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Home My WebLink AboutPermit Electrical 2010-7-1 ZON INITIALS DATE SOURCE ,. ,'i;~:~:@i~~~"~~~~~~~!1~,:~~~@N;:~~,' . 225 FIFIlI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COW'\. -z..c:>/ 0 -00 &' S c::, 1. ~fg,~~~~I4If~Wiq'N1'r~,:il~:~1 3. 1/20 F:4111...'JltEW # 80 Supervisor License Number /.2:. q;;;;" oS OU \0 C. ,,}\\es 'j \,)\\X~~ Expiration Date 10- I - ID \,,'l'l \e~ \e~O\\ se\ \O\\Jnstallation, Alteration or Relocation . O\e~O 6 \l'j ~ \uWS 0'p..~ 9":l'2.~~ 'QiJ00 Amps or less Constr. Cootr. Numbec.Qs' O~ ~ e\U\\\e20I Amps to 400 Amps f'\\ ~ \uW ~\\t . \\)\'1;\ _,,~\eS e \e\e~~~ 1 Amps to 600 Amps E . . D "")"-~- ..,.0\\ "\'~ m. V'"' . ~ ~\O\\\' xprratlOn ate " .c"'" ~.v 1';,3.'" ~'iJI;. '~I \~ 0 600 1000 V Its "B" b \,\0" :i\ <j~ . ((\\l.'l e\' \){\\ I!,bl). ver or 0 see a over Signature ofsupervig~~I~~iijlCe\\~ O\e~~~ D. b \)(j'il~~~\~e. ,\.'lI 7. C e ~e\\' + A~j ,/ Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 OWNER INST ALLA nON Limited EnergyfResidential $ 29.00 The installation is being made on property I own which Limited EnergylCommercial $ 52.00 is not intended for sale, lease or rent. ~ \' (~. \\\IS ?'\Ilt.\l \)~ 0 \S f>..~j'>.~. 5% Technology Fee "3 3.r "-.) . .J r>,\l,\\-IO Ct.\l OD O\l.' 3" Inspection Request: 726-3769 CO~~t.~ \lj'>.'j ?t.?~ ,,~./ TOTAL "78 - . j'>.~'j '\ 'O\J ~.~ Shared Drive(T:)lBuilding FonnsIElectrical Pennit Av,plication 7-08.doc ~Ja.. LEGAL DESCRIPTION: ,/052-73{ D0600 JOB DESCRIPTION: Ad.! j,*1tYl. S C d.C.... ;.f-s: , Permits are nOD-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor OREGON ELECTRIC SERVICE Address PO ROX ??~7 EU~Wt, on 97402 City Phone ~I...l~ - 1 6 'is \ Owners Name TO cfifl,,AL LL.-L Address 17iJO A-~~S yf-y~ S't'E"'ZI7.. E. City Co -+)- mElJl. cA Phone Date 7~/-/O 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 . $121.00 $ 22.00 $57.00 B. 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 $ 57.00 $ 79.00 $1l4.00 New Alteration or Extension Per Panel One Circuit ! Each Additional Circuit or with Service o~ Feeder Permii 2 s5' $ ,5e1lo " ~ S5 Il .,.,. " Status Issued 225 Fifth Street, Springt1eld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00856 ISSUED: 06/30/2010 APPLIED: 06/30/2010 EXPIRES: 12/31/2010 VALUE: SITE ADDRESS: 1120 FAIRVIEW DR SPACE 80 ASSESSOR'S PARCEL NO.: 1703273100600' Springt1eld TYPE OF WORK: Heating System , TYPE OF USE: New PROJECT DESCRIPTION: Replace electric fnrna~e:& install heat pump ,', Owner: J 0 CAPTlAL LLC ".., " Address: 1700 ADAMS AVE STE 212 COSTA MESA CA 92626 Residential I CONTRACTOR INFORMA TlON I Contractor Type Electrical Mechanical Contractor License OREGON ELECTRIC SERVICE 181997 , ASSOCIATED HEATlNG'& AIR CONDITIO 106275' BUILDING INFORMATION I Expiration Date 05/09/2012 08/31/2010 Phone 541-343-1681 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: R-3 VB n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:, ........-....."...'t..-..:.-:O-. I DEVEi:oPMENT'INFORMATlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: I PUBLIC IMPROVEMENTS I O la~ requireS you t6':. ATTENTION: regon",; the OregoliiU\1lity follOW ~Ies adopted..,." 'rules are'set lorth Notification Center. Th~se hOAR 952-001. In OAR 952'()01.og~~ ~~~s 01 the rules by 0090. You may 0 (Note' the telephone calling the cen~r. on Utility Notification lIumberci~~:~:18 ~~~00-332.2344). Storm Sewer Available: Special Instruction: Notes: '1~ ; ....._...