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Home My WebLink AboutPermit Electrical 2003-8-13 v, 225;jlFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 I. LOCATION OF INSTALLATION 328 Mansfield LEGAL DESCRIPTION I7D3Z""l,s'-f . 00200 JOB DESCRIPTION Electric to Electric, Outdoor Plug & 2-2.5 Ton Heat Pump Pennits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Electrical Contractor JB ELECTRIC. INC. 2. CONTRACTOR INSTALLATION ONLY Address 4685 Isabelle SI. Supervisor License Number 3872S City Fuaene. OR 97402 Phone 541.687.5770 Expiration Date 10/1/04 Constr Conlr. Number 37587C Expiration Date 10/1/03 Si1[1?;:c~ OwneJ Name: George Davis CC8 10492!l 3/14/04 -- Address 328 Mansfield City Sorinafield. OR Phone 747~214 OWNER INSTALLATION The installation is being made on t'....t'....n/ [own which is not intended for sale, lease or rent. Owners Signature: JB Jab # 03-575 ELECTRICAL PERMIT ~ City Job Num~003-0066~~S Mechanical Permit #) b 'tted has the following 3. COMPLETE FEE SCHEDUltE Bllli0W project as su .r;;; specific iand use zoning, and does not reqUl A. New Residential-Single or approval.. LD~ Multi-Family per dwelling unl!?",ng ~ J \ "3-0 =3 SetVlce Included: Date ---' _ \ llerrui. Cost Sum ~ tl,ulnOnZeo Signature $106.00 $ 1000 sq. fl.. or less Each additional 500 sq. fl or portion thereof Each Manufd Horne or Modular Dwelling Service or Feeder $19.00 $ ~ $50.00 $ B. Services or Feeders Instal1ation, Alterations or Relocation: 200 amps or less $63.00 $ 201 amps to 400 amps $75.00 $ 401 amps to 600 amps $125.00 $ 601 amps to 1000 amps $163.00 $ Over 1000 amps/volts $375.00 $ RI.._._.... Only $50.00 $ C. Temporary Services or F~ t. \f 11-1'C. \NO\\~ ~01\C~" \-!IIi Sl-lr-.\..\.. t.y.;I-I~ ?'C.\\\-!I11 \s:o iI-l11~J-~~~~~ ~\)r-.~OO~t.O rO $50.00 $ r-.\ji2bl)~~I!\I.-art1Jls $6900 $ Cmj~~9J,:,t9,~op_O. $100.00 $ r-.\~Ps or 1000 volts see $ D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $43.00 $ 43.00 Each Additional Circuit or with Service or Feeder Permit 2 $3.00 $ 6.00 E. Miscellaneous (Service/feeder not included) -Each installation \0 Pump or inrigation - ,,(eS 'lo~m $ Sign/Outline Ligh~~'l< 1~~n"Ofl \.. \>I' $ L~tecj.~5~ 00 b'l \l\1Il \~:, ;',e S~ p.. $ p..i'ysIt.lI'Ene[l!l'~\"os'" II) _. <\ 9'J4 . b'. $ .1..'1'8':' 1\.lleSr.-p.n\el. ,,'hIO\.l9"v; the 1\.lleS . 5 Sun- ~OFAIlOveo"""" iecs-i5oc"S _""fie 7'!Qsl~f~~~o~- ob\a.ifl COie' ;:"e \"'$':\\~n\\OI\ 1O\1>.~~ve'Fel: \ed~o ~\lli\'l ti$"" - 0090. \"e cefl ~Ofl '2.'3<\4}. TOT ALca.llifl9 '01 \"e Ole 800-'3'3'2.- $ l\\.ltl'bel cefl\el is '\- 49.00 3.43 4.90 57.33 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY VI' ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00666 ISSUED: 07/25/2003 APPLIED: 07/25/2003 EXPIRES: 02/1112004 VALUE: SITE ADDRESS: 328 MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233400200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install HIP & AIH Owner: DAVIS GEORGE H & VIOLA M Address: 328 MANSFIELD SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor JB ELECTRIC MARSHALLS INC Phone 541-687-5770 541-747-7445 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 104929 .n\} '\f57.90 L--.- '\. "'';:''-1. I BUILDING INRGRMA 'IlION.,. ,., ~",.- 0\"'" 0S~- ~<,) ~orStOQ@: ~eS ~\ 9,,:>1.; eS \ R-3 O~P\~!lgh'~~IiSt-;~~t!lP't e \\}'< ~e _...._N'\~ ~oO'!)'pe'<l!~~a:q; S 0\ \~~0~Y;l0 'i..\0~ ""VN ,\}\eS r.0\,<'Watei:lTy.De:l\0 ,.,..0 \e ..~\c'li- r ,;l' v, !'IV' . - V~. . ", _\0' \0\\0. ~o~ .()() R~J~If~r..e,:.\0' '/i'\'! \'~\,. O\\'\C~ 9,,:>1.; ~ner~(Pat~;\ \)\\ ~'2."!, ~f\ O~~ -{O\} ~0 c~: O\0~()()."!,'?i ()\J" r:~;D.EMElio.PMiNT INFORMATION I (\\)'" U"" Expiration Date 03/14/2004 12123/2003 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 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Total: Handicapped: Compact: \)~'t- \\\x.. ~ ~\)\ ~\o.x.. '''_.~\\ ,S n I PUBLIC IMP~OVEMEJ*'F~'r~~'S \>~~~x..\) \:v' ..\~\\....::~~" v'\l~\)\:.~ ~:OSt~~walk Type: \" S \>'- J.,x..\) ~ ,'<> \\\\ \\\)~' R,x..\) C) ~,\)\)DownspoutslDrains: \'.'\l\~~x..~ \)~ \>X:; "C) ~ \'O\) \'.~ % of Lot Coverage: Paee I 00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp< PIilIJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.90 $3.43 $43.00 $6.00 7/25/03 7/25/03 7/25/03 7/25/03 7/25/03 7/25/03 8/11/03 8/11/03 8/11/03 8/11/03 Total Amount Paid $119.98 I Plan Reviews I . \..-11 f OF ~rK11'lhl'1J!,LU Building/Combination Permit PERMIT NO: COM2003-00666 ISSUED: 07/25/2003 APPLIED: 07/25/2003 EXPIRES: 02/11/2004 VALUE: Value Date Calculated Receipt Number 2200200000000001304 2200200000000001304 2200200000000001304 2200200000000001304 2200200000000001304 2200200000000001304 1200200000000001935 1200200000000001935 1200200000000001935 1200200000000001935 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. ~lirlPlrllnsnections I I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Pa!!e 2 of3 -iiir~ . . CITY OF ~r1Ul~GFIELD Building/Combination Permit PERMIT NO: COM2003-00666 ISSUED: 07/25/2003 APPLIED: 0712512003 EXPIRES: 02/11/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Date Palle 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00666 COM2003-00666 COM2003-00666 COM2003-00666 Payments: Type nf Payment Check Ii!~~'''~'':''-,''''",','''''' 'I, '. ' jB"' <> i . , "_.' co" '~'",,,.~" '., Receipt #: 1200200000000001935 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JB ELECTRIC INC . Received By djb l.:heck Number Batch Number Authorization Number City of Springfield Official Receipt. Development Services Department. Public Works Department, Date: 08/11/2003 2:01:53PM Amount Paid Item Total: 43.00 6.00 3.43 4.90 $57.33 How Received In Person Payment Total: Amount Paid $57.33 $57.33 . .