HomeMy WebLinkAboutPermit Electrical 2009-6-3
01/29/08
TUE II:J9 FAX 541726J689
CITY OF SPRII'GfIELD ~OOI
"""'_"2L" ~ ZON \ ~ In J
~~~1,~~ l1'<1TIi\l,S t;1........
.... ~.', nATE ~. '~I~
~ SOuRCE V ._
22S Fu"'m STRl.ET . SPRL'fGFlELD,OR97.&77 . PK:{!4J)126-37S3 . FAX: (S4J)':'Ui.J689
ELECTRICAL PEJPWT AP:tl[A110N
Cit)' lob Numb.r . ~ u......"1 /
Date
___.".,_......,,..,,,,."'._'-_.=___...~~___~_...~_~._...:!!l~.__~ ....
L q,','c ",- 'n"" .' 'o.~'iNs...K;;;;"'A"';w>;i.;:li;~r"!:I<f.li.1
r:,~....~~. .,..,....."!~"~~...,'\,,:,,,.,""'..
"\4::6.;1t;5...~"~&.,,,_._","c~,
LE\ll o~~~'l.. fE/l1:::c>
f\ of New fiP
JO.& DESCRlP110N;
Pennib are non-t n {treble and CJ.pire if work is
aot started witbiD 1 days of ls$Ulace or if...o", ill
Suspended ror 180 days.
~ii~::;iTI"'Wii"'1.''':'':'II;:\~:!'';;:;l::~:~at.~'!'il.'~,1i~'::;\t~:'::{TI~:"!":'i ;f~I.t;;;'~:~~::::r~,.!,,-.,.:~jg'_:-;.ri="'.:i
I, ' ." <:-.,o.a.;lNSJ!) . .! 'l!I..ON;" . 'Yi"';
1.. ';:.5~'"",~,c =\1 'i;E.:'U"',r""""~.i""'''''''., "~'.""'~<I.:iIi"'\1..:"""''''~~~~~~~!'''''':1
""',.____,.~..' ~~ ..__........~~'Z.~....._...... c..~..n;.,1,;;,...."=........'
/ilec1rical Co"",,<:1or 1.( AII./S 1: I tda.;t.-- {t;>o
p"i/lt A
City JAil Cttt..K
,o\dd=.
.. 7Z,(, 0 7B'i~
~~'I-~z.'1tf
Phone
Supervisor License Number
;. ';S'7 - :>
bpir.tioo Dale -1QjJ..{1 0
COilSD'. Contr. Number
10 'Z, 31("
Expirntion note Jolt <//11
3 ~.mi.!i~'S;~~~':;;~T'1ifEBBLO"~s~~~;~~.~\~'i1:1K~;]~~rl-78
. ."",,,,,ttt!:iE5'~~"'"O'C!,,,,,,,,,,",.~",,,,,,,,,,,,,'=,",'i11k.,,,&',"~"",,,ifjj;<~d
'fri::l"'-';'!iJi'I''';l,-r::,t:::~"':l~~'!~~~~l-::~..~~.''llf~~J~li.~~'';J':' . '. ;\ii',,\~.,~l'''''l~~~~''/..". rm:fIJ.:,.<,:;':l;;l-:-:,;;l.""l;41~..~~.'. ,:o~.
A. ,:'~~~,. ,.ltlal!!<'S~e'iil:'..."It>-Fiut:""; "",'dwcl!iiiL.liliit.!II""
.;.j>.. ",,,_"'._ _,'- .,_...,..".,.,,~,~,~.,~__ ,........r;.~......,_,___-J,_,...~.r,,~.~~..,.,..,- ...",.g_"'.',r",,1):!,
1:0..............._,,""'"' ...._...'h""'_.,..~~ n.!IW___._. ..... .-~'-"'-' ." ,....-....--..,........
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereor
Each Manufact'd Howe OJ
ModuJ... Dwelling s..'lVice or
Feeder .
$117.00
$21.00
555.00
,...~......-.:i....,.........~l:ti...~'1"'~.O'''' ~'..:I'"...~".., ,..il'~'"".-.iIl!---' . .:;1:lir.'i(';...,.-~".-~a..........,. ....N'''' 'I "".
