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Home My WebLink AboutPermit Electrical 2009-12-29 225 Fifth Street. Springfield, OR 97477 +PH(541)726,3753+ FAX(S41)726.3689 IL .." DE~tRTMENT USE ONLY '-1 ICOWlt..OO'1-C/gsr I Penmt no,: I Date /'2- -'l- ; - 0 '7 I Electri~aI Permit Application -, ,~' El . J'his 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. I: ".' '.' .'" .tOC)l.L:GOVERNMENT "A:P.~ROVAl:!1"r::i\;"i"'1 Ihi':\!iiii{,{~~jt;\\1';r>r;'1'~~EE~SCHE_D8I1E~:)t!j'f(i~f,jW;l'i?~~n\?0il',t%~ 1 Zoning approval verified? 0 Yes 0 No I I,~um;~~(~f}~sp~~i;~~.i~~r;it~~:<) "1<)t~.I,~~!,:'I~~t':r 1:~cATEGORV::OF',CONSTRUCT;lON\',:" I j:;{~~:~_~~;Z~ITEi(IN~~R~~~~;~r'~AN[)~h~C~;;~~.~;~'~Ini I ~~~;::ti:I,:,el:S:n(:; service included: 1 -1 . 11 '/ 'l u / 1 I Each additional 500 sq. ft. or portion Job site ad~ess: ;A' L-f '\ :..-<' --/-/. .' thereof $ 25,00 $ 1 City: \ 1/ ~ AU J State:>> 1 ZIP:"7/'f'/'J 1 1 Limited energy (2) $ 32,00 $ i;Referencrbq/~ic~I~I~NoF-wJ;~xl~t,g!,I,~,;J. '" II ~~~~I~:"S~~~~~r~~ Pe~~:r (~)OdUlar , $ 63.00 $ I A-Y~ / /..1r c'... ~ r I I Services or feeders: installation, alteration, relocation 1 1 I 200 amps,or less (2) $ 81.00 $ I PROPERTY OWNER I I 201 to 400 amps (2) $ 95,00 $ I Name: !11~~ 4. A ~ jT ( 1 I 401 to 600 amps (2) $158,00 $ I Address: J-t(J.;; (?tf/./tCT . I 1601 to 1,000 amps (2) $205.00 $ 1 CIty: '<:11' M ../1 ~.(I 1 State:/)') 1 ZIP: "'170//11 1 Over 1.000amps'or~0Its(2). $469.00 $ 1 Phoneffl I C'1JI ~ -/ ') 1../ 1 Fa; / I 1 Reconnect only (2) 1 $ 63.00 $ I E-maif:' t 'j, f;,,:" ~ (J 1::'" ) '- - .1) _ rd I I Temporary services or feeders: installation, alteration, relocation This installation is being n a ,w-al. "'~'ii\l~r;L... q~~apou toless (2) 1 $ 63.00 $ owned by me or a member fmy i 1lI1. ~~1rby th r':!i1P//' ~s (2) . '1 property is not intended for sale, ex. II e"lliiIDo, ~t!M., i!i!<\QIIle Ie .. , $ 87.00 $ 479.540(1) and 479.560(1). In 0 R 952-001-0010throu AIlf95200lJ'Ill'S (2) I $126.00 $ Signature: 00;0.. You may obtain copie qfl!her~~ or 1,000 volts, see services or feeders section above I .. ." ',- :. ~~'I~l~ . '" . ,CONTRACTOR INST c. 11)" f'lr"gnn lit' ity , iil'its: new, al/eration, extension per panel I 1 Business name: ~;{r .':;. d /(~.....-C~~~:'8Q9-33 -2 4t4f.ee for branch circuits with purchase ofa service or feeder fee: 1 1 Address: 3:? 4 <' R .l,JSId/ M//,A U 1 I Each branch Circuit 1 I $ 6.00 I $ 1 1 City: /'[\~.I~/I 1 State: 01'< 1 ZIP: ?7-0.4fb Fee for branch C1fCUltS without purchase ofaservlceorfeederfee: 1 I Phone' J?L/ ..9'?<.? -J6"siJ 1 Far.:-.r ~ ~ - ~ -.E " First branch circuit (2) / $ 55 00 1 $ S r [ E-mail: I Each additIOnal branch Circuit $ 6.00 I $ 1 CCB license no.: 62..1 77 I BCD license no.:~ -2.2/cL! Miscellaneous fees: service or feeder not included 1 Signing supervisor's license no,: 3?:;2. tf- 5 ..1 I Each pump or irrigation circle (2) I $ 63.00 $ 1 Print name of signing superviso~A/<'nf'#~ ;//-1(1,1. ~ ~h sign or outline lighting (2) $ 63.00 $ I Signature ofsigningsupervisA";;':'/. /'. ~- : // . I Signalcircuitor a limiled-energy panel, I $ 63.00 $ I . ~ ,~- ~ /~/'ZA--/ alteratIOn, or extenSIOn (2) . ',' , c---V - \, 1 Each, addi.ti~.n~l.inspeetion: :~) _I $58.00 1 $ 1 ~~~ ,~~i~~ ~~~i;;5~~~~~~!:~~~~~:]:T""" g"''':~i~ \ COMMENCED OR IS ABANDONED, FOR I (C) Technology Fee (5% of[AJ) $ ? 