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HomeMy WebLinkAboutPermit Electrical 2004-1-28 . ~. -'. " . "~' , : . -, \ _ '-, '. " ':-'~..:..~ L' .' ,i.... ; .' _' ",", " . ,"::'~~' r' :'; ,".CITY ,OF--8\. _.,INGFIELD.~ OREGON""':' >< ;). " ~/,y'.~~.,.' .....~~ '. ,::-~',~~1': ..;:_.~ ;', "";;".-: ;.~;.' ',,~".,; . : "':l~_'.'~:'~:''':i\'::i:l'~''':;''::'{''_\''r~t'i''''?::, ..:'...,.-...... ~ (' 225 n~ In STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX:r(i4tb)lOUn~~ect as submitted has the following ELECTRICAL PERMIT APPLICATION zoning, and does not require specific land use '1. . ro::J. r approval, City Job Number COmwOtt-(bU9 Date j-nt.'6--lJ"1 Zoning LDv'2.. ,;r7:'l!:;it/'.:,~~ ,t; ~""~~'N/~~:,K;:f;;~':~l~:~t'\;~')~ l:)~.'J; '+~r.~;;i:.',:~;;f,~,:~~I'J,!lM'!;!.i~,;}:,;~Wl~'it-~~~,:tXY:J~\ i!fl~,.:~t;~~,-'~:\":'.~ri '.:!:~l(.;'t,t.,:,:;~".~:~~:(,t'f;~~:~" ~!~ ..~. 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'A~':a"~VJ~I, t ",};. . :....:~V~!~>...~:&::p;.,E:.D~., . .. ~~..a.aJ'AI'.LI.&:.n.:.r"."",1':"l..~(; .'k.\,\\':....\t,;"!. t ,"t'....'>'.,...~ 5CO~'\;: 6~.~';~\:,:,,:'1Si,r,.::..~"Tq,'\',....,:."i."'Y'.:'O: ,"-,...",'..,.,':. ,:': "":"':";-:"'''.':'''''';''A'~tt~'8'fi'z~;:rSig~'-~tJ~~''':),"''''1'';,'''",'<': " '..:,'l,:',~:~i, .., ,,' ,',l,:" a :'\\, ~l,~'~.,..~'>'.I7:'.t::O .~:;~( l~'~' t(.\,~.a;~';':~~j".'I;";~'~~'~.. \. \. f.-" 'f.1, W""~:"~:~1;"..~\~"~' ~ ;.;'I;:.'..,.'..~I~''t!.:j.:'4~)i''\...:::~ ~i~~J?"')..1.~j..~,';:'!:I'~\I....\i i1r~'~;:~';\~~ .;."\I',.,),J:{~~~.I.. \.' ..\~,~~ l..:.klil.'.i:';"~. i.,'\ A. :~iNeWt'R~ide~tUiI'::':':S.il'i"'I~'~irMiifti~FaiDif l~."'~f,~:tt~~m'ii'~}i~'l1it~Y ::;~:~ LE'1~ESCRIP ION:o \"\-'21 S;~;: ~;~;;';' -"" .'''> "',,",- "r;~"h",$,- ""'" JOB DESCRIPTION 1000 sq, ft. or less $106,00 I A \ ) / ~ \ _ Each additional 500 sq. ft, or \L\{=O:\-fi\lAYv\(\:::\ 'v-J/ ho.V\~ \-€ -y portion thereof ._)"' \'D~ 'l19.00 I . ~ ' \ \N requII ,,- I .' Permits are non-transferable and expire if work is Eac~ Ma!lI,l~,\Gt(9~e?6jOn a oregon Utl\lW not started within 180 days of issuance or if work is ModU~~~li%~~~rbY the \es are SP$\~to Suspended for 180 days. Fe~~~W f.U S cen1sr. ,hose ru h OAt\ 35Z-UV · {ti(iiniti.til!(jjj)msTJiii{id;JJii.iJMfl.&tif,f,j: B. ,,:1:.~.~,..,.nO.e.',..'..,r-vIC.~..)..,,~.J..P.:'.li~.,.'~"..,..f..,"','..,~...o,~,'..,'\',_.'.,','..l.,.m~"'"".'..,.,_".:...""'..'.,',.',~\' . :~,:,':.~,'~,.,J.n i,~.:.tA'.'...t".,~,r,I...:..I~.r,A,..p.'~,;.".,",~,,'tII".";.g,';8;,:;,z.,~.'.~.~..,li,'"Pe'1',I.':;et:;m,,ioi',',"'e~~.(\.~n,~,',i~".~I,'.".'if.,',(;.v.,'~,'.',~,','.t;ec:.,i.. ';,~,~~,\,.~.:,'.~\",:,~t,;,'I,;,o,\.'~','~',b,",;,~.,~.i::,~,;,~,:".~~~,'"',,,~,;., 2.,:,,~,:\:,~:,"~\'\~":";i'_;/':'~;:"\-~~,\:,);:;<,;~:i~(\..:t.,~(\.:;:;t~,\ ~:';'~j~)J:'rt'tJ~',,~..~:,';;.;:~'~F~~,.~..S:;;t~:..9..;t~~;;~\t;,\"(~~):::~\' t"v~~>~~ ..: f . ~,,,,,vtat~"~~ U ,;'" r~T 'p.ll\:1.Tl~~', " V ,- ~/' ~ \ ~ n<)~_O 'toU tar {Note. tltication Electrical Contractor ~'E. \ '(2 C'T( . ~ C 20(T ~~\Wi4r~'sIe cen or~gon Uti\ity NO~ 63.00 201 AmD!Wfl~O~~. 