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Home My WebLink AboutPermit Electrical 2010-5-28 . ..... xt .~ J1fi'i Electrical Wr~it A lication 225 Fifth Strrd.Springfield, OR 97477.PH(541)726-3753.FAX(S41)726-3689 Date: 5 -?r5 -/0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is 1I0t started within 180 days of issuance or if work is suspended for] 80 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified') 0 Yes 0 No CATEGORY OF CONSTRUCTION: D Residential D Govemment 'JOS'SITEINFORMATION ANDtOC"ATION City: Reference: wJ L L c... ~~ ~ I'\~.\" \0' V THIS PERMIT AUTHORIZED COMMENCE ANY 180 DAY ~ {\~~Q ~" It" ~~ ~ 440.2584.J (9/08/COM) . -. .' .- , : FEE SCHEDULE Nu~~bcr of in~pct~ioriSJjcr:itc~ O;\:~tr' Cos! Total ca. ~ost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installatioll, alteration, relocation 200 amps or less (2) - $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ e MdBlI,M01IillJil:;€b'H{fltllffl $469.00 $ e.€r.!li61r"~.9J{~ 1~'~ ,~~~~h $ 63.00 $ ~~ flSS-A~9~4Ps: instalfalioll, alteration, relocation all\OOOjPiss' lllH~ rUles oy $ 63.00 $ e~~ 11 .. S 87.00 $ I - 'liii~~<<fi. $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: Ileu~ alteration, extellSion per panel a. F~_e ~or. bransr,ci,rcuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) ~ S 55.00 $<::'';", Each additional branch circuit 1. $ 6.00 $ (".11) Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited~energy,panel, $ 63.00 $ alteration, or extension (2) .., ,yY;~ ~dll~pl\\il\1nI~erdi\\r.ll')~:'::;. $58.00 $ JH1SP~pUSE" " " , D (J'R IB'tA!WIJNlillJ, $ ~ Permit Fee $58.00) G:, I.CD (8) Enter 12% surcharge (.12 x [A]) $ I. X) (C) Technology Fee (5% of [A]) $ .":l. t'!h TOTAL rees aud surcharges (A through C): $,1.;<;7 ; :....'1' .\,' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00731 ISSUED: 06/23/2010 APPLIED: 06/08/2010 EXPIRES: 12/23/2010 VALUE: $ 3,582.00 Status Issued 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line ,_~".;.il\ilr '.;; ,....11: h~: "'\ SITE ADDRESS: 3350 GATEWAY ST ASSESSOR'S PARCEL NO.: 1703222001600 i ',' ~ Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Change ont air handler and ac unit Owner: SHILO INN SPRINGFIELD LLC Address: 11600 SW SHILO LN PORTLAND OR 97225 I CONTRACTOR'INFORMATION . , 'I' Contractor Type Electrical Mechanical Contractor HOME COMFORT HEATING & AIR INC HOME COMFORT HEATING & AIR INC License 84164 84164 Expiration Date 06/25/2011 06/25/2011 Phone (541) 345-2838 541-345-2838 \' I BUILDING INFORMc\ TION ~ :' V/18C\Ulle5 l\)\\\\\'I # of Units: ON: OlegOl\ I>> ~~~B9!ln e\ \01\1\ Primary Occupancy Group: ~"'E4e9 adOpted ~!tb\9lf~~5~.oo1' Secondary Occupancy Groullo\\~ ;on cen\el. ~ . ~~: lulei \'1'1 Primary Construction Type No\i~.. 952.-001.001. pSI9\W'!~ptiOn8 Secondary Construction Typ\ll 0,... 'foil {(laY Ob\aln!, ee '~I' ~oIl~ # of Bedrooms: ~;\'ng \he ce",;\, ~Iift!.:~, ~Ibel\OI\\'I8. \_ i81O~ uilding: nla flU", oe"'CI!f \a I DEVELOPMENT INFORMATION ~ Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: Froutyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot C~~e~age:, I l' "t", ",\. 1 ~", , .'