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Home My WebLink AboutPermit Electrical 2006-12-8 1. LOCATION OF INSTALLATION: J,~.,clK 1Yial i\ I ~. LEGAL DESCRIPTION: /7025C{C{L{ 3. 17/1 ......'.LD ZON LJY2- ~~ INITIALS N l'"^;-j . . ~ ' DA TE ~ \OX. lLB? 1l!iV'~ SOURCE\~,.J~ Date f;J (~./ O~ COMPLETE FEE SCHEDVLE BELOW ~ A. New Residential- Single or Multi-Family per dwel:J,it. . .. < CITY OF 'SPRlNGHELD, OREGON 225 FII'TII STREET. SPRINGFIELD. OR 97477 . PH,(54I)726-3753 . FAX' (541)726-3689 ELECTRICAL PERMIT APPLICATION (:'Drr1~N-, _ H'lf).7'l City Job Number OllOO . 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 $106.00 j(J::RIP:;/WJ "5 c./UA,fr Permits a~-tranSferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $ 19.00 $50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders - Installation, Alterations or Relocation: City 200 Amps or less /t. 'i/ / 1::/~20 1 Amps 10400 Amps _ /,\,;;~/~ow rulptA'fnwr~6JO Amps .-1f..V in Q 'i1iCatiol~~~18a~tR\UJQg Ph~n It:. '/ an~ 'I1A 9S<S(fj{t'ltJrw ~P.'JN/j~oqUlres yo.. . ~ - . You nril(;~nf1618 ySe rut. regon uif.. 'v p) CCllling t.. cly oo.~, TOun... as are .,,^ lilY V nUTnb "8c_. ""~~!'O.ll'" ""'No Supervisor License Number 8rfOfth ""'l!P."ft\lo.:-::,3c8lP1'~ rtf. / Cent. ~ Or.~o Ote: thlJ ~ ~he rUle... .01 Expiration Date &fnilatla n'? Mter,lltoo\\'ior,ReI!!.catilll1 . ... -""Y~ .~"TJf1e'i>"" 200 Amps o~1a<34Aoti11Catio 201 Ampst0400Am~)' II 401 Amps to 600 Amps AI'!:~'I.'f' Over 600 Amps or 1000 Volts see "B" above. THIS PI:.' D. Branch Circuits I1UrHOR/~MI7 Sftlew .-:Iteration or Exteusion Per Panel COMAArl ED UfVL9U ~il;>.c . $ 43.00 fiNy 18 "'''EO OD Ea6hi4ddltionaYc;r~~il or with ..-;:J' C, r^ 0 ~ 04l.1y '1/Se"'ic/e'b~F'eederYerml~OR ~ $ 3.00 I Owners Name ..fl.jI n p. a )/\1[' PERla ')Jl1A./VOo ''''!TIT /s I( . Address ~Qf!.. nJalf\., ~ E. !J Miscellan'1'f.a ~}t~JIl-leder not inclnded) -Each Installation City ~: v\~dl,{,rhone Y~..fl.P-k:}.. Pump or irrigation $ 50.00 () . Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited Energy/Residential $ 25.00 The installation is being made on p' up...j 1 own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. . ~nimum Elect~ic Permit Inspection Fee i~O + Surcharges r"'--- ownerssignatur2 f)$ i5S 4.. :~:t:~::h~;.ABOVE --------: .72- V 10% Administrative Fee .<;0 5% Technology Fee . I.l I -1J 07 Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06.doc /rtl;,"" r e"'fi)k~ ~;-+~ . _.--::::: . _ _ _ n $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Electrical Contractor Address Constr. Contr. Number $ 50.00 $ 69.00 $100.00 Expiration Date Signature of Supervising Electrician Inspection Request: 726-3769 TOTAL . . CITY OF ~rJ:Ur\ju.Hj<,LD Building/Combination Permit PERMIT NO: COM2006-00278 ISSUED: 03/08/2006 APPLIED: 03/08/2006 EXPIRES: 02/22/2007 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6585 MAIN ST ASSESSOR'S PARCEL NO.: 1702344401100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install gas furnace and heat pump, gas fireplace and 3 circuits Residential Owner: DALE BRYANT Address: 6585 MAIN ST SPRINGFIELD OR 97478 Phone Number: 541-736-8362 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OWNER PACIFIC AIR COMFORT INC License Expiration Date Phone 39237 03/25/2010 541-672-9510 VN I BUlLDlNG1NF@RMATION'" , III 1 lV.