The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-9-30 (2) . .' ...." .' I .. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · F~~~7i~ ELECTRICAL PERMIT APPLICATION, 'City lob Number r nMWD5-0l.u,:Bate 1. '[U~'i~14I"q;i@N;"'nYSq;JtVf~il(i) >, ~1 . ,.; "" ,,"" .,,".' "., 51A-'3 ~~ , LEGAL DESCRIPTION \, 02 ~~ ~4 JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. :lB~Nh~~~~~ Electrical Contractor VtLJI..-V J/tl/lIu d:ttc.-.' / Addre~s _~<:b< t?.attN bt (\be; City 6~pI41l Phone f!prtJ3f1 Supervisor License Number .if7 r,/c:2S Expiration Date I j)/ /- 0'/ Constr. Contr. Number / {j9 J' 3Y . , Expiration Date I d -/3- tfS-- Signature Orervi~ng E!ectrici"" VN,J' ___ -1 4. S . ~-. r: C7 , Owners Name (;,(en ~~ Address 5~ D~i~ ~. City ~V"\ ~eltJ Phone .9$~ -O~' OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 q f ~f OS o~\e S\~(\~\ute t. I dlte6 3. I!@Mii?tlRq;Ei;1s1E~~i!~BW:ikF}IjjF:it@ _,,, ~.~:oII.1 I" . '. CJ'';' ~~ .","~ '; ,I! , ;(0 1,. I ~,(I I, .~, . :; ~ .'J' :' ..>'.;: ~... ~ \ " I, A. ":N~wlf~rla~~m\tiHrEamil}\ (!er. aw.elling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or po~on thereof .' $106.00 $ 19.00 200 AmpA~~* GAY PiRIOJ>>, 201 Amps to 400 Amps ~ 40 CAmps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V 0115 Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 '~~i~~"'" C. m, follow rules adopted by the Oregon Utility InstaQ~Y!Hh::~!~~rf1t!ltqlq!lr~e'9R!l!\9"ules are set forth 200 AinpSl6n-lesf>2-001-001 0 throuah OA$IS.Q~D001- 201 A&pSlfo 4.o.0,Wmp~f obtain copies of U$;6ftOOs bv 401 Amps(to:60.9~psenter. (Note: the te$jIO(>..o<>.a Over 608 LArfit~~ Mer 006 <vQff-~~ r.\:B},tMg~~ otifi catio n D.B-='~il'@ New Alteration or Extension Per Panel One Circuit t Each Additional Circuit or with Service or Feeder Permit ~ ~ 0 ~ ,(), ~ ~.. .'h \ I . ,-.,~) "," .,t ~tt '" ~ .';i, ~ .' ~ .",~...~" '" f ,. .".; " ,~~;./,(",~ d...;'i']1;'~t': '"f;'" ., '",~~'." ,~. ' ':'. ,~~ ". ,'.;, , ~ $ 43.00 4=3 .co $ 3.00 E. ' is~~i~S=e~.~lirdeii~ -Eacli Installati6n , 1:iiiII".,IlI"il,I..llj,JI Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges , '~U'1!(~~' 4. SlfJBIJ(@rFJrE Fi~ . \ 4S .CO 3'.l5 L1. .SO sz.U:6 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnsIElectrical Permit Application ).03.doc - -"~ll5;!~SgJ~~ >,., _:. ' · ~1 I, i. l .-~ . ' CITY OF SPRINGFIELD --- Building/Combination Permit PERMIT NO: COM2005-01265 ISSUED: 09/16/2005 APPLIED: 09/16/2005 EXPIRES: 03/30/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5243 DAISY ST ~,ASSESSOR'S PARCEL NO.: 1702333404624 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition PROJECT DESCRIPTION: Add heat pump to existiti6,-re'E: - 10-.11\- nllA II r"'nlne II: rut wnck' , Inti:> rLr\. I U.. ~nl \ Ie " '" - , Owner: GLEN STEGER AUTHORIZED UNDER THIS PERNrJfot(i N6)liber: 541-988-0339 Address: 5243 DAISY ST COMMENCED OR IS ABANDONED FOR SPRINGFIELD OR 97478 pr-nlnn ^ IIIV 1 Q,n n.6V ..'" Residential I CONTRACTOR INFORMATION I ... Contractor Type Electrical Mechanical Contractor License MAG ELECTRIC INC 149834 ASSOCIATED HEATING & AIR CONDITIO 106275 ' BUILDING INFORMATION. Expiration Dl.lte 12/13/2005 08/31/2006 Phone 541-461-0387 541-683-2590 # of Units: L Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type ofHea~TTENTION: Oregon laVSq~!ihCl)I)IO()rlo , VN Water Type:follow rules adopted by tSq Rt'B~seoieiit:ty Range Typ~~otification Center. ThoseSqlF.:t3G,~~ag~t~!lrPprt Energy Patli:OAR 952-001-001 0 throtSg~f'C~fl;l~;;2-001- ~ Sprinkled BliUdjngou may o!J(@in copQ~C9P~~! ~.t<<!: by II',' 'i"" ""'''-''1111 n... I.IILo uC..III("";I. \I'IV\.~. 1.I1t;; LvICtJIIUIIt::: I DEVELOPMENT ~~JfQ.~~J'Io.Nrlegon Utility Notification Center is 1-800-332-2344F,EQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ~ I PUBLIC IMPROVEMENTS' Street Improvements: . Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of3 . -1li'~Jf!,~~',!~\' ''<, ,_ ~~ ~. t ' II\; .' Status Issued 225 Fifth Street, Springfield, OR 541~726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Squa"re Footage or Bid Amount , Date Calculated Total Value of Project ~ . CITY OF SPRINGFIELD-": . Building/Combination Permit" PERMIT NO: COM2005-01265 ISSUED: 09/16/2005 APPLIED: 09/16/2005 EXPIRES: 03/30/2006 VALUE: Value " Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 9/16/05 2200500000000001276 + 10% Administrative Fee $4.50 9/16/05 2200500000000001276 + 7% State Surcharge $3.15 9/16/05 2200500000000001276 Heat Pump $12.00 9/16/05 2200500000000001276 Minimum/Adjustment Mechanical $33.00 9/16/05 2200500000000001276 + 10% Administrative Fee $4.50 9/30/05 2200500000000001358 + 7% State Surcharge $3.15 9/30/05 2200500000000001358 Add, Alter, Extend Circ $43.00 9/30/05 2200500000000001358 Minimum/Adjustment Electrical $2.00 9/30/05 2200500000000001358 Total Amount Paid $115.30 I Plan Reviews I o . 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. 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 of3 . . . . ,~~~~.,i.!~!~~. .' , ~ ~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01265 ISSUED: 09/16/2005 APPLIED: 09/16/2005 EXPIRES: 03/30/2006 VALUE: Status Issued 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 a'iid 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 . .. . . Pae;e 3 of 3 . 225 Fifth Street "-Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01265 COM2005-0 1265 COM2005-0 1265 COM2005-01265 Payments: Type of Payment CreditCard , .' :1 " ,. " - " ,\ :i .. ,./. .. , .. , " 9/30/2005 . RECEIPT #: 2200500000000001358 Description Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Paid By CROW V ALLEY ELECTRIC Check Number Batch Number Received By ddk Page 1 of 1 City of Springfield Official Receipt .evelopment Services Department , Public Works Department . Date: 09/30/2005 12:19:05PM Item Total: Authorization Number How Received 030384 In Person Payment Total: Amount Due 43.00 2.00 3.15 4.50, $52.65 Amount Paid $52.65 $52.65