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Home My WebLink AboutPermit Electrical 2003-11-19 ,,;.-" ;:}.~'.:-:.;):,:::,; CITY:OF:spr~GFffiLD~'OREGON"';'::::"~,, ' .: ". ':.':...."....::....,~.... ...~..' ". ,.-. ',,':. ' ~ '. ,';'.... '\'"}..._.~!._.:_.,::;..T._ '. '. ~ .,,' -, J, '.~.':J .) bmitted has the toll owing ).1 as su land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~~lW~rA'Wid368'hot reqUIre specifiC ELECTRICAL K!P!-1!IJl1JPL/....CATION approval L\:>{2. City Job Number ~ \ 3-Ul\1.~e Zoning \\_ \q-O. L 1!10w.iWI@.N&@EliN'S7trilf,nR",f!Rt@Ntli_ 3. tet!i7i!.1'~:;'iiitEE~1r~" ";:'~"':"~' ; ~. ~ ~~'". _ f\\Q. ~.,..~ .'=--=a._~.'"'' __~";,s~".ji''':dl' . LEGAL DESCRIPTION ~~-~,"I/)\\-' , JOB DESCRIPTION - rz..~ ~,~":l~re"wo";. . not started within 180 days 01 issuance or if work is Suspended for 180 days. 200 Amps or less S 63.00 20 I Amps to 400 Amps S 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps ,.0 S163.00 Over 1000 AmpsNollS '" 'l0~.;~\\,\ S375.00 Reconnect Only o.\>\~0 ('(\ v'. ~O' S 50.00 _.N ,0 ,0Q) 'iier ,c:F' JlrRm. IL [I U V ( f\-'''''''''''''-'''''''''':,",,'!l'!':n:~~<....~- . "'~ "1W"~J.:irt'~""'Y""'i'J ~ I) C. E.i/E"-II!P.!!~@~-=l2.~JF:eeile~s' "< '~,,,' .,,'\;~~ .0 .0-' 0 ",0 O~IO ('~. n\0 ><,>0"" ,,0,'0 \ \\. ,,'(" . 0(1 InstaUatioo.;:'AIter3iion,or:Relodtion~0Y ,', c.~\~ &~. c;. e" \." ~lO- ".... ',,'\ .42 0 Ani'''? '1"" ,,\\:) c.0'V. 'S'0 ~\O\\ S 50 00 I c.r r ,Q ~\L' ps or, ess\:)\,) . (I :\0' . \~. . 'J..a'O I 0 \C.26't ~P~~;'400' Amiit ~O 0\\\\"n"!-O'... " S 69.00 0- I u ..'-- \clOI\c;..II!P?fo{iOO'\Amp~\0Q,0~,,,,,,,,t: SIOO.OO o - l-u...> O\'" -,100 0C.~ 0 0.0 OiiV,,"(l00.t@Pso,r'1000,Y'ollSsee"B"above. D. "l'lillh"&iCt7its~~x.':1..ii!It~i<ii ~~~co-,,~~~I13..~dJ: New ~~~ration' or Extension Per Panel One Circuit [ S 43.00 Each Additional Circuit or with \ Service or Feeder Permit S 3.00 2. Address ~ (')~\.s fleUtnc 'II~C) nh\O :"'i-t- ~, f. 'JeDP Phone ~ ~Co~ 544~ Electrical Contractor , City Supervisor License Number Expiration Date / () -0 ( -0 If Constr. Contr. Number Expiration Date ~! -~~ Signature of Supervising Electrician ~vt- ~ .rt( City The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 ...-HU':_"'...,......~.~,"1<~-;\"Vr,~T."':rtJ..t.,'"'i~...,."'~'tIr~.l~.::ur.;n.V"'.._. "1;..,."...,.."t'"''''1\1I' ""'''' '.'" -.'. A ~;.,""-1B~.d".wti..I."'''''.~.I''., ''''''~I't';';;~'''''-I''''~'''''''"'=~'II'''' ..""'( . 1t~~~"~~:.,,~r~~~'~~t~~~-m~,rl\p'~,($.~~~~9.tk~..'1 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof S106.00 S 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder S50.00 qM"~i~~'h. 'W':3:i"~Jt'_4J;~:~''r.!!Jtt!''''