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Home My WebLink AboutPermit Electrical 2009-7-10 Electrical Permit Application. ,. '.. ~". ., . G D 'SPRINGFIELD ~ 1,~frOE~ARlfM'E~T~USE~W.'~'":. 'fJjl ~~;";:{"-:-:!"i'-:"j'-"".:.~-:-;G'_;~~:R~"i~~~ I ~~~o 1- 0 () 9$1'61 I Date: 7-/0 -0 ~ I 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753t FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1m-~~I!0:G~~G(;jV.E~NME!IlifJ1f~~~~j;l,V.e:~A".1 ~!i!t~ID;giS];8~Ql:J1!!_E' I Z. o.ning appro. va.lVerifi.ed?.. ". D. Ye. s ~. D.. N. 0 ...' m~~~~~pf~I' 1lf1L.~.'.%.-".t.'.1.~..., ~tt\;rlEG~gY~QF'u\lf!>-QNS)lj~Q.o-,i1I0::N~~ "''''''''''''~''''''''''~1i!'~<;J:~I:l.A_~ \ml ,"" ~I .. I I . I I Residential, per umt, service mcluded: I I~~~~~~~::~::~~ !f;!:::'(~'""";oo :'::::! 1~~.di~.~....~.~"2-..~~~~.'F_~~o~.(~1 I ~~~71~;'S~~~:~~re~~:r(~)odular I 1$63.00 $ I " P.~SGRIBiT;I~IlI",~F..'"'-\lVS>8-K,. C ".. _. '" i:I 0<>.\\ c':"\'c.V\ ~'\ -\0" ~J:..C\ \ Qv.#f' . . I Services or feeders: installation, alteration, relocation I Lb-\e~ G'.S<"\lo~ \(), \c;S;;a ~;;;\\~ -I 200 amps orless (2) $ 8UlO $ I 1=~t~~~~~;!0WN~R~~~~~ I :~::: :~~ ::: ;~~ ~1::::: ~ I I Address; .s.q'lT\~ Q.J, C\~ve.... . I 601 to 1,000 amps (2) $205.00 $ I I City; I State; I ZIP; lOver 1,000 amps or volts (2) $469.00 $ I I Phone9-\}-?'-II.}. 00,/'0 I Fax; I Reconnect only (2) $ 63.00 I $ I JOE-mail: I Temporary services or feeders: instal/ation, alteration, relocation .1 This installation is being made on residential or fann property . I 200 amps or less (2) $ 63.00 $ I owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $ I property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ I Signature: Over 600 amps or 1,000 volts, see services or feeders section above I ~!I.~~1itC:0Nm~c.:110B11I\JSJrrJ:l:I!l!'P.imloN~<i'i)WJ1i'*1 I Branch circuits: new, alterat,an, extensIOn per panel I I Business nam^e7~~~)\eteJt i(\rf?tk~,~c-~~.-\g \\a.-t1f\N ~Fee for branch circuits with purchase ofa service or feeder fee: I I Address;3ti)'Zlj::tJ.Sf<\a&QE>teS.RYdWJ (f(Jl;;;IJ~il~~' T'- Each branch circuit I I $ 6.00 I $ I I City('. ~i;'V-<1,~ 952~on; :~~1.1~Wt~;D ~~e;: ~Lc~I)'~ q"1;I\~ G I I b. Fee for branch circuits without purchase of a service or feeder f~. r L I PhoneR-\,W:~';/C9~:r.pairj Fa?<~il;H;qa~:~:S,;{CZ I First branch circuit (2) . \ $ 55.00 $ ') ~ I _......"J'~ lilt:: \Jt:1fHer (N t . h -j I E-mail; number fnr tho nr~~_.?,~:..t. eteJephone Each additional branch circuit I $ 6_00 $ ~I I . -\",-" ~u"'Y "U'lIlcallon I I CCB license nO.1~2':~ILJ.j; 1-U-!3_CQ~!icel\~e~~-0."--'i~!f_ Miscellaneons fees: service or feeder not included . I Signing supervisor's license no.: ..<:;'36 J S I Each pump or irrigation circle (2) $ 63.00 $ I I Print name of signing supervisor; f'>.cit--t-6\cY€.r- I Each sign or outline lighting (2) $ 63_00 $ I .1 Signature of signing supervisor:"", r~_""'/ ~ .----? I Signal. circuit or a limited-energy panel. I $ 63 00 I $ I ' ,; ~~ ~ /' alteration, or extensIOn (2)' . ,/ ] \ n f) I Each additional inspection: (I) . I.J $58.00 I $ ~t\O ~~~~\\Q 1~~~~:::~:tfNjf~Q~S~~~~'f&(-1 ,V (Minimnm Permit Fee $58.00) $ b $ 73'1- $ ~O.r $ 713{_ .~ ~\jJ~ ~ NOTICE: THIS PERMIT SHALL EXPIRE IF THE won ((B) Enter 12% surcharge (.12 x [A]) AUTHQRIZED UNDER THIS PERMIT IS NO -(C) Technoiogy Fee (5% of[A]) COMMENCED OR IS ABANDONED FOR I TOTAL fees and surcharges (A through C): ANY 180 DAY PERIOD. 