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Home My WebLink AboutPermit Electrical 2006-9-15 LD'2- SPR1NC;::'~---IX:;;;, 1 /, r.__q.:7,I~:to<;" ~-;.::'7?~~k~~~ _J?~ \M.\ &::~~1~TJ~1 ~~~-""I-' - ~ ~rk. . , :..... ~,. - ~ ~ ., ~ -~~- "', "'.-~.':O'...-..~-~- -<4.-;:; .-...~ - "'''_'''-._ 3. ':.COll'IPLETE FEE SCHEDULEBELOW:~";".'-;";:'c"..'<i"'.'V~ .~ ~.:...:....._,. ..:,;::._...... h~;J.-,':"".;I;,~~:;.~...:;~.~'::':"-...LOc..2.,~~::.L;,~j:f;~ -'-..;, ":;:y.f.'~ '. i.. '.. .,' Yr;i/i;v:O"~{ ',n~G''':mpin onTIG"'O" 'N' ".-, -', - ,,'. ' . 'i.,~'tttf~',.;~~~~r_):',~~~~.l~I\::..",.F:::~ >.tr:~~' "-=-:.~':_ .~.. ,.,>,j~ki' j ~""_-'. . . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA,X: (541)726-3689 'ELECTRICAL PER11'IIT APPLICATION City Job Number CO"", 'tJ:)O~ ' 0 lI'rJ Date ..', ..~ --:...,.,....,..~-:"'.~-'..,.,",..-.,..,....--.j"".<M.""~,~~~_,<'i:-,-:.: 1. . LOCATIONOE1NSTALEATIOM".'\'~'?-;!"'-'i _:,...;.'~~~.:",~-~" ......'. ,:",~"'->-' .:.......:...... -'~ ....- .<;..:i.,.......-....._....,,""-~ bcl..{ IMM.JHf::l..J1 LEGAL DESCRIPTION 170] 'Z--33l.f I Q ~ 00 JOB DESCRIPTION AcLJ :r C. (r~",,-i" t-r Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2. ..~~~g~gg&~~~QNi~j Electrical Contractor ~,d\n\ds c.lpr-tn(., I (n ~~ "'C\ Ave Address ri lIS City eCi09f"\I" .J Phone .~ :"'y,:;)C\ l Supervisor License Number ~S:;l() c. -..) Expiration Date 10.\.01 Constr.Contr.Numb~ ;:::}Q. \ ~c:,G Expiration Date 1- \-C,G-> Signature of Supervising Electrician ~~ ~.....-~ Ii Name ~='-KiW;l\ dov61 Address II CZ'2. S- :n- ~ L ~ ~ ( City J/~ "', J. '-j Phone ."",,!-- . cA ,\'0S 'l'-~<.J' OWNER INSTALLATION'j-.\'\'<\S t\\*\, ~~\\ Th. il. . b . .. \ ~.c <;> I .<{\ h. h e msta anon 15 emg maae,an property .own.w Ie .. ";' l..:..'n" 0 \" '!<..\~'\v'- is not intendedJor'sale~lease0'>rent.~\>.\~v \~'J \' "SW'\:.<.J '0t;" \S l' Owners si!lliirure",\\\t ("~\) <.J\\ \\\'0\). \>.'0\" ~S~\J ~ ,,'2 ,-Cl~ ,oS\ \) \>.~'\ ' Inspecrion Request: ;26-3i69 ,r&\~ Wr f6rtJ ~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder '~'"C--.-;-"''''':~'--'''''~!~='':,'~:7'_~:i~':~~~..c;;: ::0Il~\""~~''''':;" A.'.r:- ow Resideiitiae.-;~i;'gl(~i'~filli!- f~'.niiY'ijer:dwellliig'u ...,......,--.-............... . ~_.I...;;.;..I,..;.~......:.....:.:.Jl..'........~""'-.....",._~,u..,.'.~..........,............:...;.,.....!.;...:...;: $106.00 $ 19.00 $50.00 B. :?~;Vi~~~~~F~~~~f~tillrifiifn~:A:it;;:;ti~;;.i.;~~i~tfri~~~t4 ;~::~:..!.:o.,'i;.....,,;_::~~;.:.,.,..~ ~:."'1I1!,.,;..,""."..J:;;;~::.:;;,;.,L..:;,:~~,",,:;~.:;:.:.;;;....~'F..'"",....,~,..'h.:.:;:4 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. _JTe:.~~po:~.x:S'e#v.i~~lo~~~fdf'n~~r;:~~];1?1~~~~i:~'t?k~~~~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. .'~,...,..,~''''-.::,. ......'~,; ~"'":"'~~:i:.7:i'';f~.'!~~,~:!of'~1t"~5~~''7..;;;::--:"~-',.':";'''"':.~~~-:::~.:-:r:':~~1'~::-:~~. .... D':' Brancfu€ircuitS., """"l.~~::\~-o:..'{,;s.:I'-4(.t~I,.~",.:t;;,':;-" :;: .~. .,~: /;l:""-!':~.I.'~r"::i..,..(.ti;'-'~ . .,~_. ., ....."-:.:..;..*,'--~\.;i..~,~,;,,{J,;;t..:\.;,.:!;,~:--:,;i"t:;..::;.:.z~~~-ilQ~t';~..ri~~'t.,,:-.... $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit I Z $ 43.00 4"J b $ 3.00 '.,',' ":-'" .,.~~,";' -',"'_r~':" ~'.":"!f':",~~';'~'!'~~::.''''''~n~;;;.'!'.~:-:,.~-:.' . .~~~.';'.;~ ',',"_:;:~~;':,i"-f ~':'":F~~~l<; E, MiscelIaneoos. (Seivicelfeeder. oot;inclilded):-Eacmlilstalliotion,\ ..;';':. ,. ..;:;.......,.. . .......~..., '-"-".,~~,::':":.