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Home My WebLink AboutPermit Electrical 2005-9-13 , 225 FIFTH STREET .' SPRINGFIELD, OR 97477 · PH:(541)726-3753 ELECTRICAL PE,RMIl~, 'PLICATION City Job Number -.t ~. \. ~~f> r,{:'~:i.\t~'t t'..'F-:o..\~;:r~ -';lf~:r<~'~~~l..t~t"~{j-?'~!r..:\t.'if~~;~ .'<'>~~-;\'<~Z\190'(-';\'f;A(, 1. :;'YLOCArfION.;OEiINSTAl:;LA.TlON;ik':f.{'!/ft".::. \i; ~~"~4W'rr~~"' . ,..,.;.~,~."'r"~~"("'~'~;~~(f!~~ LEGAL DESCRIPTION ~ ",v-x-, \f)Om 44 u~ ,- J~~ (na. \W!AH Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. .0 \)~ . j".~""" \' ~'~;^'"rr'~.~>)~;'f'Ol:"\":""';""~"""'W''1'\':'l:V'\''>''\'--::'''''''':'''':l(i:,.-.tv'i.~.')..,;:-,..,_'>)"",.').~...~",:':{~;~.-__'t~~'l",\,;;" - ...'t''ft'''''--~:''I\'~ 3 ~:'C~'~'O;lIKnT~'v~T""iu'j;E.'r"s'c';"'H' " E"'~'Dl"i'ir~~':B" E""'>O' ''T''':..'J:.''''.rA,,''',,"'>< ~,.~ i.~;>.t~f'~:-tji -f...(~~'.:':: . fff" n:.LX;~'.C,', ,L' - '.. 'o:i;d:..[, ...; ,l'r');i;{,':~'A:,":'';,',;\i'';''': ,I:,: ,....K, \ f.::;;:~'!.Zd..~t-'.0Jjtu;.",;,(..~,c}.~t",:,,tt.t~~<f;.:.,.~~~z,~.';:'A;i~<d,~~~:::~',J.1t'~~S-t~_r:rtt~~~~:..-bi\~:u.l':..~l-~~;~~.!!....~~--:!t..0 , Date ~;~~%;~A1t~':(:r0~f~~~~o/~~:);~~P' :'~?;'if,~::;\{,:~~~~z~:~;v, ~{1}~~:~::'-t;~.\~~{~rt:'~1~.~~\t}(-~~:::?'r~r-,~':7~''''~~ A. f!:NewiiResideiltial";',Siilgle\or'Mi.ilti;Eamily)per',dwellin'Tunit/;:' :'~ . bi~u.;,;~:i>.b!~W,l~.~.:,;~~.;.:_\i(!,,"...ci:i~~~~,:t.;A~~"li}:,'t1t.:-~~t'z.1r.:-~",,',;.:;,.h~~":~-i~":i_:~.l.~~~}.J.;~J~~ :rk .~.. 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 $50.00 ~'$.' .~~~'" t;.;l'!-"""'~,'XY>'lI"'.'!':''''-''I.m''~~'.'''';(;'~'~l'>'t'''''~~~''~J..'W''''''-''''J:SJ'''ry:""~"~-~":"~~ fJ,~ ':' . ....::t~:,.; j r 4:-....~'?<~".,~:~~'''\'-.:I,,!~~fi~t..... 't\ i:'<:i.:\.t)~'~;:~,p . \;\< ~;~~~i1,*.'~'~'&1:<;"'':'l &, 4? ,'0\ ;'...~,~ '" ,b"i/lf& ~~>" 2. tifia~~!?:ig1JllJy;~lL~~~!~21Y2~!~~~ .."'t'o~,~,\......___,~;:t;t....'t~,,,,~l::(~M-.-{,.::t.'M.'-k_iif'~~'''' u;.."""~"",~"W,i;;,,,~ '",,~..7'~~'''~~''i''''"'''''''''~- """"''''-='~'__-'~;r-j''''''''\''''~ ,r' tt;,:t-.-;~~~J,\~'0P,',' .~1:'i0;'i;l';t~t):~,\--:' ,:,p~,::~,~ r_-\'\,,\'~JJt~~;~-r'YJ,.:;\~(;:'L'.','~Z':~~r~~I~~<I'l~'~N~~'!j,,;l~~ -,"" ,;;....}. ~,..~:~.,'..,n. "."'''", "'-,'" ^:'1. '.,"'1"',. ;~'~,,,,~. .~ll-a':' ":'.1:.3,...,1 B. '~ServiCes;or;Feeders'~~Iiistallation~tedl tions or:Relocatio'ii: ~~\'i~ ~~~1.\.~~~:t~~~~ht:1~;.."11JM:&t~-9,tl~':~~I~~H1;.t..~,},\:,'<.7\~:::~.;~,~_.~~;.:s~,,-:,~:~~~~'~,~ 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 Address ~,O. !?.;>)( 2. f 2.