HomeMy WebLinkAboutPermit Electrical 2006-02-02Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00090ISSUED: 0210212006APPLIED: 0112312006EXPIRES: 08/0212006
YALUE:
SITE ADDRESS: 2583 15TH ST Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703243200319
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: 200amp service upgrade and 5 circuits / Mechanical and Plumbing added to existlng l
permit on2ll12006.
Owner:
Address:
RICHARD HOLMES
2583 15TH ST
SPRINGFIELD OR 97477
PhoneNumber: 541-228-4497
:hone
Contractor Type
Electrical
Mechanical
Plumbing
Contractor
REYNOLDS ELECTRIC
HOME COMFORT HEATING & AIR
HOME COMFORT HEATING & AIR INC
License
17252
84164
84164
Expiration Date
02t08t2007
06t2st2007
06t2st2007
NL
r is 1-E00-332-2344).
ron
Phone
541-343-7297
541-345-2838
541-345-2838
CONTRACTOR INFORMATION
} INFORMATION
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
VN
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
Notes:
Paee 1 of3
T rr
Note:the
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: COM2006-00090ISSUED: 0210212006APPLIED| 0u23t2006
EXPIRES: 08/0212006
VALUE:
Description Tvpe of Construction
Fee Description
+ l0o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ l0o Administrative Fee
+ 87o State Surcharge
+ 87o State Surcharge
Fixture
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
22006000000000001r9
2200600000000000rr9
2200600000000000119
22006000000000001 19
2200600000000000160
2200600000000000r60
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000r60
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$7.80
s6.24
$15.00
$63.00
$10.00
$4.50
$4.s0
$3.60
$3.60
$14.00
$4.00
$41.00
$31.00
U2sl06
U25106
u25106
1t2sl06
2t2106
2t2106
2t2t06
2t2t06
212t06
2tzt06
2t2t06
2t2t06
2t2t06
$208.24
tr'ees Paid
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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Rough Plumbing: Prior to cover and including required testing.
Pase 2 of3
Renrrired fnsnecti
\
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00090ISSUED: 0210212006
APPLTED-. 01t23t2006
EXPIRES: 08/0212006
VALUE:
Final Plumbing: When all plumbing 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 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.
\;-/-ob
Owner or Contractors Signature Date
Pase 3 of 3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
'lity of Springfield Official Receipt
/evelopment Services Department
Public Works Department
RECEIPT #: 2200600000000000160 Date: 0210212006 8:35:07AM
Job/Journal Number
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00120
coM2006-00120
coM2006-00120
,coM2006-00120
coM2006-00120
coM2006-00120
GOM2006-00120
coM2006-00120
iorrazooo-oorzo
coM2006-00106
coM2006-00106
coM2006-00106
coM2006-00106
coM2006-00106
coM2006-00106
Description
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Gas Outlets l-4
+ 8% State Surcharge
+ l0% Administrative Fee
Fixture
Minimum/Adjustment Plumbing
+ 8% State Surcharge
+ l0% Administrative Fee
Gas Outlets l-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ l0% Administrative Fee
Fixture
Minimum/Adjustment Plumbing
+ 8% State Surcharge
+ l0o/o Administrative Fee
+ 8% State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
41.00
r0.00
4.00
3.60
4.50
14.00
31.00
3.60
4.50
4.00
41.00
10.00
3.60
4.s0 ,
14.00
31.00
3.60
4.50
3.60
4.50
8.00
12.00
25.00
10.00
Item Total:$29s.s0
Payments:
TJ,pe of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard
:CreditCard;T
rCteditCard
ri
,t'l
'(
HOME COMFORT/JEFF
ELLING
HOME COMFORT/JEFF
ELLING
HOME COMFORT/JEFF
ELLING
nJm
njm
njm
063136 Fax
063136 Fax
063136 Fax
Payment Total:
$l16.20
$l16.20
$63. r 0
$29s.s0
,;
,1
2t2t2006 Page I of3
astamiaD
T
225 FIFTH STR-EET . SPRINGFIELD, OR 97477 c PH
E LE CTRI C AL P E HJY-II T APP LI CATI O N
:(541)726-3753 r FA.\: (
City JobNumber bU?co 6 - eofuate /-
"c(
- oC?
1
2 :- t.-''a!!.l*34.. -,1
,oyrr^a.x,9:,gsI4y#Ira*.'*,,.;_-
75-83 / S+t- Sl-
3. COMPLETE
A.
