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Home My WebLink AboutPermit Electrical 2006-7-6 ';;''''IQ~\'~~ "<.", ~': -.~.: "~iimi~z-' i:{F 'S,] ,h5.tc.b;;';J'n._m'i,;;\D:;c:~r\N' ;' -". ", ~;fi' ,tIt .. ,. . . . . \.:':;-1i~'1- U 1- .&'DI'~cl.':u.L;.wU' \:!iI.'U....)\:;JV \, ., ji }~:., ~:\<.. b'<".j'~ A", ~~-,..,,; "'df-. :~ ?' -"I _ ~ -i ~ ."'? -~."' '.Jo' \ / .~:;~ L'O v2- NV- '1. - l II --L.(JOy. \ V\.o.-p 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CDYV\'JJJDft, -()~f Date B. /l . 5 c ~ _ L, -.- . ii! "'r'7C~ ll~m~R 1111;) PERr'/lITIS i~UT Electrical Contractor G () VL e::rOI C;J-,r!c. 20Q~p~.or,less, 1:;_'; IS AiJ/-\NuUM::O FuA 63.00 ;j i2 ~ 201 Amps to 400Apms; I,] I; $ 75.00 Address r--D LJV)( J Lj g d- 401 Amps to 600 AI~ps' . $125.00 . ' c: /J' r. 1./ 7L1 J- I 6 601 Amps to 1000 Amps $J63.00 City-1Ytl f)qf7e/(J Phone // d d3 Over 1000 AmpsNolts $375.00 " J Reconnect Only $ 50.00 1. 5. LEGAL DESCRIPTION 11 03 35.:ty4- 0580l) JOB DESCRIPTION iIon J-/w-~ / IM)U<<J.~ Permits are non-transferable and expire if work is 110t started within 180 days of issuance or if work is Suspended for 180 days. 2. Supervisor License Number LJ>?9 ~!.s Expiration Date / 0 - oJ - d c;'t} 7 Constr. Contr. Number .::S 6 Y c; Expiration Date c; - ) -- dOt) ~ . "nature of Supervising Electrician '~~-~- Owners Name JtivJ ~ fbt-- Address 5lPO s. -5th -~- City WeLd Phoo' 74-L - ~ OWNER INST ALLA nON The installation is being made on property J: own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. A. 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 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100,00 Over 600 Amps or 1000 Volts see "B" above. D. N~,~t~tatioQ]'t!'o~~ ~ff~i,o,\~lt~"ff'e1> yo~ .to ;~g~~~mif!1 Cen~:n. ,Tho;;?, ;.:,~~;:, e~~(1 Utlltt~3.00 E~9h ~~211tib{1aI. -cL.rqltl~) ~li 'Olfh~ I ",: '1- f:~. t forth ~j;\Qc6'()t.iB~~rcfem#J , ..1 ,... D:,,'?C$) f~OO ::-.1" .'1'" ';_ ~ 0 C ! I Cr ~... '.~ ? r. :l....:-:..~ l~ ..A3 .DO ~.O!> E. c '. "- 1 Pump or in-igiltionJ. - .. , , Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commereia1 $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 4fo,DD .3 .(o~ k.bO 9+. 7-<6 ~ t% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-G3.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00504 ISSUED: 07/06/2006 APPLIED: 04/28/2006 EXPIRES: 01106/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 560 S 5TH ST ASSESSOR'S PARCEL NO.: 1703353405300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Contractor Type Electrical Mechanical Contractor C & SELECTRIC PACIFIC AIR COMFORT INC ~1{]l~CiE: Phone Number: 541-741-4865 r~~~-4~~~~~~ ,~~~~~ ~XPIRE IF THE WORK ""'i""lRAr\,;"~-~ "''''-'LlI , n10 t"tliIVIII IS NOT I CONTRACTOR INFORMATION' fR IS ABANDONED FOR !JfRIOD. License Expiration Date Phone 3849 09/0112008 541-741-2236 39237 03/25/2010 541-672-9510 Owner: Address: JAMES CARPENTER 558 S 5TH ST SPRINGFIELD OR 97477 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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: . Occupant Load: R-3 n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INl\~ronmo~NO'egon law requires lOU to TOIIOW rules adopted by the Orel3g,.,.,m~ PARKING Overlay Dis{;Jotification Center. Those rules <I1iftaJet forth # Street Tre~~ ~~d'1952-001-001 0 through OlHltnaieapp'ed: Paved DriveCRqca:. You may obtain copies of tGomp:lIcJ:by' II' h % of Lot Covefage!1g t e center. (Note: the telephone number for the Oregon Utility Notification ,,",.._.L.__'_ ~ n~'1 ......-..... ..- - .. - --. ......., ...... I Uvv \...Jt..J'--C-U-y'.J_4 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Page 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.68 $43.00 $3.00 7/6/06 7/6/06 7/6/06 7/6/06 Total Amount Paid $54.28 I Plan Reviews, CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00504 ISSUED: 07/06/2006 APPLIED: 04/28/2006 EXPIRES: 01/06/2007 VALUE: Value Date Calculated Receipt Number 2200600000000000932 2200600000000000932 2200600000000000932 2200600000000000932 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. 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 of 3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00504 ISSUED: 07/06/2006 APPLIED: 04/28/2006 EXPIRES: 01/06/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 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 Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Cjf,., of Springfield Official Receipt L Jopment Services Department Public Works Department Job/Journal Number COM2006-00504 COM2006-00504 COM2006-00504 COM2006-00504 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 07/06/2006 2200600000000000932 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By C & SELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 163192 In Person Payment Total: Page 1 of I 2:23:57PM Amount Due 43.00 3.00 3.68 4.60 $54.28 Amount Paid $54.28 $54.28 7/6/2006