-1 ' €w~ OK. f7'102 401 Amps to 600 ~ps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00, Reconnect Only $ 50.00 'I7~ uS AJlTENTIOI\.h a~'Wl!:~\1€;rW"l~=r;~:~~1S:~~fJt~rZ?:>~iJ~tFrr<~'$':d,~,jWl~-:;~<\~ 1~;1;~<-~'~:r;~~ ~~~ ,r "~.)nt't. r: t13~ :"'" SupervIsor LIcense Number 7 7 L// '\... J/f/llemDOrary~,~ emces,on ee ers,,',;', """,' h'~"V!!",no. ,','---, ,\,", ~.,~ :v',;:I . . WI f'll,,! rut ~e/;:'aw.le '-"71;<>#J",,...~,.lJ,W:4'~''(''&'~'~~'-'u,,''''lG.:L:'i ~.;:...:..l~"::'1'::',;_c/; . fN:0tificati es adopted by th qUires you to ' , Expiration Date 10 - I - 0 t:, iiftl f)A R 9 on Centln~t~Uatwni)&e~tlbn g'fiMpocation @OO(J \/ 52-001-C200O:;p'S~r.~~~ are settorth / 5. . 7 g .'. TOU may"'" Clagrl ( JAR Q Constr. Contr. Number c:, b ~Ilih:; the O:O'I/~P~ltes489fmtp~2-001- $ 69.00 . ~1b:et for tChent401 funP-fu~(?/~gO AIhfMtes by $100.00 1 - 1'-/ - 20 0 "7 e Oreaan I J"'" lelephone , ~enter. is 9~rJ9~,~~e~\~~t198&~c;,!;~~~~~~:~':"~~r~~~'~~"'f-lllj " "', ~'--'~:'7~ D ~,v"BV'~O;iR:/di" ...". .~<!"'J)ll!,~".".J""tt' ,;".'~..."*~'i;'_JP;SY~"'I':-l'rJ,'" "." ,:,;, ". ,,;\' ", ,,~ ",.,,' , S. fS" E1 ., . ranc '~'r.CUI ~,."""",.,,,",,.,.:,~. .....'''';1;'''''..,"'',.'.',..,' , . "~' ,,' Ignature 0 upervlsmg ectnclan . ~..~"l>Ji....!b::':oz1;;;,... "'B.:.~,~~"l.~~z:.:,;':::,)lk:,,'~I>i,.' "'J:.,l',:":.:;:,;:kiJ,:::~,_~!d;" ~., u'';'" . /)J New Alteration or Extension Per Panel A Il..CXJ 71h"'- --# ~ ~ One Circuit ' I $ 43.00. ~ f..) . $ 3.00 . ~D-I- ~, i\,""""""...."".~"."'h,~,"",J,;"...'e'" ,..Y)''''^''''''''''''''''~''''"''_'=''M')'''C'''''' c, '."",,,,....,,'" ,j ... r ~ ~.<<.""'4~h;,,\AA:l.~.;;::.~;~~~:-:,,,~:,...u;..~~.;..t~........~~\l......~,;,~m~,....nI.>-.O:~"""""""'oii.I;o..;-..:.:.~,.....'-'1-""~'l.~~.~....~..~J~'::"~I;;l<;;.",~,i.:_~ 1\~<5\3 Electrical Contractor /2.oh 'J e/4.'-tr, i. ::&fCl'- City [. "'-~ e.ne, Phone f., ~ ;;, ft - )' Lf tf t.f $ 50.00 Expiration Date Owners Name '\:bs en t.{ The installation is bein is not intended for sal , I I Pump or irrigation $ 50.00 Sign/Outline Lighting' $ 50.00 Limited Energy/Residential $ 25.00 ade on Pf,9PertY..I O}Vll which Limited Energy/Commercial $ 45.00 e or rent' tJ K ,v t. , U/.... EI t' P . I t' F . $45 00 + S h T"HIS PER~~:T SI'iAlLlt.X~;umL~J~t~&.~ :~~~:'~~:1f::i'~"'" ,...~_,..." urc arges AU T r. 0 R .' E 0 UNO E R T. H'~"~' ,",.IF "",,,"'-~, S'i,if4:....~J "Wl""" """~l'~",,;'Z'~i')':,\' '", ',' j~:;'\)' .f-:, .v,~ Art dJ I "L ~ ":Cf(T:TD\li'~:r.:'A'T:l~n]i'AiDO:l'~,t"i'f)i':'\:t"",.,,,'~'~ij\.,,',..'m~7"';h'.: ' _ . ~. ~~,I;;;I;U,l,J.\W,'.I.,;:L'1LJ \:.'-.L\"rnD . ;V.;LiS{(,.' ,,,)@.t';h.~1?,:',t,:-,,,it:'r <l~l'~''t:' ....';Itl CO Ivi 1v1 E NC E D OR I S ABA~~~~~i.\}.~~\tl':i~~~\~;r-:?"t,\f.~'(:~'iU ~8.t~" (.\NV 1 Rr: Il/l,Y PERIOD. 