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Home My WebLink AboutPermit Electrical 2010-3-16 ;ft /pi/ 0 3. ~!::li~!~fl~~1!~If!tQ1iDE;1B.jii~q:W:.~T~:f~!':.... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CityJob Number .c. \D- clL.~ Date I. '{[<<i~~g~;gE;i:N$TM;&1'tIO~:'1','~ ~D~.Z.t>~4- OS30 LEGAL DES~,\,I9J'l /"': ( ;j tj~5 111{Jj15 fI' / e/ e_ JOB DESCRI.PTION Ie ~wkd.jJ~ Permits are non-trans.{rable and expire if work is r not started within 180 days of issnance or if work is Snspended for 180 days. Service Inclnded A. ~N~,~;'l!e~ia~it:t'i~lf~Si~gl~,;~B;M\lJti;:'F~rtj_IJy"pe;hdib(~~ri'g':iI~fE ~~~, 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 .-.. )t J,itG< . ...:.;".- " , ';4 'i' ,'>. '!:l\~ " ". ..'+ 2 ..Ci:0N1'KAeT0R-INSJ'AEIM.-TI0NIONEK B. E;ec:I:;J:::~:::~~'~~e;i~""!i7~d~{ C Address jf1~7 ?.AA1e.f1 ~. 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps . 601 Amps to 1000 Amps 'f t/I- 9.15 cJ/5f!ver 1000 AmpsIVolts . Reconnect Only City Phone &19-5 / c?/II/ z- Constr. Contr. Number / D 9 q {; t{ I flt-II/ ) . I I' $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ~ \ Supervisor License Number c. lF~emR'Ora'h::[S'e'rvi~e~}~r;,~t~~d~~I,'ii;~;,i?;;:~:>'\~;?,J<:~~';r:Yl( Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Expiration Date Expiration Date $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. -;,-." uu ..,,' _ . .'.-. -.. )l,),~--4._ D. r;l!f"!n,~_h'€lr~.lHts Signature of Supervising Electrician i!~~ I ;Jj ,;/: .~ /11, <(' r ~ City J -/-,.. . P~ - ..,,2 67;pump or irrigation $ 50.00 If\t"~.oft $,"~\.\. ~\S \l :t.~ ~O A.~tiI\f1lrequ/r8sYOU to $ 50.00 . ow~~~~~\\~~\\:t~~~~()~ ""'OW tuf!!"'~~,Ullte(lltGlgon UtI"" . $ 25.00 The in~~~~~t~ ~perty 1 own WhiC:~cati~jf,~rot,~~e~~ $ 45.00 IS not m~~~~~~ t. . oosarlfotp~~aF~~$45'OO + Surcharges ..,.-, O S'~v \'QI) caJIn9,t!le,center." m.. . "~''''s- ~ f./J wners Itl'Uirure: "'1I1'I'd4a.A~Ji-LR: ), :J; '" ~ 1;~~; 1>')' t' . n II .....III9\~~m, ~ ' ;':.ill.t~ ':'.~ #:, ~ \}JV ~ \t.: ~~a:~ s~~;~'2344). ~ Y\ ~ ~. .~ f'<l 01. &spection~uest: 726-3769 nq~'" ~ !~::mimstral1VeFee' \ol~~-(p ~~. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit I~~ $ 3.00 E. ~- IM~*~J~~h~~t(~lEYj~'e~te~~~tr-n6tfi:~1~4~~J.:%~~;~~'_'~~~t~II;~It~<n~;- Address Shared Drive(T:)lBuilding FormslElectrical'Pennit Application 1~03,doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00322 ISSUED: 03/1512010 APPLIED: 03/15/2010 EXPIRES: 09/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 345 MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233405300 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Heat pump installation Owner: PHILIPS ALFRED R & LA THERA Address: 345 MANSFIELD ST SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor License DELLS ELECTRIC 109864 MICHAEL TROY KOCH 173447 BUILDING INFORMATION I Expiration Date 01114/2011 12115/2010 Phone 541-935-2154 541-485-0123 # of Units: Primary Occupaucy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup~nt Load: n/a .,.- .. I DEVELOPMENT INF<mA1ATlON I .,-. ' J;;?l~~ O. verlay DistA(j,.'i!tl1;~ # Street Trel&1l.gtt':vl1~vf'" S. .: ,,;" .-' ,Paved Dri~61?t41 <tb (j, ;!f4t ',,', % of Lot Cove~ l:'tb a 'PIbt} t!-,otl b1Y:/J, 19 ~ '7 ~ ~t #" ~ '/)Oll/(j '4IJl" ISI'VOIlI( Sidewalk Typ!? ~Oli .tOr Downspouts/Drains: REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks; Total: Handicapped: Compact: . ~ . ",' . , \ IN t OVEMENTS ~,. oregon e: r Street Improvem~~n~Nt\O",. d^,,\ed '0'/ \he are set ,olth ru\es III vr 'those IUles 952.()O1' Storm Sewer A vRll\\f~on cen\et. throUgh OA.R tulea 'f1I Speciallnstructi~\l ~ 952.()Ot.oo~ COpies 01 \l\9 hone '. In 0 'IOU may 0\:)\ n {Note: \he \elep tlon Notes: ' ~ilng \he cen\~t. gon U\\I\\V N~~ll\oe: : , umbel '01 \l\9. ;e-800.332.-2.34 . n Ceo\er IS , Page I 01'3 ..1:\'\. /', ".;. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or mnltiplier Tvpe of Construction Sqnare Footage or Bid Amonnt Total Valne of Project ~ Fee Descrintion + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid $9.48, $3.95 $79.00 $6.96 $2.90 $55.00 $3.00 Total Amount Paid $160.29 I Plan Reviews ~ Date Paid 3/15/10 3/15/10 3/15/10 3/16/10 3/16/10 3/16/10 3/16/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00322 ISSUED: 03/15/2010 APPLIED; 03/15/2010 EXPIRES: 09/15/2010 VALUE: Valne Date Calculated Receipt Numher 1201000000000000231 1201000000000000231 1201000000000000231 2201000000000000246 2201000000000000246 2201000000000000246 2201000000000000246 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. Ue(]l~i~erU.nsnections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ( ''', Paee 2 of 3 Status Issued 225 Fifth St..eet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00322 ISSUED: 03/1512010 APPLIED: 03/15/2010 EXPIRES: 09/15/2010 VALUE: By signatu..e, I state and ag..ee, that I have ca..efully examined the completed application and do he..eby ce..tify that all info..mation he..eon is t..ne and co....ect, and I fu..the.. ce..tify that any and all wo..k pe..fo..med shall be done in acco..dance with tbe O..dinances of the City of Sp..ingfield and the Laws of the State of O..egon pe..tai~ing to tbe wo..k described he..ein, and that NO OCCUPANCY will be made of any st..uctu..e without pe..mission of the Commnnity Se..vices Division, Building Safety. I fu..the.. ce..tify that only cont..acto..s and employees who a..e in compliance with ORS 701.005 will be used on this p..oject. I furthe.. ag..ee to ensn..e that all ..equi..ed inspections a..e ..equested at the p..ope.. time, that each add..ess is ..eadable f..om the st..eet, that the pe..mit ca..d is located at the f..ont of the p..ope..ty, and the app..oved set of plans will ..emain on the site at all times dUri"/C nstruction. . 7' / / '\ 00}2~IlA-4- V{h/U/L~U Owner or Contractors Signature ;. ~t,t,~; j . . . !~~'t,~ 'i~ rage 3 of 3 ~ ~/( (p /lO Date . Payments: Method Check 3/16/2010 1:14:22PM City of Springfield Development Services Department Public Works Department Transaction Log For Date: 03/16/2010 Oescrintion Revenue Account No Amount Paid $55.00 $3.00 $6.96 $2.90 $67.86 Add, Alter, Extend Circ Minimum! Adjustment Electrical + 12% State Surcharge + 5% Technology Fee 224-00000-426102 224-00000-426102 821-00000-215004 100-00000-425605 Line Item Total: Paid By Received Check How Amount Paid R" Nn ADDroval # D~,,'" IIh 1785 In Person $67.86 Payment Total: $67.86 DELLS'S Page 5 of6 cTransactionLog.rpt