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Home My WebLink AboutPermit Electrical 2006-8-8 , . ~ () <CLl1l1f (Q)JF ~IPmrnr@lfmW9 (Q)ffiIE:OON .~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number Q...tp. I D 15 Date 1. ILQC4&;B~~.looMPLllmF1W$C"EPVLEBELOW . LE\1 (f);~3 )<610 < A. L::::~:::::::al ; Sihgleor Multi-Family per dwelling9nit. JOB DESCRIPTION 1000 sq. ft. or less $106.00 1't ,1\ t, h 1\ 1 (,,' W\ . Each additional 500 sq. ft. or 0.. U J(A,.O '-J( >\Ill.. portion thereof $ 19.00 Permits are non-transfe 'aAle and expire I work is Each Manufact'd Home or not started within 180 d ~ of issuance or if work is Modular Dwelling Service or $50.00 .' '.Suspended for 180 days. ,Feeder 2. I CONTRACTOR1NSTALLATIO:NONLY I Electrical Contractor Lll.&IJ.5 J2.Jf;cfp..,"c..-' I Address ~ A-- City fir/I ~K Phone 7Z,(,.e1$r..S-' B. f Services orF'eeders:~'InstallatioIl' Alterations or Relocatioil: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number. 1-2,;S1- 5 1II0h: I Temporary S~ryices or Feeders I~ 7C~. "'(;1; ~ P~ldstallation, Alteration or Relocation Ca ItO,.?, ~~ps or less $ 50.00 4~1tt~1f!J ~49'lt~tp 400 Amps $ 69.00 180 V~tJo~~to~~mps $100.00 IJ"'r 4b~~9t~~l{Of!O ~~Its see "B" above. D. l'Wr'l..RclV.(/;tx:utt~..$>.A~ '1~ I~. ~u. "l.::Ja- 'Y//t-YYo' New Alteration cW~~n'i8~~anell One Circuit O~ 'l' $ 43.00 Each Additional Circuit or with I Service or Feeder Permit .. $ 3.00 I ~fO - a:.) ~. . Expiration Date . t: Miscellaneous ,(Service/fe~der not included) -Each Installation I Constr. Contr. Number City Pump or irrigation $50.00 .... Sign/Outline Lighting $ 50.00 OWNER I TALLATI2frENlIUI\I:lJit:lgQIII~VIJ itl4ulid:;in}~OO}:!~ergy/Residenti~1 $ 25.00 The installation is being ~\W1I1D_~~tbM1the oregmalY!llmrgy/Commerclal , $ 45.00 ;s not mt~ded fn' Sa1e~l~~~~~l;ro~18_lW per~ltln.pecti.n Fee ;. $45.00 + sn'A"?: <JJ Owners Signature: oaso. You may ~tain copteS'bflt8eT~ OEABOVE , . ~.. catting i!rl@ c~m~r. (No~e: thltl telephvl,C ~. ~ . " U\'I4iI o.Y:: rion ~mty N~rlf~!IlicSRrcharge lr.'-'" numoev '"&I """Gl 2"A.l11\10, Ad .. . F CerWrar is 1-800-332- ~(~ mlDIstratIVe ee . . Inspection Request: 726-3769 ' turilL ~~ J.. ..0() '~~;~~~Qto:'~'" Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01015 ISSUED: 08/08/2006 APPLIED: 08/08/2006 EXPIRES: 08/0112007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4668 UNION TER ASSESSOR'S PARCEL NO.: 1702324308701 Springfield TYPE OF WORK: Heating System Contractor L YNNS ELECTRIC C&HC TYPE OF USE: Alteration ATTEN1/UI\J;UregOfl Idw to!'~w mIce:' ""'1:;JK.J 1t;;4Lllo~ " ., !~Otltlcat;on Cente~ Th 1." me Ur~J.1WiiinJber: In OAR 952-001-0010 t~se rules are set forr 0090. You may obts' ro~gh OAR 952~OOl ....al'. I In Con.ce- ^f n, - 4 l..lt1 t JW c~ - r.,~ 11.111:1:) 0' I CONTm!~~'~ . t.he telephone' venrer IS 1-800-3 Ity NOfiticauon Licens~2-2~4,hiration Date 102316 10/1412007 168942 03/07/2008 Residential PROJECT DESCRIPTION: Install Gas Furnace Owner: Address: DEBBIE YBARRA 4668 UNION TERRACE SPRINGFIELD OR 97477 unlisted Contractor Type Electrical Mechanical Phone 541-726-7895 541-988-5674 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: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I, DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Norle . I PUBLIC IMPROVEMENTS I Street ImfN~S';fPt~s: Storm s1/Jlf!~'tJ~tJfkl:SH. specia~~tft6fifD UN 'ALL fXp/ ANy NefD DfR r. Rf IF r. Notes: 100 DAy OR IS AB HIS PfRM, Hf WOR/( . PERIOD. IlNDONED 1;: Nor Sidewalk Type: Downspouts/Drains: Pa2e 1 of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Boiler/Comp Up To 100,000 btu Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01015 ISSUED: 08/08/2006 APPLIED: 08/08/2006 EXPIRES: 08/0112007 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $10.00 $4.50 $2.25 $3.60 $12.00 $12.00 $4.00 $17.00 $4.60 $2.30 $3.68 $43.00 $3.00 8/8/06 8/8/06 8/8/06 8/8/06 8/8/06 8/8/06 8/8/06 8/8/06 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2200600000000001112 2200600000000001112 2200600000000001112 2200600000000001112 2200600000000001112 2200600000000001112 2200600000000001112 2200600000000001112 2200700000000000152 2200700000000000152 2200700000000000152 2200700000000000152 2200700000000000152 $121.93 I Plan Reviews I 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. UeouiredJnsnections I Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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. Pa2e 2 of3 Status Issued CITY OF SPRING.tl~LD. Building/Combination Permit PERMIT NO: COM2006-01015 ISSUED: 08/08/2006 APPLIED: 08/08/2006 EXPIRES: 08/0112007 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 Pae:e 3 of 3 22S Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Cj+v of Springfield Official Receipt 1 dopment Services Department Public Works Department Job/Journal Number COM2006-01015 COM2006-0 1 0 15 COM2006-01015 COM2006-0 1 0 15 COM2006-01015 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000152 Date: 02/0112007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By L YNNS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received llh 865773 Phone Payment Total: Page 1 of 1 3:01:26PM Amount Due 43.00 3.00 2.30 3.68 4.60 $56.58 Amount Paid $56.58 $56.58 2/1/2007