HomeMy WebLinkAboutPermit Mechanical 2002-11-6
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01263
ISSUED: 11/06/2002
APPLIED: 11/06/2002
EXPIRES: 05/06/2003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1917 J ST
ASSESSOR'S PARCEL NO.: 1703361202100
PROJECT DESCRIPTION: Wire furnace and AC
Springfield TYPE OF Heating System
TYPE OF USE: New Residential
Owner: BERG JEFFREY S & T AMERA L
Address: 1917 J ST SPRINGFIELD OR 97477
Contractor Type
Electrical
Owner
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
S tree t
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Contractor License
C & SELECTRIC ,0 3849
BERG JEFFREY S & T AME~~......~ ,,~. ,
-:....,. '"'..." r"ll.. ,
I BUI1:tlINf; INF.oRMf\HON I
0"" &'0 J &V CS.,. ~'C- 0
~~ a ~Il)' 0;. ,~ {;:' ~
~Il)' ~~of~~8~es: 0 ':S:-o ~O Lot Size:
o~ ",~~He~h~o~~ ':::o.0~.<..:~? Sq Ft Ist Floor:
~ ),. v ~I(J,~ ..0 ~
O,fO 0v ~CFy,~e9~' C!.t:~o ~. Sq Ft 2nd Floor:
~. ),.o~ /' ~W~teff!y.Fe':~ n..~ Sq Ft Basement:
o v 0. ~ cr. I .~ 0;.)
(-...~ i? Il)' ~ ~~ ':r~gs.cry.l5e: O]V Sq Ft Garage/Carport
.~~ ,~(Q (;0 s::>~ c1&~,(gy.$at~$> Sq Ft Other:
~" ~ ~o~ n>S ~ ~ ^,0'<:$n..c::::,(j ~mpervious Surface Area:
, ~o J1). J;"'V ~ rfP _v ....;v f\~ I.
~&-';~~I~EY.'E'~6iMENT INFORMATION ~ ~~ ~
.~ ~~Oj~~$"~0' 'cft" ~ ~ '\~..
~~~ Overlay Dist: ~ ~~ ~
# Street Trees ~~ ~<:( ~
Paved Drive Rqd: 'v<() ^'~ ~
% of Lot covera~~~ c... ~~
. ~.~ "J......~.
~._~^'V~,~
IPUBLlC J~~~~V
^'V:-~~~~ ~ Sidewalk Type:
~ <::..J\S$' ~ Downspouts/Drains
Expiration Date
09/01/2004
Phone
541-741-2236
REQUIRED PARKING
Total:
Handicapped:
Compact:
I Valuation Description I
Description
Tvpe of Construction
Date Calculated
$ Per Sq Ft
Square Foota2e
Value
Total Value of Project
1 of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2002-01263
ISSUED: 11/0612002
APPLIED: 11/06/2002
EXPIRES: 05/06/2003
VALUE:
L Fees Paid J
Fee Description
+ 7% State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ Ea Add
Add, Alter, Extend Circ
Amount Paid
Date
Receipt Number
Received By
$3.64
$4.16
$9.00
$43.00
11/6/02
11/6/02
11/6/02
11/6/02
1200200000000000197
1200200000000000197
1200200000000000197
1200200000000000197
djb
djb
djb
djb
Total Amount
$59.80
Total Fees Paid Prior to 9/30/02
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.
I Reauired Insnections I
1 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefuUy 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 ofany 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 wiD 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
2 of 2
, 225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 "
ELl:. .DCAL PERMIT APPLICATION
City Job Nl~mhcJ"~Obt1z';OOL; 0 rt61
COMPLETE FEESCHEpULE BELOW
1. LOC~1;:ION O]:..lNS;J;t\LLATION
\"'11'"1' ,j \) I A. New Rcsidential-Single or
.AWulti-Family pCI' dwelling unit.
