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Home My WebLink AboutPermit Electrical 2009-9-16 225 Fifth St~eer.Spr;ngfield; OR 9747H PH(541)726.3753 HAX(54t)726-3689 lit;]i;i@~B~~T~E~J'U~E:'ON.ty:;,:,. I (! ...., '1 '2 . . . (.--0 Penn it no.: - '/ c' #1 I Date: (1- /~ .-rYJ Electrical Permit Application This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is uot started withiu 180 .days of issuance or if work is suspended for 180 days. I .. "..< . .... '11~~OCAL 'G0VERNMENT~A'P"ROVA'0'!j "~:'&f,"'''I1' 1"1 ~''''I l'i'~;:<;h&'i;.."~''''~~''~?'rn>;;'''''Tfp~:;Jj .. -"'---fi- "C'HEO' 'U." ;r'W"li:""'t""'<l"';""N'~~"';';>i1'i::r::"" i:'{,';'!\V.~i, ;Y1~~-', ; _ . " - :,', .0 . '. -, ..... ~. _ -~'~'~-., 'I~," ~ ~_' ,-1~8~'~fi.:'1i~~-~1;1J}JfF;i~; ':'):~;{J~!';o/lit~~~~?i~'~!$:L1i#f~:~:~'F,:E E~ 5 ..:. .. ' _IlJE~~(?,'ti'0!.~t~1k fi,~:i{iE;~;ti!~:~_~r:iE~ I Zoning approval verified? .0 Yes . .. 0 No 1 1'~unj~ef:~tj~1~~~!i~'~i,;~~r"i;f';;k):~~,I'Ql;i:I.!J:o~t;:!:;;I&,:"otaL 1";)''''''''''''''CA'fEGORY'OF .CbNSrRUCmfbt.r.".......,'" ,... ""1 ' .""".....,.'"..,,,..,,,,,.,,....,.,0..;..,...... ....." ..'..,,,ea.. .".."c()st.", ['B1::~~~~~~~I]E~IIN~~:~~;~;~~ANO~k~c~~7~~;~~:,;:11 : ~~~~::ti;I.~el:S:~:; service included: $134.00 $ : . t;o~~~' ad;es~:2.7;Lj ':u,~ !st*' ... ..!. ."'';'''''''1 I ~~~~:fditional 500 sq. ft. or portion 1 City 1,i?(>o,~~e.\dI 1 StateD" IZIPA'7LJ 1-1 1 Limited energy (2) I Reference: l 'l~ 'lAcdtl-. ) Taxlot.'D4.1.~ I Eac_h ~anufa~tured home or modular. "'P"..'OESCRIP.]ION;'0F;;.V\IbRK"ii'f"0'ii:,i:'\!::i~:f;:\~'.~'t~1 dwelling semce or feeder (2) ..;:r '\ \. ' J Q r 1 Services or feeders: installation, alteration, relocation _'1'_'<"<'1 C( J 1 c..,C.c...", , .,ct.... ",.rnGl'::~. 'tt R Q\:' ,/ 1 200 amps or less (2) $ 81.00 $ I. -ed\ "",~~O~RTY 10~ER ~.t'.c;~;" :'... .1 I 201 to 400 amps (2) $ 95.00 $ 'rNa!l1e: .// I 1 401 to 600 amps (2) $158.00 $ I Add~s:_ ./ I 1 601 to 1,000amps (2) $205.00 $ I City: ",- .1 State: I ZIP: I. lOver 1,000 amps or volts (2) $469.00 $ I Phone: -"" / 1 Fax: I I Reconnect only (2) $ 63.00 $ I E-mail: ,.....""............ I I Temporary services or feeders: installation, alteration, relocation This instaliation/is being made'on.residential or farm property 1 200 amps or less (2) $ 63.00 $ owned bY..me or a member of my iihm~diate family. This 201 to 400 amps (2) $ 87.00 $ property'ls not intended for sale, eXChange~leaSe, or rent OAR 479..540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $ si~nature: lOver 600 amps or 1,000 volts, see services or feeders section above ':"',.';,,~,CbN]RACt0R,INS]A"'I2A]10N',:..', '. :..':1 I Branch circuits: new, ai/era/ion, extension per panel Business name: c..C::>yi\iC'1\~'\~ <;) el'T. TY\<,:;:Tg \) 1 a. Fee for branch circuits with purchase ofa service or feeder fee: 1 Address:'7.,") 1Y~.L-) . to (Y\q.l.., Sv-..4)P. 6<..r~ 1 Each branch circuit 1 1 $ 6.00 1 $ 1 I City:Cre~~~. I State: DR I ZIP: -~.J}l-}c:.