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Home My WebLink AboutPermit Electrical 2006-8-21 ~~ <Clz.--I/ LJ3D" 225FIFfHSTREET ~~;~!~f~!~~~~;~~~!'(541)72~9 ~~~ ELECTRICAL PERMIT APlPL!CArl~ ~l J' -~ City Job Number ~l 0 . ~ v\ l.'\ 9 Date o;J.\ ''000<;0 ,r. ;'I.r - 1. WCA110N OF llVSTALLAnON ~\)\d5 ~~{\)~ LEGAL DESCRIPTION \ ~01..{).1(L1~ 0 \cO JOB DESCRIPTION p.nn~ ~~~.4~,.~;ex~~W.'k ~ not started within 180 days of issuance or if work is Suspended for 180 days. 3. COMPLETE lFEESCHEDULE BELOW A. ,New Resid,eotial- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof ,Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 Constr. Contr. Number ~c..,?>~ I~\qi Expiration Date 2. (,CONTRA",,). vR INSTALLATION ONLY ,c::t. , ,'G> Electrical Contractor 1Y\ V\ 'L) <~jes.:...--\'t'-\ '-.J 200 Amps or less 9 7 y\ ~ 201 Amps to 400 Amps Address S 0 t4-~'('-\~ -G 401 Amps to 600 Amps C; J /J /J ~I Nn 601 Amps to 1000 Amps City~. Phone 7~(y(~raPf"cf' Overl000AmpsNolts ' f I - '/-tIS PER' Reconnect Only . AUTHO M/T Sf! - - . ' Supervisor License Number !J-<i74- St;oMM R/2/l[} UM~~~r/WfP;w/es or Feeder.s , / ANy fNeED DER THl /F TH~ Expiration Date /0/ '1 180 DAy iMiil\a,tfWl'.ijtJfi~ff'RW~n I . PiiR/~s or@{JNED F, IS NOr ;;; 0 ~ 5~ "7 C- 201 Amps to 400 Amps OR I { 401 Amps to 600 Amps f (. J q 10 (c, Over 600 Amps or 1000 Volts see "B" above. I I -..- Signature of uperv. ing Electrician D.~,Bra~ch Circuits B. Services or Feeders -Installation, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 _. New Alteration or Extension Per Panel One Circuit r Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 4th,tD , ownerstame \\(~ licuv Address ~ ...("j("S~ City ~\f\_d ~e Ol~<6.qreg E. ~ M~s~ellaneous (Service(feeder not included) -Each Installation Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 The installation is bein~J=l;fJ~~"'kft.l.. . Limited Energy/Commercial $ 45.00 . . lIME ~ ~ requires vo~ to ~ IS not Intended for s~; .. e'O .li~ adopted by the rMb1imtfIP. ~e'ttric Permit Inspection Fee is~ Surcharges . otlf,cat,on Center. Thos \"I' t:~ nu ,IIty.. . . - . . Owners Signature: ,n OAR 952-001-0010th e rUles..~rf8S&l~OFABOVE, ~f!J 0090.. You ma 0 . rough OAR 952-001 ~. . . c. - Calli'lg the:a ~ta'~ copies of the8filli!f~urcharge !!:>. W _ filII". V>4ote. the t , . l'~ Co,"';' number for the Ore . e epb~inistrative Fee ,'. . Y.L- . . gon Utility Notit' . I .- - '. Inspection Request: 726-376~enterrs 1-800-332-2344). ~ <S% ( ~.'l.'::>" Shared Drive(T:)IBuilding FonnslElectrical Pennit APPlicati5~ '^' ~ 1J. \ '(jjJ f Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/03/2006 EXPIRES: 02/21/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5065 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042202100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: TREVOR LlAN Address: 5065 FORSYTHIA DR SPRINGFIELD OR 97478 Phone Number: 541-988-9038 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor MNB ELECTRIC lNC HOME COMFORT HEATING & AIR License 162191 84164 Expiration Date 11/19/2006 06/25/2007 Phone 541-726-8601 541-345-2838 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # 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: R-3 nla 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: I PUBLIC IMPROVEMENTS I Street Improv-ements: Sidewalk Type: Storm Sewer Available: Speciall~1;rtfi:~dA9N: Oregon law requires you to follow rules adopted by the Oregon Utility . Notes: Notimati~oot(iforl1lilailjijllti~f~.ft'WfrentJadding downspouts to curb & gutter. in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of 3 1'._ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/0312006 EXPIRES: 02/21/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $4.50 8/21/06 2200600000000001161 $2.25 8/21/06 2200600000000001161 $3.60 8/21/06 2200600000000001161 $43.00 8/21/06 2200600000000001161 $2.00 8/21/06 2200600000000001161 Total Amount Paid $55.35 I Plan Reviews' 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. ~e(Juired Insoections I 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. Pal!:e 2 of3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/03/2006 EXPIRES: 02/21/2007 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. [ 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 F)fth Street Springfield, Oregon 97477 541-726-3759 Phone C;4v of Springfield Official Receipt elopment Services Department Public Works Department Job/Journal Number COM2006-00995 COM2006-00995 COM2006-00995 COM2006-00995 COM2006-00995 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000001161 Date: 08/21/2006 Description Add, Alter, Extend Circ Minimuml Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MNB ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 072079 Phone Payment Total: Page I of 1 8:39:42AM Amount Due 43.00 2.00 2.25 3.60 4.50 $55.35 Amount Paid $55.35 $55.35 8/21/2006