Service Included
Y \(*
C
1000 sq. ft. or less
Each aiditional 500 s&.ft.rcflr\{
,jplj!.rEuu.. :l,io, u,- ?jl
LEGAL DESCR-PTION7 oo3 |
JOB
/oo geilt.c€ ..\t''v.*-
Ctfc;*l
Permits are non-tratrsferable and expire if work ls
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electncal Contractor
Address ,f,\fq t-i-:' ,
nc\ Au e
o
s 106.00
ss0.00
332 b3t$ 63.00
s 7s.00
s 125.00
s163.00
$375.00
s 50.00
$ s0.00
s 69.00
s100.00
City
Supervisor License Number a%ac :j
401 Arnps to 600 Amps
601 Amps to 1000 Arps
Over 1000 AmpsA/olts
Reconnect Oniy
Installation, Alteration or Relocation
200 Amps or less
20i Amps to 400 Amps
401 Amps to 600 Amps
Over 600 or
L Phone I
Expiration Date
Expiration Date
10-\ C*l
Constr. Confi.Number tC - \(1
*l-t-c
Si gnature of Supervtsin g
Name
7 Pump or imgatton
SignrOutline Lighting
Li mrted EnergY/Restdenti al
Limrted EnergylCommerciai
+. SABTOTAL OF,qgOVru
Per Panel
s 43.00
s 3.00
s 50.00
s s0.00
s 25.00
s 45.00
D.
E.
s$
or with 5Permrt
(Serri cei feeder: nof, inclirded)-Each.Installetion'. IZS
Cify SPF\phone ZZE - t{ "l I
OWNER INSTALLATION
The instailanon is being made on propen-Y I own which
is not intended for saie, lease or rent.
Owners Sigrature
t\S
Minimum Electric Permit tns1c1io1 Fee is S45.00 - Surcharges
7o/o State Surcharge
i0% Acimrmsrrarive Fee
TOT.{L
a8--- br{-
?0o
?z oq
inspection Requesr: 12G3i69
$#
J*R
{FQ"
Db$
ihareci Dnver T:) Buriding FormslElecmcai Permlt .\Dpiicatlon i -rl-1.<ioc
$ 19.00
/5
l
\s1
Amps
Buitding/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: COM2006-00090ISSUED: 0112512006APPLIEDz 0112312006
EXPIREST 0712512006
VALUE:
SITE ADDRESS: 2583 15TH ST
ASSESSOR'S PARCEL NO.: 1703243200319
PROJECT DESCRIPTION: 200amp service upgrade and 5 circuits
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition Residential
PhoneNumber: 541-228-4497Owner:
Address:
Contractor Type
Electrical
RICHARD HOLMES
2583 IsTH ST
SPRINGFIELD OR 97477
Contractor
REYNOLDS
ou to
r tti\ilV
(ego
Date Phone
541-343-7297w t\J I
in
00
$ Per Sq Ft
or multiplier
Water
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
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:
IF THE WORK
MlI IS NOT
FOR
rnaY (Not3
333 lu'i'^^t
# 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:
Notes:
AUIHORIZED
COMMENC
ANY 180 DAY PERIOO.
Square Footage
or Bid Amount
R-3
VN
nh
Description Type of Construction
Pase I of2
Value Date Calculated
bY e
rB s52
ot
.4\SI
Valuation Description I
ll\r(rtf,lYlAlr\JN I
Status 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: COM2006-00090ISSUED: 0112512006APPLIEDz 0112312006
EXPIRESz 0712512006
VALUE:
" Fee Description
+ lD%o Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$7.80
$6.24
$1s.00
$63.00
$92.04
Total Value of Project
Date Paid
u25t06
u25t06
u25t06
U25t06
Receipt Number
22006000000000001 19
22006000000000001 19
22006000000000001 19
22006000000000001 19
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
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
nsnections
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 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 70f .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
Pase2 of2
Dzte
r ees ralo r
225 Eifth Street
Springfield, Oregon 97 477
54.1-726-3759 Phone
^ity of Springfield Official Receipt
-- . evelopment Services Department
Public Works Department
RECEIPT#: 2200600000000000119 Date: 0112512006 9:442204M
Job/Journal Number
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l0/o Administrative Fee
Amount Due
63.00
15.00
6.24
7.80
Item Total:$92.04
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard ELLENREYNOLDS djb 097681 In Person
Payment Total:
$92.04
-$e-tr-Z-
$r
:(
'f
t
t/2512006 Page I of I
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