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Home My WebLink AboutPermit Electrical 2003-9-25 ingp . rOJeet as sub . lx-at d does not requ;~'~~~ h.~s thp fOlloWing 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72 3b~9 CIIC land use ELECTRICAN:.ERMf.+...1.?~'L :4 ON Zoning_ ~DvL City Job Number \.:Dt<\~.llr;"), Date q I d5/ OS Date ;;?(,'-O3 - '. . Author/zed SIan I~~~~ },f€~iiimmN.E1FEE'SeHEf.ji!iilEmElf&-W .. ~" . ; -. "" . ,~'f' 3. ;~~~,~...eth.s.~.F':t":;,,^"""~"'''''-,,clt&1!!'Olf.\.{(j e- LEGAL DE CiuPTlON . A. _Nlr1li~~m~tJa1~~]Ig:(m~~_{~~~~j~$r;~I~gyr~il~ ,on law reqUires you 'S'erviee Included JOB DESCRIPT~g tow rules opted by the oregon U~i~litapo sq. ft. or less () 1\1' . liotl '0 r sej\ch additional 500 sq. ft. or .t,. \.' 952- b'rtion thereof I . les 0 he rules 1 Permits arc no~~tVotJllinili/l Q~il-I!'\f, r~.~ telephorWch Manufact'd Home or not started within eWlI~~stl\f:i~illi\\t'e <l~AV~t.~ IP N tilicatMpfular Dwelling Service or 550.00 Suspended for 18MMber for the Oregon Utthly 0 ~eder .>..""~~"",_,",_",_-,...~.,..~,~,,,,~\);;1Z?...-,?J44). . ,.."",...~"\;];~;lit"r"'..4!>J'.'i'F~~-;'~""'''"!~''-.li'A<:\li(~ 2. G.~~:~J~.u.~~~~:o!~~~ B. ~e~1. es or. e~~~t).&~f'1~~~f~~~~~!'~~ Electrical Contractor ~h~ fj~ 200 Amps01'l.QJICE: 563,00[ ,,,',, , 201 Amps tol4db'3A~fr,~MIT SHALL c^rifU'S !j5.W' I. , 401 Amps tol6'doWhlWZED UNLltl1 I n1J t'sl25:dd I> ,.u, 601 Amps toG!i1M~~~ED OR I" i'D,,"u$'f~J~oC\.J1l Over 1000 A&.~'fv1,ffi' DAY PERiGJ. 5375:00 Reconnect Only S 50.00 Address ~I?)C; ()h, (') ~+ Phone Co<6c'--SLj4~ City "<I ~fI\', Supervisor'License NQrnber ... Lf2LJ 4 S Expiration Date 1.0 - 0 ( - 0 L/ Constr, Contr. Number \"Sc,{b 13 ~-"1-o.r~ ~~ Expiration Date . -T..~ ~- Signature ofSupervismg Electrician ~ ;;:?---. Owners N"m.: Address '1- ~ , . City .~ C \({,' _ Phone ~ I" ~ Y \ ~Ir;::fo' CW\~ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 5106.00 519.00 c. ~em~p~~m}1Stt\ii~esw~~C"g~_ . #II!:.'A ...... ~"/~....... .'_" <a"'1~, ... _.' . ~"'" Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400Arnps 401 Amps to 600 Amps 5 50.00 5 69,00 5100.00 New Alteration or Extension Per Panel One Circuit , Each Additional Circuit or with \ Service or Feeder Permit . S 43.00 4~ ~, 5 3.00 E. __i!m1~~~~~~~)~ ,. ~ ___........I._L.......,......!~...'\r'i'<' Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial . 5 50.00 S 50.00 525.00 5 45.00 Minimum Electric Permit Inspeetion Fee is $45.00 + Surcharges 4.~if~~ 4'v:J.cP . . ~.'2Q.. 4.. rri2 5o.en... 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnsIEloctrical Permit Application 1-03.doc . .....~&i~A'~.-~_Il'aD _-'~- , =' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2532 DUMAS DR ASSESSOR'S PARCEL NO.: 1703234400120 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00855 ISSUED: 09125(2003 APPLIED: 09(0412003 EXPIRES: 03(25(2004 VALUE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump and air handler Owner: MATTOX PHILLIP D & BARBARA Address: 2532 DUMAS ST SPRINGFIELD OR 97477 TYPE OF USE: New Residential I. CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW License 156678 460 Expiration Date 08/14/2005 06/27/2005 Phone 541-686-5444 541-726-0100 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: VN Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: ATTENTION:Oregon law reqUires you t.o I adopted by the Oregon Utility follow ru es of rt' '\Iotification Center. Those ru~e~~e9~~~' I OAR 952-001-0010 throug J090. You may obtain caples of the rules t calling the center. (Note: thetele.~ho~e nl 1mber for the Oregon Utility NotificatIOn - ('..,~l,,. i~ 1-800-332-2344). Pace I 00 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED fOR ANY 180 DAY PERIOD. . . CITY VI< ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00855 ISSUED: 09(25(2003 APPLIED: 09(04(2003 EXPIRES: 03/25/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amoupt Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fe..... $10.00 9/4/03 1200200000000002060 + 10% Administrative Fee $4.50 9/4/03 1200200000000002060 + 7% State Surcharge $3.15 9/4/03 1200200000000002060 Air Handling Unit Up to 10,000 $8.00 9/4/03 1200200000000002060 Heat Pump $12.00 9/4/03 1200200000000002060 Minimum/Adjustment Mechanical $25.00 9/4/03 1200200000000002060 + 10% Administrative Fee $4.60 9/25/03 2200200000000001582 + 7% State Surcharge $3.22 9/25/03 2200200000000001582 Add, Alter, Extend Circ $43.00 9/25/03 2200200000000001582 Add, Alter, Extend Circ Ea Add $3.00 9/25/03 2200200000000001582 Total Amount Paid $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. I Rpnlli~nsnections I 1 Rough Mechanical: Prior to Cover 2 Fipal Mechapical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Paee 2 of3 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00855 ISSUED: 09/25/2003 APPLIED: 09/04/2003 EXPIRES: 03/25/2004 VALUE: 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 00 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003.00855 COM2003-00855 COM2003-00855 COM2003-00855 Payments: Type of Payment CreditCard 1Iiir'~~'''",~'.'~.~'.'..'.C.' '. ~ . ,. ",.,.,/'- .... Receipt #: 2200200000000001582 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By film Check Number Batch Number Authorization Number Paid By DAVID LAWLWER 000179 025454 City of Springfield Official Receipt Development Services Department. Public Works Department '. Date: 09/25/2003 3:30:S2PM 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 . .