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Home My WebLink AboutPermit Electrical 2005-7-20 .' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlCALPERMIT APPLICATION .L. / <l " City Job Number ~ b:>o (" - 00 'i'I ~- Date 7; za/ Dr "'~~ 1:,00 .f I &-O'l:1~.~ 1. r'lJ(!)@A'lIl."'."""<Ul,sp)mr'4,'Fi(!)NJ_ 3. .€(!)MHHE'FE/EE~,..,,~.~I~'if(!).J4ti ~<>,' 32-YZ- ~~ ~~ . . --..~.~~,,~ /:<,,<$ . . "J'" II , I. j'll'l I' IP' 11111..1 ~ ~.... ~~~t~ LEGAL DESCRIPTION A. ~~ Re,sidenti~l- Single or;~~Jti!F.~er,lilwellin~ I ? 0 S 'Z. Z I "> ''7l.0 0 Service hicluded ~" JOB DESCRIPTION I 000 sq. ft. or less I $106.00 S I -- I. Jf~ ~",ce Each.additional 500 sq. ft. or '7 ,.....CO Y I~. \.. - f /.E.IJI~ portion thereof '- $ 19.00 Permits a:e non-transferable a~d expire if work is Each Manufact'd Home or not started within 180 days of Issuance or If work Is Modular Dwelling Service or Suspended for 180 days. Feeder $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric perm~urCharges I\'Q1\Cf:. 4'~!!J'~~_f')v-E (l(C( '" 1'\),\'1111' I \ . 0 11-\1'0 I' - en 1.l'7~~fite Surchar'~\:D I' 10 01) l'r\ORII<:.u n I'" ~o"..- g p.\\ .",e\'\C\:D ~O% :-'dministrative Fee /,1{ 1lO cO " "",- ;( I'H\\Uu, p.\,\'i ,\)G Di\ TOTAL /b8 1(8. 2. *€(;).z\r.17RA€'E(!)R~:eNf'l':A'IillA~eNldNnYt Electrical Con~ELL BROC; I'll'rT.alr P.O. Box 697 - Address WQI~ervi"e. OR 97489 ;J""/4/-~/24 City Phone Supervisor License Number ~i<" [(') -(') I 70 -4LlZ(l If) -nG Expiration Date Consb'. Conb'. Number Expiration Date j:;Oc;'Im,~~ Owners Name 00-, fA <. S..... ~ Ad~Ps lSI:>x 7f ~ I r City ~f!' Phone 726 - $or'? OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 I C> f::. "3Y $50.00 200 Amps or less $ 63.00 201 Amps to 400 Amps \_ $ 75.00 _t1ll.1 AmD~rt\tI~requlres'y,:,~.);;. $125.00 An~\Iuw. b\hl!i\.6 Orego.. vi."., fo\l~RM:Ylll€lllpl~f& rules are ~:t ~~"'h $163.00 N t'fi~l'Gl\~l!ffIt\mP , OAR a52 Qn1. $375.00 o I ~\lOOfOthrough _ "" $.50.00 mO ~SOfthe .~L5:-s OO~'~~onUtlf_ nu~I~~\\~'1,~'teWfo8~ii.~~~~tion 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. BrancH @ircuits r $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Shared Drive(T:)lBuilding FormslElectrical Permit Application l-03.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00945 ISSUED: 07/20/2005 APPLIED: 07/20/2005 EXPIRES: 01120/2006 VALUE: $ 135,000.00 Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line SITE ADDRESS: 3282 GAME FARM RD : ASSESSOR'S PARCEL NO.: 1703221319200 Springfield TYPE OF Fire Damage TYPE OF USE: Repair PROJECT DESCRIPTION: Fire damage- replace roof trusses, sheetrock, insulation Owner: DOUGLAS SUTER Address: PO BOX 71815 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Electrical . Mechanical Contractor License EHLERS CONSTRUCTION INC f),ulresYOIO'1331 BURRELL.~IMbq~'@agroSEt~oregon Uti)6,l46 COMM~RcrA):.,Mlk~li'ed by _.I~e ",e setiO~ \U"v.... '.-. ...,....,.-.. - ffYl)1eri.'- Notification t~~.DlN~ ,J"IY . OAR 952- -'. copies ollllJ ., . I~O~O. '(ou may olfh~~t~5\~:the te\~~hO~e n ~1.,ng the certft&~~tility No\\tlca\\O rulffiberfor theR 2344). 'VN CElnterW ype: Range Type: Energy Patb: Sprinkled , #ofUnits: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: J Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Notes: NOTICE: THIS PERMiT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT is NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERiOD. 1 of 3 Residential Phone Number: 541-726-9089 Expiration Date 11/19/2006 08/20/2005 12/1812005 Phone 541-689-6177 541-747-2724 541-461-4821 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains ,Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF SPRINGFIELD. . Building/Combination Permit PERMIT NO: COM200S-0094S ISSUED: 07/20/2005 APPLIED: 07/20/2005 EXPIRES: 01120/2006 VALUE: $ 135,000.00 , Valuation Descrintion I S Per Sq Ft or multiptier Square Footage or Bid Amount Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Building Permit Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Vent Fan Total Amount Value Date Calculated Total Value of Project Fees tii.ILI Amount Paid Date Paid Receipt Number 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 1200500000000001043 S10.00 S89.24 S62.47 S8.00 $6.00 $679.40 $9.00 $12.00 $4.00 $12.00 $106.00 $38.00 S18.00 7/20/05 7/20/05 7/20/05 7/20/05 7/20/05 7/20/05 7/20/05 7/20/05 7120105 7/20/05 7120105 7120105 7/20/05 SI,054.11 I Plan Reviews I To Request an inspection caD 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. wiD be made the following work day. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Framing Inspection: Prior to cover and after all rough In inspections have been approved. Final Building: After all required inspections have been requested and approved and the building Is complete. 2 of 3 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00945 ISSUED: 07/20/2005 APPLIED: 07/20/2005 EXPIRES: 01120/2006 VALUE: $ 135,000.00 Gas Service: After line is instaUed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 wiD 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 ocated at the front ofthe property, and the approved set of plans wiD remain on the site at all times co struc . 't] /2D /~ V ~ Date 3 of 3 225 Fifth Street Sj>ringTield, Oregon 97477 541-726-3759 Phone . .~ ~ ~...~, ""-ity of Springfield Official Receipt Wevelopment Services Department Public Works Department .' Job/Joornal Number COM2005.00945 COM2005-00945 COM2005.00945 COM2005-00945 COM2005.00945 COM2005.00945 COM2005-00945 COM2005.00945 COM2005.00945 COM2005-00945 COM2005.00945 COM2005-00945 COM2005-00945 ' Payments: Type of Payment Check :1 :( ) :1 7/20/2005 RECEIPT #: 1200500000000001043 Date: 07/20/2005 Description Building Pennit Furnace. up to 100,000 btu Air Handling Unit Up to 10,000 Vent Fan Appliance Vent Exhaust Hoods Gas Outlets 1-4 Heat Pump -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By EHLERS CONSTRUCTION Item Total: Lheck Number Authorization Received By Balch Number Nnmber How Received djb 35479 In Person Payment Total: ,. 1 of I 10:03:57AM Amoont Doe 679.40 12.00 8.00 18.00 6.00 9.00 4.00 ' 12.00 10.00 106.00 38.00 62.47 89.24 $1,054.11 Amonnt Paid $1,054,11 $1,054.11