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Home My WebLink AboutPermit Electrical 2005-1-12 , , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54I)7i~6 0- ELEC~~~~T APPliCATION, ~ City Job u 5 - r.nn~9 Date 1--1 d-. - oS' \ " Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges 4.~~40.()V * 7% State Surcharge 3 . "A. ").." 10% Administrative Fee 5~ ~ TOTAL 3 . ~ L.. ~ I. mtQ.~q,l~t:q!@y'~~QN'~ O{()toq .1l,(Y\~,.Qr ,II . \ LEGAL DESCRIPTION 703 ~~ \:l.n4~ (IT) B ~O;D;R~: P' _ Permits are non,transferablQd expire if work Is not started within 180 days of Issuance or if work is Suspended for 180 days. ''I5~~~''.:1l\TST)\ffi'!'AT.TOMj.)myJl 2. ~~~n''\.~Oo!f7'''--:~~ Elecoical Contractor ~ ~ EJ e( frd!.:Jjy. Address p() f?!J'X 2f5Z! City ~Q.l1L- Phone b~b-::J./.LI.tj -.J Supervisor License Number 4 ( Y I..j S 1 DI<::I\\ol \Slr.~IP- Expiration Date ~ I \ '-l ) D S Expiration Date Constr, Contr. Number Signature of Supervising Elecoician ~r--- '?' -- Owners NanC \ \ ~V7 ".1 :"h \ ttl 1.\ t:\ Address 2D( o~ L":--~~CY'<:9 0 \...')~ City ~ _ Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 /. '" ~"- '0 ...,j ''ill\'nJ.J~fi nf..,I~ Service Included \ \ 1000 sq, ft. or less . 06~ Each additio'l~I;~02i~q:lt.N<lr Oregon law requir s you to portion thereP6110w rules adopterl hv the O,$,~9,Q(/Jtilitv Each Mandfiu:i\a<HoinIPo~enter, Those rules are set forth Modular D~I)J!iif-semceJ6r1-001 0 through OAR 952-001- Feeder 0090. You may obtaift-':'':'p:':'2 J~Nl<99ul(>t Q'j _ ~ . >"d'-~~;""o'\f.' 200 Amps or less Center is 1-800-332-f~%6' 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50.00 I B. C li'ir,~'~~'~~~,' ..~~ . I",~em~or:!n'i e. 2 eu '. . - Installation, Alteration or Relocation 200 Amps or less $ 50,00 201 Amps, to 190 Amps $ 69,00 401 'AmjJs,to_?9,O,^mJ'~,ALL EXP'~- ,_ _ $100,00 /,1'" . ..,'.. "'~ If' 1I1t WORK Over 600'Amps orJl OOOi,\olts'see :,'B],ab.oye", '" ,,~~ ' D.IPo~~J~!r~~~ 1\1"( lHIJ nAY ')CDlon -- ,~" ~ New Alteration or Extension.Per panel 0 - One Circuit $ 43,00 43, Each Additional Circuit or with , ~ c:r'D Service or Feeder Permit I $ 3,00 -=>. ' E. W.l&"[i!~~~!~f~~~si\'i.~c[{_~im'i.~ Shared Drivc(T:)lBuilding FonnslElcctriCllI Permit Application 1.03.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00039 ISSUED: 01112/2005 APPLIED: 01112/2005 EXPIRES: 07/12/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PROJECT DESCRIPTION: Heat Pump /"\1 I 1..-1'111.......1\1. '-'1....~VII '......y .........,..."........ J........ ."" Sprin~g~~N r!J1j~~@J,J~@8f:h(,HS\lt~gi~~!~"Y Notificatinn CAnter, Those rules are set forth in OAR 95rt~R8rJ{~~iJrou~JM~\!'i'l'952-001F-esidential 0090. You may obtain copies of the rules by "__'1:_ _ ..1..._ ___..... ,........... .......~ .....l........h........n -_...- -;;;) -- - ~ - - \ . number for the Oregon Utility Notification Center is 1-800-332-2344). SITE ADDRESS: 2069 LOMOND AVE ASSESSOR'S PARCEL NO.: 1703251204900 Owner: WHITING CLIFFORD & TAMMY JR Address: 2069 LOMOND AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor ROBS ELECTRIC INC License 156678 Expiration Date 08/14/2005 Phone 541-686-5444 BUILDlN" mJ<uKJdATlON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type ,of Heat: : Sq Ft 2nd Floor: Wat~(I'ype~h,,:iT SHALL EXPIRE IF ~l)ift',~~,~went: Range ifype:'ILf:D UI'JDER THIC: P~R ~q-Ft,GaragelCarport ..LJ I. .\111 ...... L.. 1"1, I ,~ I\lV I EneJgr,,~,~,\11-=W:Fn OR IS ARM'JDON~~ nStlier: Sprmkled Bulldmg: n nla Occupant Load: ANY HIIIIIAJ PFRI n I DEVELOPJ\oII'.I'1 UUUKJ>1ATlON I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsmrains: Notes: I Valuation Descriotion I Description , Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pa!!e I of2 . . \...11 f 0.. ~rKll'\iut<l~LU Status Issued Building/Combination Permit PERMIT NO: COM2005-00039 ISSUED: 01112/2005 APPLIED: 01112/2005 EXPIRES: 07/1212005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line ,I FI'I" P'lUU Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 1/12105 1/12105 1/12105 1/12/05 Receipt Number 1200500000000000052 1200500000000000052 1200500000000000052 1200500000000000052 Total Amount Paid $53.82 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 Reouired In.nl'etions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully ex'amined 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. ~,_, C'l;:--Xol (1 O-J,,9- ~ Owner or, Contractors Signature l-\z..-o:s, t-::J r-.. Date Paee 2 of2 ~25 Fltth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00039 COM2005-00039 COM2005-00039 COM2005-00039 Payments: Type of Payment' CreditCard 1/12/2005 . RECEIPT #: G"~AlNGFI~ ,." ,'" I Wit,,-~ . .,,- J ""_._~.".,- ..ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000052 Date: 01112/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By DAVID LA WLERlROB'S ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 065955 Phone Payment Total: Page 1 of1 2:45:40PM Amount Due 43.00 3,00 3,22 4,60 $53.82 Amount Paid $53.82 $53.82