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Home My WebLink AboutPermit Electrical 2003-7-9 "'. i' ',-,';'''''<4.'',., \.., 0~:O'F i.:. 'TlI:'rGFIET';T"\ i 'OREGON' ",.~, . ,<;' '~f,', ~~'~~~~7I~'$..<:""?\:"';~LP.l,. .:'u-......\.1..:1~ LV ~f . oJ.; .1'>;' $~-~1l,!i1'';,. n.",-""..~4J'<"""""_ :/"?;"~"~~;'~~i>.~'" \::.... ..~. <,......l...."'~. .<......._.,,)....'3; ~, .J.. 'fl".) ali-.....l;l.1 ..~,.., _:::I. \' . _, ~ ..I..... _ ... 1,.:. ~'"' ~_ ~l,"'n ~,.., ......:......,., ~".'~'" , eject as .submitted has the following s not require specific land use . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)726-~8~fl,g ,:LbtC... . ELECTRICAj1 PEmyIT APPLICATION / Dele :. ," '1 ..; '11- 03 CityJObNUmbe~3 -L:x1S~ 7 q/),() 6 ::S. ""'''ul<Leo Signature -KIA..! I I L rY;OcAifiON:bj,":iNSTA:i::i.:Alf](!lN'I"~:;;';::1 ~.:'Cf.gMp13E'ij;;;EEEscFiEb'iJEE;BEl6:lV;'.,)t:-;,\;~i,;~,':;;';"~'~"j f:' ~" ....... ""'-'""<,,-,,,v>_,'I..L~-'--' .._,'..: ,_,,,,,, ."" . -':.~,' ......., .....",....,.,.. .._, 1_.".. 3. ''',,", , ,,""",. ''''-' ..'.,'....,. ._.' .'1-",_~" "'__''''__'. ".:., "" ",.' '''c.;.o ",". ......~"',.,.~__-'.':r:, -,,""".r< ~...,' '., .'. 7J 4ti \.Co-/.!)I/, <;.jn (I(J'r LEGAL DESCRIPTION 9' /70).. ...:<S de.; 03 cnJ J J9B DESCRIPTr;ry lob _(L,-r (J(j n-1 /J / Permi~ NFI'I.?p,transferable and expire if work is not star~~d wltliin l~O days of issuance or if work is Susperid~d>fuH80'da~~ALL EXPIRE IF THE WORK , ~. ,~J!J~I)~'.~')~~OEC. TII,~oX{1~p.i~Ili2tT 2: F:SQNW~~~~1p'~~ifli~~t'J~ ,NY 180 OAY POll0D -I' , Electrical Contractor AOb5' t: t!.<..-f h ~ Address 2' >:r 0/110 S I. City G...'1<<.J,,(.. 6fb'J'/YV Phone Supervisor License Number If / Lj tj. S' Expiration Date / () - 0 / - 0 Lj Consll'. Conll'. Number ... I L/ (; I L.n f~7-)- 6'/ Expiration Date Signature of Supervising Electrician Pat ~ -d Owners Name \/) L. ~cJu,J. ?;)LjCj ( /n /~1 City \' ~ '- _ Phone7;V Oi ~rr/ . / / OWNER INST ALLA nON -- Address The installation is being made on property I own which is not intended for sale, lease or rent.. Owners Signature: Inspection Request: 726-3769 A. Lt.N~l;~,:'lfe~iij~liti'~f~SH-IWe:t.t~iulti;i.~rt~ii;'~ mp~1'/a~r~fli;lg~':~~tit)j~1 p:, ..".,... ~ '.~- -,..' "'-'~.- ' ~.~ ,."...~,_r," ". r,.',.' ,,'," . ',.,,.;' -.', '...............'..-'....... "~1 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19,00 Each Manufact'd'Homeorw' ..... "'~ ,d4U1h::t;:) you 11..) . Modular Dwelling.Service5r:JY the Oregon Utili!)! F d C, t'" Tho"e ...._-,,^ ^~$50.00 ee.erl;C;...IO(, ..~n~1. .... ._.___..__~.IVI - ..._......_.. ~.,,_.'~,.'r-,..nr. B. ~!:~~;.\~~~~;lJ~:ffide.~i:~tt,-ill~?t1ii~.tiJii:~Mt~t~ti6.t.~Jf~.~f\Rt!lot",i ;{hri,: ~", 1 r,,~, ',"'~J'~.~fe1-~lJ'j.~..~,~p..,~H' '.~'.. ~""",,~"'Uf ;.,.';.l".~.c..t:"..,.,,,,",,,~ ',.......,!~;h'.'._.y. I>!_..J c.'iH:w .!1J cE'nter.'(Note: the telephone 200 l~g~?!JftS,s. .'1~ Or2gon U~:~:~~. ~~......~1f~..;M:~ql 201 Amps to 400 Amps : '.^....,,'l ""'AAI. $ 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 ~...... ~ tt:--.lll'~,,--"i ',"''- ,^:~..u.:'~-~""1'l""'!I'''.'I':' ;$::>> ~, .,' <+.,'. ,..~~j-'~"'''ti'' ,,'" 1 c. ;reIlipOr3rYISeh1.cesroi~F.ee{Jers\f~>~:7;j,,\; '1"~h~:,-"'U:':;~~., ~~f"" -''''?". ,'. '.." __ ,_....'....~,' ,.~.~.,..,...""~.~,, ' .,_~" ", +-".' .' " 0-..,\._ ,"~;~, :"n'", ,,'l\~~"1',li......... "~, Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Anlps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above, r""--'" '!l~"'''W ;~,'~:' -~. ~"",*, ~)'j">,i. "';'''',~il't'i.-\' ;' 'l"'''i'',",' L,W, "'';'f~ D., ~~W ~~ll.~QI~J~J!tf!~.,\Zf}~l4'j~~~ri\\',*~'Ji;~!