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Home My WebLink AboutPermit Electrical 2003-8-14 ~: .... .' ,~;- '.' .' '~'.' ,~." .... ,,,'r~ ~';, ,.:. " , qrry OFIS,~ _)INOFIEO:>.l' 9~G<?~"/~.:'n. .;.\:, . 0'3 - 5'1"2- 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3~ 1tJ~ f!itlilJ:U6-s1R1mned has the following ELECTRICAL PERMIT APPLICATION zoning, and does not require specific land use City Job Number tflI'I\ 'l.OD]- r;t>"q 0 Date ~ ('ifo~Onin" ~ . ~c.X '" /' - ~_I")-()' 1. LOCATION OF INSTALLATION . . . 3. C01l1Pt;E'fJ:, ~ J:,J:, :'U1J:,UUu:. .hh.ul-1:::~J l <i(-':1D ~ ~ Authorized Signature J I' LEGAL DESCRIPTION A. New Residential- Single or Multi-Family per dwelling unit. 170JZ'8',-(0 02-bOL( JOB DESCRIPTION ~ :J.. T ISrl.,LI 0 KlW tt /lQ-f ~ , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 200 Amps or less $ 63,00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amq&l\)~~\'l $125.00 601 Amps to,1.QdOeZnp\)\~~o(\ $163.00 .~ \'" ,,,~v ae' r'" Over"I,Ooo AmjiliYVolw" nJ:J" $375.00 v' .~'" .". So. \ .d~,effinnsc.t Onlt\e'" "'~ 9 ~e'" $ 50.00 0\"" ,,'leI.) se \ Or ~\) e '\'" \ \ <:>.0.0,,,-, "'~? 'in\)q,~,. ~\,~~, ''i':\C~', .:; ,'- . '.. ., ,,~. ". " ~\'(;. ,\\e"'C.,,\lfem~"arv ~er.vlces,06Feeders{\,?'''' " ,i' .'. ',d,". c... '.' \ . ~v Ce"" 0'"'' 'OV'~ e'I.'" .~$j<>- '. ..".. .. ,. . , ~\C~' . 0'" ....\.IJ '''' C e'.\'<'I ~\C\\ . \.0 7;\\ Q" ,~\0: \^\' .."t \~ n. ~\~\(j '?JC;,'l-' InstlilIationtJ\Jt",5lition,or."",location ,~^ p..~ ~'''' ,,\0\' "rl{\ . Z-'l-:> .",0 --(CV J20;1\:mps(or,le~.~'3 \ (\\}'?J$' ~\,{\~ "20 I.~llt~ to I4So Amps C~ ~ '\U' I'!"(\';:) ",\)~'Qe ~.!,(Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. , ~..., ~':',". :.. ~'::_:.:;'-"~:, ',:.,..::":"',':,:;-: ':', . :-::'0..;\':j':?"~.'-,'I:..}: D. .BranchS:lrcUlts;;_'~,...\>~\.,._-... ' "\'... ..to ,',J ."Ii.... :."; -. ..... - ./... ,._".l.....~-.. ,,~,. I,.-,r - ..'.',, .,:,,_.,: ...~~'..::i.".'~ :,'~.r'_'. ". ,!...: ,',:'1."'0 ,.,', "r'''.' ".:;''; . .,:' ,.... ...;' ...t~; ',~.-.,;h _' 2.Ff!~R;1StD,;R .IJ'l.~.T,A!:L,AIIo.N ??V.~ y ,; Electrical Contractor JB Electric. Inc. Address 4685 Isabelle Street City Eugene 97402 Phone 687-5770 37587-C 10/1/03 Supervisor License Number 3872-S 10/1/04 104929 3/14104 Expiration Date Constr. Contr. Number Expiration Date signarurtJ/?;:: / Owners Name YlJ~ V ~ Address j$?L(O ~ ~ City ~Phonet<n-q1-W OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Ineluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 << Each Manufac!' d Home or Modular Dwelling Service or Feeder $50.00 \ .' ~'. , '"" -.',. 1. '. "'. ,. B. Ser\'icesor Feeders -InstaIlation;Alterations or Relocation: , ' . ".,'. '"'. ,::;;'. ~ . . . '. - "., . .~.' - - . . $ 50.00 $ 69.00 $100.00 :.,> ...s"~ New Alteration or Extension Per Panel One Circuit I $ 43.00 l{ "3 . cf::) Each Additional Circuit or with ') I 60 Service or Feeder Permit ~o,~ 3.00 I.L> . \\'<V. E. 'Mi~~elI;c;;;"~~ (S~~.i~~feed.1~;;"~~'~Th'.:\~-Ea~llInstalIati~n ,.. .:. U" .' '(<:';'1''< "~<:';'W", \-d\l\ . . . .' ..~. c."'\>.\: ,'(-.f:> ~'t.<;J :l'~u~p,o"'in:~~a.tl~n~<;J't.'i\ 'r-~<;J\J $ 50.00 ~Si~\'!:,o1ft~l~h\in~ \'2> 'r-'O $ 50.00 ~~ilt\(ffn~r~e9:~~i\A?' $ 25.00 )'ov' .,t\\:.'" ..,j~.. Llmi\5<!II!l1ereSiJe6mmercial $ 45.00 v .y{ \'0'" MinimumtEh'ctrie Permit Inspection Fee is $45.00 + Surcharges ,. ., .....' - ~'.-;,:. ~. U.; :' _ I' l. . -'::~~~t~:.::.;" '(.