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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