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Home My WebLink AboutPermit Electrical 2009-8-14 225Fiftb Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726.3689 It\lf,1r,fi'DEIi;;:RTME~ml.!1{€i~lly~~1 'ii~-;o;:\l;i("';'-"".._-'-c"-:;~1'"::~':":t}~~"I~J3..s\f.~ I ~':1o~ODr-O !f87 I I Date: 8'-;'(-0' I Ele(t'l:rical Permit Application 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. .~~[0:(i)~~G~O:V,ERJ\jMENifj!~eJ~R!ii1V!~~~~ Zoning approval verified? DYes D No &~.ri;~mEl>~0B,;(~P'I"J!l!'::GiNSjr,Rl!.Ij:;Ji\'0N~'WlP~ I ilfResidential I 0 Government I 0 Commercial . 1~~~:;~~1fEjl;~r:;iI:Gi;'~ID!!120~Acf;10J\jlT~~#0~ I City: (!QV',. . .(:, IJ I~Dfl I ZIP: 9~'i77 I $ 32.00 $ I Subdivis'ion: '"'S 1705Z53~ . J Lot no.: 0 f8"q $ 63.00 $ 1~t7r~1~~~:;0=~~~-1 S.rvic.s or feeders: installation. alteration. relocation IBI'~.l~fiRGiR;E:RiThY#I0WNJ;pJ~~r~T~,~1;J ~:~ ~:;oo:;: ;:; : ::::: : I Name: ~<::.... ~D\.... V\I\. --'J~cr)loJl\ ~ I 401 to 600 amps (2) $158.00 $ I Address: ) "\ 5- \ L c, 'I I I 601 to 1,000 amps (2) $205.00 $ I City:Cy>... 'L.1.,~l(} I State: (!) Jtt I ZIP: q7Lj7 'II lOver 1,000 amps or volts (2) . $469.00 $ I Phone: i?( Q U?....f? / ('J "\ I Fax: _ _ ' I I Reconnect only (2) $ 63.00 $ I E-mail: ATTEN I I Temporary services or feeders: installation, alteration, relocation Tln~l. """ _ ~ I I Th" 11' . b . d 'd .Troll'''''&: -- , - . -t:lUII a .y200.amps or less (2) $ 6300 $ lsmsta atIonls elllgma eon.reSI e~tH;))r.l~~'pI:?P.~I!{Jted) 'n~....~~{/.eS~f~~'~: . owned bJ: me or a member of my Immedt,~e !~':lI]yqiThJ~/ltp, Th )~J ,?0,r~to'490Iamp.~I(f) $ 87.00 $ property IS not mtended for sale, exchange, lease,lor'rent.]OAR '-'_u O'~ Opt f .. 479540(1) 479560 I) ~ OC~O vc_~ uu -UUJ 0 tholsAOI[to,600,'"",pfE2)J ' $12600 $ . .. VLn1~. fOU mav ,....hL ....." No..._, <..:n ~- - . Signatur.'m ____. 'm_ __ __ ___ ~ __ _~:~'I!:1 me C~~t~~/ifo..~ ~f:li(o:v'er;60.lb~r~~rh~ooo volts, see services or feeders section above 1~~~(3 NiiLJ::m.t5RI'" ml,l;l!1fAmt<:>t:l~~i'l\.i;$J tL#.~M~'Jji-B6its:'new. alteration. extension per panel , Business name; /:/1 A,./ ..AI' ~ Vl::lller IS 1.800 3~12a.2g~e4fp"r 'trraH6Hbircuits with purchase of a servjce or feeder fee: I Address: I I Each branch circuit I I $ 6.00 I $ I City: I State: I ZIP: I I b. Fee for branch circuits without purchase of a se-~ice or fe~-der fee: I I Phone: I Fax: I I. First branch circuit (2) ( $ 55,00 $ c::::: ~ I E-mail: I I Each additional branch circuit $ 6.00 $ - I I CCB license no.: I BCD license no.: I I Miscellaneous fees: service or feeder not included f I Signing superv,isor's license no.' I I Each pump or irrigation circle (2) I' $ 63.00 $ I . UO-''!-'" . ~ . I Print name of signing supervisor I I v"', . I I Each sign or outline lighting (2) $ 63.00 $ I -' TI!If"' F"\....nH'IT_r->!I~L ",d I . .... ,J"~I~';''''v'i I-St~i\!i\;;Jlidl1qirl\\i\,H~e'!.er anel I ' SlgnatureofslgnmgsuperYlsor: AIITHnRI7m II~I ~RaIf~4fiofi1IWlM1:cf1~f1l gyp, $ 63.00 $ COMMENCED OR I~ .E1i'<ibllllMtliiii@lli(i~ction: (1) . $58.00 I $ , ANY 180 DAY PERil ~f!.'le~illilllri~lli;li:RR]I'i:j~~N[flu~J;~~~'I!I (\} ..fA (A) Enter subtotal of abovefees I - ~(\'~; (Minimum i'ermit~ $ 55: .l() ~y I (B) Enter 12% surcharge (.12 x [A]) $ 6 r~ ~ ~ j(C) Technology Fee (5% of[A]) $ ? ~ V - I TOTAL fees and surcharges (A through C): $ h 7 ~G $134.00 $ $ 25,00 $ ~ 440-2584.J(9/081(;()l<Q _,f~~ltliW:!