7% State Surcharge ~ 10% Administrative Fee , l'\, ( Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc '~~~- Bi- Inspection Request: 726-3769 lo~ (0 . s{.4 'I TOTAL .,' ._~,~!,'t~,~1~9J, . " ~ . - _ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01238 ISSUED: 09/13/2005 APPLIED: 09/12/2005 EXPIRES: 03/13/2006 VALUE: Status Issued ; 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax , 541-726-3769 Inspection Line " SITE ADDRESS: 4801 DAISY ST ASSESSOR'S PARCEL NO.: 1702324405000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: SVEN H RODNE LIVING TRUST Address: 4801 DAISY ST SPRINGFIELD OR 97478 Phone Number: 541-746-0539 I CONTRACTOR INFORMATION. Contractor Type Electrical , Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW License 156678 460 Expiration Date 08/14/2007 06/27/2007 Phone 541-686-5444 541-726-0100 ]iUILJJ1NG INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 I DEVELOPMENT INFORMATION. Frontyard Setback: I Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: .. .1 I PUBLIC IMPROVEMENTS I -..... Street Improvements: Storm Sewer Available: Special Instruction: NOJluC\E: IT SHALL EXPIRE IF THE WORK 1~~H~E~~D UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 BO DAY PERIOD. Sidewalk Type: Downspouts/Drains: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: Pae:e 1 of 3 ... , .. . , ~~~r:I!.'~,~~I",~,,~ , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2()05-01238 ISSUED: 09/13/2005 APPLIED: 09/12/2005 EXPIRES: 03/13/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated .;. Total Value of Project ~ Fee Description + 10% Administrative Fee + 7%'State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 9/13/05 9/13/05 9/13/05 9/13/05 Receipt Number 2200500000000001261 2200500000000001261 2200500000000001261 2200500000000001261 Total Amount Paid $53.82 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pae:e 2 of 3 ;". -~',~).!II~, . t , . _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01238 ISSUED: 09/13/2005 APPLIED: 09/12/2005 EXPIRES: 03/13/2006 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 ofany 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 of 3 22~' Fiftlt Street Springfield, Oregon 97477 541-726-3759 Phone . a"~~1t.\I9,J;;1~ "" _'_ j, "\ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000001261 Date: 09/13/2005 12:47:12PM Job/Journal Number COM2005-01238 COM2005-01238 COM2005-01238 COM2005-01238 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Paid By ROBS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received llh 056813 Phone Payment Total: Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82 ',' 'I " , ;, ir J " :i 'y- 'i 9/13/2005 Page I of I