& I b.Feeforbranchcircuitswithoutpurchaseofaserviceorfeederfee: 1 I Phonet;4)-z.-z..~-?~~"l I Fax: - - I I First branch circuit (2) . I $ 55.00 $55:'4 I E-mail: \.~/..I. 27l-} - 1 1 Each additional branch circuit :t $ 6.00 $$I2..F CCB license no.~ j BCD license no.: L.~,t....} 1.. I I Miscellaneous fees: service or feeder ':for-included I Signing supervisor's lic~nse no.: .~(;,;').5 1 I Each pump or irrigation circle (2)' $ 63.00 $ I Print name of signing supervisor: ~-r-r b~ v!G( 1 1 Each sign or outline lighting (2) $ 63.00 $ I Signature of signing sup' ervisor: ~/AIF./""? I I Signal. circuit or a li~ited-energy panel, $ 63.00 $ Y/,/?"''''-/ alteration, or extensIOn (2) ~ 1 Each additional inspeciion: (I) $58.00 $ 1!?F;:iY!~~~F..t1,';t,'4':l(SJ\,~i\'l',f~$@A-'-'rioI1-.>'IC"oA'-"'N" 'T.;<:~U.-,- oS' -"~E.;:,;>>.t;>~;""i,'-"'q-!;(-i :',i'I:':'~':"1i"";w- G.\~1i~~'ik14Y~4'k;?:~~~~~~?'i' ,.r-,rx~~'_. '_'_ ;,';!'i4_'." ~\f~4~fi?~:fi~~~:i'riP>~\11g~~-;7. $ 25.00 $ $ 32.00 $ $ 63.00 $ ~~ ~ .~ ~ ,~,\,cf\ V\,' ~~ ~~ ~ (A) Enter subtotal of above fees (Minimum Permit Fee'$58.00) .1 (B) Enter 12% surcharge (.12 x [A]) 1 (C) Technology Fee (5% of[A]) 1 TOTAL rees and sorcharges (A throogh C): $ G--; ,(0 .-~ ,;,5 $ 0''-'' $ !5 .Gf . -,q $ -76 .10 I 440.2584-) (9/08/COM) ....9'....I'!I""-.... -""m:\"'w"':i<W~;+~,L~"",_ ,., ~, <Vr{::;:l.':o'~:>< .~'Jr"C"i' t.-:D.e.- C\ - \<0 -CPi (\,\,f:up'::::"- f\ {l'l CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01292 ISSUED: 09/01/2009 APPLIED: 09/01/2009 EXPIRES: 02/16/2010 VALUE: Status Issued 225 Fiflh Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspectiou Line SITE ADDRESS: . 2744 20TH ST ASSESSOR'S PARCEL NO.: 1703244204200 Spriugfield TYPE OF WORK: Heatiug Syslem TYPE OF USE: New Resideulial PROJECT DESCRIPTION: HV AC System Owuer: KLINGE MARK P Address: 2744 N 20TH ST SPRINGFIELD OR 97477 Phoue Number: 541-726-5569 Contractor Type Eleclrical Mechanical I CON!RACTOR INFORMATION' Contractor License COMPLETE ELECTRICAL INSTALLATION 184274 INNOVATIVE AIR INC 161742 BUILDING INFO~TlON' Expiration Date 10/14/2010 10/ll/2010 Phone '541-225-7827 541-746-1040 # of Units: Primary Occupaucy Group: Secoudary Occupancy Group: Primary Construction Type Secoudary Coustruction Type: # of Bedrooms: # of Slories: Height of Structure Type of Heat: Waler Type: Rauge Type: Energy Path: Spriukled Buildiug: Lot Size: Sq Ft IsI Floor: Sq FOnd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: u/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Selbacks: , Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Tolal: Haudicapped: Compact: Storm Sewer Available: S . II Ivn...... peelS nstructlOD: 7"L, 'vC' . 117/s .. Notes: A.UTIi;ER/WIT SIi COA RIZE'D. 'ALL Ex. A.Nyli~b~~tDp~i~%~~HZ~~~~~1s ~ORK . , OD. . NED FOR Or I PUBLI~ ~MPROVEMENTS I ATTSiilewalk l):P'ijon law requires ou to folr01/11 ruJp.