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Home My WebLink AboutPermit Electrical 2003-5-5 'tted has the following A. New Residential-Single-me following proiect as SU~i~~ specific land use , MI' F '1 ~n und.rinAS not reQ u tl- aIm y lV""lU"JleHlr'l;;'IlIIU. n Service Includ~prova' It?1 c...-- - zoni~&ms~~....~~. t\ o~e. - . 1000 sq. ft.. orless 'zed ~ionature $.\JU r - , Authon ' Each additional 500 sq. ft or portion thereof $19.00 $ Each Manufd Home or Modular Dwelling Service or Feeder $50.00 $ 225 FIF'JllI STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726.3769 OFFICE: 726-3759 ELECfRlCAL PERMI" N ~ ,~' City Job Number /-C(;M2003-00289 . i:::..~~ --- 3. COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLATION 4507 Aster St. LEGAL DESCRIPTION 170Z3zlf3 oszoo JOB DESCRIPTION 2 Ton Heat pump w/handler Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACfORINSTALLATION ONLY B. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor JB ELECTRIC. INC. Address 4685 Isabelle St. 200 amps or less 20 I amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only City Euaene. OR 97402 Phone 541.687.5770 , Supervisor License Number 38728 Expiration Date 10/1/03 cce C. Temporary Services or Feeders ConstrContr. Number 37587C 1G3929 > ~.'~'~ ~~,.",~ ~o ~ Expiration Date 10/1/03 ,!~3lfllJ/Q'a <S> '0"'" 200 amps or less :-.,- O' ".:) IV ~ , ~ 0(5) ~0 * -:f!J 0 ~ 201 amps to 400 amps . Signature of Supervising Electrician,0 cf ~ qj ~ 0 ~ ;:s:-O<:' ~ Over 401 to 600 amps ~ ~"rf;S-0 ~0 O~~ ~ ~~.~qj Over 600 amps or 1000 vol~ ~~ 0 ..$i ~ B above t".~ ~ !?.;:5 0O:J 0~ ~ ...,'V~ , ,{CO ,'I' ",0 ::,0 ~ S'" ~ ~ ~~.... ~ I . s..'-;J ~~ :,... ~~ vl,)"~'~" ~. Branch Circuits ~~ ~ ~ ~ Owners Nam .f1 fb-~ # ~ ~(;:- ~o ~ # New, Alteration #+~";.~ Panel Don, Bitle !;;:- 0O:J 00 " ~ ~. ~ ~ ~~~<$>"'" t.;; ~ s::> 0 ~ 0"".1 ~ ~ ,,~~ Address ~sam~ ,-" ('\~d:S ~<:' f""I' . J5 ' One Circuit ~ ~p s:> City Sonnafield;qa'. ~~ ~n~9~~5_ Each ~i.~~ ~~~t or with Service OWNERINST~~~O t......& ~0 orF~~~ ~c 0 9J~' ~<:' r$- cJlJ~ ~. ~ 'S ~<<:-....-:;., -&>~. The installation is bein~e ~ ~ ~~~~~~feeder not included) property I own which is not intencAAt ~ ~~~~~~tlOn for sale, lease or rent. PufR~ . ~~ <;J ~ 63iiine Lighting Owners Signature: ~ed Energy/Res Limited E~ergy/C"u.." 5. SUBTOTAL OF ABOVE MINIMUM 7% State Surcharge 10% Administrative Fee JB Job # _03-273 TOTAL ffl 5)i~ /(:0{) $63.00 $ $75.00 $ $125.00 $ $163.00 $ $375.00 $ $50.00 $ $50.00 $ $69.00 $ $100.00 $ $ $43.00 $ 43.00 $3.00 $ 3.00 $50.00 $ $50.00 $ $25.00 $ $45.00 $ $45,00 $ $ $ 46.00 3.22 4.60 $ 53.82 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00289 ISSUED: 04/22/2003 APPLIED: 04/22/2003 EXPIRES: 11/01/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4507 ASTER ST ASSESSOR'S PARCEL NO.: 1702324303200 Springfield TYPE OF WORK: Heating System TYPE OF USE: Residential New PROJECT DESCRIPTION: Install heat pump and air handler Owner: BITLE DON E & WENDY L Address: 4507 ASTER ST SPRINGFIELD OR 97478 I BUlLYING INFORMATION' oV'~~' # of Buildings: ~~#.lJ~~~': Primary Occupancy Group: ~0 #-eij'l1n~ ~~cture Secondary Occupancy Group: ,0<$. 0....0 ~Re;~f~~ ~ Primary Construction Type .#' ~0 ~0":J~"i<<e~y. ~ ~O Secondary Construction Type: o~ 'O-\~ 0 ~ ~~$;ttf ~fl} # of Bedrooms: ~0<:)j 00 oC:> ov~~e~:P~"i1: .O~..<..'<:.'~~~_~~. ('1~' .~O o~. ,.~~ 00 ....0. -i~ ~ Atv~~0:.'00~::<j ~~wi~ME~T INFORMATION I SETBACKS ~ ~o~ ~o ~fl;<::S ~ 00~ d,0 9;J<::S ' , ,;S ~(J 9:- OJ OV ~"<:-0 t;$'0 '{:I'Overlay Dist: ~o O~ ~. ~ ,0' ~ # Street Trees Rqd: .~ ~Oj~ ;f'<:;;: 0' CJ0~ Paved Drive Rqd: <::s (J ~ <::-'5 Contractor Type Electrical Mechanical Owner Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Contractor JB ELECTRIC MARS HALLS INC BITLE DON E & WENDY L License 104929 25790 Phone 541-687-5770 541-747-7445 Expiration Date 03/14/2004 12/23/2003 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ~ ~\:)~~QUlRED PARKING '\~~,<~ ~otal: ~ ~ R:-~ ~<:iIandicapped: , -;$~~ ~~ ~<$> Compact: % of Lot Coverage: 'v <() '\~ .p\S .( ~~~<V<<:-c. ~~ I PUBLIC IMPRO~~~~ ~\:)~~\:)~., ~ ~C;) ,..f::>~ ~~<<; ~~ewalk Type: '\: ~" ~<<; ~ ~ \:)~ ,'b~ Downspouts/Drains: \3.$ Pa2:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00289 ISSUED: 04/22/2003 APPLIED: 04/22/2003 EXPIRES: 11/01/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft Square Footal!e Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number -Mechanical Issuance Fee- $10.00 4/22/03 1200200000000001045 + 10% Administrative Fee $4.50 4/22/03 1200200000000001045 + 7% State Surcharge $3.15 4/22/03 1200200000000001045 Air Handling Unit Up to 10,000 $8.00 4/22/03 1200200000000001045 Heat Pump $12.00 4/22/03 1200200000000001045 Minimum/Adjustment Mechanical $25.00 4/22/03 1200200000000001045 + 10% Administrative Fee $4.60 5/1/03 1200200000000001110 + 7% State Surcharge $3.22 5/1/03 1200200000000001110 Add, Alter, Extend Circ $43.00 5/1/03 1200200000000001110 Add, Alter, Extend Circ Ea Add $3.00 5/1/03 1200200000000001110 Total Amount Paid $116.47 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. ~eouiredJnsnections I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00289 ISSUED: 04/2212003 APPLIED: 04/2212003 EXPIRES: 11/01/2003 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 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001110 Date: 05/0112003 Job/Journal Number COM2003-00289 COM2003-00289 COM2003-00289 COM2003-00289 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53.82 Payments: Type of Payment Check Paid By ill ELECTRIC INC Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid 53.82 $53.82 5/1/2003 11: 1O:43AM Page I of I cReceipt.rpt