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Home My WebLink AboutPermit Electrical 2004-6-11 ~o'" ,~ ro0 . ~0 O~ .. . '" . .... .. ". '.. ..' "f:-'b-'b ,~f:i. '. ~~~,.:, t~8. ,,;;18::1 I>> 0: I <li-~~C). . 225 FIFIH STREET :....;;~GFIELD, ~i 97477 . ~H:(541)726-3753 . FAX:(541)726-3~~~~ . ELECTRICAL/.:EFMJ.1:.APPUCATION ,. ,,,.~t:0~~ City Job Numb~r \!..4- (){)\..clQO_ 'Date 0\&0"'./' ,!lJ - -,(:' \<:-~~. ~~ . L wemo~~ 3. EilOMP'1T..~.'~-.'#i"~'IW~.". L~E\~G~ALAL~~D"E*-2'RlP' 'T!' O-NO ': ~P;~.ttI~~ --DIJ,-rt.l12. (J15\( ) . ~~i:;;;:~;::;'->- ,'> __~"r~_ "~~,,",,,,,A'f'i.'&j JOB DESClUPTION 1000 sq, ft. or less $106,00 !l.~ul~d +-" . Q: ? 1.h* ~~~~0:d:~~~~1500 sq, ft. or $ 19;00 Permiti are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended fo,r 180 days; , ~l""'~"""""'''''''1;:;F!.'''''''~''"'IIoi",",,..'m'''~~~~~'N 2 . GO/f (m,' .pRiWST~'2~'fJ9!fi9NE,. .. -.' . ~"";%"~ll....i '. - .. ,e< Electrical Contractor hs f:b ' Address ~'t. 7AZl '. City ~ q)J1Q . Phone JJ!/rEfllt/ , , (J , ' Reconnect Only lI.-r I}I / (l{(rTENTION: ,,~ .' '" ~ - W,"' Supervisor License Number -+--L-Yl./ .-')fnJjgJl rut~ ' ':,' e~', It ) [} / /I / ...Notification Center. ThoS8 are -0 -u 'f in OAR 952~~Q3tt~~~~ition / ~O. You ma~GIbA'lllp~m of the Nles bJ . $ 50:00 Constr. Contr. Number ~b {:;) 7 (')calling the <2Ult%n~gtjo".,~~~~.. $ 69.00 , /1 I ^ c... numberfortll@I~~n,1Jij ~r~ $100,00 Expiration Date - Lf"-()) . Center is 1, 0-332. ' , , Over 60 Amps or 100 Volts see "En above, ' ' D. ~B'iriitc1i'fGimi~~~~~.l"~l:i""'''''~~., ~""""'''~~~..--.~~:~;>~~- New Alteration or Extension Per pa~el\ ' One Circuit ' ' , $ 43,00 Each Additional Circuit or with Service or Feeder Permit Pump or irrigation $ 50,00 . Sign/Outline Lighting $ 50,00. , OWNER INSTALLATION Limited EnergylResidential $ 25,00 The installation is being made on property 1 own which Limited Energy/Commercial $ 45,00 is not intended for sale, leaseOOiftCE: Minimum Electric Permit Inspection Fee is $45.00 + Surcharges . THIS PERMIT SHALL EXPIRE . '~~._,., ;'-' ~..~~. ,,,,,, Owners Signature: AUTHORIZED UNDER THIS'? . 'OE'ABOyF' ". ~ .I.V COMMENCED 9~RIISODABANDO~>>stQ!\urCharge . ... .1/.1- I\IH IOUlJl\lr",', 10% Arn,;inistrative Fee . ~.tao_ 5~. <6''2.- Expiration Date Signature of Supervising Electrician ~ ~ Address City Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 ""~~~~"l~..~__,:,~~~','. B. ~~~~JgJ;fIt;,~~:.M~~A]t~.ra>t!O!ls;orJRelo~.atiq,l).: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts $ 63.00 $ 75,00 $125,00 $163,00 $375,00 S 50,00 , ~~.06. .~~. S 3,00 l@II.>_~._.t;"~ _~"""~~""""""'''':' ~~,."",~ E._ l~~~~t(~~r&ic.~~~!Wi~i~~~f!'H.$-t~!!tj~ 7 TOTAL Shared Drive{T:)lBuilding FonnslEJectrical Pennit Applicntion 1'-03.doc . . eIT l' VI' ~1"K;'-l~ul'U.LJJ Building/Combination Permit PERMIT NO: COM2004-00660 ISSUED: 06111/2004 APPLIED: 06/07/2004 EXPIRES: 12/1112004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1028 LOCRA VEN AVE ASSESSOR'S PARCEL NO.: 1703272207510 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install air handler and heat pump Owner: PAT GAUT Address: 1028 LOCHA VEN AVE SPRINGFIELD OR 97477 Phone Number: 541-520-0417 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC HOME COMFORT HEATING & AIR License 156678 84164 Expiration Date 08/14/2005 06/25/2007 Phone 541-686-5444 541-345-2838 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENTINFORMATlON I REQUIRED PARKING Front yard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 !!\l\fJ<;.c. Paved Drive Rqd: Rearya ~lt\h~: % of Lot Coverage: Solar S \I~I&',:RMIT SHAll EXPIRE IF THE WORK ^IITun017rn llunr-,... ..., ".... ....__, .__ _ COM ME NCE-O OR-is AiiANDoN'E'Q)\>,IJ~at IMPROVEMENTS I . Street IM\'iotgQJltW PERIOD. Ai iENTs~grMlm!aw requires you to . follow rules adoptijaby ple Oregon Utility Stor~ Sewer A ~allable: NotificatioH~tftID'~lesare set forllt Special Instrucl1on: in OAR 952-001-0010 through OAR 952.001- Notes: 0090. You may obtain copies of the rules by calling the center. (Note: the telephone :.-...:..-. ~_. 11._ :.....t1"".. :.)i(:;~, ;;....~;:~.. I Valuation Descriotion I Center is 1-800-332-2344). Total: Handicapped: Compact: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description -Mechanical Issuance Fe.... + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Air Handling U nit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00660 ISSUED: 06/11/2004 APPLIED: 06/07/2004 EXPIRES: 12/1112004 VALUE: Total Value of Project Fp.p.~ P~ilLI Amount Paid Date Paid Receipt Number 1200400000000000889 1200400000000000889 2200400000000000753 1200400000000000889 2200400000000000753 2200400000000000753 2200400000000000753 1200400000000000889 1200400000000000889 1200400000000000889 $10.00 $4.50 $4.60 $3.15 $3.22 $43.00 $3.00 $8.00 $12.00 $25.00 6111/04 6/11/04 6/11/04 6/11/04 6/11/04 6/11/04 6/11/04 6/11/04 6/11/04 6/11/04 $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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00660 COM2004-00660 COM2004-00660 COM2004-00660 Payments: Type of Payment CreditCard 6/11/2004 RECEIPT #: 8~~A!!'.9'''1lLO . _" :. Ilk' ..~ Ii : . . j . ~ of Springfield Official Receipt .elopment Services Department Public Works Department 2200400000000000753 Date: 06/11/2004 Description Add, Alter, Extend Circ Add, Alter, Exlend 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 lIh 000407 011745 Phone Payment Total: Page I of I 2:34:0IPM Amount Due 43,00 3,00 3,22 4,60 $53.82 Amount Paid $53,82 $53.82