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Home My WebLink AboutPermit Electrical 2006-6-15 (2) ~ r ' \ en '{ OI'\,'RINCiFIEL.D. ORU,ON " / 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTlUCALP~ITNr"ICATION /_II.c::::..\ City Job Number \.'1\0, \~'V DatelO~ 2GoCp ~\__ I. I uX:ATio'NfJi,.lNSTAT.T.Aiio'N- t)-h .e.' ~WMPLETEFEESCHEDULEBELOW -----: ..~S'5> -6.~ ~(\1iYl ~u.;Fl..j------ - LE\G1A(L"'~IES\C~~~~ AI.l.\r-r ) A. INew-aesidential- Single or Multi-~ily per dwelling uniL-.-J i} :.. '\, J I} 0 v--' ServiceIncluded - - ~DESCR llilON . J ~ 1000 sq. ft. or less ,l A 1ft. . A C'" J fL ~~.1 LEach 8\lditional'SOO Sq.d. or , nH... UJU') lY n rr portion ihe~oof ','V". regon law reolJir,,< $d9.OO ,'u,'uvv IU c<; adopted b th Y 0 [0 Permits are non-transferable and expirJid.ork is Ead-Manufact:dJH.9m~:m'. Tho~ e Oregon Utility not started within 180 days of issuance ~~work is Modular q,!,"'~!'.g()ServJ .ice or .,e rules are f$~5'ofo"oth S d d ~ 180 d F d v uUlO thrC"~h ~ . - . uspen e or ays. ee _e!90. You ' - ." ' ~~" ,,52-001- mav ()Ol,:}rn ^"" I:c~'" H., -F-::.. vi lilt:' rWe.c:: b.." B. ~~lces or ~eea~~-SJns~~Ie~~.D~I.ftJte~a!ionS or mlocation: nur.,Lc, 'v, IneUregon Ut'l ~C"U ~ Ilty Notlf rF( 200 Amps or lessnter IS 1-800-3')<' ~_ $'03.001 201 Amps to 400 Amps u_ ~u""I. $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 IDstallation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 407 Amps to 600 Amps Over 600 Amps or 1000 .volts see "B" above. D. rBranch. C lrcyjts '" . .... .' ..... ~!J1.IIi'E: ------ New Alteration,orHExtensiou Per Panel ~ W ""U'L IVlII SH . Ooe Circ!1Jti/i(lf.1I71' ~LL EXP/~ IF$M€<W '. rJ EachA~~iHPn~l(q~€dl~[tIf:R THIS PER" UHK . Service orFeederrpennit OR IS A" ",,jilllllS W'IT . ANY 10,., , UfI/VUUNE - r=:--...LU.U.-DAY-PERI()n-~ .... D-fOR , 73' Miscellaueous (Servicelf.eoe'l''Uot included) -Each lustallatiou i Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial _~5.00 Minimum Electric Permit Inspection Fee i($45.00~urChargeS 4.1 SUBTOTAL OF ABoVE - - I 45 ,CO -;\.~ nf<1u 2. I comRAcroR INSTALLATION ONLY 1 Electrical Contractor ,rY\ l\. ~ Z \cd r-:.\ c..J I . City CJ 5'7 ~\d I , f'\o l'{h t'I. c\.tj 1(2 Address Phone '7 d..~' <i (oJ I Supervisor License Number 4--~ 7'i S Expiration Date /tjCJ 7 Constr. Contr, Number ,...:;;Jo- 5~ 7 C-- ccB.1d-- /0d-1"1( I Ci .t Expiration Date / ~ II 'J' oc:' ':";;P;:~;';" - City The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $106.00 c. rre~porary Services or Feede~--~ ---I $ 50.00 $ 69.00 $100.00 ___J 8% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T: )!Building FormslElectrical Pennit Application 1-06.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12/15/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3530 GAME FARM RD SPACE 73 ASSESSOR'S PARCEL NO.: 1703154003100 Contractor Type Electrical Mechanical Contractor MNB ELECTRIC INC HOME CO]\1FORT HEATING & AIR Springfield TYPE OF WORK: Heating System ..q ,.;-~. ";,. 'T.v~E'OF'USE: Addition tv .. ""..'. ..... " e 1-' Ii.." '. () Ir: '/'('"..' ... r':!.... ....'0/_(/<". ').,,/... -"oJJ '-':: "J _:1:) -~., rt-~ . I.. ....~G..., _ .......1. )- '-'1" ~{)I' Cq//.. fGlJ '" V, _(j,-, 1/10' I.:~,. vIres 1/ 11/9 "Iqy vIO So r l '-e YOlJ lJmo tho oOt.' thro (j,'es 901/ I. . to Or fro_ COI/I~ qll/ f'~ lJ9h ~ qro" vb/Ii,. C",", "10 n " (/Va ~'es 0 -'11-(9 '( fOrt. I CONTRACTOR INFORMATION, f090l/ ~o:' tho ftho rlJ'S<'OO/1 800. bltiy t%/)h loS 0 License Ifxtih,ati'{ro'iDat'e-o Phone 162191 11/19'J200'6"'tIOI] 541-726-8601 84164 06/25/2007 541-345-2838 ~ PROJECT DESCRIPTION: Air Handler & Heat Pump Owner: Address: NORMAN CINDY L 3530 GAME FARM RD SPACE 073 SPRINGFIELD OR 97477 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 'JOef'. Height of Structure I,IS PE . Type of Heat: ii/THOR RM/1w.:,aterType: COMIvJ. IZEDRa'r1'i:CYfeh "INy I 'EtvCED Ea"rgt/PaI'~lRE /F 80 D.o/Yp,S'{lrI!lW!{BGilalol(; rHE W.V nla 'l:n._ 8il,," fflfAI.,., {:)", ~tJ...~ ;:--"'m~~:. t:- t. \ I DEVELOPMENT INFORMATlmlrl Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: Frontyard Setback: Side I 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 Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of3 . . CITY OF SPRlrlltJl'lJ!,LlJ Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12/15/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Deserintion J Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpl'<. PiiliLI Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical Amount Paid Date Paid Receipt Number $4.50 $3.60 $43.00 $2.00 6/15/06 6/15/06 6/15/06 6/15/06 2200600000000000843 2200600000000000843 2200600000000000843 2200600000000000843 Total Amount Paid $53.10 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. UeolliredJnsnections 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. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12/15/2006 VALUE: 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 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 Cnntractors Signature Date Paee 3 of 3 , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00742 COM2006-00742 COM2006-00742 COM2006-00742 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: . "~"'J"".ft" WIt', .,..-:....~""' -." '.. ." , . " ~~.~ . ",} <a of Springfield Official Receipt _Iopment Services Department Public Works Department 2200600000000000843 Date: 06/15/2006 II :53:40AM Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By MICHAEL K. GOWINS Amount Due 43.00 2,00 HO 4,50 $53.10 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 976126 Phone Payment Total: Amount Paid $53,10 $53.10 Page 1 of I 6/15/2006