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Home My WebLink AboutPermit Electrical 2006-1-20 ... m FI FTH STREET. SPJUNGFIELD, OR 97477 . PH:(54I)726-3753 ELECTJUCAL PERMIT APPLICATION Cw.' iob \umberCOwt'LOOE> - (!)o Ob~Date i)l'rrnil'i are non-[ransferable and expire if work is nOI \l3rted within 180 days of Issuance or if work is Suspended for 180 days. .....,;..v".,.."'..JV~~~,~~~~~t.h~ ,....C'q?yTR.15t~.d~~ B. .." . .>... ~ ~12.. .' e uires yOU to c.,,,c,,,: Contractor .UuI'IU U \J~O:) tJt<,'h:'I.L".,.2Q~t'QlP~(gl'JtelS\W r oq gon U\i\\N A1I \::I~' IV ... ~^' 'he re h II W rutO.1 6inpslto-4w Amps S are set lort 10 0 ,,,.' -.' -r,?~~" rUle < ffcatid8 tP.imp.,o 'OoO-Amp.s OAR 952-00,- ~OO\ ~R 99~1('fi)rtPsQ~q~B1io):lM~\)1 the rules by \n t"\. , t":l.lf1 c[)O\t:~ 0090 '1d\l~~r2Ip001Amp's7VoIIStl~e telephone cailing<f6e.l1!)~ctt0n~}~~\~~illtY Notdlcallon ~e \lii' Or.,9 M^,' nu ,I ' " ~ J . ~1 UII\E" 1,\ST..\.l.LATION r~,:: ~::Sl::!I2110n is beLng made on pr~'C~ which "r.o: ",lenced for ,ale, lease or renLTHIS PERMIT SHA AUTHORIZED UNO (j""" S,gn"u" COMMENCED OR ISlA <; 'Z AKV1ao~~ '~State Surcharge 1..(lb . -C;J~"i~% Administrative Fee S" ~ 0 "@ ~ ~OTA~~ ~..",""""""_,.~" e_" """,,:~ ":" .' 'LOCA1j6"':(8R:W~W1j.g~~I1tWil~1,\~ '. ......~...,....ti;..J\ini":.~, ,',",' "'.,L:~ 40 z. 7 oA.-lA-I,\(' ~'\ Colc.C.L DESCRIPTION 170'2. 3/1.(( .03 DESCRIPTION o(....c;"o A~0 L,( Ll.....C.c-\. 'i~ (" :"~ C~ rc j:i ':po"Bo'O. (/1/ wnl+i.e..v,I\\:.) ot. -'1,481 c:~: ~""'~-,-"""'''L''' :';'..'J::!"'>I~()r License Number ~~J "- s ~~ ~~.~r::\!on D3!t \'0 \~:"\ C'".,,, CUll If. Number '\7:::,~\.\"-o ::.\;:,i;(ii!On Dale \c:\ D,. S !':<:~-'::'J:-~ or' S~pervising tJctriCian ) Dww1J (Y.."'> \"ne p~lJ. '?"""1'.....~ . , lO~b ".0"''', 70 13oX' c,,: ~0-<:Nf{' Phone IlllpC'WOll Request: 726-3769 3. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or pOr1ion thereof .I~" ,- Each Manufact'd Home or Modular Owelling Service or Feeder $106.00 $1900*_" II $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation) Alteration or Relocation 200 Amps or less 20 I Amps 10400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D "'\l\m1~~~.&~ilif'iU"'i.:\.,.,...>,..".., '~ll " ,-' , '. ""'. n'N~l~~;:~ti:i:.~~.'.:.~;:':..:,.~ New Alteration or Extension Per Panel One Clrcuit I Each Additional Circuit or with Service or Feeder Permit $ 43.00 Lf) 7 '7 $ 3.00 ~l_~~~"V,y:..":,.",.:..,..",\ E "no1!l . " , .\ "'Y'h"I' ".....u.........' , ~.. ,. .' " . ,,' ~ ..OH; .J1~t~L :l..(.~O.r.l,' U"u.~l._,~. I.' M" ,~.,. $ 50.00 $ 50.00 $ 25.00 . . CITY OF SPRlr~uJ<1~L1J Building/Combination Permit PERMIT NO: COM2006-00063 ISSUED: 01/19/2006 APPLIED: 01/17/2006 EXPIRES: 07/19/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 4027 MAIN ST ASSESSOR'S PARCEL NO.: 1702314106900 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Replace roof top gas package hvac unit Owner: DONALD PAYNE Address: PO BOX 2056 EUGENE OR 97401 Phone Number: 541-465-3966 Contractor Type Electrical Mechanical ..n ,;tp.S '1"":~'.