D g;-,::' ::!~"lf;r\~.((::::,,:I\'I\::L.-~:iJi.'..;1:,:;'.f:~;(!.,:,:;f:'~.t;;t'lt4\;:;J_1!" :..-:iit,"i:;'\.:IJ""ri~it:..~,,: '1:,\~l~i'ifQ::.jltf:o"l: :;:s:;''')J,i.!!.,,::t~i5.iil.
Po i.~!, ;':p:l':.',t~,.~':T,..lIl1'lIi~U.:mliO:"" : en OJ'lil~f)r.',n.1: cal;l n:~,. /\,~:
,: .~;'..:.:,; !.~":_"_::,,'r,I.t:;~',';I.,,,,,.,..,I:';-':':'''.''''''-.:'''''''':,..,';....\~.,.:)"~'",........~,!l.,."',.;",:...',I'",,,,i,.,,"";''"~'"'~''''I;~,....-"...'t~l'''
. ~~.. ~_'_.""""_".'" _~. ""'~..~. .."_.~_._ w"m~'''.'_ ._.."'~. u,-<.""'''.''._''''' ."~ "...~--
200 ADlp< or les.
20 I Amps to 400 Amp.
40 I Amp< to 600 Amp.
601 Amp< to 1000 Amp.
Over 1000 Amp,;volts
Rcconnecl OoIy
5 70.00
S 83.00
. 5138,00
$180.00
$413.00
$ 55.00
c. fr~~~~~~~,~1%f~ft%J~tX1i~1~fJr~~E~~l{~1~
lustallation, Alteration or Relocation
200 Amps or 1c5~
201 Amps 10 400 Amps
40 I Amp. to 600 Amps
$ 55.00
S 76.00
SIIO.OO
<?ver. 6~A,:,R.' O~ 1000 v..,!lts ,,!e '~:~~!"'~.~. '. .... __ .., .__
'~"!'l\i" '.l,.,.,:t"'''FI",';;1jfu.;,;!r.'10'II:1'"""",''''C>i1i!i''''''''!;>I!\''''''"'.,j:'r~'c."""
Si mre ofSu ervisin ElcctriciaJl O. ,..~~~trd' " .~,~ ,,'0. !..::~~l;~:r.:-:~,I,~;~~j;;,li::!,.~.:~r.i::!3:;~ltr':(~:I;",~~;i~;~1~';f;"!c~;)'~M:~:'l:i~}f1f.E;;~:jii
gna p g tL .MiOi.\.~.. ....,~.J~~......~,~\lI."L,,,....,,..-..'..,._,._:I'.ll.,,.'....fJ.~..'."l'.'. .lil-,~....,. ",.,,,.'''L."".~ ~'-"~".t.'. _.,...1
..J', L:/-.. -.. -fJ-~' ,.u_ '. -.. _N....~.Altc!'.!'tioDorExt.D.jODr.rplU1ei ffioO
, .?\~"1 "" .. - ,.,.., L .--
~(_.. ....;:-=-...:.__ _ _ _.::~~,Ch~uit _ S~uO ~_ ~.
?" ~-,. ..- '_h~ c' 0 .~h Addition.1 Circuit or with I 1 00
'-,-.J ~I\ ~ .Se",ceor FeederPrnoit _--I- $~ n.
Own=Name . vn.' .
'." . ___' ...,...,., _. . 7_._.~___" ,-~.. ~~ .,. . -.'" v .-'" - .
~ "';-". /" ..... ?;;l.i-:;'J'''-_'1W~~'::j!~~j!-~C\ . ih';f,::1~'I_.;\'~"~;".i!'c'~~:"":"'~I"'7"";('~':'.;z'.'~,,,,,"~',"G'.,;..,..".:'c'='li'P":~
" < '. . . -1 . E. $' ,"--l.'ua'"'.'dii. . ..../fUtli'bi61:iTiCliifl :o.EBi'lijJilSl,jru.tlO.ii.1'
Ad,:!;."" .11 ~ I,'" :::s sr E~~~""J~""""~"j",..j",,,,:,,,,,,~J'12""~:"""j."-"~""""'-"''':'j
City ~~Jf.I.... Phone
OWNERIN~ fALLUION
The installation is beieg made on property I OWD which
is not imcuded for sale. lc~se or rent.
