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Home My WebLink AboutPermit Electrical 2006-8-7 yYVOt2.- ffl,/o(,p N'Y"vt YvL5 22:> FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION . /_ / City Job Number C OeM tc> l) Ca. - 00 97l Date 8;/ ~ 0 b ....:?f:..':? 1. io, 3. 115,~ ~~^r"'^ LEGAL DESCRIPTION A. ,"", - "","';"'.-,~:" . m\\~''''''~~' I 7032 S" Z "f 0 z. zoo se,,~elnctud~fI)\re O{8g011 ~\oY\\I ('l\~' U''';:J \\'\ set \ \ JOB DESCRIPTION J\"';"';';.':'::\;~QP~~q.\-ft?o~~~~ {u\eS axe 952-001- cl d r ,ell')'."! {UEa~a4.clltioh\iPSQOJtq:\ft}~ {u\es '0,:/ ,tJ -m 0 ...0, L.- "lo'<\C~~,\rp6itto~ t:Q,~eBf.\1{u ni~S o~ \\le hnne - - I'-'C ,,<;:.,;>-\JU\ 'nCOt' ~e\en\- , -, .:.,..J- \,t al I' '\ e \ t' 'n Permits are non-transferable and expire if work is ill CJ .. .'{ E3~I;1.:.Mdrt1ifact'~~<::nn~,6r No\\YIC3\\O not started within 180 days of issuance or if work is OOSO;. (~~\4!!Iij18DW~1l~~~~ %~A), Suspended for 180 days. C'2.'\\'Feeder\\l8 .o{~'OOO-332-Z . 'P~~~~~~I~!hl!;it~~~:J $106.00 $ 19.00 $50.00 2. Electrical Contractor AJ--c r:)t? c~fJ-/r/Lc Address _p f), ~ ()){ ) 7.2-.3 . DR 7JY11 City St)~~1'4J Phone SYI-7<//_D7'jl/ Supervisor License Number LJ 3 [.., g S c. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125,00 $163.00 $375.00 $ 50.00 Expiration Date I 0 - I - 0 '7 :20.-(/03 C- 1,..-/- O'g Sign",;SU/1g Eloctri~ I ;(j1fI #LL-~ ~ Owners Name, .A/ (/1J l (VI? o'\-r. Address -15 5"5' /ILlt -HI City Gf~A, Phone /VI-:2S O~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 Constr, Contr. Number Expiration Date New Alteration or Extension Per Panel One Circuit J Each Additional Circuit or with Ll;. Service or Feeder Permit 7 ------ L(J IL $ 43,00 $ 3.00 E. Pump or irrigation Sign/Outline Lighting '\G~l, _' Ie \!\; -( Limited Energy/Residentialj \ , . - . . , :'- " "iSj ~ \ ~ ,L~t~~~~~\~Go~e'f~al $ 45.09 1\,,-:.:..,. - , EI' tr"D'\'-'\=-\)t In ti F . $4500 S h . .).:",'.\n~d~Bl!1( ~c)},~f..erml spec on ee IS . + u,rc arges '\', - \. 'v \ \" . \\_" I . "-,'v ' - 4'- \\\'. ,.\,,,',,:, . (':I'l' I\!\ '- $ 50.00 $ 50.00 $ 25.00 OWNER INSTALLATION The installation is being made on property I own which. is not intended for sale, lease or rent. t~\is 113 r <<f.p ~-, 61 o.~ Inspection Request: 726-3769 s:;;- /27) '{ "to / 5'y~ , b 7.6.r 7% State Surcharge 10% Administrative Fee TOTAL Shared DriveIT: VBuilclinl!: FonnslElectrical Permit Aonlication 1-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00972 ISSUED: 08/07/2006 APPLIED: 08/01/2006 EXPIRES: 02/07/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1955 16TH ST ASSESSOR'S PARCEL NO.: 1703252402200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: NEAL MOORE Address: 1964 17TH ST SPRINGFIELD OR 97477 Phone Number: 541-654-0184 I CONTRACTOR INFORMATION. Contractor Type Electrical Mechanical Contractor ARC ELECTRIC HOME COMFORT HEATING & AIR License 115113 84164 Expiration Date 07/2912006 06/25/2007 Phone 541-741-0494 541-345-2838 BUILDING INFORMATION I # 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: ou \0 ~'}?JjQl<'l~\rB~i~dUtg~t'1 ...~r\n\\ ",p.oO. ,_.tn J\"nt.N1\O~~:;'D~~Ej:;0i~~~~J'Ll~;V~TION I N {u\e, 'I \'~' I-. Uj"'\\ . 'O'l \o\\O\J. ce\\t81' t\l{ou91 I I-.e {u\eS >'~'IC3tIO\\ ~ 00\ 0 '~'" ~'\I \ ...e NaIll ct::.()-OO \ - ,OveJ1hiy~Dlst:e\en\lo\' r B ~'Jc.. '0\0.\\.1 v. ""p. 1. t' . n \\\ 0 \ \J rf\3'l 0 11 ~tte.e.c. T:re'~\~q\~':;3\\O oOSO, '{A ,,\Ie ce\\\eCP~v-e4\Ij)iit-~ R~: c3\\\\\9 \'(Ie O{o/~~~0];'1;6~~a)ge: \\\Jrf\'o8{ ;~\\te{ \5 \ -tlV ~ VN 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: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: , --'HE\.'lontl . ,i. I ,e> .,:= II" I ~\. n," \ . r. ~) rp ...,1 '. ,-'\ L L.. L./'.l II l!- . . \-l!"nL~_I"~~ UNOLR H11S PtRiv\\T IS 1\)01 Ul ,,\.., ': -- !) " ' . 0 FOR ,-' \1'['\-') Oc. \~ j'-':-',i-'I,\:DONE o IVI: '\ t \' ": '- I \ v ..' .- . , I', \\' I' l P. \~) ~_'J . Paee 1 of3 Status Issued 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 multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $5.50 $2.25 $2.75 $3.60 $4.40 $43.00 $12.00 $8.00 $12.00 $25.00 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 8/7/06 Total Amount Paid $133.00 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00972 ISSUED: 08/07/2006 APPLIED: 08/0112006 EXPIRES: 02/0712007 VALUE: Value Date Calculated Receipt Number 1200600000000001208 1200600000000001208 3200600000000000419 1200600000000001208 3200600000000000419 1200600000000001208 3200600000000000419 3200600000000000419 3200600000000000419 1200600000000001208 1200600000000001208 1200600000000001208 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. L..Jl.eouiredJ nsnections , 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. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00972 ISSUED: 08/07/2006 APPLIED: 08/01/2006 EXPIRES: 02/07/2007 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 Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-~759 Phone c:...., of Springfield Official Receipt i t10pment Services Department Public Works Department Job/Journal Number COM2006-00972 COM2006-00972 CO M2006-00972 COM2006-00972 COM2006-00972 Payments: Type of Payment Check cRcceint I RECEIPT #: 3200600000000000419 Date: 08/07/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By EST A TE OF ARC ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1871 In Person Payment Total: Page 1 of 1 2:32:06PM Amount Due 43.00 12.00 2,75 4.40 5.50 $67.65 Amount Paid $67,65 $67.65 8/7 /2006