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Home My WebLink AboutPermit Mechanical 2008-10-7 Status Is.sued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01510 ISSUED: 10/0712008 APPLIED: 10/07/2008 EXPIRES: 04/0712009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1167 SEQUOIA AVE . ASSESSOR'S PARCEL NO.: 1703273402808 Springfield TYPE OF WORK:~eating System TYPE OF USE: Alteration PROJECT DESCRIPTION: PANEL CHANGE AND HEAT PUMP INSTALLATION Residential Owner: BROWN THOMAS W& KIMBERLY B Address: 1167 SEQUOIA AVE SPRINGFIELD OR 97477 " . I CONTRACTOR INFO~~A TION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Expiration Date 09/01/2010 Phone 541-741-2236 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: SqFt Garage/Carport Sq;Ft Other: Occupant Load: n/a . I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rq'd: Paved Drive Rqd: % of Lot Coverage: Total: Handicappcd: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: \Sly. ~o-\~ v: . . ATTEN11ON: Oregon law requires you to follow rules adopted by the Oregon UtIIItl I'IQlnlCllllon \IUt ntn. 'I'~ IU'V/i:II -=*IU 0Ctl ~ Iff In OAR 952.(lON1010 through OAR 952-oo'l- 0090. You may Obtlln copies of the Nleat , C8111n1l. the center. (Note: the telephone tlU/IIbeI"ftWthe Orelioft'UtiIltyINdUfllsbtlDll CenIer Is 1-eooa.2344). :Downspouts/Drains: 'Notes: NOTICE: THIS Pt:KMII ~I1ALL 1:}I.t'IKt I~ '.1'l/I'I:\ AUTHORIZED UNDER THIS PE ~fi'jfDescriDtion I COMMENCED OR IS ABANDON~9 F~ Ft DescriPtioIf\NY 18G.aPif~IOOJion . erl,ql' , or mu tip Iff , Square Footage or Bid Am~unt Paee I of2 Gk\IlINIliP,I_: -..'T11,...'"lt'';",.".w..,',....:;,...''' 1I.,- . .1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative.Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid $8.30 $9.96 $4.15 $10.00 $73.00 Total Amount Paid $105.41 Total Value of Project ~ees Pa.i~ I I Plan Reviews I Date Paid 10/7/08 10/7/08 10/7/08 10/7/08 10/7/08 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01S10 ISSUED: 10/0712008 APPLIED: 10/0712008 EXPIRES: 04/0712009 VALUE: Receipt Number 1200800000000001044 ,1200800000000001044 ,1200800000000001044 1200800000000001044 '1200800000000001044 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ., Reoll.,irerl, T,!l~q~ction\ I 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 t~e 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 ensu~e 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 Page 2 of2 " Date City of Springfield Electrical Anthorization To Begin Work E-mailed To:awood@cselectric.org Receipt # EC539478 10/7/20081:55:58 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns I ~ I or2 family dwelling o Multi-family o Commercial/Industrial 11,000 sq. ft. or less I Ea, add] 500 sq. ft. or portion' I 0 New construction [X] Addition/alteration/replacement II Description IJob no.: IJob address: 1167 SEQUOIA AVE /City/Statl'/ZJP: SPRJNGFIELD, OR 97477-3552 I Suite/bldg./apt.no.: I Proj~ct name: Cross strcct/dircctionsto job site: I Subdivision: 'ITax map/pan:elno.: 1703273402808 ILot no.: I-Limited energy, residential (with above SQ. f1.) . I - Lirriited energy, multifamily residential (\vith above sa, ft) I-Limited energy, commercial (with above sa. ft.) . I -Stand-alone limited energy, residential I _ - Stand-alone limited energy, mu]ti-family limited energy, I I I panel change and heat pump installation 1200 amps or less I 20] amps to 400 amps 140] amps to 599 amps $73.00 $73.001 I I I 200 amps (lr less 1 20] amps to 400 a1rips 1401 amps to 599 amps Name: Tom Brown I Phone: (541) 51 0-503-g I Email: mgehrke@cselectric.org 2 IF"" I [I. lie. no.: 20-14C ICCBlic; no.: 3849 I Business Name: C & S,ELECTRIC INC I Contact: Dave Gehrke IAddress: PO BOX 1482 ICily/State/ZIP: SPRINGFIELD OR 97477 I Phon" (54])74]2236 IF,,, (54])74]2473 , Email:awood@cse]ectric.org I Metro lie. rio.: I City lie. no.: I Supervising electrician's lie. no.: 48945 I Supervising electrician's name: DAVID E GEHRKE. A. Fee for branch circi.tits with service or feeder fee,-each branch circuit. . S, Fee for branch circuitS without service or feeder fee, firs! branch circuit I each add] branch circuit $5.00 NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. . I Service reconnect only I Each manufactured or modular dwel1in,g,service arid/or feeder 1 Pump or irrigation circle 1 Sign or ou~line lighting I S,igrial circuit(s)or]i.~ited- energy panel, alteratIOn, or extension. Imt~fii\ft~~'E~t(n~i~b~~~~:FfMT~{fE~!~~ik-:;~~-,~,. .,i'i:1 I Suh'ota] I $83.00 I I State Surcharge (]2% of:pennit fee) $9.96 I [ City Of Springfield fees'" $12.45 I I TOTAL PERMIT FEE $105.4] I .. City Of Springfield fees: 10% Administration Fee; 5% Techno]ogy Fee Upon review and approval by your local'jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule y~)Ur inspection. The local building department may determine that an Authorization To Begin Work is null and void,if it does not meet applicable. land use laws-and local,ordinances. COM: :J.n('f;( - f) 1..5.1 0 RCPTII: \a.ro<g'- \'D4L\ DATE PROCESSED:lf2blQ.c;<: This Authorization To Begin Work must be posted at the job site until replaced by a Permit PROCESSED By:.....L..D. () , . . ~~, ~ / .-' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 151 0 COM2008-0 IS! 0 COM2008-0 151 0 COM2008-01510 COM2008-015I 0 Payments: Type of Payment ONLINE CHGS cReceintl' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2:14:I1PM 1200800000000001044 Date: 10/07/2008 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 73.00 10.00 4.15 9.96 8.30 $105.41 Paid By ONLINE PERMIT CHGS Item Total: l.:heck'Number Authorization Received By Batch Number Number How Received KR ONLINE C&S Online ELECTRIC Payment Total: $105.41 Amount Paid $105.41 '- , Page 1 of 1 101712008