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Home My WebLink AboutPermit Electrical 2003-2-5 .' n CITY OF CITNGFIELD, OREGON ()~':.~i,~' . eel as submitted hes the following not require specific land use 225 FIFTH STREET. SPRlNGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: !'S'4'fj'Y~li-3689 L.t:>~ ELECTRICAL PERMIT APPLICATION Zoning ':1/ -/ ~ -I'C.-o., \ CityJobNumber c:t:llMzool..- 0/'3(,6 Date u...- 05 OJ Date JJ Authorized Signature ~ 3. I COMPLETE FEE SCHEDULE BELOW permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 2. [(:OlVTJiAqOR INS!ALI,AIJO!'{ONLY.l B, I Sei\'ice~or F:eeders;: Installation. Alterations or Relocalion: Electrical Contraclor~XJ> ~ r {o.fPUI~ 200 Amps or less' $ 63.00 - '/7l"r 201 Amps 10 400 Amps $75.00 Address 0')3 <'= Y'Y\Cufi1i Y\.J ''-0\ 401 Amps 10 600 Amps $125.00 601 Amps 10 1000 A~s $163.00 Over 1000 Amps~~" $375.00 Reconnecl O~ of;:,> ~ $ 50.00 r TPJilni~.Q..~t~~. C. ~.;sil:es or Feeders <'::;~Co ~<::l l!\StaIllltlO~~lteration or Relocation , (\ Co'0ZlJil'~or less $ 50.00 ..~. -~ ,,",, " ". _,'" ,~",. ~~20-b~W'ro 400 Amps $ 69.00 ~~'~ 'X-<.- ~"0 s:.,il>~~<mps to 600 Amps $100.00 ",x-.: ,\'0~~~~<:::,0'fer 600 Amps or 1000 Volts see "B" ahove. ~ ,,\)~ ~. I 'Branc!; Circuits . ' '.f~ \~~\ ~ New Alteration or Extension pe&.,g"~~I~ ~\:\o<'-"" () () One Circuil ''i\--tl ~0 ('\~ecp'0 "'~$t\3~Q.,'l y;) . Each Additional Circuitl\1f~ith~e ~e"'r....<?- '?J'J ~e'" '"7 "D Service or Feeder Pe~'it <>'0'1 e ~'> q'r'.. ~$\\3.~~ J\ . LJ ~'~"'1I.0 oS ",. ,,,,. ~O' '0'" \ ,,-' ",,,f;:J -<'<'i. ~'\Y> e'\' WO ,,\\ I. ,,,,,"~,,~., ~.~ 'c'" '00 .~" I E. : J\Iis,~eI.I~h.e~\~~~!;~)~~{e~'i-!!I~t i!'Sliid~)>~;uch Installation \'" 'O-tl' . O~ rJe:,\'v ~\7}"l~O'-': \\~\''1 ~r>.,. Pump Q~iiTig,a~fol).>~ '1>,\0 .e\'" ~~ 'V ~t')!1$ 50.00 '\\' -I.!I ~ e~" e\?)- ':J~ SignlO!'fI"aIllill!l,tP8 e C; 0\ -,,~' $ 50.00 Limited'Eher-'VResi~~tial~e;,,,, ,,-U $ 25.00 <:)\Jay, ~\" ~ ,\V' 0' ' Limited EnergYiComm\rciallo! $ 45.00 ~\,.- v . Minimum Electric P~rmit Inspection Fee is $45.00 + Surcharges 1. I LOCATION OF INSTALLA170N ~ '2, y I ~ lw ~ f<,\ LEGAL DESCRIPTION 1702. <;7:.3 L( D5'g--oO JOB DESCRIPTION ~ f!UtI/,V"-'/ /1/<2 ;;<. C:' rr~, City(1 (' <Z:A. J LU., Phone ?f9:; ~!)ul{D Supervisor License Number $: ~ IUS Expiration Date ID / 0 / J 04 Constr. Contr. Number ;Q6-~7CjC Expiration Date /0/0//0.7., of Supervising Electrician ~ Owners ame ~,c..""-eu... C) . Address L!l,.Li7 7' Lcu"( nu-r4 City "S f .{. Phone '7 4 l.; -st. fill OWNER INSTALLATION The ins lallation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. I New Residential ~ Si'lgle or Multi-Family per dwelling 'nnit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 $50.00 1 4. H~~FO!,4L OF;ABOvE.. . yb '3Zz.. Y6D CSSSz.. 7% Stale Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnsIElcctrical Permit Application 1-03.doc Building/Combination Permit PERMIT NO: COM2002-01366 ISSUED: 12/1112002 APPLIED: 12/1112002 EXPIRES: 06/1112003 VALUE: . ~,.; Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4347 ELDERBERRY ST ASSESSOR'S PARCEL NO.: 1702323405800 Springfield TYPE OF . CITY OF SPRINGFIELD' Heating System PROJECT DESCRIPTION: Electric furnace, air handler and ducts TYPE OF USE: New Residential Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: O,,)'C)mpervious Surface Area: ...~ ..;~... N>' I DEVEWPMENT lNFORMATlON"~~" v,,:>0"~~~'.o'\ .,<..'0- 0<..0 q}0 0)":1'); ~0":>REQUlRED PARKING ~~0 r:>~<..v!::,-0~ Overlay Dist: 0"'" '$' <..~0 0'l('.:s-0 ~Ol\!lill: # Street Trees ,,0~ ~<Q~ '?:>0,,)<f ~ 0-0~&!Handicapped: Paved Drive Rq~:5 ~0 ",,,,0 ~O c..,0t::> ~0~ _,&' ,,<;:ompact: ,0' h?:,c:J :\.. ~~ 0'< .~ .~'-,J)<' % of Lot ~.!!v~~geit,~0 \:)~'" ~"~~0,0.:::,~ !j-"J' _<:-~'" <..v,,,/J ~~'-:, (f>:0<"~(\.0"h~"J'); !pUBLIC IMPRQ~MEN:'(Si~ V~~0 0':':'0" ..:>.~ 0" --., v',,~ ;,t::> '-:^ n.~' .