~:~:;'f~{' i:' ~ 4. ,SUBTOTAL.OF.ABOVE..c;c;,,,-"''''' '..' ,'J.' J"':~ ..~> ,','-'-...;.;'.c...."~~,j:., _ '"1'-",'\:-' ,;.....,~~. ,. ~..."".:>.:i "_t ..:;, "-I.~.:/ .....':... '.' 4'1.00 ~L-r?? u,"1() C)1.3"2;. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electric31 Pennit Application 1-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRIl'\jljHI!,LJ) Building/Combination Permit PERMIT NO: COM2003-00690 ISSUED: 08/01/2003 APPLIED: 08/01/2003 EXPIRES: 02/14/2004 VALUE: SITE ADDRESS: 1840 MENLO LP ASSESSOR'S PARCEL NO.: 1703284002604 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: instal heat pump and air handler TYPE OF USE: Owner: VAUGHT NOLAN C & MARCY D Address: 1840 MENLO LOOP SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor JB ELECTRIC MARSHALLS INC # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 104929 25790 BUILDING INFORMATION I # of Stories: \0 R-3 Height of Structure as 'lOU '~\\,j Type of Heat: \ao,U'~ Q,of\ U\' \0< VN WateU.\!;>'i>~)l"X\0 O~0 ~a se\ 00 ~a'D~e'Jly'pe! " u\8S a; a gS'2:' \ ~(\\O E- ._n~ 1'.' t1i",a ~ Oll-'P .,\eS ..-1'~\~ nergy \a. "X\ ...a ~v Il-" ~u\aS ~ f\\al. '\X\~OU:' 0\ \\. ~Of\a .~,\0'tJ . _" ea . "Q'O _no,eS _ la\09. _~liO'\l ~o\. i'~DEV.EiOPMENT'INFGRMA'fI(')-N:'1 if\ C. 'IOu' Ca\\'- Q,O" - Z:z."'- QgO. \X\a., O~a 0-<:''3 o ",\\if\QOverl8'y'Dist;.'o(') Cv "t"" .,,, U~'O'" ~~t'.Trees Rqd: f\ Paved Drive Rqd: % of Lot Coverage: New Residential Expiration Date 03/14/2004 12/23/2003 Phone 541-687-5770 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk ~~,en\t. '-NOR\<. ~01\C~:. W111 SI-\I\'Do~~tAlhS\S ~01 1I-\IS POe~1.eO \l~oeR ''OI\~oo~eO fOP. 1\\l11-\ eO OR IS " c.OWlWle~~I\'/ PeRIOD. I\~'/ ~ 80 Paeelof3 . . CITY OF ~rKll~hl<lELD Building/Combination Permit PERMIT NO: COM2003-00690 ISSUED: 08/01/2003 APPLIED: 08/01/2003 EXPIRES: 02/14/2004 VALUE: Status Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L-!?pp<, Pqitl I Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 8/1/03 2200200000000001334 + 10% Administrative Fee $4.50 8/1103 2200200000000001334 + 7% State Surcharge $3.15 8/1103 2200200000000001334 Air Handling Unit Up to 10,000 $8.00 8/1/03 2200200000000001334 Heat Pump $12.00 8/1103 2200200000000001334 Minimum/Adjustment Mechanical $25.00 8/1103 2200200000000001334 + 10% Administrative Fee $4.90 8/14/03 1200200000000001956 + 7% State Surcharge $3.43 8/14/03 1200200000000001956 Add, Alter, Extend Circ $43.00 8/14/03 1200200000000001956 Add, Alter, Extend Circ Ea Add $6.00 8/14/03 1200200000000001956 Total Amount Paid $119.98 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. ~rptlln~ 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When aU mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When an electrical work is complete. Pal!e 2 of3 . . CITY OF SPK11'\ju1<U,LD- Building/Combination Permit PERMIT NO: COM2003-00690 ISSUED: 08/01/2003 APPLIED: 08/01/2003 EXPIRES: 02/14/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, 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 ofany 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 Date Paee 3 00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00690 COM2003-00690 COM2003-00690 COM2003-00690 Payments: Type of Payment Check Paid By JB ELECTRIC , J:Q~;~;~ ~~."I IIIIIIIL.. . - Receipt #: 1200200000000001956 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Received By djb l.:beck Number Batch Number Authorization Number City of Springfield Official Receipt I Development Services Department Public Works Department Date: 08/1412003 lO:09:28AM Amount Paid 43.00 6.00 3.43 4.90 $57.33 Item Total: How Received In Person Payment Total: Amount Paid $57.33 $57.33 . . , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00690 COM2003-00690 C0M2003-00690 COM2003-00690 COM2003-00690 COM2003-00690 Payments: . Type of Payment Check . ~.