~!iil!~~.".' "~'... .. .....,' t;>', 1;'-;' ;' ;"_ \1', r"" " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01187 ISSUED: 08/14/2009 APPLIED: 08/14/2009 EXPIRES: 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1451 L ST ASSESSOR'S PARCEL NO.: 1703253306800 Springtield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pnmp Owner: JACOBAN JOSEPH M & KA YE M Address: 1451 L ST SPRINGFIELD OR 97477 Phone Number: 541-968-8102 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION I Contractor ATTENTION: Oregon law requiEicenS'e'O OWNER foUow rules adopted by the Oregon Utility Notrfrc8tlon CRntAr. Those rules ",0 cot forth SUNSET HEAn~9:.&i-:\IJHN~)1 n thm' ,~h r\/~;ZU.!l,(i nn< 0090f,jnJIfJDING'INF0RMN'FIONillles by . callI. ':;1 ",...... ............ "....... \' ~VI.\J. lIle; LCIC'jJllone number fOil 1.'rrs{.)H'e'Spn Utility Notification R-3 Cei'ifigii't Jf~tPu~ili'i(344). Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date Phone Contractor Type Electrical Mechanical 08/18/2010 541.988-3181 VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: ~tQ\f~<D[,;ve Rqd: m:9ffIl,-'J1lM'/T~mLL EXPIRE IF THE WORK . AUTHORIZED UNDER THIS PERMIT IS ~1nT I pUBU2,'1M'p"R:ovi~iii,h5liANDONED FOR . ." J !...il~ .....,,~ I LlIU'u I " Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of 2 --:t!~',~9~~j!!~~/_";'F";"" ,"r 1i ." ,'" ,,'?;,',.':t''''''\'#'''~' Status Issued CITY OF 1'lt'Kll'llJl'IELD Building/Com binationPermit PERMIT NO: COM2009-01187 ISSUED: 08/14/2009 APPLIED: 08/14/2009 EXPIRES: 02/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V alu~tion Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fee.s P~,id , , Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amouut Paid Date Paid Receipt Number $6.96 $2.90 $55.00 $3.00 8/14/09 8/14/09 8/14/09 8/14/09 1200900000000000930 1200900000000000930 1200900000000000930 1200900000000000930 Total Amount Paid $67.86 I Plan Reviews ~ 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. I RC/lllired lnsnections , Rough Electric: Prior to Cover Final Electric: Wheu all electrical work is complete. By siguature, I state and agree, that I have carefully examiued the completed applicatiou 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 oflhe property, and the approved set of plans will remain ou the site at all times during construction. ~~~L~. I _ / \i \_ ~.J '()wfier or Contracto~ature 8 - \ L...\.--C) '\ Date Page 2 of2 225 Fiftb Street .,; . . .Springfield, Oregon 97477 ':. 541-726-3759 Phone Job/Journal Number COM2009-0ll87 COM2009.0 1187 COM2009-0 1187 COM2009-01l87 Payments: Type of Payment Cash Change Job/Journal Number COM2009-0 1187 COM2009-0l187 COM2009-01l87 COM2009-0 1187 Payments: Type of Payment Cash Change cReceint I RECEIPT#: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000930 Date: 08/14/2009 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 5% Technology Fee + 12% State Surcharge , Paid By JOSEPH JACOB AN JOSEPH JACOBAN It.m Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By JOSEPH JACOBAN JOSEPH JACOBAN Item Total: L:heck Number Authorization Received By Batch Number Number How Received djb djb ' In Person In Person Payment Total: Page 1 of! . 1:54:35PM Amount Due 55.00 3.00 2,90 6.96 $67.86 Amount Paid $68.00 ($0.14) $67.86 Amount Due 55,00 3,00 2,90 6,96 $67.86 Amount Paid $68.00 ($0,14) $67.86 . 8/14/2009