HomeMy WebLinkAboutPermit Electrical 2003-3-12
225 FIFTH STREET
SPRn:~GFIELD, OREGON 97477
INSPECTION REQUEST: 726-.3769
OFFICE: 726-3759
ELECTRICAL,PERMIT 'LICATION
City Job Number COVV1 2003,;. 00 f3?
,
, ,
3. COMPLETE FEE SCHEDULE BELOW
L LOCATION OF INSTALLATION
956 1 st Street
A. New Residential~Single or .
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
170335"2-2
00300
Items
Cost Sum
JOB DESCRIPTION 1000 sq. flu or less
1.5 Ton Heat pump w/handl,er -r",., f II" Each additional 500
, ~ '4'","11'19 ~lr8J8e, ! as submjttedha~the tOll.Q.w!R, 9
. zoning, and does not require sp~atit"~B'iWe
Permits are non-transferable and e~{9val, thereof
if work is not started within 180 days "Zoninr L7) (L Each Manufd H,ome or
of issuance or if work is suspende~ '2:> - 10... ~O?, ~odular Dwelling
180 days. A th d S' rv. Service or Feeder
u orize Ignature ' ~ I)J
$106.00 $
$19.00 $
$50.00 $
2. CONTRACTOR INSTALLATION ONLY
'B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contra~tor JB ELECTRIC, INC.
Address 4065 W 11th. #18
Signalurerr:;: Electrician
JI/}()~
" / v
Owners Namt)
Mary Rigby
Ad!kess same
City SDrinafield. OR 97477 Phone 747-0180~
OWNER INSTALLATION
--
. 200 amps or less $63.00 $
201 amps to 400 amps $75.00 $
, 401 amps to 600 amps $125.00 $
,601 amps to 1000 amps $163.00 $
Over 1000 amps/volts .. rQ5 \IOU ${175.00 $
Recpnnect R9~:ure9on laW I ~~...~ ,,~ I nili$-gO.OO $
Afll::.l\\ll dbythtlv,vg:.
. 1\ ..rules adopte are set fortb
c. Tem1f0~~tb'f\"e~q~~aa-lOSe rule~AR 952-001-
~06~CR 952_001-001?thro~9~ of the rules b')
In ~obtam cOple hone
o~~l6[\'e~ er (Note: the tele'p. JdPfOO $
200<a'M~~ttt}Fo '~~gon Utility NUl(.,ca'$69.00 . $
QWt"'lt\)t3fJflo6 ~p~ _800-332-234q.1. $100.00 $
rantAf \-- .
Over 600 amps of 1000 volts see
B above $
City Euaene. OR 97402Phbne 541,687.5770
Supervisor License Number 3872S'
Expiration Date 10/1/01
Constr Contr. Number 37587C
cce
, 104929
Expiration 'Date
10/1/01
3/14/04
D. Branch Circuits
Ne~,Alteration or Extension Per Panel
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ont), eircuit $43.00 $ 43.00
Each Additional Circuit or with Service
or Feeder Permit 1 $3.00 $ 3.00
'. UR'I~fl. '
E. Mlscellaneo~s ~~~~~cgr:eder not mcll\de.dl.pIRE IF THE WORK
-Each mstallatlonERM T SHALL tX
Pump or irrigation!-\UTHORIZEO UNDER THIS PER~bTol$ tiQT _
SignlOutIiijeJw~CED OR It) AtH\NUONf$h.6~f1 $
Limited EIWr~ny.OO DAY PERIOD. $25.00 $
Limited Energy/Comm I $45.00 $
O\Yl1ers Signature:
5. SUBTOTAL OF ABOVE MINIMUM $45,00 $ 46.00
7% State Surcharge $ 3.22
10% Administrative Fee $ 4.60
JB Job # _03-160 TOTAL $ 53.82
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00138
ISSUED: 03/06/2003
APPLIED: 03/06/2003
EXPIRES: 09/06/2003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 956 1ST ST
ASSESSOR'S PARCEL NO.: 1703352200300
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
TYPE OF USE: New
Residential
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
En ergy' 8:lith:
:-.'{eS '1v0\\X\\'1 ~,
-,,\): _<\ ~".(\;.
