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Home My WebLink AboutPermit Electrical 2006-9-26 ( _0'-- S?RING;=I~~\JL;l,.;.-j-l L,1- v.:: ~ N^ ^ '; : _. I''\.l..~Ll - -:-' ,=- '- -~-' '~:' 'd:'/l~' "r . --. ' .~,~~ . .-1 ~ -,:. ~ .' -~. - . 1-'" ~L::", i;:.,2>,~'; ":1 ,- ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA,,\:; (541)726-3689 ELECTRICAL PERWIIT APPLICATI01V City Job Number COlMt-OOb _ 01 Z;Z, { Date C\-_.... 2 ~ ~- Lc:?Jy 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof U '0 Permits are non-transferable and expire if work is . .I;3.<14rN1~~erU81N1~Ulres 'jU .\\ not started within 180 days of issuance or if work is ATTENN1Htltlraa~p\inf\~fmGceregon UH I Y r $5000 Suspended for 180 days. folloW r.i1~~ 0 Tnose rules are s<:>t tort. - "CONTRAcrOR-INSTAT,'r:ATIONONL~otlticatl=~~~fl0A~:~~~~ti~s or R;I;~~tio~; -.. 2. , uS_ , , - _:", ~_.. '-- '.=,~- j..~,..~4hO~ -- - .. btani:-eo~~' ,_ _~ _ _ _ .. __ ,_,_' ~ " J .,-- nnao. YOU may 0 ate' the telephone Electncal Contractor ~_~- '~I 1\( \C\5 C. \~(')i'R.i,~f.6iN '. NotiHc~tinn $ 63.00 I '~'"U ~f.\'/!i\~~Mt'llty , 0C\ A ' - numb ~~~Sl 'WI _~2~2344). $ 75.00 Address ~ \"lc) LC: ;2 Iv (:' 4~~i8~e800n ~ $125,00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 1. LOCATION OF INSTALLATION 45Z0 hAlSV' I s..T LEGAL DESCRIPTION J 70 L 3 2 '-{ 3 aL( ~O Z. JOB DESCRIPTION A-J" :r ccru.-l-;h City E:-L\CY:- .\, e Phone ~"'n .'l.;JC\ l Supervisor License Number :;{Cjc;l( c:-..:; Expiration Date Ie ,\. C'-l Constr. Contr. Number =2 C - \ '-jS G Expiration Date '1 - \ - C G- Signature of Supervising Electrician ~~~LZ~ ~N.m' "T.it!' ~k-A,^ Address 4 S- ZO "'bi4-t'-'7 ~ I S. ? Ph Phone 747 - b 771 City OWNER INST ALLA TION -:-he installatJon is being made on property I own which is not intended for sale, ;ease or ,em. Owners Signature: Inspection Request: ~::6-3i69 '\ ~~'} ~\ D" .y;.<::~!b 3. CO~IPLETE FEE SCHEDULE BELOW ._~._." '_.'. _,~.;_,_",__,;::-,,~.P""'__" ___~'~,-_.J,;"__ . _,~. J: _' _".__"-__. .~_,;.._ ...._...,: ::.........,.- ','<;J."-'~",- "'_'." A, New Residential- Single,or MUl,ti-Faittily per dwelling unit. -- ~ .~.-,.'. ..'-', ._..~....J...__._..".._._.,.......~, """'~:_"",.._~ __-"~. .r,_..,._'__.._......,..--........_._....__.._~._.;,,;; Service Included $106.00 $ 19.00 C. :T~~~~;iry.'s~ri1~~;;~"'F;d~ci?p"~'~~C.';id...~"7"c'"'.;' . <" ~""., .-'- c.........."., _."'....".~-L_....'.'k-.:r.'..__."'-<..."'...;,:;..,;.J...,.,;'ol<-__....,~_.......,... -.,,-;_.':'lC. "'_ ~..~ .....c ..~......_._,,<_,;>. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over _600 A:nPs ~: 1000 Volts see "J?,:' above. D. Branch,Circuits . $ 50.00 $ 69.00 S 1 00.00 o:;i....>;....o.;"..:.:. ;'I/ew Alteration or Extension Per Panel One Circuit / $ 43.00 tf'J, Each Additional Circuit or with '? I Service or Feeder Permit c- S 3.00 \0 - , -,,', " :<Ll~ '-NO\\~ E. Miscellaneous (Service!feed~?ll1f\in'c'iUrl\%' ~~h Installation -'\Ct: ,-,- t'-'f..? \\~\\ \ ' ~\\l~~\1\1S\\~ \\ \\\\S?t. .