~ ~rlr'\"'~orl hll ~h 0 y.. Nolifi J;lowus'poutslDrains: 1 e reg on Utility . '-'oil/un venrer. I hose rules are set forth In OAR 952-001-0010 through OAR 952'001~ 0090.. You may obtain copies of the rules by callrng .the center. (Note; the telephone number for the. Oregon Utility Notification Center IS 1-800-332-2344). . Street Improvemeuts: Paee 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I292 ISSUED: 09/01/2009 APPLIED: 09/01/2009 EXPIRES: 02/16/2010 VALUE: 225 Fifth Streel, Spriugfield, OR 541-726-3753 Pboue 541-726-3676 Fax .' 541-726-3769 Inspection Line l V aluati?n' Descriotion I Descriptiou Type of Construction $ PerSq Ft or multiplier Square Footage or Bid Amouul Value Date Calculated Total Value ofProjecl !..Fpp<. P~irIJ 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 Amouut Paid Date Paid Receipt Number $11.52 9/1/09 3200900000000000622 $4.80 9/1/09 3200900000000000622 $79.00 9/1/09 3200900000000000622 $17.00 9/1/09 3200900000000000622 $8.04 9/16/09 2200900000000001049 $3.35 9/16/09 2200900000000001049 $55.00 9/16/09 2200900000000001049 $12.00 9/16/09 2200900000000001049 Total Amouut Paid $190.71 " Plan Reviews I 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 Rpo"irp.... Tn<.n,epti"n< . _ ~, 117011r 1-" Rougb Mechanical: Prior to Cover Fiual Mechauical: Wheu all mechauicalwork is complete. Rough Electric: Prior to Cover Fiual Eleclric: When all electrical work is complete. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD ) Building/Combination Permit PERMIT NO: COM2009-01292 ISSUED: 09/0112009 APPLIED: 09/0112009 EXPIRES: 02/1612010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Line By signature, I stale aud agree, that I have carefully examined the completed applicalion aud do hereby cerlify tbat all iuformatiou hereou is true and correct, aud I furtber certify that auy aud all work performed shall be done iu accordauce with the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre without permissiou ofthe Community Services Divisiou, Building Safety. I further certify that only coutractors and employees who are iu compliance with- ORS 701.005 will be used on tbis project. I further agree to eusure that all required iuspections are requesled al the proper lime, that each address is readable from the street, that the permjl card is localed at the frout of the property, and the approved sel of plans will remaiu on the sile at all times during construction. Owuer or Coutractots Siguature Date Pa2e 3 of 3 225 Fifth St~eet Springfield,Oregonc97477 541-726-3759 Pllone-------'---m'- Job/Journal Number COM2009-0 1292 COM2009-0 1292 COM2009-01292 COM2009-01292 Payments: Typ~ of Payment CreditCard cReceint 1 RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001049 Date: 09/16/2009 12:21 :08PM Description . Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge Paid By COMPLETE ELECTRICAL Amount Due 55.00 12.00 3.35 8.04 $78.39 Item Total: Lheck Number Authorization Received By Batch Number Number How Received Amount Paid njm 202387 In Person Paymeul Total: $78.39 $78.39 Page 1 of 1 9!l6/2009