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Home My WebLink AboutPermit Electrical 2006-11-3 \ ., u-n. It J o~/';).~ NM , MU{JSpe....1 V\ "- ::;,r~;~j ~ ~'." ":;~. : .:~ ,_;> 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ;',;' , ;q,' "'{ 'I. J ~",~ ;~I Di~: '{. JLii 1'1" ;t PI,')l' ,]f' ~ 1 '10 l\f /10 i" 1.J!, t, j",1 t__ _.L ,I' ,~~Lj!, ,."':1 ',' 'L,'1. 1 City Job Number Co vt.^ 'Z-Co 6 - 0 (L{ ( :3 Date , ( '"1 0 b 1 I COMPUiTH FEE ,SCliEDU!.E FJElJ) IV 1. l{.C,lJJON {iF nVS:L\U./\HON Tt,cAr ~L 3. ~J 5~ c; ~ LEGAL DESCRIPTION '702. 3LfZ Z 00 2-0 g A. !"i"w Hesidciltial -, Single 1/1' "ulli-F:lillily pa dwellillg lild!. Service Included JOB DESCRIPTION/ " r-I \I A-L "3 c. f or C-cA "\-h. Permits are non-trlnsferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $50 00 Suspended for 180 days. ." 'Fe~d~~ ' . ,0110 Ii I iv 2. f~(ll,rrUAC:rOn ll'V:p~lLTATI01V ONLl' :,yC6.Wc!%r{tj'\:.~ J~i'f.:e,e.!.l(er,s - Installation, Alterations OJ' f1dill':itlon: , C' <' S El....-' T' f QA CJfJOt} C!JdOPt ~(){i 'h Electrical Contractor ') , t'C..,."'fY Ie, ~$~,~t!}L~~I~~~ ~d,...by ;h:reql.Jjr~o $ 63.00 Po n" 111# cC!Jlli 261:t~~s IO@,99a-!lJps:e t. Ore()e- YOLJ "0$ 75.00 Address PO X '1~ 2- ' IfLJ/1J'- ~OI'I:~p~ ro~~go~/lripSILJn~/es C!J~:II Umif.,$125.00 ~ ue,. ~ ',::rCenf "1 C ~I '0 - ~'e ',; ~ [I 711t 22. lJ ' 60.plA-mRSto9J'OO~p~s ~An- 110/"1f$163,00 Ci 'y e q.,. Phone '1 - ~ b (2rv:erJ,opo'::'Kr1!.1'iN'Jc!IfS'tf} 01 the ;v<'On./ $375.00 Reconne~t:08~ t} Utilit e telepl Ules h, $ 50.00 , L~' 0'332, Jt 1V0fJIi lO?e -; Supervisor License Number , , S., C. T,,,,p"""'.!' s"-,-;,,fl1ttv;'N,!1<lllol) , J oj fl" Expiration Date , 07 I</:,~! /C.p. Installation, Alteration or Relocation "::<.~Ua -1u"l) Plh>/t:.. 200 Amps or less $ 50.00 Constr. Contr. Number V ~ :-, :> {/in!?//, ~/ r S18J Amps to 400 Amps $ 69.00 q/ " Dd. A~/I,t!MfN,C to UN, iA.I(lJf#,o 600 Amps " $100.00 E~Piration Date .. ..' lS1'Vr ,1U(; 0 cD O?:~~ ~AfM;&I~Tf.OOO Volts see "B" above, Signature of Supervlsmg Electn~1 '4 r PCIl!: S tJ/)l4N~ flifl;jf/(.f WOR/( " ~ () ~ ~w~lte~~~~perpanell ~ ' ~ - One CIrCUIt 011 $ 43.00 J ~- , h Each Additional Circuit or with ..., .. _ A/J A / ' Service or Feeder Permit v $ 3.00 Owners Name -" ..A.. V y / 1'Y'f. ;-~ ~ CS '7 '7 ThVt.. ~!---- M. E. [\'liscdLmcolis (Ser\'il'l'/fecder not includt'd) -Earh Insulb/i411l ,S?F~ , 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19,00 L{> b Address City Phone Plimp 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 $45.00 + Surcharges OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Inspection Request: ,726-3769 4. Sl!H1'OTAL OFABOFF L{ 7 ?c;z 8% State Surcharge .:> 1 0% ~9ministrative Fee '1-1 &.f C;O S7~ Tt;a.I F-e'E J I 0 ;..--______ -Z I.( r TOTAL ~ ~ Shared Drive(T:)fBuilding F~lectricai Permit Application 1-06 doc Owners Signature: Status Issued 2ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01413 ISSUED: 11/03/2006 APPLIED: 11/02/2006 EXPIRES: 05/03/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5899 THURSTON RD ASSESSOR'S PARCEL NO.: 1702342200208 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Hvac and 3 circuits Owner: JUDITH MATHIS Address: 5899 THURSTON RD SPRINGFIELD OR 97478 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor C & SELECTRIC License 3849 BUILDING INFORMATION I Ill, L.