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Home My WebLink AboutPermit Electrical 2005-4-6 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL ffq,J1lT -#'~L!fJt1JtlON City Job Number L';~- W~ate 1'1~~.-': '1Nst~Q~ \fj{j6ff~\\ n?> i\OB DESCRIPTION rl. fl.wn.i ~' Permits are non-transfer Ie nd expire if ork Is not started within 180 d s issuance or If work Is Suspended for 180 days. 4.\o'[)~ ~~ ol-'1;il: ~ ~/ ,"0- \P . Q:~ ~ on 9-~ t~" 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 $50.00 2. fi~~mt{~ B. ~~~"ilf n tili i Electrical Contractor Pch ~ E)e( fr/(!J,7!&\CE: 200/:,:~s orl~~IRt IF lHE WO\1\( Pi f3 2f3 I THIS PERw.~Ql.Amps~oF400 An\P~)MIT IS ~lnT \ ..,...,.r} ,.IJlC. \Jrn 1 Address () flY 2 . "THORIz~~%~mps to 600 'Amps NED COR ,wI . "n 1(' ~R~NDO r 1.10MMENC.6.9J~ ~s:to~ 000 J\:mps City 1;". Y'o.Q JlQ _ Phone 6~b-SJ-i4'f.'lY 1BO Lqy~rHOOO!AmpsIVolts ~ .,. Reconnect Only Supervisor License Number ~ ILl 1.\ S Expiration Date \ 0 I D \ \ () --, Constr. Contr. Number \ S I", In I p., Expiration Date ~ I \ Y ) D 5 Signature of Supervising Electrician ~ ce:.- Ci OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 .~ \9~1o'6441 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C.I::~~::~~:;:::~ 200 Amps or Ur.t'OAR Ian Cent,,~ 1'1 by t~e~g^F: You to 201 Amps to <tr199'u?W952-001-ofl1fJ ~u:ie~~r~ ~ Ull//l}' 401 Amps to 60@;drin])~U may Ob.,.,:_'JI/O~sto~ ,.:;031 fOrth I ng I e.c" ~Uples f -~-UUl Over 600 AmpslOrnl!Sl P QI.p: ~arl!'B" . ,. 0 the ru . D. 1>>1t5:~tl;JWc .. ~ .. New Alteration or Extension Per -p'qaI332-234~ I i~ 00 One CIrCUIt , $ 43.1f6 ~ Each Additional Ci,cuit or with I '2 00 Sel'VlCe or Feeder Penmt $ 3.00 .1_ . m~-~""'~~~~""""""~~~""'.'W"'a E. i~~.itl:.!'~' !'Yi.s.w:~~!t'1!'~.2n!'.sr.'i!!ffil~ a !~I ,0 Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.0.0 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.~~j~ 7% State Surcharge 10% Administrative Fee 4((J .00 8. Vv ~ ,'-oj) 'f'f,~ TOTAL Shared Drivc(T:)lBuilding FonnsIElectriclll Permit Application 1.Q3.doc . . CITY OF SPRINGFIELD Building/Combination Permit I>ERMIT NO: COM2005-00344 ISSUED: 04/0112005 APPLIED: 03/28/2005 EXPIRES: 10/0612005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1245 KENRA Y LP ASSESSOR'S PARCEL NO.: 1703281103100 Sprillglield TYPE OF WORK: Heating System TY!'E OF USE: Addiliull Residential PROJECT DESCRIPTION: Install gas furnace, ac and water he"ter Owner: TINA ROSS Address: 1245 KENRA Y LP SPRINGFIELD OR 97477 Phone Numher: 541-741-0240 I CONTRACTOR I'<FORMATION J Contractor Type Eleelrical Mechanical Plumhing Contractor ROBS ELECTRIC INC HOME COMFORT HEATING & AIR HOME COMFORT HEATING & AIR INC Liccnse 15667X 84164 84164 Expiration Date 08/14/2005 06/25/2007 06/2512007 Phone 541-686-5444 541-345-2838 541-345-2838 BUILDING INFOI{"'ATIO~' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: VN # of Slur-it.'s: IIl'ighlorStnll:ltlrC Type or lie,,:: Water Type: Range Type: En('rg~' Path: Sprinkled Building: Lol Size: Sq Ft 1,1 Fluor: Sq Ft 2nd Fluor: S<1 Ft Basl'IIH.'nt: Sq Ft G"rage/Carport Sq Flath,',.: Occupant I.oad: R-3 ilIa I DEVEUlI'i\IENT I~FOI{\I.-'.:'.:I~ REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: O\'l'rl,,~' Disl: # Sln'i.'t Tn'es Rqd: Paved IJri\'l~ Rqd: 'X, of Lot CU\'l'r:lge: Tutal: 11,,"dicapped: Cllll1pact: I PUBLIC 1\I!'ROYI.\H:N'i'Sq Street Improvements: Storm Sewer Availahle: Special Instruction: ATTENTION: Oregon law reql!,lres you. ~ Notes: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O('.R952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Olegon Utility Notlflcalion Center is 1-800-332-2344). - . Sidewalk Type: Downspoutsffirains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. P:l~l' I uf J I! I' . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00344 ISSUED: 04/01/2005 APPLIED: 03/28/2005 EXPIRES: 10/06/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1~l3tion ()escl~'1~d Description Tvpe of Construction $ Per Sq Ft or multiplier Square Fout,:'gc or llid Amount Value Date Calculated Tolal Valllc or Project ~'s Paid ~ Fee Description Amount Paid flatl' Paid Receipt Number -Mechanical Issuance Fee-- $10.00 4/11G5 1200500000000000413 + 10% Administrative Fee $9.50 4/l/lJS 120050000lJlJOOOO0413 + 7% State Surcharge $6.65 4/1/lJS 120lJ5lJlJOOlJOOOOO0413 Appliance Vent $12.00 4/1105 1200SlJlJOOlJOOOOO0413 Boiler/Comp 3-15 HP $22.00 4/1/~:5 1200501l00UOOOOO0413 Fixture $14.0lJ 4/I/lJ5 I20050lJOOOOOOOO0413 Furnace - up to 100,000 btu $12.0lJ 4/1/lJ5 1200SlJlJlJlJlJOOOOO0413 Gas Outlets 1-4 $4.0lJ 4/1/lJ5 I20050lJlJlJlJOOOOO0413 Minimum/Adjustment Plumbing $31.00 4/1 /OS 120050lJlJlJOOOOOO0413 + 10% Administrative Fee $4.6lJ 4/6. :JS nOOSlJlJlJlJlJlJOOOO0395 + 7% State Surcharge $3.22 4/6/0S 2200SlJlJOOlJOOOOO0395 Add, Alter, Extend Circ $43.0lJ 4/(,/OS 2200SlJOOOlJUOOOO0395 Add, Alter, Extend Circ Ea Add $3.00 "'/6/05 22lJlJSlJlJOOlJOlJOOO0395 Total Amount PaId $174.97 I Plan Reviews i To Request an inspection call the 24 hour recording at 726-375lJ. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be lIIadc the following work day. I Rt.::...:.\iwIJJlSJleJ'liol1s ~ Rough Plumbing: Prior to cover and includillg rl'(IUircd fl'sling. Final Plumbing: When all plumbing work is compll,tc. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical n'ork is l'ClIl1plctc. Rough Electric: Prior to Cover Final Electric: When all electrical work is completc. I'a!.!.t'::! IIf3 . . CITY OF SPRlNul'U,LU Building/Combination Permit Status Issued PERMIT NO: COM2005-00344 ISSUED: 04/01/2005 APPLIED: 03/28/2005 EXPIRES: 10/06/2005 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 "xamined Ihe eumpleled applieation 'lIId do hen"'" eerlify that all information hereon is true and correct, and I forthl'r ('l'rlify IhHI :lll~' and :lll work !H.'rfnrmcd shall he ,lone in accordance with the Ordinances of the City of Springfield and the Laws or the Slate ur On'~un perla;uing 10 the wurk deseribed herein, and that NO OCCUPANCY will be made of any structure withoul permissiuu ur Ihe CUlllmunily Seni,"'s Di\'i"jun, Building Safety. I further certify that only contractors and employees who arc in eumpl;anee with ORS 701.005 will h,' used un this project. I further agree to ensure that all required Inspections arc requesled at Ihe pruper time, that each adun'" ;s readable from the street, that the permit card is located at the front of the property, and the "pprowd set of plans will reu",in on the site at all times during construction. Owner or Contractors Signature D"le P"ue 3 of 3 225 Fifth Street Springfleid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00344 COM2005-00344 COM2005-00344 COM2005-00344 Payments: Type of Payment CreditCard Il Il Il 4/6/2005 . RECEIPT #: .~A1.N~"'"","~,_ ... ~"'... iii: I ".~.- j " ' " - -~..' ,.~~.. , - ~ JiJ..ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000395 Date: 04/06/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ROBS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 63414 Phone Payment Total: Page I of I 1:42:36PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82