440-2584-J (9/08/COM) . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00946 ISSUED: 06/29/2009 APPLIED: 06/26/2009 EXPIRES: 0'1/10/2010 VALUE: SITE ADDRESS: 2440 J ST ASSESSOR'S PARCEL NO.: 1703254306104 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installation of ductless minisplit heating system in residence. Residential Owner: PETERS ELLEN J Address: 2440 J ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor License COMPLETE ELECTRICAL INSTALLATION 184274 INNOVATIVE AIR INC 161742 ,BUILDING INFORMATION I Contractor Type Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: R-3 Height of Structure Type of Heat: VB Water Type: ATTENTION.RangeoT~ll!e: . f ' ......,C;~ fl el"V re . Oll.ow rules a~!J~!'~~ ~,at9An ~~~es you 10 .NotlflcatlOn CeSPJiinkledYBuilding;90n Utilit)ll/a In OAf::( Qt::') ""1"1.. ~ _", 'I tuSe rUles BrA ~ot f"....t... 0090.. l"DEMELQP.MEiSiiN"FDRMNf.l0N ~J call1l]:, "'~ ""mer (N I . "" ",-,~o uy number for Ihe O. 0 e.. the lelephone Cenler OvW8i!J'fDi!ti!/IY Notification . IfS\i-e~~€s%id~.. Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Phone Number: 541-744-0U70 Expiration Date 10/11/2010 10/1112010 Phone 541-225-7827 541-746-1040 Lot Siie: Sq Ft ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERivlIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNOER THIS PERMIT IS NOT . COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541:726-3676 Fax 541-726-3769 Inspection Line I Valuatio,n Descriotion I Description $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Tvpe of Construction Total Value of Project L."pp, P11lU Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 . $55.00 $6.00 6/29/09 6/29/09 6/29/09 6/29/09 7/10/09 7/10/09 7/10/09 7/10/09 Total Amount Paid $183.69 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination .Permit PERMIT NO: COM2009-00946 ISSUED: 06/29/2009 APPLIED: 06/2612009 EXPIRES: 01110/2010 VALUE: Value Date Calculated Receipt Number 2200900000000000724 22U0900000000U00724 2200900000000000724 2200900000000000724 2200900000000000780 220090000000U000780 2200900000000000780 2200900000000000780 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 7:00a.m. will be made the following work day. ~J?p(1l1irprlln~\npPtio~ , Rough Mechanical: Prior to Cover Final Mechanical: When all. mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of 3 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00946 ISSUED: 06/29/2009 APPLIED: 06/26/2009 . EXPIRES: 01/10/2010 VALUE: 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 Paee 3 of 3 Date 225 Fifth St!:eet Springfield, Oregon 97477 541-726-3759 Phone rJob/Journal Number COM2009-00946 COM2009-00946 COM2009-00946 COM2009-00946 Paymeots: Type of Payment CreditCard cReceil1tl RECEIPT #: I City of Springfield Official Receipt . . I Development Services Department , Public 'forks Depart!Dent I Date: 07/10/2099 liijil 2200900000000000780 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By COMPLETE ELECTRICAL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 281171 In Person Payment Total: Page 1 of 1 .IO:28:37AM Amount Due 55.00 6.00 3.05 7.32 $71.37 Amount Paid $71.37 $71.37 7/1 0/2009