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Home My WebLink AboutPermit Electrical 2003-3-12 s submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~,&\OW' _t require specific land use ELECTRICAL PERMIT APPLICATION approval t:bi2..- .ity}ObNuinber ('.f)(,()~D()s --/)(){)f"nate j() fhfj,A/ ciOD:s Zoning 6- \~- 0 30 \ Date - ';'\ l~ 1. I.LOCATlONOF INSTALLAl1O,N . . ,I 3. I.COMPLETE FE)!;c$~~WMlrBEUm' . .: - .2303 1)QAJ S;'ff~et LEGAt~o161nt \ ClLW JOB DESCRIPTION GA s F wf? Ned"'_,,/ tJ L (j/J/ r I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address (]. O.1jOJG 2(/93 J 'aOlH3~ }"yO o~ ~ M:" City ~~ l{I~aNl;fffih&.eHk(~~~l~,~t. ION SIIIWH3d SIHl H30Nn mZIHOH! "'. . )fHOM 3Hl :II 3HldX3 ll\iH~ I.IW1:I3c c: .upervisor Liceuse Number .3 Qtj7..:Si'l1 ! ' /0// /0,'/ Expiration Date Expiration Date /(),f17 /.;L/3c:/oY Constr, Contr, Number Signature of Supervising Electrician <(/A--.riJf / ,;. " Owners Name /'h; lr e Ai p e Address 2 I03 '7) "'7'\ S Tf' f" e t City S fvl) Phone 2d {,.. RW OWNER INSTALLATION The installatiou is being made ou property I own which is not intended for sale, lease or rent. Service Included A. I New Resid~ntial--: Single or Multi-Family per dwelling unit. 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 $ 50,00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. I Branch Circuits New Alteration or Extension Per Panel One Circuit l.~ $ 43,00 Each Additional Circuit or with f ." Service or Feeder Permit ,$ 3,00 I 42, . 60 , . (5"V 2. E. I Mis~ellan~ons' (Se~vice/f~eder not included) -Each Inst"lI?tiOl~ I Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 2. I'~ONTRACTOR INSTALLATION ONf:Y I B. f Services o~'j;'eeders - Illstallatioll, Alterations or Reloca'tion: Electrical Contractor Ie S hi ad ,i c: / [dYlruLI~ .$}.(. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 AI II:N II(OJi~.UlegullloVV requues '$'0' '1 601 Amps to 100..Amp's ,_ '163.00 IUIIUW rultl~o(jPted by lIOtI ult1yon ,,';oj'" Ove,IOOO.f.o.wP. . olts $375.00 R~~~"T~"'ci8~iy. elller. Those, ult:;:, dl t1 lf50'oott '10 eJ',,'A :10z-001-0010 IhrouylO U"N ~52-001 ~~90. .\\:'w JQv,v' Ini. "P 1113 c.1 Te!llBW'i1J:~liervice~orFe.~~rs,~Ollne rU/eSH f 'l:I'lFle eCRIer. (1'(""", 'lOt: Itlltl/JIIUIlt1 number tor Ih" ()rpnr>I> II""'.. N I'f' I' Insfallation Alteration oi"Relocation 0 I Ica Ion 'Center IS 1-800-332-2344). 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Owners Signature: . '~~~~~O\~ 4.ISUB1'OTALOFABOVE 7% State Surcharge 10% Administrative Fee TOTAL I 4~.cP .3 .;;:l)., 4 '(~6 53,~ Shared Drive(T:)/Building FonnsIElectrical Permit Application J-Q3.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00084 ISSUED: 03/10/2003 APPLIED: 02/13/2003 EXPIRES: 09/10/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2303 DON ST ASSESSOR'S PARCEL NO.: 1703272102800 Springfield TYPE OF Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Install furnace and ac Owner: NEE MICHAEL E & SUSAN M Address: 2303 DON ST SPRINGFIELD OR 97477 NOIIL,: ICONTRACIORINFORMATlONI ..' LltIesyouto THIS PERMIT Si ~,\L1 C'<""'.. '" rJC 'I}j}; , p.:n E:N \ IU\\j:u,,,,gol~la~'l:I6.reqon Utility Ci\IIDIWirM~NDb<;:\>'l!t[~c,t9r<" i; I,U r tolloW n..~jt;en8e?tedEt~ir~l~g'l.~ltt~ toPhODe Ap fOO~ NeED OR IS ~~~~SiIjl~l,crUR otilication Center. ThO . '!1h (JAR 952-0(686-6236 :.e: Il~O DAY PERln~HITT1M ENTERPRISES I INC ~ OAR 9dZ:326)1-001?throO:J~86~~?~ rules b) oJ 'WEE MICHAEL E & SUSAN M ~"n" VnI I may obtalO cop .~ _ ."Io"hone , BUILDING INF~;RMA:rJOrncen~I~~~~\:;iii\ty Notification numol:l' lU' the, r _ on_332-2344). # of Stories: CenteflS 1 8 Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Wafer Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport' Energy Path: Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: IDEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: 1 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00084 ISSUED: 03/10/2003 APPLIED: 02/13/2003 EXPIRES: 09/10/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 have carefuUy examined the completed application and do hereby certity that all information hereon is true and correct, and 1 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 certity that only contractors and employees who are in compliance with ORS 701.005 wiD 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 pia lIS will remain on the site %1:::;:L?:;~~on. 3/; (j /03 - I I Owner or Contractors Signatur Date 3 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 Type of Construction $ Per Sq Ft Square Footaee Total Value of Project I Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Add, Aller, Extend Circ Ea Add Amount Paid $10.00 $4.50 $3.15 $8.00 $6.00 $12.00 $19.00 $4.60 $3.22 $43.00 $3.00 Total Amount $116.47 I Plan Reviews I Date 2/13/03 2/13/03 2/13/03 2/13/03 2/13/03 2/13/03 2/13/03 3/10/03 3/10/03 3/10/03 3/10/03 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00084 ISSUED: 03/10/2003 APPLIED: 02/13/2003 EXPIRES: 09/10/2003 VALUE: Value Date Calculated Receipt Nwnher 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 2200200000000000573 2200200000000000573 2200200000000000573 2200200000000000573 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 ~ . 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. 2 of 3