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Home My WebLink AboutPermit Electrical 2010-7-14 Ele~trical Permit Application '. - . - CITY, OE.SPlUNGFIELD~' OREGON. f ., ~..;'" _' - " ~ " '. 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 DEP.ARTMENT USE ONLY L""oA.o.~Cl (Cl - en::, '72. ( Pennit no.: Date: 7-/L(-/O This permit is issued under OAR 918-309-0000. Permits are nontrahsferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'LOCAL: GOVERNMENT APPROVA~'...;; Zoning approval verified? DYes D No . CATEGORY ':OF:CONSTRUCTION:)' Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) Services or feeders: instal/ation, alteration, relocation Total cost $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ City: Reference: Name: Address: 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ $ 87.00 $ Address: City: Phone: E-mail: CCB license no.: $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ 5 $ 6.00 $ BCD license no.: Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63.00 $ 63.00 $ $ Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ( ~~ t\.{J ~ ~~ ~ NOTICE' TH . IS PERMIT .'. . ~~~ORIZED J~~~ i~PIRE IF THE .. ANY 18~~AEyD OR IS ABA~:OENREMIT IS PERIOD D FOR Each sign or outline lighting (2) Signal circuit or it limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $58.00 $ ;#:~~~:.~4~*~I~J~t~.~~APj~EfCA'N"TK1JSEt~~:1.::\';';'/{~.~:~:{,~\~;f:.:::(); t~;, .,:' ." $ 63.00 $ (A) Enter subtotal of above rees O~nimum Permit Fee SS8.00) (BrEnter 12% surcharge (.12 x [A]) ;(~Y.Technology Fee (5% of [A]) "T(lT AL fees and surcharges (A through C): $ $ $ $ 440.2584-J (9108/COM) \ ".~- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00921 ISSUED: 07/12/2010 APPLIED: 07/1212010 EXPIRES: 01114/2011 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3605 DUKE ST ASSESSOR'S PARCEL NO.: 1802061309214 ,j\)(I :.:]', ~pringfield TYPE OF WORK: Heating System .. TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless system Owner: ROCHE STEVEN K Address: 3605 DUKE ST SPRINGFIELD OR 97478 Phone Number: 541-746-7065 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor OWNER J COO INC License Expiration Date Phone ,,' '~"'" " .,. 169209 I BUILDING INFORMATION. 05/06/2012 541-746-7065 # of Units: # of Stories: Primary Occupancy Group: ATTENIUiYN: OregonmrgllfBfI~AA.l'ili~i~ Secondary Occupancy Groupbllow rules adopted lp~pP'ijICfI~Jiv;m t; Irth Primary Construction Type Notificat~B Center, T~l}l1m..\e9s5e2_~01. Secondary Construction Typel OAR 952-001-001 0 tft.~~~'\')'~. , I b # of Bedrooms: 0090, You may obtain~@ r~es 1":' . r.u ~s y calling the center. (o,a'k' 1T~S?~one u/a number for the Oreg R Bhl ~ll.lion Cent~b5~WNTiNFORMATION ~ . Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Front yard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: "Overlay Dist: # StreetTr"es Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: ,J. REQUIRED PARKING Total: Handicapped: Compact: , :. 'f. I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: I ~ Sidewalk Type: DownspoutslDrains: ,,,,:~ '~'-" Notes: NOTICE: . . '." " THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENC~ffoR' rS~1\6ANDONED FOR ANY 180 D~rp~R.lpD: . ./lll. '-..;~ :) ;:......'...'. '~. , Page 1 of 3 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . : ..'" , ~"r ;. \' '. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00921 ISSUED: 07/12/2010 APPLIED: 07/12/2010 EXPIRES: 01/14/2011 VALUE: Status Issued Description Tvpe of Construction I Valuation Description ~ $ Per ~q,Ft '. Square Footage or mult,piier ' ":;;, ,or Bid Amount .\..l!f; ~~..~ ;r\~' Value Date Calculated .;.;'lr; . ,. ,..,Total Value of Project ;,.. ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Numher $11.52 $4.80 $79.00 ' $17.00 $6.96, ,". $2,?0 $55:00 $3.00 7/12/10 ,7/12/10 '7/12/10 7/12110 ".H" ,7/14/10 7/14/10 7/14/10 7/14/10 3201000000000000420 3201000000000000420 3201000000000000420 3201000000000000420 2201000000000000829 2201000000000000829 2201000000000000829 2201000000000000829 Total Amount Paid $180.18 I Plan Reviews ~ I." .' ::"'iti' v.' ;'l)V II .:. ~:".' ,\ ". .Jl~/ \....,~.~~:'. ,~ 1.',1' ~ ~.' To Request an inspection call the 24 hour r~c~r~ing'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. ' ~e(]lIirerUnsnections ~ 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. . ;\ ';' :,..',,1. ...I)i1Y' ,-i.:, ..~.~ " . " jPilee'i of 3 reDO ~ . "L",_ ~ w~ ~: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line . .~)}:~.l I i..~,\: i! , '....,. , ' , "1 ..~~~/ '~,. ,.., CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-0092I ISSUED: 07/12/2010 APPLIED: 07/12/2010 EXPIRES: 01/14/2011 VALUE: By signature, I state and agree, that I have earefully'examined,thecomjJleted 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 accordaoce with the Ordinances of the City of Springfield and the Laws of the Staie'of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structu're'vithout permission of the Community Services Division, Building Safety. I further certify that only contractors alld employees who are ill compliallce with ORS 701.005 will be IIsed 011 this project. I further agree to ellsure that all require' 'OIlS are r uested at the proper time, that each address is readable from the street, that the ~;~9 card is I ated the fron f the operty, alld the approved set of pia liS will remain on the site at all times during cOi /tiond ~~ ~ ;-;;)-/0 I / . O~"or Con ractors Signature . j.~' it "';~. . I . . H..., .~~ 'J"ff~~ l ."."'<;' . ., " ,~I) i r ,,' ',t: I. I ' '1\ ri f':~. . I ,',.1 ':'!llyr "., . ~ \~ . ..) '.. ,!.!i' ,,' .~'Jf!r"':r " :,''.--::4~'.. . ,.~ '., ,'.... ", Page 3 of3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000829 Date: 07/14/2010 10:03:44AM Job/Journal Number COM20 I 0-00921 COM20 I 0-00921 COM20 I 0-00921 COM20 I 0-00921 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment Check Paid By STEVEN ROCHE ..~. Received By Item Total; Check Number Authorization Batch Number Number How Received Amount Due 55.00 3.00 6.96 2.90 $67.86 Amount Paid djb 1060 In Person Payment Total: $67.86 $67.86 ,. ~-j{~~~f' ,(i;~~~)::;:, . .-.....'il ".,,,..~(. '"l ",,~. .. h,V..~ ;' I ' ..';P"~' .t...; ,'4 , 1~~:~~!;"'3 . f ~ 'j E>'tM; .t. :::;4;;.,,:/) I. \-~ ;-,. -, d;', ,. iH' ~ : (:.;:.. I !i }'J' , . g.H.. .":' i!~:~~~~r :'.:.. J;'~~~~:~~'~l ; ;!~"'.~ 'f~;;~,;! ~~ft;.~, 1!~i'~t'. ',."" ,.\' ,. cReceintl Page I of I 7/14/2010