-..........._0;'.' . . ~~l' "-N:~ r:F ~.t" l" I .~\:J . .\,~ " j i I~ . '.lrPagelof3 . ~ -.~~" . 6' REQUIRED PARKING, Total: ' Handicapped: Compact: Sidewalk Type: Downspouts/Drains: '''. '". \.,~\;.j'if}~if,~:X~~;"-.':'-~' NOTICE: IRE lF1HEWORK " THIS PERMIT SHA~~;X~S PERMIT IS NOlL AUTHORIZED UNO ^BANDONED FOR;J;;\ COMMENCED OR IS " , ,.." ANY 180 DAY PERIOD. . - ;:~:~},~~ ':)i~~I~~!?!1 ~'~.i': .---....... " f~ Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .'. I Valuation Description ~ Description $ Per Sq Ft or mnltiplier Tvoe of Construction Square Footage. or Bid Amount. .Total Value of Project I h";M"'Dn'" ..; . ~", ..,~ ";':'I':.J. ;..;,',' , Fee Descriotion + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add ;_"..:..:~:;.;. Amount Paid:~ ~ ",' . ,,'. . M"......., ~ $9.48 $3.95 $79.00 $8.04 $3.35 $55.00 $12.00 Total Amount Paid $170.82 . ..,",. ,;..~.... . . . \. .. i~"PI~n Re~i~~s I Date Paid 6/30/10 6/30/10 6/30/10 7/1/10 7/1/10 7/1/10 "7/1/10 '" ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00856 ISSUED: 06/30/2010 APPLIED: 06/30/2010 EXPIRES: 12/31/2010 VALUE: Value Date Calculated Receipt Number 3201000000000000349 3201000000000000349 3201000000000000349 1201000000000000785 1201000000000000785 1201000000000000785 1201000000000000785 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, inspections requested after 7:00 a.m. will be made the following work day. ...- . .... ... ; j~E~ '.~i!t~'rtfY'~J.; .' U~~~~'ire~~~nections ~ ')~'" 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. .. . ,:. ~.:;:J:~~'i . ., , . ..-. " Pa!!e 2 of 3 CITY OF SPRINGFIELD ';~~Wi" "";~,~'F~~';'! ' .. Building/Combination Permit Status Issued ,~~4\t~f', ,', :,~.!.: .: PERMIT NO: COM2010-00856 ISSUED: 06/30/2010 APPLIED: 06/3012010 EXPIRES: 12/31/2010 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 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 ~tate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure withont permission of the Commnnity Services Division, Building Safety. 1 further certify that only contractors and employeeb\<ho are in compliance with ORS 701.005 will he used on this project. I fnrther agree to ensure that all required inspecti'ons 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 '<'. ~q~ ,~'",;r;~~lJt ,;,. , , . 1\, i.; . ',". I ': i\i.. .....'...., '~:' \,a', ,:f::', "~,n:~. ~1lY!., .~:;;ii, ;"'JI1;1;,,lZ..~. ~A~fl; if' ",' <! " , Paee 3 of 3 ; .' ;,.:'iC,;;,:, 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 'jiQ~..:-".- ........ ~-'.. ' . . 00' ~.. , ._~.___" --c. ,,%; ...- City, of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000785 Date: 07/01/2010 8:12:IMM Job/Journal Number COM20 I 0-00856 COM20] 0-00856 COM20 I 0-00856 COM20 I 0-00856 Payments: Type of Payment CreditCard cReceintl Amount Due 55.00 12.00 8.04 3.35 $78.39 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By JEFF BROOKS '~~jjr'U . .. ,'".,; \~';', " Item Total: Check Number Authorization Received By Batch Number' Number How Received Amount Paid djb $78.39 $78.39 001983 ]n Person Payment Total: .~, I },~- ;-~,!' ;,j.~'1 : -';:i~~: >,/::Y~ '''' .-' ;Lj;. "'f" >.~" '5 I:;,. . '< ~\:f;1 , -! i- ~ . ,.~. : :;;:.: J . "I- .. '; -;::.t!.~. ~tf'- ,,', '!?:;J'" ,:~;f:';"~,<,, '.,. Page] of I 7/1/20 I 0