".!;..' ,Ie ~.t- ^'" .A
od'PEY.tWIX'>P,MtENJ'"WFQRMATION I
SETBACKS ~O\eg 0. 'O"J ~ '('I)\I(;;'- ~~ ":J- 'I)Ws .. -
\0\ . >.o~\e Ose ~O ~ p, '\ e
.,.,.-(\:;..~ \ S 'O.\J> :\ 5~ ~o'l)'6)veyarDisr.()~. :{\
~\' '{\)W Gf?;{\\e \G\'(\' ("ift'Streets~V 1t'.O-\\0
~\O~ .:{\ ""G\). CO, . \,\\'-' \J..~\P.J
\0 .'1C'O.\\0 r.,G\) ';Q\'().\'{\ ...\~~l'V:e~IV~ Rqd:
...\0\\\'\ f:!jS" '0.'10 :\ ~'" 0\\\\'\. r;,f),M-
Rearyard Setback: \~ Ot>-~ --(O\) '(\\ ce'{\\e 'eQp'%~f'b~t Coverage:
Solar Setbacks: \'{\ ~G. \'(\e e O'{ ()C\,,:)
Q\) ~\\\'{\~ ~r\'{\~ ..c~,,'O.
~~'{\\'Oe\ G~{\WIPUBLIC IMPROVEMENTS I Q~'i-.
Sidewalk u:t~f ,\,\t. '-N ~Q\
~: ~'i.'b?\\'\ \h~\ \S
~O~~t.~~\' ~t.i~~~~t.\) fQ~
\r\~ \,\Q~\lt.U Q~ \S ~~N
~\j~~t.\'\Ct.U ?t.\\\Q\).
CQ ~ ~~ \)~'{
~\'\'{ \
Owner: RIGBY MARY C
Address: 956 N 1ST ST SPRINGFIELD OR 97403
I CONTRACfOR INFORMATION I
Contractor Type
Electrical
Mechanical
Owner
Contractor
JB ELECTRIC
MARSHALLS INC
RIGBY MARY C
License
104929
25790
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Street
Storm Sewer Available:
Special Instruction:
Notes:
1 of 3
Expiration Date
03/14/2004
12/2312003
Phone
541-687-5770
541-747-7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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: cOM2003-00138
ISSUED: 03/06/2003
APPLIED: 03/06/2003
EXPIRES: 09/06/2003
VALUE:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footal!e
Value
Date Calculated
Total Value of Project
I Fees Paid I
Fee Description Amount Paid Date Receipt Number
-Mechanical Issuance Fee- $10.00 3/6/03 1200200000000000783
+ 10% Administrative Fee $4.50 3/6/03 1200200000000000783
+ 7% State Surcharge $3.15 3/6/03 1200200000000000783
Air Handling Unit Up to 10,000 $8.00 3/6/03 1200200000000000783
Heat Pump $12.00 3/6/03 1200200000000000783
Minimum/Adjustment Mechanical $25.00 3/6/03 1200200000000000783
+ 10% Administrative Fee $4.60 3/11/03 1200200000000000807
+ 7% State Surcharge $3.22 3/11/03 1200200000000000807
Add, Alter, Extend Circ $43.00 3/11/03 1200200000000000807
Add, Alter, Extend Circ Ea Add $3.00 3/11/03 1200200000000000807
Total Amount $116.47
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will he made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reauired Insnections I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
2 of 3
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: cOM2003-00138
ISSUED: 03/06/2003
APPLIED: 03/06/2003
EXPIRES: 09/06/2003
VALUE:
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
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00138
COM2003-00138
COM2003-00138
COM2003-00138
Payments:
Type of Payment
Cheek
Paid By
Description
Add, Alter, Extend Cire
Receipt #: 1200200000000000807
Date: 03/11/2003
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
JB ELECTRIC INC
Received By
Check Number Confirm No
djb
Page 1 of 1
3/111200]
3:02:18PM
.
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
43.00
3.00
3.22
4.60
Line Item Total:
$53.82
How Received
Amount Paid
In Person
53.82
$53.82
Payment Total:
cReceipt.rpt