\\'" I CONTRAlITOR.INFORMA:rION I . 01e9v' '0 \tI" - '" ~Ie "'- .00" Contrac~\'i~\O~~(\O?\e~;~",e IU~ Of>.~ 9"'~e!-ic.ense Bu~1E.A~O'S li.~!IERPI\I,~~S1NC, \tle I\J (j.1.~9446 COMME'!l1;1AD~.m,~C'() ~ ro9\e"'.~o \e\e?'(\_lt~075 ~0'b'J>..~ 9':l"-;''''BUiirIlNG'INF0R1\r'ATION, ,\\ ,,'{ou GO" "U" .., .(.". ()O'!>v' . \tle Ole", _r. .33'" c~\\\\\g \01 \tll#..~f\Storles: \\u\\\'Oel Ce\\\eHeight of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 0812012009 1211812007 Phone 541-747-2724 541-461-4821 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: fl # Street Trees Rqd: ~ ~;capped: Paved Drive Rqd: ~'\~ mpact: % of Lot Coverage: ~~ ~~ ~~~ _...Q~ ~~ ~ . V' ~'~:':'j'~ I PUBLIC IMPROVEMt:;NTS~~':.~~~ ;;-- ~'\\"~~"\~ ~~Type: . '\~\~~~~~~~~~;ouls~rai~s: ~ ~~~ Si ~~ ..: ~~ ~,~ ~~ Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of3 . . CITY OF SPRINGFIELD - Building/Combination Permit' PERMIT NO: COM2006-00063 ISSUED: 01119/2006 APPLIED: 01117/2006 EXPIRES: 07/19/2006 VALUE: 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 Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ]fpp<. PIiILI Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid $5.20 $4.16 $43.00 $9.00 1/19/06 1/19/06 1/19/06 1/19/06 Receipt Number 2200600000000000076 2200600000000000076 2200600000000000076 2200600000000000076 Total Amount Paid $61.36 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. 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. Paee 2of3 _n . . CITY OF SPRINGFIELD - Status Issued Building/Combination Permit' PERMIT NO: COM2006-00063 ISSUED: 01119/2006 APPLIED: 01117/2006 EXPIRES: 07/19/2006 VALUE: 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 carefuUy 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 I street, that the permit card is located at the front of the property, and the approved set of plans wlll remain on the site at all times during construction. . Owner or Contractors Signature Date :.. Paee 3 of3 o 225 Fifth Street Sprihg'field, Oregon 97477 541-726-3759 Phone . ~~ <IIIIIlIiiity of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200600000000000076 Date: 01/19/2006 9:22:30AM Job/Journal Number COM2006-00063 COM2006-00063 C9M2006-00063 COM2006-00063 ! , Payments: Type of Payment CreditCard Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By JOSHUA BURRELL Received By djb Item Total: Check Number Authorization Batcb Number Number How Received 05829B In Person Payment Total: Amount Due 43.00 9.00 4.16 5.20 $61.36 Amount Paid' .l $61.36 $61.36 'II ,!, . :1 '( '" :1) if.' , '( I :'1 .f. 1/19/2006 Page 1 of I