~:~ ih1-E~~(..:i':'f~\~~:t:~~ '7';--:~?: New Alterallon or ExtensIon Per Panel One Circuit / Eaoh Additional Circuit or with SerVice or Feeder Penhit 4J, (5U $ 43.00 $ 3.00 ./ E. ~'~~eI~lr~tffiR*t&l~~u~E?gz:~~er~~IF4~):i~~~~h:~'fl.i;.i~~i1ii~!~~ Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 MInimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. rSUBT.O'TAti]01!~'OVE:hi;;::;'::"~;;:'''::{7,j4 /1 ') 00. liY"'-~ ~.:, ...........:';".~1<","~.t$~.~:1~:':~,~-.,....r,I, ;'-..~.;. :"'r~~ J . . . 7% State Surcharge d . JV_ //6' u ..;>' 10% Administrative Fee -r ' TOTAL Shared Drive(T:)/Building FormslElectricaJ Permit Application 1..Q3.doc ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . SITE ADDRESS: 7249 DAISY ST ASSESSOR'S PARCEL NO.: 1702353403900 III ,. ....., '" PROJECTDESCRIPTION,' 'liistall'heatJpuriip' \~ . .tol~?W rUle: adopted by the Oregon Utility . ........................, ...........ll.....'. "IV;;)\:: I UI\::,;:) d(~ ::sellor O'Y.~e.!:;\R 9HERS€HEIIID'L& TRYHORN,K EO NOTICE' Address: 7249.I>AISY'St "sPRINGFiELD'OR 97478 . L EXPIRE IF THE WORK v,,~v:Yvu '''ny '/lIt.." copies 01 me rUles l, THIS PERMIT SHAL _'''~ ~r .A1T Ie ~lnT ~'~'''''l-j "'" "~II"". \,"Ule: meleJepnOne ~I nl-jnRlltU UI~ucn II"~ . J'", nwnbor for the Oregon Utility Notifich€ONTRACTOR,INEORMA<rI:pN~1 ABANDONED FOR C?nter is 1-~r'l-'l'p-??~'L1). ANY 180 DAY PEHIUD. Contractor Type Contractor License Expiration Date Electrical ROB'S ELECTRIC 146149 09/25/2004 Mechanical COMFORT FLOW 460 06/27/2005 Owner HERSCHEL D L & TRYHORN K E BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN . LIti' OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00562 ISSUED: 07/09/2003 APPLIED: 06/30/2003 EXPIRES: 01109/2004 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Phone 541-686-5444 541-726-0100 # 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: I DEVELOPMENTlNFORMATlON I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Paee 1 of3 ., . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriolion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fpp< tiWIJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 $4.50 $3.15 $43.00 $2.00 6/30/03 6/30/03 6/30/03 6/30/03 6/30/03 7/9/03 7/9/03 7/9/03 7/9/03 Total Amount Paid $115.30 I Plan Reviews I . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2003-00562 ISSUED: 07/09/2003 APPLIED: 06/30/2003 EXPIRES: 01109/2004 VALUE: Value Date Calculated Receipt Number 1200200000000001671 1200200000000001671 1200200000000001671 1200200000000001671 1200200000000001671 2200200000000001196 2200200000000001196 2200200000000001196 2200200000000001196 To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wiII be made the same working day, inspections requested after 7:00 a.m. wiII be made the following work day. I Rpollirptl T nsnections I I 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. Paee 2 00 . . Lit r OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00562 ISSUED: 07/09/2003 APPLIED: 06/30/2003 EXPIRES: 01109/2004 VALUE: Status 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. 7I~7a9=' Date Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2003-00562 COM2003-00562 COM2003-00562 C0M2003-00562 Payments: Type of Payment CreditCard ~~. ~.i Receipt #: 2200200000000001196 Description Add, Alter, Extend Circ MinimwnlAdjustment Electrical + 7% State Surcharge + 10% Administrative Fee Received By njm l.:beck Number Batch Number Authorization Number Paid By ROB'S ELECfRlC 000116 009360 -,. City of Spr~ngfield Official Receipt \ Development Services Department Public Works Department . Date: 07/09/2003 9:12:22AM Amount Paid Item Totai: 43,00 2,00 3,15 4.50 $52.65 How Received In Person Payment Total: Amount Paid $52.65 $52.65 . . I