94 ANY 180 DAY PERIOD. I TOTAL fees and surcharges (A throngh C): $ r-.. ~b $134.00 $ 440.2584.J (9/08/COM) Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01835 ISSUED: 12/24/2009 APPLIED: 12/24/2009 EXPIRES: 06/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line SITE ADDRESS: 2423 34TH ST ASSESSOR'S PARCEL NO.: 1702193101117 Springfield J'YPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Single zone mini split heating system in residence. Residential Owner: JANISSE MITCHELL & JULIE Address: 2425 34TH ST SPRINGFIELD OR 97477 I CONTRACT.OR INFORMATION I Contractor Type Electrical Mechanical Contractor CHRIS MILLERS ELECTRIC INC EUGENE HEATING & COOLING License 62377 149452 Expiration Date 12/21/2010 10/22/2011 Phone 541-895-3660 541-726-7654 # of Units: Primary Oeenpancy Gronp: Secondary Oecnpancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: BUlLDI!"G INFORMATION I requires you to . "TTEN110N: Oregon laW 1"\ on UtilItY # of Stones: fc\l.9Y! rule8 adopted by \l),\\:s.~ I set forth Height of Str Ib1\&rtlon Center. 'Thos~ At ~1. Type of Hea 100M 952.001-0010'" 't 'll itQ\ell by Water Type: ~ YOU may obtain ~ Range Type: calilng the center. (N " Energy Path: umb8rfofUle Oregon Sprinkled Buil.P.ng: Cent8fI1lI1 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Sctbaek: Rearyard Setback: Solar Setbacks: Overlay Dist: #.Street Trees Rqd: Paved Drive Rqd: % 'of Lot Coverage: " 'REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: NOTiCE:!}';;':,..'.. ' THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of 3 _.~".'."'~.' '.:' .~ .... ..r..... kit.: .~ " ' ,'" L " . .. ,~' "",,.,,' .,'....,".-..,."-". .. -',',.' Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01835 ISSUED: 12/24/2009 APPLIED: 12/24/2009 , EXPIRES: 06/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V al,uatio~ Descriotion I lleseription Tyoe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fp~~. ~ Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $11.52 12/24/09 2200900000000001429 + 5% Technology Fee $4.80 12/24/09 2200900000000001429 1st Appliance $79.00 ,.:... 12/24/09 2200900000000001429 Hea' Pump $17.00 ". 12/24/09 2200900000000001429 + 12% Slate Surcharge $6.96 12/29/09 2200900000000001437 + 5'Y. Technology Fee $2.90 12/29/09 2200900000000001437 Add, Alter, Extend Cire $55.00 12/29/09 2200900000000001437 Minimum/Adjustment Electrical $3.00 12/29/09 2200900000000001437 Total Amount Paid $180.18 I 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 ~p(lllirr'\JIII~llf'rtion' I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work!s co'!'plete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 ._S~q~)<J'~~'. '" .,r,: lilt,'..", , ' ".,,~j',i,) , , '. ',__ '~'.' 0.... _ ..., 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: COM2009-01835 ISSUED: 12/24/2009 APPLIED: 12/24/2009 EXPIRES: 06/29/2010 VALUE: By signature, I state and agree, that 1 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 wOl'k 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 '.:" ,,<- ,~~, .' Page 3 of 3 Date v 225 Fifth Street Springfield;Oregon 97477 541-726-3759 Phone ~,~~,-':'I"Q)",'!I-l>'."""""" ".i'. " - " " , - . ..) City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1835 COM2009-0 1835 COM2009-0 1835 COM2009-0 1835 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: 2200900000000001437 Date: 12/29/2009 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By MITCH JANISSE Item Total: Check Number Authorization Received By Batch Number Number How Received , djb o 1653b In Person Payment Total: .:i:;" Page I of I 12:08:05PM Amount Due 55,00 3.00 2,90 6.96 $67.86 Amount Paid $67.86 $67.86 12/29/2009