The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-5-11 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · F~~fgIMJih~6p~o~~3tas s ~o~~ C:~=~ ~;;~TI~: 5 ~"I~~~~J1)j:~~:,~:;',:::re;~.~ "'~'3~Q* 1. 3. ...... COMPLEIE-PBBtSCHEDL'L.eOC'f,C-;' r~tZ.J-.>> Authorized Signature ~ L ~ Electrical Contractor ,t; J i .; ~1.~;;::,z;ve. 200 Amps or less ~:rTE lON:.Ore.gon ,a\~ f-,;, ",(on:;' : ,'. 201 Amps to 400 Amps Addre ~~opt~p.e~~-:'U)I.U/ve... 401 Amps to 600 Amps ~ - ;r.- r nose I UIV;:' U", v~. .- ~f~c:~on Center. hrou hOAR 952-00"1-. 601 Amps to 1.000 Amps $163.00 City ~i3:1-0~1cp~88~mP.4?~ Over ~QQMVlt:Olts $375.00 0090. YOU Y u\.;Laln'N~t~~ Reconll~'e't~t\1. . MIT SHALL EXP-\-qE \I: 1~&SWlDKK calling t~eJc~~~~~=\ ,.NgJilicalion 1HIS P R " ' -, . , Supervis~~eq.q ml:ler1 ~~ C. Center IS - . Expiration Date! h .... .;zOO L/ LEGAL DESCRIPTION 17tJ3 Z33~ JOB DESCRIPTION () b(X)O 14"00 Z c ( f2I..J.A. c .J-:s Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Constr. Contr. Number /L)~ C)O 9' Expiration Date ,p:; r- dc:::x::>.. C; Signature of Supervising Electrician ~ /). \, .-? / r/)/~6-/C ~ #- -,C~~-P~ Owners Name :ro ~ '-"\ Address 27 5 <\ City -==s. (? (cO \/07 f- ~+-/c:r- Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: le'peotion R'qu,,': 726-3769 ~~ A. 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 $ 63.00 $ 75.00 $125.00 Install~do'n, "Wla~&'trPJiit~Qcation 200 Amps or less $ 50.00 20 I Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 D. New Alteration or Extension Per Panel I $ 43.00 4) One Circuit Each Additional Circuit or with ( ) Service or Feeder Permit $ 3.00 E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges LIb 4. 7% State Surcharge 10% Administrative Fee '3 z.Z Lfbo 53 gz. TOTAL Shared Drive{T:)/Building Fonns/Electrical Pennit Application I-03.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00548 ISSUED: 05/11/2004 APPLIED: 05/0712004 EXPIRES: 11/11/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2795 CASTLE DR ASSESSOR'S PARCEL NO.: 1703233306000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas forced air unit Owner: AV&W,I'pofij~\fle o\\lt;~jijml;IY Address: f~Ngtfl,~l ;tsR1Nl . ~d+t~77 Notification Center. ose. _. _ ...~f' ".. in OAR 952~00' -UU1 ~ mru~Yllvr\l · ........... C w: _ 0090. You may obtam caples of t~tt!e~'fhCTOR INFORMATION. cWJlng the center. (Note: the te ~f~'IVt'.'''' . Contract<\\i Jfn'fRJr for t~te@otn~tility Notllca Ion License Expiration Date Phone Electrical U Cente\Qj>p.(t.\IV-;~~C 154009 01127/2005 541-942-1352 Mechanical DEAN M SCHULTZ NOTU':F.133733 02/23/2005 541-767-0626 BUILDING INFmtMWlJI@NI SHALL EXPIRE IF THE WORK UNDER THIS PERMIT IS NOT # ofStories:COMMENCED OR IS AB~<B@~fO FOR Height of StA~~'lf30 DAY PERIOD Sq Ft 1st Floor: Type of Heat: . Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 1 of 3 -~~;;~ ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $6.00 $12.00 $4.00 $23.00 $4.60 $3.22 $43.00 $3.00 5/7/04 5/7/04 5/7/04 5/7/04 5/7/04 5/7/04 5/7/04 5/11/04 5/11/04 5/11/04 5/11/04 Total Amount Paid $116.47 I Plan Reviews I CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00548 ISSUED: 05/11/2004 APPLIED: 05/07/2004 EXPIRES: 11/11/2004 VALUE: Value Date Calculated Receipt Number 2200400000000000500 2200400000000000500 2200400000000000500 2200400000000000500 2200400000000000500 2200400000000000500 2200400000000000500 2200400000000000513 2200400000000000513 2200400000000000513 2200400000000000513 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 . 2 Rough Mechanical: Prior to Cover 1 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 __S..PR.I..NrGlF!;IttW.....~............... .... ..~............ WIL.->> - . ~. .. IT ._ _. . ...~._...~~_..~- . . : 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: COM2004-00548 ISSUED: 05/11/2004 APPLIED: 05/07/2004 EXPIRES: 11/11/2004 VALUE: 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. r ~~ /I' ~~ Owner or Contractors Signature Pae:e 3 of3 <-_5--//- C) ~/ " Date 225 Rifth Street , Springfield, Oregon 97477 541-726-3759 Phone ~4IIi -~ty of Springfield Official Receipt .......evelopment Services Department Public Works Department Job/Journal Number COM2004-00548 COM2004-00548 COM2004-00548 COM2004-00548 Payments: Type of Payment CreditCard 5/11/2004 RECEIPT #: 2200400000000000513 Date: 05/11/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received BLAID KIDD/KIDD ELECTRIC nJm 000380 011901 In Person Payment Total: Page I of I 1:28:59PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82