- rmlJ.OO SI~~t~ii1~\t~~Dt. ~\)~Wuu\~& S 50.00 L111l\~d~~er~~~f1-tlW D. S 25.00 L1m~~~~~/6~r\f~m? S 45,00 .Y1inimum ~h\~t:i~Permit Inspection Fee is $45.00 - Surcharges 4, SUBTOTAL OFABOVE: 49 37l : 0% .'-..dmmlsrranve tee '1po TOTA?" n-e* T€€ 1 bO~ -' Z'iF ~harea DnvelT,) BUlldmgFOITr1.SlEleC~,\OPliCatlOn ,-'J3,coc ~ B~ State Surcharge \~" '=ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01221 ISSUED: 09/22/2006 APPLIED: 09/21/2006 EXPIRES: 03/22/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4520 DAISY ST ASSESSOR'S PARCEL NO.: 1702324304302 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump and air handler TYPE OF USE: New Residential Total: Handicapped: Compact: ..,,'~~~ '-\~ " ...\~"\ '(I i,,, oM ~t I PUBLIC IMPROVEMENTS I ~~\~\:. ~~\t'.\\ ~C\)~ \"~' ~ <:>~~~!~1\)\\~\) ~~'\ 'Y.<':"'~~ \) ~~,\~~rains: \~\~~\)~~;~\) \)~~\)\). ~~ ~~~\' ~ ~ <V~ ~ \~\) \) ~~ Owner: JULIE BOLKAN Address: 4525 CAMELLIA ST SPRINGFIELD OR 97478 Contractor Type Electrical Mechanical I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 3 Phone Number: 541-747-6771 Expiration Date 02/08/2007 12/2312009 Phone 541-343- 72 97 541-747-7445 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Fee Description ~Mechanicallssuance Fee~ + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $4.90 . $2.25 $2.45 $3.60 $3.92 $43.00 $6.00 $8.00 $12.00 $25.00 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 9/22/06 Total Amount Paid $125.62 I Plan Reviews I 2ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01221 ISSUED: 09/22/2006 APPLIED: 09/21/2006 EXPIRES: 03/22/2007 VALUE: Value Date Calculated Receipt Number 1200600000000001440 1200600000000001440 2200600000000001342 1200600000000001440 2200600000000001342 1200600000000001440 2200600000000001342 2200600000000001342 2200600000000001342 1200600000000001440 1200600000000001440 1200600000000001440 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. L..Jleouired.}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. Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01221 ISSUED: 09/22/2006 APPLIED: 09/21/2006 EXPIRES: 03/22/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3769 I nspection Line By signature, I state and agree, that I 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 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 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 Date Pa2e 3 of 3 225 Fifth Street Springfiold, Oregon 97477 541-726-3759 Phone Ci+ --f Springfield Official Receipt D\.. .opment Services Department Public Works Department Job/Journal Number COM2006-0J22 I COM2006-0 1221 COM2006-0 1221 COM2006-0 1221 COM2006-0 1221 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000001342 Date: 09/22/2006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By ELLEN REYNOLDS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 026562 In Person Payment Total: Page 1 of 1 3:36:41PM Amount Due 2.45 3,92 4.90 43.00 6,00 $60.27 Amount Paid $60,27 $60.27 9/22/2006