LEGAL DESCRIPTION \ne\o\\O\N~service Included:
I '7 03.3. b I 7 6 1- ( C> C:> "';lfl\i\\eO n~\~c \ano US Items
. as ",to spec
pfo\ec' e~Ui{e
JO~ AESCRIPtmN ,_,e ,,)\\O'~:1 o~J\s 1'0\ {f rfL'::. 00 s ,ft. or less
\N) V'e.- -hAY K\I;'[-e;.~ ftc.., V .A1< ,1 additiona1500
,,,,\,t>\"-- 7-0(\\(\g~ ,.~fL s , ortion
Permits are non-transferable and expire thereof
if work is not started within?180-d~ na\\.l{e Each ManuI'd Home or
of issuance or if work is SU;pel\<!ed<fo?,g Modular Dwelling
.,.a"
180 days," Service or Feeder
Cost
8m:n
$106,00
$ 19,00
$ 50,00
200 amps or less
20] amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/voIt!\O
Reconnect Q~~% 'lO\), \\~ k.
, C, Tcri;P~~\~lt P ~~~
, ; t~\,A\~~' ,~~~~on
\\0~'~ X\os~\&~,\}\e,,0
',,\~~, "reS~, "e~00 a({lPs\Qr,e ~~O,.' ..\o~
'"'" ."". of\)\ , ....o'{\\;.'Xfl..C\;\; ~,\e ....~\.'
f - :\O~' ;K\\.)'CJ;'\J.t l'~ml?!D ~o ., '{\\'-'
~".,S.......S,i, gn~,t.'~rc 0 t.., Sup ell.. ,is',,ingElectriCian \0'\ .....W:l>\\~f67:'f;)tl~ \ 8~e~\m,\~, to~,~' \\\~,'~,',l,l,"',,', J bt"\.
.'. - ~ > ' ' '.;. ,. ~o~O"~ g ,\ '((\'3-'l~.\\~"6~9.~f11~'S~Qq~oO'O v()Its see
,~ r 'tOv ,\ ~t>.,,-\J f" 'It,. ,
, ~e- ..a{)~ '.(\ 9f;).. \'(\e (iJ}0;"J;;r~J:'-."
'--, .?,~ ~- ,~ c~\\~Q; 't\0'\\~P;\ \~ ' .
'. I ".~ ,Q/l ~J;l~~!'1~ri'Cil CirCUIts
Owner, Name _11W\~ ~ :.~ . - rcY(!'j - New Altera';on nr Exten,;nn Per Panel
Address qr7 '-J S+ One Circuit \;)'10~ $43,00 $
City ~oF,...:t. Phone qf)g-- -'17~ I Each A~'i\I~~Sift~\ or With Service 0,
f ~~~{~~i\\)'10 ''5 $ 3,00 - (
OWNER INST ALLA TION \.. ~ ~S ~ , ~,<-'\>
The installation is being made on ~. ~~~~~\!}~(Scn'ice/fccder not included)
property I O\vn which is not intended ';::,,,\\fV '10~\ '0~\j ~-~fi installation
for sale, lease or rent. ~ ~S f?~ :-.1..~\) \;)'10 \'P~~p or irrigation $50,00
\~ 0.'(..\)~ ~'.J,<-'\> f?,<-~gnjOutline Lighting $50,00
Owners Signature: ",'0 ~,,*,\2. '\>~ Limited Energy/Res $25,00
, '.J~~,\ \CO\) Limited Energy/Comm $45,00
Minimum Elcctric Permit Inspection Fce is S45.00 + Surcharges
2, CONTRACTOR INSTALLATION ONLY
Electrical' C~ntracto~C ~ S S/-ec-lr I'C
Address p. O. t3D~ l4{L
8~ia '. Phone ILl '~2,~
B. Seniccs or Feeders
Installation, AItcnltions or
Relocation:
City
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50.00
Expira.tion pate
Supervisor License Number 4'~9~
lOb VDlI
3&~lJ
q} I [blf
$50,00
$69,00
$100,00
. . Constr Contr, Number
" Expiration Date
TOTAL
52.00
6. {~N
II . ILl'
5 OJ. ZD
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee