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Home My WebLink AboutPermit Electrical 2007-4-30 09/11/06 MON 10:50 FAX 5417263689 . CITY OF SPRINGFIELD ~004 . ZON cV .,..", " lNTIlALS IJ M ..iM.: DATE Y: -3<>- 0, """ SOURCE --W <; yh0 "7 J. ; (j()MPi/!,i.;~~;SG!l1iDiJLi{B~L6w/,: _'.' . ....^... .". '.' H."' " ..,.. __C.._. '" _'''.,' .'...~,.' ," ." ',__. '... ~/,!:~.),: .GnYOF'SPR1NG'F'II~rrD':'ORE(i0N~;. '.{: .. ~':r~.':{", .~. :, ," '. '.,[ .f'; ",', ":{..'. !_ _ .. : _-~. .".',' J ,_ ~t;, IlS 1'IF1'11 STREET 0 SPRINGFIELD, OR 97477 0, PH:(S41)71O-3753 0 F^X: (541)716-368' ELECTRICAL PERMIT APPUCATIOl'j, / City Job Number COM ?oc> h - C> / h J b ] .I,OCA7?,f?N..,.qii/l:.$1;t r:~;A1ipN'~{ /:).'''~~~') .~ 170J1b'!~ r)t.f"SOD JOB DESCRIPTION: ~ "l"~ Permits are Don- ansfers and expire Ifwor:k is not started within 180 days or Issuance or Irwork;, Suspended ror ]80 days. Lu..... fuNTRAci'OR INs'rALtAiioftoNLY .. Z. Electrical con~GON ELECTRIC SERVICE P.O. BUX 2237 :~H~!:, OR 9740? Address City Phon~1..\3 - ( 109; I Supervisor License Number /3.C1.:::J..s Expiration Date I r) - f _ /) '1 Constr. Contr: Number .. :l (n {S' <;( Expiration Date q' _ ~ l.../ ~ 0'1 S(:c:~s:g~;: Owners Name &. J::;. n..... ,. ft Address ...lb':!::.."\. (Y'\a......:_ ~- City~(_.l.. Phone~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 7Z6-J769 GPAINOPtc&.D .:' Date A. ;i~~W!~~~~~iiiilFs\fi~'~~~'MY]ttf~~~f~~h\t~~ill~~',UriM:,: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 '--.~" "-'~':'. .....,..._....,._ . .,. ..", -:~'_~~_'I.,:,,:;~-"'r:'r.. ,. _ .. B. 'SeryiCiiS o""~eeaer; .:; ilisianalillll;:AiteriitionJ ,o"Relociidon: '. Y' n'". .'"._ ". ", ,". ......... ". 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~::f~~'p~~:tr.~~:~i.~t:K6:~t~'~'~~ri~?/~<.L::~:~~~;'/ <.,,-:. ",'.', Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps - 'MJp{WO ~O~v~!~~~p,sM~0~ifP~?7"~~~it~~?T .' ~~~q:~f~~!;;::~~tQft!R':c<' ,c. -""\:U Uti Iv -. J ' c@n~lalrcuit Q\(\I) $ 43.00 ~Ch\Addi\!t!qlll'cricU tor with ....l- · " . 0," F d P . $ 300 t"\ ervlce Ot ee er enmt . , .' - , If-~ fH) (n 4-<> E. "i,~~ll~;;~~i@~~<~;j-~fG~i"i;'J~d,},:.~"Cb i~~~~~j;t" Pump or irrigation $ 50.V~ Sign/Outline Lighting eC\\"f8S 'jq~.~~ Limit:ct.~f~~~ \a~ll'lo O'A9~ 'A\~)or_ M:.nl:;~~:J~~;~~~ek Sfil~!!';;:~~ 5% "ff&mnS ~e OT~O "''1??~'. ~..... ~ "el 01 \\' . . "",,- ' I . TOl?~ru - .' I (00 ~1 Shared Drive(T;)lBuilding FormslElectrical Pel nit Application 8-06.doc L , FM Sheet Metallnco Commercial Healing & Air Conditioning Design-Build I Service Sales Specialty Design, Fabrication & Inslallation Logan DeVasier 3000 Pierce Parkway Springfield, OR 97477 Ide'l8sier@fmsheetmelal.com CCB#89710 (541) 726-3000 FAX (541) 726-4822 CELL (5411 96S-S17Q.... www.fmsheetmetal.com --------------.- - . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01636 ISSUED: 01/09/2007 APPLIED: 12/21/2006 EXPIRES: 10/26/2007 VALUE: Status Issued 225 Fifth Street, Spriogfield, OR 541-726-3753 Phooe 541-726-3676 Fax 541-726-376910spectioo Lioe SITE ADDRESS: 1331 MAIN ST ASSESSOR'S PARCEL NO.: 1703363Z04300 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Repair PROJECT DESCRIPTION: Replace rooftop hvac system aod iocrease gas supply line Commercial Owoer: WOODRICH JOHN Address: Z700 W 11TH AVE EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechaoical Contractor OREGON ELECTRIC SERVICE FM SHEET METAL INC License 161518 89710 Expiration Date 09/281Z008 03/15/Z009 Phone 541-343-]681 541-726-3000 I BUILDING INFORMATION. # of Units: Primary Occupaocy Group: Secoodary Occupaocy Group: Primary Coostructioo Type Secondary Coostructioo Type: # of Bedrooms: # of Stories: Lot Size: 'N R" Height of~trt\'\t8~; ty..PI~H !\t1slrFloo~: i Type OfH~~}: ptRMII S\-IP-.LL ~!I!"\~\l,il Iti'oblJ;) Water Type:IS 0 \JNOtR 1\-1l,sli Ft~sf'BR't: Raoge Typ,~'Ul\-\ORll1 OR IS M3P-.1~\WGarage/Carport Eoergy pat,h:)MMENCEO \ \) Sq Ft Other: Sprinkled B&~qi~l!iO OP-.'{ P@aO . Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: . Total: U \u # Street Trees Rqd: fequltBlhlll}faRl!1d: Paved Drive Rqd: ..,.Ofegon la'll of~6ffipaNtio{\\ % of Lot Coy~\O\".",^,,\ed '0'/ \ne \eS afe se -00" p.\ ~e" !lINt' "",ose {\l "f\ 952 fn\\~~_~.:. ...",nlef. \ v \t"''1"Qn 0 \ ~..<: ..,185 \ I PUBLIC IMPRO\lI!i~IstaO~~~8.\ncO?\es\'I~\e\e?no~e "I f.,1. '(oU ~8.~"?d~I\NQ,\e...t. NO\i\lCa\\on \jf:f/JO. \\'Ie eel' ~Oj\JUt\lI\'/ W\) ca\l\~f\Of'n~iW",tslDll&'it?s~ . nu1llb8 _' - - .. Frootyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Speciallostructioo: Notes: Paee I of3 -fir' Status Issued 225 Fifth Street, Spriogfield, OR 541-726-3753 Phooe 541-726-3676 Fax 541-726-37691nspectioo Lioe Description Tvpe of Coostructioo Fee Descriptioo -Mechaoical Issuaoce Fee- + 10% Admioistrative Fee + 5% Techoology Fee + 8% State Surcharge Gas Outlets 1-4 Heat Pump Mioimum/Adjustmeot Mechaoical + 10% Admioistrative Fee + 5% Techoology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Exteod Circ Ea Add Total Amouot Paid SUB Review 01/03/2007 . . CITY OF ~rKmld<lELD Building/Combination Permit PERMIT NO: COM2006-01636 ISSUED: 01/09/2007 APPLIED: 12/21/2006 EXPIRES: 10/26/2007 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amouot Value Date Calculated Total Value of Project FpP~, ~ Amouot Paid Date Paid Receipt Number 1200700000000000023 1200700000000000023 1200700000000000023 1200700000000000023 1Z007000000000000Z3 IZ007000000000000Z3 1200700000000000023 1200700000000000467 IZ00700000000000467 IZ00700000000000467 1200700000000000467 1200700000000000467 $10.00 $4.50 $2.25 $3.60 $4.00 $1Z.00 $29.00 $4.90 $2.45 $3.92 $43.00 $6.00 1/9/07 1/9/07 1/9/07 1/9/07 1/9/07 J/9/07 J/9/07 4/26/07 41Z6/07 4/26/07 41Z6/07 4/26/07 $125.62 I Plan Reviews I 0J/03/Z007 APP JF HV AC ooly. No energy code inspections required. 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. ~11J!1r-til~ll~ Rough Mechanical: Prior to Cover Final Mechaoical: Wheo all mechaoical work is complete. Rough Gas: After Iioe is iostalled and required testiog aod capped if not attached to ao appliance. Rough Electric: Prior to Cover Floal Electric: Wheo all electrical work is complete. Pace 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01636 ISSUED: 01/09/2007 APPLIED: 12/21/2006 EXPIRES: 10/26/2007 VALUE: Status Issued 225 Fiftb Street, Spriogfield, OR 541-726-3753 Pbooe 541-726-3676 Fax 54]-726-3769 Inspection Line By sigoature, 1 state aod agree, tbat 1 bave carefully examioed tbe completed applicatioo aod do hereby certify tbat all ioformatioo bereoo Is true aod correct, aod 1 further certify that aoy aod all work performed sball be dooe io accordaoce witb the Ordinaoces of the City of Spriogfield and tbe Laws of tbe State of Oregoo pertaioiog to tbe work described hereio, and tbat NO OCCUPANCY will be made of aoy structure witbout permission of tbe Community Services Division, Buildiog Safety. 1 further certify that ooly cootractors aod employees who are in compliance with ORS 70].005 will be used 00 this project. 1 furtber agree to eosure tbat all required iospectioos are requested at tbe proper time, that each address is readable from tbe street, tbat the permit card is located at the froot of the property, aod tbe approved set of plaos will remain 00 tbe site at all times duriog coostructioo. Owoer or Coo tractors Sigoature Date Paee 3 00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . C& of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1636 COM2006-0 1636 COM2006-0 1636 COM2006-0 1636 COM2006-0 1636 Payments: Type of Payment Check cReceinl1 RECEIPT #: 1200700000000000467 Date: 04/26/2007 2:44:Z4PM Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27 Item Total: l:'heck Number Authorization Paid By Received By Batch Number Number How Received OREGON ELECTRIC SERVICE djb 20729 In Person Payment Total: Amount Paid $60.27 $60.27 Page I of I 4/26/2007 . .\..,11 i' OF ~rKH\jt..HJ<..LD ~ Building/Combination Permit PERMIT NO: COM2006-01636 ISSUED: 0110912007 APPLIED: 12/21/2006 EXPIRES: 07/09/2007 VALUE: Issued 225 Fifth Street, Spriogfield, OR 541-726-3753 Phooe 541-726-3676 Fax 541-726-3769Inspectioo Lioe SITE ADDRESS: 1331 MAIN ST ASSESSOR'S PARCEL NO.: 1703363204300 Springfield TYPE OF WORK: Mechaoical Ooly TYPE OF USE: Repair PROJECT DESCRIPTION: Replace rooftop hvac system aod iocrease gas supply lioe Commercial Owner: WOODRICH JOHN Address: 2700 W 11 TH AVE EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Type Mechaoical Contractor License . Expiration Date FM SHEET METAL INC _~9.7J!l5 '10U.~~.. 03/15/2007 ' I BUILDING INFORMAT.ioN:.,Ofl ~at\~ti.t ,\\1\::'" \~'" ""o9?WV -~se {\lIeS a{e 9SZ-00~ . \ 110'i"J {# of Stones:. In " U9n Of>.B leS bot SiZe: o ..-, t :~\\,..... .".. \\o-I.yO \ \""'e fU S.--:' F \i\iCa\Helgh\.llf_~tJUcture iaS 0" nOnE; q Ft 1st loor: ~o f>.B [YP~!!;I1',I!.1:ain cO? . \\"Ie \6le~. \it>~ Ft 20d Floor: In 0 Q. 't~at~r_'I)g,e,:,af. ~~o\e. iliW ~O\\\\Ca Sq Ft Basement: 009 \I'~.'Wge''I)'..!'ebfe9on ~\ Z.Z344). Sq Ft Garage/Carport . ca t1~~r'gY.P'!.