Per Sq Ft or multiplier Square Footage or Bid Amount t2n3t0s t2n3t05 t2n3t05 12113t05 Fees Paid Plan Reviews 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 Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired Insnections Paee 2 of3 F5 Yafuation Uescriotlil Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01715ISSUED: 1211312005 APPLIEDz 1211212005 EXPIRES: 06/1312006 VALUE: 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. Orvner or Contractors Signature Date Paee 3 of 3 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 'ty of Springlield Official Receipt ,evelopment Services Department Public Works Department RECEIPT #: 2200500000000001692 Date: 1211312005 11:41:40AM Job/Journal Number coM2005-0l7ls coM2005-01715 coM2005-01715 coM2005-01715 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 7o/o State Surcharge + ljYo Administrative Fee Amount Due 43.00 2.00 3. l5 4.50 Item Total:$52.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ,1, MNB ELECTzuC ddk 013708 In Person $52.65 PaymentTotal: -$ffi ;$ 1211312005 Page I of I aDrgc;aD I