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Home My WebLink AboutPermit Electrical 2009-12-29 Electrj~al Permit Application t IL.' DEp,A)hMENT u$i: ONLY' . -I 1~=n;o09-0' 8"sE, I I Date: /2- 2 1- 0 '7 I 1-' . ".- . ....".I.[OCAL:GOVERNMENT ,'AP,PROVAL::"',:,'(!"ii".il Ir:';::;!J;:~;:{'\N-;f,!,~i')FEE'~Sc>.HE,D.\.fI3E!.::i:':i\\i(0Wl'.\'!f~i!i~~'~')\f;)j;~ 1 Zoning appr.ova.1 verified.? ...'. . . '. D... Y. es.. .., D,N. 0 '.' 1- I ,Num~er~f,ins~~~;iorisp~rjt~~ ci':IQ!Y.I"C6$t '. "1 Total" 1;:-'> ;;CATEGORY.::Of;.,CONSTRUCTION\"'1 ' . .."' ....",.." ",'ea'" - cost. 1~~i~,~~~!~ITENIN~~R~;~7;~;~ND~~~c~;7;~r'~~~~Frii i ~~~~::ti;I,:,el:S:n(:; service included: $134.00 $ I Job site address: J..l/l. \" ;1 t/4 I~ . . I I ~~~~:ritional 500 sq. ft, or portion $ 2500 $ I City: ,\'~r.l-/J/()r I S~tate: /1)' I ZIP:Q7t777 1 1 Limited energy (2) $ 32.00 $ !.Refe::en!e;I?~~c~~t~JoF~J;~~I.~~'fL~,:~.;?,,_11 ~c~~rs~~~~~r~~Fe~~~r(~)OdUlaI.. I $ 63.00 $ I A /J / / f' // Ili/fCs'~rIV(~S~~ders: installation, alteration, relocation . /-I-;//_V. /p...!/,qr ",'" '4,,,, Cc I I /:1yj} i. ?y, ," f.. - r I);) 1~';~ J<qA,~~OI) 4:;. . $ 81,00 $ I PROPERTY OWNER' :9J.2V~. rtl{$,{2 a by t. req/Jlr..~ $ 95.00 $ I Name: ////4'''/' JA-fr" >. I)q~~~r;t ~..tq~0lth~~~r/JI"~~f(a' " $ I Address: J. t/ Q ~ ?/4, .\).-- I FOO/fJ/' ~eF.'pP(~ Jill 0 9 ~ ~ $205.00 $ I City: ,\, t1~~(Y r State:;.1f) I ZIP: ~/h I 1 ~fI{/l&;JW. u,.~' $469.00 $ I Phone:z:z4J-~111t/ I Fax: ' _ ., 1 1 Reconnect o'nWl~~;~ N" ~ I $ 63.00 I $ I E-maiC . M- .' J..-[" . /J t. ' iLl , I . I Temporary services or ~i~~ion. alteration, relocation _s ~ ~..../y, L,,'J-<-r.....l.N1 I This instailation is being matie on r dentia! or' farm property 200 amps or less (2) $ 63.00 $ owned b~ me or a membeVofmy immediate family. This I 201 to 400 amps (2) $ 8700 $ property IS not Intended for sale, exchange, lease, or rent. OAR I' ' 479,510(1) and 479.560(IJ. / . 401 to 600 amps (2) $126.00 $ Signature~~;f /: / /\ . ~.., lOver 600 amps or 1,000 volts, see services ~r feeders section above I . "CO:f!~TRA T R' INs--r--AtL~TION .' ~I 1 Branch circuits: new, alteration, extension per panel I Business name: .!'~ ,M'O.I/,'r ;:3 !/--,/-I//~ I I a. Fee for branch circuits with purchase ofa service or feeder fee: I Address: .13 _ <? 1~~2,h L-L> ~!.\LJ' I 1 Each branch circuit I $ 6,00 I $ I City: ~ i 't ' ,p J/ I State: I ljP.;/:;'ICf: lib, Fee for branch circuits without purchase of a service or feeder fee: I Phone:.:) ~ Jl9.f::]a;'t;ZL1 Fax: - A 1/7'1 ,!:fRMrr 1 First branch circuit (:1) $ 55001 $ 1 E-mail: COMA~.:..f1Ii?ED II H~LL~~ional bran.ch circuit Z. $ 6.00 1 $ / z.. I CCB license no.: 62.3 7"/' I BCD license1/(J.Vi11f;!l?/2l DM.ir~~1roJff'(<f.} 'c". or feeder not included I I Signing supervisor's license no.: .3..~2.... ~ 5-3'11' PE!r1 ~~ fiJa~sn1ft%'Jf(2) . $ 63.00 $ I I Print name of signing supervisoC~..e if #( /U-fiJl I ach sign or o6tlili~htIng (2) $ 63.00 $ I I Signature of signing supervisor --./ ~ I. ~J/ --' I I Sig~al.circuitorali~ited':energypanel, $ 63.00 $ I ~ ~~ alteration, or extenSion (2) I Eachadditional inspection: (I).. . 1 '. $58.00 J $ I r~:~lJ;F~~s~~1if~K~~~itARI?,_Lfu'~Nt~.uSEW,~;~:t;~!!N~i;~~!~;lt1I\!;;r~_: :.J (A) Enter subtotal of above fees '(Minimum Permit Fee $58.00) ,I (B) Enter 12% surchaIge (,12 x [A]) I (C) Technology Fee (5% of[A]) 1 TOTAL fees and surcharges (A through C): 225 Fifth Street+Springfield, OR 97477 +PH(S41)726.J75J+FAX(54t)726.J689 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. ~ f<J~ \.~ \'-~ ~ '-.J ~. V0 ~~~~ V-~. ~ I 1 I 1 I 1 8'11 I "3 $ 11/ b I $ I/bl'f $ IDJ? ?