~h,;, \:800-,,3 Sq Ft Other: flUfl'Sprmkled'Bu,ldmg: o/a Occupaot Load: Phone 541-726-3000 # of Uoits: Primary Occupaocy Group: Secondary Occupaocy Group: Primary Coostructioo Type Secondary Coostruction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: }..t-I'lJ Total: # Street Trees Rqd: . GO\\:I3c1 /..'lJG 016 ~ ~O'J Haodicapped: Paved Drive Rqd: \:10 G3'J~3~ Compact: % of Lot CO~lerage:J\W S\ G31\\:I0I-I.\..IW \lOj G1"V'" \:I3Gt-I(\ S\I-I.\.. _. ,,'M\\:\c\ S\I-I.\.. _""co \ \1T\\\:I3c1 . I PUBLic'iMf80YF;MENTS.,' ,. ..' '.3~\lUI'I /.v- Sidewalk Type: Frootyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvemeots: Storm Sewer Available: Speciallnstructioo: DowospoutslDraios: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I ofZ . . CITY OF ~rKmul'l~LD Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2006-0I636 ISSUED: 01/09/2007 APPLIED: 12/21/2006 EXPIRES: 07/09/2007 VALUE: Tntal Value of Project L.Fp.p.~ P3i&J Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge <;;as Outlets 1-4 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 1/9/07 12007000000000000Z3 $4.50 1/9/07 1200700000000000023 $2.25 1/9/07 1Z007000000000000Z3 $3.60 1/9/07 IZ007000000000000Z3 $4.00 1/9/07 1200700000000000023 $12.00 1/9/07 1200700000000000023 $29.00 1/9/07 1200700000000000023 Total Amount Paid $65.35 I Plan Reviews I SUB Review 01/03/2007 01/03/Z007 APP JF HV AC Duly. No energy cnde inspections required. 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. ~..np.rt~ Rnugh Mechanical: Prior to Cover Final Mechanical: When all mechanical wnrk is complete. Rnugh Gas: After line is installed and required testing and capped if not attached tn an appliance. By signature, I state and agree, that I have carefully examined the completed application and dn hereby certify that all information herenn is true and correct, and I further certify that any and all work performed shall he done in accnrdance with the Ordinances of the City nf Springfield and the Laws of the State nf Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure withnut permission of the Community Services Division, Building Safety. I further certify that Duly contractnrs 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 readahle from the street, that the permit card is located at the frnnt nf the property, and the approved set of plans will remain nn the site at all times d~nstruc~ " -V ____ c\-"",! ~q -0'( entr~ctors Signa~. Date Pa~e 2 nn 225 Fifth Street Springfield;Oregon 97477 541-726-3759 Phone . .:;:"~q,,!IU>-',',ii""'.,' ','. Wit', " . ., " . . , ,,,'.-"._,,.."'~"""'. .""....,;<..,. -- Caof Springfield Official Receipt "Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1636 COM2006-0 1636 COM2006-01636. COM2006-01636 COM2006-0 1636 COM2006-0 1636 COM2006-01636 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000000023 Date: 01/09/2007 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Heat Pump Minimum/Adjustment Mechanical ~Mechanical Issuance Fee- Paid By FM SHEET METAL INC Item Total: Check Number Authorization Received By Batch Number Number How Re~eived djb 42632 In Person Payment Total: Page 1 of 1 II :51 :05AM Amount Due 2.25 3.60 4.50 4.00 12.00 29.00 10.00 $65.35 Amount Paid $65.35 $65.35 1/9/2007