//, '1'1_ . Ot,. Olp II)/, # of Stories: II) II}C /) u 0." Lot Size: -:> CL ~t,. <I"&" 'V. R-3 Height of ~tiir1 /01) -~.~ . q~. Sq Ft 1 st Floor: Type of Heltt: ~ J..:. .9$<2. 061 O'o...q,~ $..90I)S(} Ft 2nd Floor: VB Water T~e:~~i). Ov 0. 00" 'l')tt9r 610'<) Sq!<Ft Basement: Range Typ~.... :9 t~.... ~ '00,,' ~O ~~q Ft3~arage/Carport '-"I"?, "" OJ!. 0 ~ 'jS..,.,. Y/,,:, Energy Path:" Or C'61'l') Vt..<>. If. 61S~ .tU>Ptlier: . .'. II). I': 'TIn 'IrO "11 '& -~', Spnnkled BUlrcf(l}(g: &0 t9~ nIlt'O v~O(l_C~Plt~ uat _ f},. . ,. (//, :n.' ~" ~& 'I) / ,"'.' I DEv'J<:LOPMENT INFOR~'x']}i~N? I:~'~IS' Ol'~;(ftt; 1S'61/-:t'tiy- , f. '(,;,/" v\Y.':) ~~il- 6l/61J.; '761 I: ~1b.(jbfRED PARKING 1,,>-> . v :0.t-. CJ<?, 'J'I/t, &...0 VI@.". V, 4ui"J' Alver1ay Dlst: ~U>~ q~~. ~Ol) -Piij~l: C',- ,'00 f~)reet Trees Rqd: <iQ C'Q)i}.' lSHafidicapped: "1,,~ U4;~ 0>~<re'~nrive Rqd: O/)Compact: r I (<'4'~ ~7,t>&-floverage: dO f'0 'l4'O <.( 0-<:1" 0" <<'h f'..rl) I PUBrf~;~~~~~~. . Va ~...s>4t ijf'IA. Sidewalk Type: ~6 71' "Ya ~,<) 15- ~ ~...f"'nspouts/Drains: V~ V)' Expiration Date 09/01/2008 Phone 541-741-2236 # of Units: 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status Issued :ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01413 ISSUED: 11/03/2006 APPLIED: 11/02/2006 EXPIRES: 05/03/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid J Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.90 $2.45 $3.92 $43.00 $6.00 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 2200600000000001540 2200600000000001540 2200600000000001540 2200600000000001540 2200600000000001540 Total Amount Paid $60.27 I Plan Reviews I 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 Reauired Insoections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Pa2e 2 of2 225 Fifth Street Springfield, bregon 97477 541-726-3759 Phone Cit-- "f Springfield Official Receipt D, .opment Services Department Public Works Department Job/Journal Number COM2006-0 1413 COM2006-0 1413 COM2006-0 1413 COM2006-0 1413 COM2006-0 1413 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000001540 Date: 11/03/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By C&S ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 343968 In Person Payment Total: Page 1 of 1 10:13:15AM Amount Due 43.00 6.00 2.45 3.92 4.90 $60.27 Amount Paid $60.27 $60.27 11/3/2006 i~ EC 0046 ~ Job NumberLOm 2ct JJ!lJ3 ELECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726-3769 City of Springfield Fax Line 541-726.3676 225 Fifth Street Electrical Inspector 541-726-3663 Springfield, OR 97477 General information 541-726-3759 [I] Job Address:-;f~YLf T HLUJ~ ./../ L\ Owners Name:' ' . aU If)A31:1t'S Date]/J(y/ () ~ Description ofwork.fJIJA~ (2 ) ClI2CLu'T5!1 ') J~/tS COMMERCIAL 0 RESIDENTIAL~ INDUSTRIAL o PUBLIC 0 ~ Electrical Contractor: r..r~E/-E Cy(d../G r _~"j, Supervising Electrician Si~lJBJ.Yre:'(~/ ~ ~ U I Supervisors License #: l.f 'r' qif. c:, Expires: 16/0rftJii Construction Contractors Board #: -3 ~ LjCf Expires: ttz D L ,I D ~ THIS PERMIT IS NOT VALID UNTIL SECTIONS 1 & 2 ABOVE HAVE BEEN COMPLETED AND SIGNED BY THE SUPERVISING ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED [INSPECTION TYPE I TEMPORARY I UNDERGROUND UNDERSLAB ROUGH SERVICE I LOW VOLTAGE MANUF HOME SERVICE I MANUF HOME CONNECTION I SIGN I I I FINAL ApPROVAL DATE INSPECTOR I J- '7.-iJ~ I I I I..AD iJ@ @~. 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