1_p-nn_332-2344$'75.00 '1l~00l ,.G\ ....to~\c:: 401 Amps to 6vvlJGilps . $125,00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375,00 Reconnect Only $ 50.00 Address l..{1o<65 ISQbej \~ <i;~, City E\~ IJ '2..h-f> v Phone 1P <j( l '-$\ l 0 " Supervisor License Number 3<6') ~ - ~ Expiration Date i () - i _.O'i Constr, Contr, Number \ G~i q d q Expiration Date 3-1'-4. GLf :.:~ .~,..,~:'~< ~. ;,"~~;,:-"!.::.t,---,',:.,' '~:rL :\ ';"':, l'~:; r ~1 ,;' i,l'.....;~,', !~';;.!.l\f ~~,$;:Y .~~ ';r'J~ ~~. ','.' ;I~~'.\'t.;:" ? ''.\ "r~~ eX. t "';"';o)'~ I;, . i'\ .~..::~ ~~'~ '~~'...~:~ ~::'~',l;" f; :;/};: C .~l~ T' ~....._.v.~"~'1,ry"",>::,'!i;..?, S':-:o'~.."'''':. .1I:t"""'!:;I~ ':~:t'''::'F. eta,-;'''lr...,(!,;;.z'~~. ':O'V\.. t\'k ~'l {i,,\l''''''J .\,:<~'l'~'h';i,,;\j,.. "J! ~l'" !!-;){' 1.l.,....,,~;..-,~.r{W'JI,,'~ '.' :.:c:: :empora~~;' ervlces~otJ'. ers~v;~~~::~ ~t~'t~ ~};, ~~~~l;.~'~\1j'\R"i:\~~"r,t\iJ.'.. '....":J;lti,t;~\til;..;;.\.;":tf .-, ~-""\' " ./,. ". .~( 'i ":~': :J;,.. 4'.\l.,~., "....., ."r" ,'~f"'"",:;"""" ,,,, \ '.'- .,'."......,.,t.;,.,'.:l ,."::'.'\~:'>,,,.-.; '" f ,...".,1,~'11~... <j",:"\'p'(,.,.,,,~J~~:,.~1j,,f'f\;'~ 4.~.\v:,'".'~'.. ..~ '. .. '''_''_' ,1-' .,,".".'.1. ..~,_....'."r,.,..!,....... "_ .,,'~..'1..,\1.. 1'." '.0...... rr""\)I.',....,.-~T....,,...,..".,..' Address . Installation, Alteration or Relocation 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100,00 D qf,,~~,~?f~~'.~i'~'if"I~Sg"'ffi~?~"~flli;.,~:oiM;~~t~:~~~';'~~; ~~~tt~\\:~ ~~~$~'i~t1i~f:rl~~:{-~l~~;'tP;'1.."\.~'i ""-'~S~~'~"i . ~ .: .'~ ~ .~!X.ga\1h'";,:"",,,;"~~~I'f,"'ti-'~",*.IS~.J .,..,~. "~[:'''t~'~.{ 'j'~';" ..~:'I\' '11,*" . ..~'.' \.' .'.,.".;..'.' '_'~"""Jio....r.;.r'~I""'\'~ "M""\ "'\ '." ",~..,\"",.~)..~..,-'I~I- '1'IJ.t_ . ..".-,'" ',.' "..1." .' """ "',"'" "'li"?f ""IHWt''' "~;",, '. ','" '''', '.', , t"'it,;'''''', ,""J "1' ,.""", . "..' , .. ", '.'" ."', .,'..'.'.~,l ..',..' .....".tr-\...,. "'\v"-' ""n .'1,..,' ! - :"........... 'f' . _..t.,... '. New~~ifU~tl'JhroQ ~PI\!Hon~ef~aJ~EO FOR, '? 0 , OneCOilMMENCEO OR I~ A p., i $ 43.00 Y"""'")9' EachpMPi~ianardiY.c8t~~~ ~~h 1'1\ ,j 00 Service or Feeder Permit. I' $ 3,00 .:>, ":';:~.':'~~:l~ ~<'-'~ ;'~~~::':"..:.\'.}'Y,,_~,.....r.\:'.j..... ~ ,}',\:,';:;~'~"'~l':{''/.<'j:"" -:-"':)":J.: 'r'.1'y;".U~,.,t0f.t;"tlY;\>,l, '':l-~;,,~ "~O'",''J,\ ,\-.1.: "l,....,/" "...-1.1.."."-:-....,1>....' "~j,''; ''''1 E. ;:~Mi~C'e1j~ii~tit!'s~~tWr~~~~ffi'6;t!ilicl~d&t'i':~!E~~~:ti~tailiiti6~1~ ...-'!;:?':.;, ~i :::." :~~::} r,':':"',:;':~~:;~' . . ;"~., ~ 1'; ~',~':'.l~r-.~":.:- ",/?i:"':I'-:'Y'\''II:.I,::; .~~, -! '....:f.\~;:-.:'.!~i~<:. ~,'\ \~4:1",,,;.lr"~: :~'~:~' ;\I-.~!.'.~,~,: '';''-l.,,-...:...-~\\\i(' City Jhone Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25.00 $ 45,00 The installation is being made on property I own which , is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: .~ ,:': '~'..'..: '-;~' ,.,; :".;' tY .);: ~ ::'_',~'~; _ -~\'''':~ ~ :::..-, <;~: ~ :'ci'.{ ';f:~~re\" (~j;"J~i '~;.'n',i1 ;,'- ,t ';~\;',~ l~, { .,' ; ",-:-;,';}'kJ " "."'8" r.rn~;rAl;o":Ji.'