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Home My WebLink AboutPermit Mechanical 2006-07-06Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-00835ISSUED: 0710612006APPLIEDz 0710612006EXPIRES: 0l/0612007 VALUE: SITE ADDRESS: 1826 YENTA AVE ASSESSOR'S PARCEL NO.: 1703243400355 PROJECT DESCRIPTION: Install heat pump and air handler Springfield TYPE OF WORK: Heating System TYPE OF USE: New Phone Number: 541-747-7493 Residential Owner: Address: RICHARD BIRKBY I826 YENTA SPRINGFIELD OR 97477 Contractor Type Electrical Contractor C PERKINS E R-3 Expiration Date 04/15/2008 Phone 541-895-44667 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Compact: \$" \o( Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: oe' $ Per Sq Ft or multiplier Square Footage or Bid Amount yN nla Sidewalk Type: Downspouts/Drains: PARKING {T INFORMATION Description Type of Construction Page I of2 Value Date Calculated E5 10 $'l 5a\ Valuation Description I \t VN \5 F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-126-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00835ISSUED: 0710612006APPLIEDz 0710612006EXPIRES: 01/0612007 VALUE: Fee Description + l0o/o Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Amount Paid Total Value of Project Date Paid 7t6t06 7t6t06 7t6t06 7t6t06 Receipt Number I 20060000000000r 028 1200600000000001028 l 200600000000001 028 1200600000000001028 $4.60 $3.68 $43.00 $3.00 $s4.28 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase 2 of 2 Date q T rni Fees rar(l I Keourreo lnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ( of Springfield Official Receipt Lcvelopment Services Department Public Works Department RECEIPT #: 1200600000000001028 Date: 0710612006 3:28:l5PM Job/Journal Number coM2006-0083s coM2006-00835 coM2006-00835 coM2006-00835 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + llYo Administrative Fee Amount Due 43.00 3.00 3,68 4.60 Item Total:$s4.28 Payments: Type of Payment Paid Bv um Received By Batch Number Number How Received Amount Paid CreditCard C PERKINS ELECTRIC djb 128776 In Person $54.28 Payment Total: -5&i7B- cReceint I Page I of I 71612006 aFn$a€FltrLD sP'FIELE Date 2 e zoN l-flL rNrrnlIFr^ DATE SOURCE o^ 225FtFTHSTREET. SPRINGFIELD,OR9?477. PH:(541)726'3751 oFAX:(541)726-3689 E L E CTRICAL P E RMIT AP P LI CATI ON Ciry Job Number CrrtlZ-<-<> 6 - o(> 83J- 1.LOCATION 6 / LEGAL DESCzuPTIONll o3zL13 oo3_rr JOB DESCRIPTION A. Nerv Rcsidential - Singte or NIutti-Fanrily per drvelliug unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof oLiTr- til\ttJ torth tno-t= ' .':, -:..1.. Relocation: AJJ Z Lt,f c-ur $ 106.00 $ 19.00 $ 63.00 $ 75.00 s 125.00 $ 163.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ?.CONTRACTOR U or Electrical Contractor Address Pa Rox /t ,3 ci,y Cpe!,Je[l Ph, " /r3- fybA Over 1000 Amps/Volts Reconnect Only $ s0.00 Supervisor License Number 2f 7 C -S' C' Tcmporarl'sen'ices or Feeders ' Expiration Date /o^ ol -D7 Installation, Alteration or Relocation 200 Amps or less S 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Constr. Contr. Nunrber /57 6s 7 Expiration Date 7^ts * dg Signarure of Supervising Electrician N0. 1H\ AU q3 c0 3?Owners Name .t^tL Address b Ciry 5?,'J Phone 7'l?-7q77 OWNER INSTALLATION Tire installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature E. I,Iiscellaneous (Service/feeder not included) -Each Instirll:rtionr/ Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $'15.00 * Surcharges $ 50.00 s s0.00 s 25.00 s 45.00 4, SWTOTAL OF ABOW 8% State Surcharge I0% Administrative Fee TOTAL qL---7rr- 6o 'Y 2a Inspection Request: 726'37 69 Shared Drive(T: )/Building Fonns/Electrical Permit Appl ication I -06 doc r Each Feeder $s0.00 B. o \he Over 600 Amps or 1000 Volts see "B" or with / $ 3.oo 60r 1000 Amps