.' );:0::". REQUIRED PARKING Total: Handicapped: Compact: Notes: I PUBLIC IMPROVEMENTS ~ , ""s~'i,"",.,. '" Sidewalk'_T.ypl"~ ,.,,,o.'t- " ",^,,-.' 1C. ",v" . ",i.- DO;;;~~~~\liDt<<'\S ~O\ _ ':, ~\)~\ct.. ~~ Cb\\t>-'-i:;-~\<o ~~~~~ TOl";::, " \, ' ,\\\S ?;~\1.t.~ \)~~ \S \>.'Of>.~ , " ; ,;1')'1' ~l, 'i ~'~\J\t.~c.t.~ ?t.",\O~' ,yo'''::, ;''"!'.'~'CaW\ 'Oil ~f>.'l \1':,j. "\, i'-~'l '\ l j~: ~: I Street Improvements: ,Storm Sewer Available: Special Instruction: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction , Mechanical C/I Use Bid Amonnt Fee DescriDtion + 12% State Snrcharge + 12% State Snrcharge + 5% Technology Fee + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Mechanical-Valne Total Amonnt Paid L:1: ',':. 'J-. I ~: 1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00731 ISSU ED: 06/23/2010 APPLIED: 06/08/2010 EXPIRES: 12/23/2010 VALUE: $ 3,582.00 ,to' I Valuation DescriDtion I $ Per Sq Ft or mnltiplier $1.00 Square Footage or Bid Amonnt 3,582.00 Valne Date Calcnlated :LTotal!;Valne of Project '\1;:~" ;~'-:' '~'L" . $3,582.00 $3,582.00 06/08/20 I 0 ~ ;.>> Amonnt Paid Date Paid Receipt Nnmber 3201000000000000326 3201000000000000326 3201000000000000326 3201000000000000326 3201000000000000326 3201000000000000326 3201000000000000326 $7.32 . $9.30 $3.05 '$3.88 $55.00 $6.00. $77.50 $162.Q5.: -,' "~,I 6/23/10 6/23110 6/23/10 6/23/10 6/23/10 6123/10 6123/10 .. I Plan Reviews I 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, insp.ecti.on~;requested after 7:00 a.m. will be made the following work day. ,'::'~:f: ~::~~~::. .. U~ri,'ii~ecUnsnections ~ Rongh Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. <. . ~ ' , I; ::;1 ~. ,', Paee 2 of 3 -,,:,tj)k~':JAI. i'J':' },.', I CITY OF SPRINGFIELD ','! Building/Combination Permit ': -tH~~~' .-it.; '\;~:;i ,,' Status Issued ...,:.~...f!} '-.;'~.- '\ PERMIT NO: COM2010-00731 ISSUED: 06/23/2010 APPLIED: 06/08/2010 EXPIRES: 12/23/2010 VALUE: $ 3,582.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeetion Line ::,~~~':; . ",. , \!," " By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 fnrther 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 inspedions arc 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. &~ ~ (Ql!2M11l~V0 Owner or Contractors Signature Date .:\:Aj~;:,! ,'7,\ '\;j!;',. '~:ii~ ^'i4<:':: :J-S!l';' .. , ~., '.>c.;"'.,' , ~: :., ' .1.. .J \i:., ~.. ~', : .,- ", , .' , i}\,~t, /~:~'~'<" ."'l..'-\~~ ~... "'~S~, .... , ',j""", ,-,' > . , , ~~:.:,~ ~ : '.11 .,,)., ., .', Palie'3 of 3 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street SpringlJe!d,. Oregon 97477 541-726-3759 Phone RECEIPT #: 9:35:08AM 3201000000000000326 Date: 06/23/2010 Job/Journal Number COM20 1 0-0073 ] COM20 I 0-0073] COM20 J 0-0073 ] COM20] 0-00731 COM20] 0-0073 ] COM20] 0-0073l COM20 I 0-0073 ] Payments: Type of Payment Check cReceintl Description Mechanical-Value + ] 2% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Due 77.50 9.30 3.88 55.00 6.00 7.32 3.05 $162.05 Paid By HOME COMFORT Item Total: Check Number Authorization Re~ejred By Batch Number Number How Received Amount Paid -djb >,1\, In Person Payment Total: $162.05 $162.05 022568 . ~.; -. ~:j:9, ~ ..' PageJ.of L._ r' -t.ljq 6/23/20 I 0