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Home My WebLink AboutPermit Electrical 2005-10-21 "". : . CITY OF st )NG , ' OREGON' {-'o, · ELECTRICAL PERMIT APPLICATION City Job Number (0.... tJ;>o r - c> , ') Z r ~,..~t >-d>.,~W',1,'-"'}'I~,')""-:~' .: ","...,:; ~c';h"~:'''''':'':'-~:~?!!:~;}':< 1. :~LOCATIONOEINSTALLATION,F",J',:'" ,'"f.';;'.. :.~,~'. ,:~~..:.,""..:..;..1w... v;.:::.::t', .............:.uc,1i;;.~':.....;::;:.k.1"'.' :~<<;;;;i$j,,;;;.F;,~a;:,;::.; 33 4~ b l>'^.. fA So 'hiL LEGAL DESCRiPTION I rzol.Db Z \ JOB DESCRiPTION o"S ZOO ttl\b L. Llrc....-....K 'Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~'$1', . >~~:;'!~-:'7T'r;:!:>"C'~;": ,~"",,'\"::?'~1'l:.~-o;~:,:c>:':\7:"%'Y(':t',~' 2. ;;,cgPl!LMg~JJll'i~T." :t-f~'[m!:t:p~~J _. ~...~.....-,....._..., """'...."'-'-,'.=". ",-,,-,,---,,~.,,-- """"'-"'" Electrical Conlr;lctor fLoJ, '.\ el U)r,; ::L.,c. Address .\'.0. I?",x 2 R 1../ I:fwCl1-<.- 01. f7'10L City D''''3 e,,,,e; Phone fo.., ~ U t - 5" 'i'f '-I Supervisor License Number '17'1'15 Expiration Date 10 - i - 0 ~ Constr. Contr. Number I 5 C, t 75' Expiration Date 1 - I '1 - 20 0 I Signature of Supervising Electrician ~ "':f".. Z--- -- Owners Name \, $c...o ff- ~...., S~v Address 3.' l.{g 'l}t>tfJ..M ll-L City So ~ -t>. P ne b':i,-I:,'6'r7 / Inspection Request: 726..3769 3. ,0 ,,0 '0'0 . ""'v ,;;:"i'-,i.:"',:'}:~'.';r\-E;':'>i:;:7' ,<,:. _ '-j' , '", ~'<;'F<':';.-' ~. f. " '/~:,"i_>;}:-'.S'9;i>_':Y'ijt'-:.,.~~,"'~;;;i',-~7,::~"ii}'4")":":1 A. !~1"e.w,Residential ':',Single.!,r )\full!:F~,!,nYp,er:dwellillg unIt.;: "~ ..:....,--'.>'1J04~h- .i.,....:'" .,.iIOk-"'_'~""...._ ~-'!_""" ,.,"-._,~,"'" ,,-..-- i. '-_~"'~~_~,J Co"",",):;-""",_-"-,,,-,,,__ ''-'':''';....;-A'i,.,,-,,,.-,' Service Included \000 sq. ft. or less $\06.00 Each additional 500 sq. ft. or portionW~9fTlON' 0 $ 19.00 ' E ~'I/n"" "tl!.>H":"" regon law requires you to ac~ l\i\iffilc U' <nue,Qfed by the 0 Mod Wfbw~l1ift"" ,', regon Utility, , .nPAR 9 ~<m'~ q'hose rule~ "", ~ .$50.00 Feeae 52-001-0010 throu h 8, Iv'm B. ~f1~~~~, d~~,sWJ~ii[li~,f~,"'fir~~~~~~~I.k:.iii\h;8~ &'~rili"'~6;r~~~e:~;"'rM'ite.m~'Y~1~tFi'6'~="j""-"'.tj",,,,,,l;" 200 Amps or<!Jlss t . egon Utility Notiflc$ ,63.00 201 Amps to 4ob' z;,~s 1-800-332..2344). :& 75:00 401 Amps to 600 A1Dps $125.00 601 Amps to \000 Amps $163.00 Over \000 AmpsNolls $375.00 Reconnect Only $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps '401 Amps to 600 Amps '$ 50.00 $ 69.00 $100.00 ~~;[B~~~-~Z.A~ts~;:~:'~~~~~;~~~;-r~- -:-~~_",!:~,.'_-~;_'7-;;:~ D. ~.k'lll5m~.wIi$.B!.~lJlR"e~~W~;I'!!!E,!S-~~~~~t21 New ~~~IE~Wif.R 1HI~~~MIT ISNOT.. ' One dhQ,MMENCEO OR IS ABANOONEp iQ~oo '-t J-'- Each AallM,1I:I.l ~l?E~. Service or Feeder Permit I $ 3.00 ) S-T~:';:'''(\~';;;F00-TIl,N'';';,::''';:~~~:j '{l:i:-f'!";I\fT~'i~;fr.r:;"'{#r;:;'~::f:r'-'i?:';71r"~'';i\:: '.:,"'"':__:"fX!.-~,.,,-~ E. !~l\1iscel1aneoJ1!((S"r"icCff!",derYI~t'includ~)::-Each Installation ~ !fi,j;_,.',j.,-~I.:__ _~_=-"t",',-",_{~_~_~_'_~-__,".ll:'A,.,"n"...-.kc.~~=,I..-,,,,,~.d~.",_;.j;;;__;t,~-',-. ,";'--",-..>;;',: ~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. V, :?'2'2 '160 53~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)JBuilding Forms/Electrical Permit Application 1-03.doc I _.~~~~~IJIIIUt,: __...~ " Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01528 ISSUED: 10/27/2005 APPLIED: 10/27/2005 EXPIRES: 04/30/2006 VALUE: SITE ADDRESS: 3348 DOUGLAS DR .' ASSESSOR'S PARCEL NO.: 1802062103200 Springfield TYPE OF '~e f~ijJ~nical Only "\d'us~ PROJECT DESCRIPTION: Heat pump, air handler, and ductwork. TYPE OF USE: Alteration Residential Owner: SCOTT BOWSBY Address: 3348 DOUGLAS DR SPRINGFIELD OR 97478 .. Contractor Type Etectrical Mechanical I CONTRACTOR INFORMATION I Contractor ROBS ELECTRIC INC COMFORT FLOW License 156678 460 # of Units: : Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: " Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: I BUILDING INFORMATIONI # of Stories: R-3 Height of "\j) ;{y~tiHeat"uires you. ^"-...:;NiION: OW~""te" ':r' Oregon \JtI\i\)l I" 'V'l~' a \J' ype: rtb 10\\oW rules adOill."~e Type:\eS are set \0 Notilication centEne~P.atbh OAR 952-00:\-- in OAR 952-001-S~;ir.iJed;i~s 01 the rules b.h/a ._,.... ,,_.,M::l\JODU;lllvV _" ..._',."r.hnne vvv..... ca\lin"D~VECOPMENHNFORMATION I number 1UI co 'v. - < -8"00-332-2344). Center IS ,- Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Phone Number: 541-659-6847 Expiration Date 08/14/2007 06/27/2007 Phone 541-686-5444 541-726-0100 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 ~ L NotlCE: txPlRE tf 'THE WORK THIS PERMIT ~~~i~ 'THIS PERMI'T \S NOi AU1HORIZEEDD OR IS ABANDONED fOR COMMEKC AN'I 1110 OA't PERIOD. 1 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01528 ISSUED: 10/27/2005 APPLIED: 10/27/2005 EXPIRES: 04/30/2006 VALUE: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Fees P.1IirlJ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 10/27/05 1200500000000001625 + 10% Administrative Fee $4.50 10/27/05 1200500000000001625 + 7% State Surcharge $3.15 10/27/05 1200500000000001625 Air Handling Unit Up to 10,000 $8.00 10/27/05 1200500000000001625 Heat Pump $12.00 10/27/05 1200500000000001625 Minimum/Adjustment Mechanical $25.00 10/27/05 1200500000000001625 + 10% Administrative Fee $4.60 10/3l!05 1200500000000001640 + 7% State Surcharge $3.22 10/3l!05 1200500000000001640 Add, Alter, Extend Circ $43.00 10/3l!05 1200500000000001640 Add, Alter, Extend Circ Ea Add $3.00 10/31/05 1200500000000001640 Total Amount $116.47 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. IR~nlli~ 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. 2 of 3 . . CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM200S-01S28 ISSUED: 10/27/2005 APPLIED: 10/27/2005 EXPIRES: 04/3012006 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 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 located at the front of the property. and the approved set of plans wiD remain on the site at all times during constructiolL Owner or Contractors Signature Date , 3 of 3 , ,2~5 fifth Street , Springfield, Oregon 97477 541-726-3759 Phone 1) I I Job/Journal Number COM2005-0 1528 CpM2005-0 1528 CbM2005-0 1528 CbM2005-0 1528 I . .., Payments: TyPe of Payment CreditCard , 1 , -. .., ? , q I , .( I i ~ ,., , , 1 , r 10/3112005 . RECEIPT #: "I"~,!,~I;1,~"'-l,,', 1tIr" i - .. - . ~ "'.lIlid.<y i W'! '-"'''''--- - 1200500000000001640 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By DA VID LAWLER Recei ved By djb LbecK Number Batch Number I of I City of Springfield Official Receipt .velopment Services Department Public Works Department Date: 10/31/2005 Item Total: AuUlonzatlon Number How Received 061813 In Person Payment Total: lO:40:39AM Amount Due 3.22 4.60 43.00 3.00 $53.82 . Amouut Paid $53.82 $53.82