~if.'uVV rilt. UIV:Ur. lIilj tf{f.i~~.bn ~ "lao egOr! Iq Lot Size: ~~ fijf!f<Jf;,.uct~t:terJ 6)1 t: re'lu/Sq Ft 1st Floor: TJA'.PO~Heat:Ool_0; 7"h08 a Ora !'fti';~d Floor: rWliWrr~~e':'1ayob lOti) arilleS ~lJijfJ.~meut: R{liilt~~.~'t~ Cent. t"lln co~{Jh O;lj C!lrSQl!}1 g'~age/carport Energ)(Path:~a D ar; (lVo 'tJr8s Of Fi Sg1.t ~tl\er: Sprinkle'3IB.\I)~d..n~{Jon /~: tri/a t. the R.cc~~ilt Load: oS '_ft. lJ'I;,,~ e/Je._. '6.fill.. I DEVELOPMENT INFOIiM'A f.reij,~"',lfOtiii;;~~e"'!.i ~). lOt) REQUIRED PARKING IiIOrl. C)verlay Dist: Total: llilS {#~treet Trees Rqd: Handicapped: 4U Pf..ii~ed Drive Rqd: Compact: Co lliOR/1: o'{~tCoverage: ~Afl" CO U I/LL f.v 4Alv q1tf'r-_ I\I/)c-~ 'lP/D~ I PtJBJjic.iNrnRO,hi\1ENJ-S ','lit w. '...'110 -'1/VO "VI/l aRk '0 O"l"O ISSidewalk Type: . IVf..', F. 'VUl '01i DownspoutslDrains: 1/ of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: 1/ of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of3 . 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, ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.60 $6.00 $12.00 $4.00 $12.00 $11.00 $5.30 $2.45 $4.24 $43.00 $6.00 $4.00 $0.90 $0.45 $0.72 $9.00 3/8/06 3/8/06 3/8/06 3/8/06 3/8/06 3/8/06 3/8/06 3/8/06 8/14/06 8/14/06 8/14/06 8/14/06 8/14/06 8/14/06 12/8/06 12/8/06 12/8/06 12/8/06 Total Amount Paid $139.16 I Plan Reviews I . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00278 ISSUED: 03/08/2006 APPLIED: 03/08/2006 EXPIRES: 02/2212007 VALUE: Value Date Calculated Receipt Number 3200600000000000112 3200600000000000112 3200600000000000112 3200600000000000112 3200600000000000112 3200600000000000112 3200600000000000112 3200600000000000112 1200600000000001253 1200600000000001253 1200600000000001253 1200600000000001253 1200600000000001253 1200600000000001253 2200600000000001667 2200600000000001667 2200600000000001667 2200600000000001667 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. UeollirerUnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 00 --WIt ~"':"'~". .., - .' . . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00278 ISSUED: 03/08/2006 APPLIED: 03/08/2006 EXPIRES: 02/22/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rongh Gas: After line is installed and required testing and capped if not attached to an appliance. 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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. C ()f ~ll At' " cf /JC / Owner or Contractors Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . "'~RlNa..~ .'.'..', Ilk. ' '.., .: .... .. i <--..-' . ,,-,-- .. .~....".... - .. .. <;a of Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00278 COM2006-00278 COM2006-00278 COM2006-00278 Paymeuts: Type of Payment Check cReceintl RECEIPT #: 2200600000000001667 Date: 12/08/2006 Description Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By OAK HA YEN ADULT FOSTER HOME Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4714 In Person Payment Total: Page 1 of 1 8:11:17AM Amount Due 9.00 0.45 0.72 0.90 $11.07 Amount Paid $11.07 $\I.U7 12/8/2006