~_;,., ..~_......., . _' :....i",;~~;-~_"..~. ..",~~';'.L.. Pump or irrigati~~-TENTION' 0 ~ 5?00 Sign/Outline Lighting . r"yufI law $t50W09S you to . ~"u,. rules adof.,."u uy mo "r~ Ul'/. Limited EnergylResidentialC .~. $ 25.061on Illy ...........~..Ull ente.. I I IV';)\;; n lips ~re Limited EnergY/.061r!11}'<r9aJ01_0C< A ,,__ _ S 45.00 sellorth , . - .... _Jyn uAR b",,-uu,- Minimum ElectricrPk7-~.it' Ios,pect}on IRee lislS~~..O_OJt.~ ~.r,'(.hfl~~J5 b 4. :siflITOT~g~~tJbtUl!rer:JAft5ij'j:thelelePho"!t' ._., ir._..~...__.~__.~~.::.::,,:.-;~f~!.c.~~);~.{2,rst.f1.nnJJWili.~ t-.r",tif;ro"t-;,... . Q. S S' Center is 1-800-332-2344) :r pz ere tate urcnarge . iO% Admin~'s rive Fee l('0 S ~ Z "J~ o T~ ,..~t!r /OZ7 TOTAL n _ Shared Drivet.T:)lBuilding FomtSlElecoicai Permit Appiication i .i)3.doc . .ITY OF 1:lrKll'\il>l'lJ!,LD . Building/Combination Permit PERMIT NO: COM2006-01193 ISSUED: 09/14/2006 APPLIED: 09/14/2006 EXPIRES: 03/14/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 604 MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233410900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: NOVER EDWARD P TE Address: 11825 PRESTON TRAIL NORTHRIDGE CA 91326 Contractor Type Electrical I CONTRACTOR INFORMATION I t . es'10\! 0 __, 1f\'11 requ\r _ _,\ II\I;N Contractor 'nON'. OreUSJc~,n,~e or(E2xP~~~th~UIDate REYNOLDS ELECTRIC p-'rn::~..,,,,,, adoptn~5~_~ ,,,leS are 02i.0~!.2Q97 BUlLD'iN'G;iNEORM~T'ION"lrOUgn Ol\:'e";~;ies b'1 9h.t. UV' . pies 01 t.. ',~ OP-R ~ - btain cO 'eohOne # of Stories:.)\! may 0 "'ote: the t~J:ot.Size,->n (';1 )'.jV. . nter \\'1. \ l::'ll\'II...r;.... Height ofStruduree . gon Utility 'Sq Ft 1st Floor: C?'I\\I'":::,' Ore r.'\. Type of Heat:r lor tne 000_"32-23 Sq'Ft 2nd Floor: p' $l\u..... . '~o v Water Type: center IS Sq Ft Basement: Range'Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-343-7297 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: d'C. 1J'l0Rv.. ~c 1<:: 'D "0' _ DownspoutslDrains:\S I~ ~Q\\C\~~W.I' S\\~\.~Rt.~\\IS ?~~~ to?- ',\\IS 1'\'l'C.IJ \.\~IJ 'S ~I'>~~IJ \.\,\IGD IJ OR 1 !'\ . .,~~~Ct: . ~c.P.\G$' I -' ..:;\ '1\)1-\1 ' . .,,\. 'tj ValuatJon DescrmtJon Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 -Lt-;;;-~. . ~.: . .CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01l93 ISSUED: 09/14/2006 APPLIED: 09/14/2006 EXPIRES: 03/14/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I $4.90 $2.45 $3,92 $43.00 $6.00 9/14/06 9/14/06 9/14/06 9/14/06 9/14/06 Receipt Number 2200600000000001293 2200600000000001293 2200600000000001293 2200600000000001293 2200600000000001293 Fee Description , + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Total Amount Paid $60.27 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, L.ReolJired Insnections 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 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 Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . .r~~' , ~ Caof Springfield Official Receipt .Iopment Services Department Public Works Department ..' Job/Journal Number COM2006-0 1193 COM2006-0 1193 COM2006-0 1193 COM2006-0 1193 COM2006-Q 1193 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: Date: 09/14/2006 2200600000000001293 Description Add. Alter, Extend Circ Add. Alter, Extend Circ Eo Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 011784 In Person Payment Total: Page I of 1 2:50: 13PM Amount Due 43.00 6.00 2.45 3.92 4.90 $60,27 Amount Paid $60.27 $60.27 9/14/2006