Oweers Signature:
l...ptction Request: 726-376? ~
NOTICE: .rL ~ \
THIS PERMIT SHAh~ IF "lrPAro~K
AUTHORIZED UND~ THIS P~lilS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pump or ini~ion $ 55.00
SignlOutliae Lighting S 55.00
Limited E"'rg)'/~sid.ntial S 28.00
Limited En.rsY/Col111llercial S 50.00
Minimum Electric Permit InspectioD Fee is $50.00 + Surchal'Ets
4. ~8L:~::-:~Xi;i1..:IH~.~..~~VE.'c:,""H~bt.'.?~~~:fn}$Y1;'.].r.;1j:ti~ I \ - I
t::..~~;(,2~)",..d.';;:,;;n:rr:;;"'ll:!;:,:,::,::.:~~,,--~, ".,:.;;:.:Jill.j,!1;lli!;:H,,!;~,ki;fd'h..:t!!~:,:,, n _ (.,I.J
J 2% Stale Surch:ugc - I"I~ 'i'/l.
100/. Administrative fee ---
5% TechoolollY Fee .... [)o.:::.
T~NTION: Oregon law requires you t;\\. ~1
follo\i\SB:tllmli1!!ffiJlll14J<inIil~o~~IlII"l!ilHi1lIp".' ,.ul.doc
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952~00
0090. You may obtain copies of the rul
calling the center. (Note: the tel~{1Plt
number for the Oregon Utility Nl1ti~Mron
cent~~~~).
_&~AIN~Il'I~';,,:,,,
(
j\
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00772
ISSUED: 06/03/2009
APPLIED: 06/02/2009
EXPIRES: 12/03/2009
VALUE:
225 FIUh Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 143 W J ST
ASSESSOR'S PARCEL NO.: 1703352208200
Springfield TYPE OF WORK: Heating ~ystem
TYPE OF USE: Addition
PROJECT DESCRIPTION: Two Circuits to Reconuect Electric Furnace aud New Heatpump
Residential
Owner: MEYERS MARLA / MICHELLE
Address: PO BOX 395
YACHATS OR 97498
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LYNNS ELECTRIC
License
102316
BUILDING INFORMATION I
Expiration Date
10/14/20 II
Phone
541,726- 7895
# 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees, Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type.: .
DownspoutslDrains:
Notes:
I Valuation DescriDtion I
Description
Type of Constructiun
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e I of 2
_6. .F!~INJlil ~1f!U.'. ..I?jij..... .............
~t'=:t" '
iE,.t.. .,
? " , ,_ .sm- .~
. ".....,
,. , ," ,
,*;,1 }
?'. ''''_,.'_ 'w '" . . _._., ,'-..'.
Status
Issued
225 Fifth.Street, Springfield, OR
541-726-3753 Phone
541,726-3676 Fax
541,726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ '
Add, Alter, Extend Circ Ea Add
Amount Paid
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$71.37
Total Value of Project
Fees Paid I
Date Paid
6/3/09
6/3/09
6/3/09
6/3/09
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00772
ISSUED: 06/03/2009
APPLIED: 06/02/2009
EXPIRES: 12/03/2009
VALUE:
. Receipt Number
2200900000000000600
2200900000000000600
2200900000000000600.
2200900000000000600
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.
RecJuired Insnections I
Rough Electric: Prior to Cover
Final Electric: Whcn all eleclrical work is complete.
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 Springlield 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 reqnired inspections are requested at the proper time, that each addre;s is rcadable 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 ContraciorsSignature
Paee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
i;!.:O"iiJ.' '..
..7IJ ...'
City of Springfieid Official Receipt
Development Serviees Department
Public Works Department
Job/Journal Number
COM2009-00772
COM2009,00772
COM2009-00772
COM2009,00772
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000000600
Date: 06/03/2009
Descril)tion
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
LYNN MOORE
Item Total:
'Check Number Authorization
Received By Batch Number Number How Received
IIh
65870p Phone
Payment Total:
,
Page 1 of]
9:25:37 AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
6/3/2009