/ $ 440.2584.) (9/08/COM) Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01836 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: 2425 34TH ST ASSESSOR'S PARCEL NO.: ]702193101117 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCR]PTION: 3 zone mini split heating system in residence. Residential Owner: JANISSE MITCHELL & JULIE Address: 2425 34TH ST SPRINGFIELD OR 97477 I CONTRACTOR ]NFORMA TlON , Contractor Type Electrical Mechanical Contractor License Expiration Date CHRIS M]LLERS ELECTRIC INC 62377 12121/2010 EUGENE HEATING & COOLING -; -t:'~l,lMllfle!' law requlrllllz~~:f~. BUILDING 'i&'~ilrR9rn<- ';':~~I~~ ~:r;'~et forth . 'Notiii'catrbnJJfU.. IOU hOAf\952-001- # of Sto'1W'lllAfl952'()o1.()O~~hcoPi~sl0ltl!)I'L(,1;I\es by Height otill9Olelia1.l may o~ I lNote: t~ lJ!ilE!~PPM>r: Type of Heoalllng the cen ~,~gon UtiliS1lhlll\i\iQaf\f?,~r: Water TYR\l:lmber for the,s 1-800-332~t\'iIBasement: Range Type: Center Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Oceup~nt Load: Phone 541,895-3660 541-726-7654 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELmMENT INFOR~ATlON , Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Sola r Setbacks: Overlay Dist: , # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQU]RED PARK]NG Total: Handicapped: Compact: , Street Improvements: Storm Sewer Available: Special Instruction: NOTlC!:"UBL]C IMP~OVEMENTS' . THI$ PER'MIT SHAll EXPIRE' """""(;'?"'-" Sidewalk Type: AUTHORIZED UNDER THIS P IF THE WORl:(o>ynspoutsfDrains: COMMENCED OR'IS AS ERMIT IS NOT ',' . ANY 18Q DAY PERIOD. ANDONED FOR . ..., Notes: Pa2e I of 3 ._SI~,~.,.~,!'''iiJ,'''' ' fl, Wk., i' .~,~-,-_. II -', '~<", 1- -f ;~ ~ .", ',' ,,--.,'''''''"'''.,'-.....-, '.-.,. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-0I836 ISSUED: 12/24/2009 APPLIED: 12/24/2009 EXPIRES: 06/29/2010 VALUE: 22S Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 I nspeetion Line I Val,uation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project J;'pp" P9irl I r I Fee DescriPtion + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Hea'Pump + 12% S'ate Surcharge + 5% Technology Fee Add, Alter, Extend Ore Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $15.60 $6.50 $79.00 $34.00 $17.00 $11.16 $4.65 $12.00 $81.00 12/24/09 12/24/09 12/24/09 12/24/09 12124/09 12/29/09 12/29/09 12/29/09 12/29/09 2200900000000001428 2200900000000001428 2200900000000001428 2200900000000001428 2200900000000001428 2200900000000001438 2200900000000001438 2200900000000001438 2200900000000001438 Total Amount Paid $260.91 .'-; 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 followfng work day. ~"\lPdio~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541,726,3753 Phone 54),726.3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-0I836 ISSUED: 12/24/2009 APPLIED: 12/24/2009 EXPIRES: 06/29/2010 VALUE: By signature, ) state and agree, that I have carefully examined the cumpleted 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 struetnre 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 f",'ther 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. O\"I"ner or Contractors Signnture " Pa2e 3 of 3 Date 225 Fifth Street Springfieiii, Oregon 97477 541-726-3759 Phone ~~R'Nq,'IE~'~ "JA ~ ~-.: .~. City of Springfield Official Receipt Development Services Department Public Works Department . Job/Journal Number COM2009-0 1836 COM2009.0 1836 COM2009,0 1836 COM2009.0 1836 Payments: Type of Payment CreditCard cRcccinll RECEIPT #: Date: 12/29/2009 2200900000000001438 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By MITCH JANISSE Item Totlll: Check Number Authorization Received By Batch Number Number How Received , djb o 1653b In Person Payment Total: In ._IL ,I', :' .' l: Page 1 of 1 12:09:03PM Amount Due 81.00 12,00 4.65 11.16 S108.81 Amount Paid $108,81 S108.81 12/29/2009