?":'';O'" -.ffi'.lil)'~;"";>"'\;\""\;1;",.\!.,l~"';-!"3'," '-t (0 0 4 :''3;' &,)D~:U~'~ ~ ;.' : r.r}W ;.....n~{i'.~..:~'~''\+,'(\'V''..,.\.,)~.::',::'~.,.\~;-;;':':,\~:,1 . ;}:,\.~~, i-,.:~".'J,~-:';:~'~,':;; '-' ';::7'>::':\":}: ':>;'::;:': ;'i~;,.'1 .; t.;t;f:~>;?{Jj~+'~~~;::~\~X~H\{(t~\ ~'~~~~:;:;l;~~~f~:'A::r,;'1 . 7% State Surcharge 10% Administrative Fee ~.~~ 4.(00 /:) 3. <6~ Inspection Request: 726-3769 TOTAL . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00119 ISSUED: 01/28/2004 APPLIED: 01/28/2004 EXPIRES: 07/28/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5660 DAISY ST 14 ASSESSOR'S PARCEL NO.: ' 1702334401427 PROJECT DESCRIPTION: Heatpump with handler. Springfield TYPE OF WORK: Heating System . requireS yoU to ATTENTIO~;Vi?\!j~~~9 olt~n Utility, tollow fUle8 adopteTh:se rules are set for' ,._.;flr-"tion center. '\ _ ,.,,"" ('\AR 952-00 .-' 001 -uu I v l .. -...", , S \ SELIN CHRISTOPHER J n OAR 952- , ", \ b' ih copies of the ru e 5660 DAISY ST #14 SPRINGFIELD OR 974780090. You may 0 t t~ (Note: the te'e.p.ho~e _...lIlnn the cen e . I.. u:t:t., Nntlflcatlon , - - h ure\dVIl Co.. . . ,"t;ar t'lr t . e 32 2344) I CONTRACTOR' lNFO~.I.9~ 1-8on-3 - . Residential Owner: Address: Contractor Type Electrical Contractor JB ELECTRIC License 104929 I BUILDING INFORMATION I Expiration Date 03/14/2004 Phone 541-687-5770 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: , SETBACKS I DEVELOPMENT INFORMATION I CE REQUIRED PARKING . NOTl: ORK Overlay Dlst: IS PERMIT SHALL EXPIRtdfaiTHE W # Street Trees Rq~W HORIZED UNDER THIS fQil.4J~ifp\fectmT Paved Drive Rqd~~~MENCED OR IS ABANI98f\W!ct~OR % of Lot Coverag~NY 180 DAY PERIOD. ' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback:' Solar Setbacks: I PU~LIC IMPROVEMENTS I Street lmprovements: Storm Sewer Available: Special Instruction: . Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount , Value Date Calculated Total Value of Project Paee 1 of 2 _'!J~l~9JI~~..',.. _ , " I , r ! ]' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . I Fees Paid I Amount Paid $4.60 $3.22 $43.00 $3.00 $53.82 I Plan Reviews " Date Paid 1/28/04 1/28/04 1/28/04 1/28/04 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00119 ISSUED: 01/28/2004 APPLIED: 01/28/2004 EXPIRES: 07/28/2004 VALUE: Receipt Number 1200400000000000127 1200400000000000127 1200400000000000127 1200400000000000127 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 Inspections. 1 Rough Electric: Prior to Cover 2 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 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 Pae:e 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2004-00 119 COM2004-00 119 COM2004-00119 COM2004-00119 Payments: Type of Payment Check Receipt #: 1200400000000000127 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JB ELECTRIC Check Number Batch Number Authorization Number Received By ddk 013691 City of Springfield Official Receipt Development Services Departm~nt Public Works Departmell;t ~..: Date: 01128/2004 2:42:12PM" Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82 . . .