~:~... ..... , ~. '-'."'--'-!" ..-.. . ' ~.. .~ ..#i-~,..,". -,....-,.". ..- Receipt #: 2200200000000001334 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to \ 0,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance F ee- Paid By MARSHALS INC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/01/2003 I1:31:20AM Amount Paid Item Total: 3,\5 4.50 8.00 12.00 25.00 10.00 $62.65 How Received In Person Payment Total: Amount Paid $62.65 $62.65 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00690 ISSUED: 08/0112003 APPLIED: 08/0112003 EXPIRES: 02/0112004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1840 MENLO LP ASSESSOR'S PARCEL NO.: 1703284002604 Springfield TYPE OF WORK: Heat!ng System Total: Handicapped: Compact: '\)'?-'+- . \~'(..~~'\)\ r.~ \'{ . .,,\ \S _ I PUBLIC IMPROVEMENTS "'\.\. '(..'j..~~~ ~~~~~I;) '{\)l' ';),,\\C'C.~~"\I ':>~~I;)'(..'?s~~ClType: ~\\\S '?;,?-\1.~~1;) '\)'?- ~nspoutslDrains: . ~\\\~~'(..~\~ '?~~ c,\) ~ \'O~ ~~ TYPE OF USE: PROJECT DESCRIPTION: instal heat pump and air handler Owner: V AUGHT NOLAN C & MARCY D Address: 1840 MENLO LOOP SPRINGFIELD OR 97477 I CONTRACTvn.u,,'ORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUlLDINGlNFORMATION I ,l.0"':;;'~'\ # of Buildings: #<8$ st~s:,Q~ Primary Occupancy Group: R-3 ^..iiejo~ or(Strq~ture 0'^"''II v (). '\ Secondary Occupancy Group: ~ ~ 6'YPe~b'f I!JBt~0c;, Primary Construction Type VN ~,,'lf >/S'0 ~lleftTtl!,ei.,): O<::-~ ~ Secondary Construction Type: 0~0 0'0':" !O0 ~Ran\:e i!'Ype:~~ ~O # of Bedrooms: ".,O~ n,0 ..<,<::-0 ,<Jt~~rg?Pat)r,~,(J O~ . ,,0'< ., ;S-' n,<J ~0 _,0 :\~ ~v,0\' ,I\) (JO'< .~ _,,...~. ~ _Got <v- i' _ -" -,,0 .",,"' ",Dr ('~.l~'~"V~I\)"rDE'V.EbO~MENi:iNFORMATION I SETBACKS .....~~.,(J~ ~~'/; ~'iJ:' 0"'O~0~....I\)~ ~ ~ ,) 0v 0 ~.v ~O O~ -1.0 'S' ~'S' ~,9verlay Dist: '-$' r:,~I\). ~f:'~ ~.....O ~0 # Street Trees Rqd: \J (J'l> ~'O0 v0 Paved Drive Rqd: ,,\5 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Sethacks: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa!!e I of2 New Residential Expiration Date 12/23/2003 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garag<lCarport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Value Date Calculated . . CITY OF SPRI1~uJ:il~LD Building/Combination Permit PERMIT NO: COM2003-00690 ISSUED: 08/0112003 APPLIED: 08/0112003 EXPIRES: 02/0112004' VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Fees Pairl I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 8/1/03 8/1/03 8/1/03 8/1/03 8/1/03 8/1/03 Receipt Number 2200200000000001334 2200200000000001334 2200200000000001334 2200200000000001334 2200200000000001334 2200200000000001334 Total Amount Paid $62.65 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. I Reouirerl J nsnections I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical 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 coostruction. .1eU 1At~ Owner or Contractors Signature 1 m /03' Dati I Paee 2 of2