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Home My WebLink AboutPermit Electrical 2004-1-20 :".-' ,"':!'."- ,'LCrn-r.OF'- 'SPP""\{- ~'~-' ~D':ORE'-' G-ON'--:-:'<;-"~'" '::'.' ~.,t ~.,4,... .~._ :""-""-,. .~':l,~~'~ / ,. . ::,.:-.._ '. \', ~ . . ....,~.\" '. ",',." l.''''~' ~";',(.-.\.. I _. .-:." ,"", ~,.A , .. . .. ". ... ., .. . . ...'..' ~ '. ~ - .., -"'~. '., oa~~g project as su~mjtted has the tOllow;" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726,a~AA,al, does not require specific land use g ELECTRICAL PERM~AP~ION ZOning LT)(l. City Job Number ~~. Date Date 1-- lc - 0 L/ 1. ~Wllf :'F;msrr,"'\-' 3. ~e@MP.D.I!ft.t.E1F.it'E!9&1'iE:&~r,~\~,,*vJ .~' C'''.,'', . li.V.~""...."""g-""u~~~'k.Jf..t~J'~~~~;{B~1io~;;i1~>(""JW' \ AL LEGAL DESCRIPT N I ^"- \1{)?>1 ;:rJ'l n II J...J .~ - '. JOB DESCRIPTION ~.('~' A~4- gp Permits arc non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2. Electrical Contractor Address . City Phone Supervisor License Number _~ if? Y Y S Expiration Date I D - () I - c) if 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof A. ~~R~i~8~J~!rSl~!~1~~~r~~~rt~::;iungmiiit~::; ,. i~H'","".,,:,,;,,~1.;.;:>,.:::. "". ".'~" ~.,.,......~._ ; I Service Included $106,00 $ 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 ~;{4~.~ .IW~~~..- ;,,,."'~.':l'h; '~''''~~;;i'~.... ~re.. ~!t:'.';r.~f ',"" '~~>("~;.V.l:'art~.. B. ~:~t~~~ "';',~ns~alla.~I;~)I~~~~J~ or.~R~I~ca!.lOn:f!i!.. , 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts RccolUlect Only $ 63,00 $ 75,00 5125,00 $163,00 $375,00 $ 50,00 c. h~fu~p.or~~~]t~~1iJ~ti.,t~~:~.~~~~~.r~. ~'.Ml . ~rY';,~~ ~""''''..,.~:<....... "i'iC - =-a. ~it.~W'J'if,~"~:'~\ Installation, Alteration or Relocation 200 Amps or less $ 50,00 Constr. Contr, Number lc:( L1'X 201 Amps to 400 Amps $ 69.00 . '~'X -IL\-()'\' 401 Amps to 600 Amps . $100,00' Expiration Date ~: ~PIRE 1~\Moo.\bs or 1000 Volts see "B" above, ' ';:;:"--~~~~~~R.::~~r~ /~ ~ AN'I180 DAY PERIOD. One Circuit 1 $ 43,00 1.1. Each Additional Circuit or with <I.. ()C) <<\1\1'\ Service or Feeder Pennit \ $ 3,00 V. Owners Name \1 \ \\.I Address \44 \ City ~ Phone '11..tf. ~ Pump or irrigation $ 50,00 Sign/Outline L~illi $ 50,00 OWNER IN ALLATION LiJJ'i\Sd.\EIi~~~llIdh~ial $ 25,00 The installation is being made on property I own whimOlaQO(\ \~iwi\l:lPE~~f~€;efu\R~'ciaI $ 45,00 , , :\,\0'\"" ~e.d 'o't \as ~ <=.Z-Ou IS not tntended for sale, lease or rent :(\E.N a.dOtm",im"'lllH~e~'l'e'jlt1l1t Il,!,spection Fcc is 545.00 + Surcharges ,.. IU\eS -.at \ \\"""- ,,1\\1 ' r- <\\\e ~\O'll ce''''. -~' '1!}j"""'-x' ~~~~~4'il'l1l A /'"V'\ Owners Signature: \0 ~il\Ce.\\O(\ 00\ ;O'il~ , . '. . . 'tH!~;~,1U q,( O.LA..../ ~o Op.f\ 9'OZ- a'J 0'0\ . NO\e , " No\i\\1,; 11 11'1- .(\ _ '(OU l'I' a(\\et '7%-~(,\\'&h~tiT. . ") . /.. ()O'd~~\\i(\c;) \"~ ~"e OI~~~('1\aill?n*~tive Fee 4.. . toO ' ~et 10 'e ~ - Il. If}/7 Inspection Request: 726-3769 (\U~ r-~""" TOTAL 5-.:.>. at.-- Shared Drivc(T:)lBuilding Fonns/Electrical Permit Application 1-03.doc ~*~~.~<<\A.l. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00034 ISSUED: 01/12/2004 APPLIED: 01/09/2004 EXPIRES: 07/20/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 fax 541-726-37691nspection Line SITE ADDRESS: 1441 LA WNRlDGE AVE ASSESSOR'S PARCEL NO.: 1703252207100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install electric furnace and heat pump Owner: MATTHEW BOLTZ Address: 1441 LA WNRIDGE AVE SPRINGFIELD OR 97478 Phone Number: 541-729-5541 I CONTRACTOR INFORMATION. Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC HOME COMFORT HEATING & AIR License 156678 84164 Expiration Date 08/1412005 06/25/2007 Phone 541-686-5444 541-345-2838 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS I DEVELOPMENTINFORMATlON I Frontyard Sethack: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. ATTENTION:Oregon law reqUIres you to follow rules adopted by the Oregon Utility lotification Center, Those rules are set 10f' I OAR 952-001-0010 through OAR 952-00 D090, You !hay obtain copies of the rules I calling the center. (Note: the telephone number for the Oregon Utility Notification ,..."~.~. 'c 1_R"n_~'1?_2344), '. Notes: Paee 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp< PIilU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $12.00 $21.00 $4.60 $3.22 $43.00 $3.00 1/12/04 1/12/04 1/12/04 1/12/04 1/12/04 1/12/04 1/20/04 1/20/04 1/20/04 1/20/04 Total Amount Paid $116.47 I Plan Reviews I . CITY OF ~rKll'llonlj,LD Building/Combination Permit PERMIT NO: COM2004-00034 ISSUED: 01112/2004 APPLIED: 01109/2004 EXPIRES: 07/20/2004 VALUE: Value Date Calculated Receipt Number 1200400000000000039 1200400000000000039 1200400000000000039 1200400000000000039 1200400000000000039 1200400000000000039 2200400000000000038 2200400000000000038 2200400000000000038 2200400000000000038 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 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. Paee 2 of3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00034 ISSUED: 01112/2004 APPLIED: 01109/2004 EXPIRES: 07120/2004 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 bereon 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 of3 " 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2004-00034 COM2004-00034 COM2004-00034 COM2004-00034 Payments: Type of Payment CreditCard ..(1' ii~ .~~ Receipt #: 2200400000000000038 Description Add, Alter, Extend Cire Add, Nter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Received By Ilh l:heck Number Batch Number Authorization Number Paid By ROBS ELECTRIC 000279 020654 City of Springfieiil Official Receipt Development Services Department Public Works Department Date: 01120/2004 8:11:03AM Item Total: Amount Paid 43,00 3,00 3,22 4,60 $53.8Z How Received In Person Payment Total: Amount Paid $53,82 $53.8Z . .