~ ,0 ,S.lilewalk Type: ~. ~J .ff' 0<" 0" \:S v ~'<:) CJ Downspouts/Drains ".::s Owncr: MICHAEL JOHN W & LEESA I Addrcss: 4347 ELDERBERRY Sf SPRINGFIELD OR 97478 I CONTRACTOR lNFORMA nON I Contractor ~\)~~"\ License DIXON ELECTRIC ':<:-~ f[J ~ 66894 CHITTIM ENTERPRISE~~~~ ~\)~ 47396 MICHAEL JOHN W ~~~~,>-~ , .. ~ . ,'I- BUllUING INFORMA nON I ~'..''''; I' , <::,,,:<:-'r~' ~\ #orBllildings: ~'$' \:)""'~ f[J'i~{Stories: Primary Occllpancy Group: ^-'\~ ~~ J5.-<;) ~ \)~~~-Height of Secondary Occupancy ~v f.:J <:? f;)<i;::- ~<<:; ~ <:? Type of Heat: )Trimary COllstroction Type "\-<:- ~"\-<:- ~~~ <;)~ Water Type: Secoodary Construction ~ \)~ ,'O~ Range Type: # or Bedrnoms: \J ~ Energy Path: ~ Conl ractor Type Electrical Mechaoical Owner SETBACKS Frolltyard Setback: Sidc I Setback: Sidc 2 Set hack: Rearyard Scthack: Sol,,,' Sclhacks: Street Storm Sewer Available: S(wdallnstructlon: Notcs: I of 3 Expiration Date 07/1812003 03/08/2005 Phone 541-895-2440 Status: Issued 225 Finh Slrcct, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line nesl"ription Type of Construction Fcc Dl'script ion -l\h'chanicallssuance Fee- + 71Yt, Slalt.' Sun:harge + Ho/u l"\dministrative Fee Air Halldlillg Ullit Up to 10,000 Furnace - lip to 100,000 btu Minimllm/Adjnstment Mechanical + 10~, Administrative Fee + 7% Slalc SlIreharge Add, AII"r, Exl,'nd Circ Add, Aller, Exlend Circ Ea Add Tlllal Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01366 ISSUED: 12/11/2002 APPLIED: 12/11/2002 EXPIRES: 06/11/2003 VALUE: I Valuation Descriotion I $ Per Sq Ft Square Footage Value Date Calculated Total Value of Project I Fees Paid I Amount Paid Date 12/11/02 12/11/02 12/11/02 12/11/02 12/11/02 12/11/02 2/5/03 2/5/03 2/5/03 2/5103 Receipt Number $10.00 $3.15 $3.60 $8.00 $12.00 $25,00 $4.60 $3.22 $43.00 $3,00 1200200000000000383 1200200000000000383 1200200000000000383 1200200000000000383 1200200000000000383 1200200000000000383 1200200000000000652 1200200000000000652 1200200000000000652 1200200000000000652 $115.57 I Plan Reviews I To Rl'qucst an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will bl' madc t he same working day, inspections requested after 7:00 a.m. will be made the following work day. ~ Reouired Insnectinn~ . 1 Rllllgh Mechanical: Prior to Cover 2 Filial ~Ieehanical: When all mechanical work is complete, 3 Rllllgh Electric: Prior to Cover 4 Filial Elel'lric: When all electrical work is complete. 2 of 3 _~t~,Fln,'LD"" ',~"'''''' Mo', ; .., "i- .""."...,._. -, - ....,.. w" . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01366 ISSUED: 12111/2002 APPLIED: 1211112002 EXPIRES: 06/1112003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-376'1 ""pection Line By signal"re, I state and agree, that I have carefuDy examined the completed application and do hereby certii)' that all informal;oll hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordillanees of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, alld thaI NO OCCUP ANCY will be made of any structure without permission of the Community Services Division, Building Sall:l~'. I further certii)' that only contractors and employees who are in compliance with ORS 701.0OS wiD be used on Ih is proj ect. I furth,'r agl'l'e 10 ensure that all required inspections are requested at the proper tbne, that each address is readable from the stn'e!, I hat Ihe permit card is located at the front of the property, and the approved set of plans will remain on the site at all (iIlH:~ during construction. Owner nr Coni r:u.:tors Signature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-0 1366 COM2002-0 1366 COM2002-0 1366 COM2002-01366 Payments: T)IIe of Payment Check Paid By Description Add, Alter, Extend Circ Receipt #: 1200200000000000652 Date: 02/05/2003 Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee DIXON ELECTRIC Received By Cbeck Number Cnnfirm No djb Page I ofl 2/5/2003 2:06:08PM City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 43.00 3.00 3.22 4.60 Line Item Total: $53.82 How Received Amount Paid In Person . Payment Total: 53.82 $53.82 cReceipt.rpl