-\:I:;~~\l.:~;;f;~rm~~\'<''"Mfi' B. SeliYic' oi',jl1eeder~i?iLlns, tallation;:~ller,'itions ()r?J{e.location: .~.. ~:''''''. < '''~;~g-~~~~w~~lt.6~' .JY.;~' . 'y fr'i +3.00 ~.oc) E. ~~1;llf~~s1;~~l[~t;J, >.tir'~1fu~. m~.,w...~-..-",.-~~,.., ,"" . ~'-, '" ."n~' - --:"to " .. I' , ~p or irri~'LnC1.\>\"'t \~WI\1 \s ~Q1 .~ 50.00 ~01\1~~I~\~tltY\iilk\\S \>~~tU fQ\\ S 50.00 ,\.l,\S\ ~~Q;'d\lr\l:~ilS'~ S 25.00 f>,\\~~~~@e~~eIcial " S 45.00 ' ~\\\~4~~~,~,~:,:;:==.re>."i:O 4. ,llW".~~~~]E~1?~~~ . , .nn 7% State Surcharge l.# ~ 10% Administrative Fee .l~ . TOTAL Shared Drive(T:YBuilding FonnsIElectrical Permit Application 1--03.doc . . CITY U1< ~rKlNGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-01122 ISSUED: 11/07/2003 APPLIED: 11/06/2003 EXPIRES: 05/12/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2555 HARVEST LN ASSESSOR'S PARCEL NO.: 1703243300117 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install electric furnace and heat pump Owner: CLYDE COONTZ Address: 2555 HARVEST LN SPRINGFIELD OR 97477 Phone Number: 541-747-9082 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' 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 Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS. I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: \)?-'" # Street Trees Rqd: X \'l\c \N \)\ Paved Drive Rqd: c'1-?\?-C \ ~\lI\\ \~ ~ \\~~\M~"~'tt'f,,~'(?- \'l\\~ ~~~C~ ~\)\\ "\\\\~ ?;~\1't.\) '0~a \~ \>.'O\>.~ 'L'OJ -".(- ~'I I PUBMt;'JMitROY'J;;M~l v- " \'6\1 " \>.~, REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ou\o Sidewalk Type:'ltas'I \)\1\\\'1 . _<\ \'3-'1'1 ,c ;tC?90\'l \ \ot\ OIDownsp.outsJDrams: a sa 00 ~. -~ 0 \j'j ,. \as "'. 5'2-' €.~,\O 'oo?\a osa tU Op..~ 9 \as \ p..II tu\eS'3- tl\at.'\"tou9" 0\ \"a tU o\'la \o\\~'I'I'3-\IO\'lca '\,oo'\~ co?laS a\a\a?~ \\0\'1 \O\I\IC 5'2-.00, ob\'3-ltl o\a'. \~ ~O\I\IC'3- . Op..~ ~ou ~'3-'1 atl\at. \~O\'l \)\I\I\~'3AA~. 090. .nac Ota9 3'2-'<- o \\\tl9' \"a !,-(\(\,3 c'3- t\ot 'c. '\, .".,ue ..........,1" \ tlu" r-" Notes: Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Vnit Vp to 10,000 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 Total Amount Paid . . CITY OF SPRING1'l~LD Building/Combination Permit PERMIT NO: COM2003-01l22 ISSUED: 11107/2003 APPLIED: 11106/2003 EXPIRES: 05/12/2004 VALUE: I Valuatinn Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project "flf,. P"ilU Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $12.00 $13.00 $4.60 $3.22 $43.00 $3.00 11/7/03 11/7/03 11/7/03 11/7/03 11/7/03 11/7/03 11/7/03 11/13/03 11/13/03 11/13/03 11/13/03 1200200000000002435 1200200000000002435 1200200000000002435 1200200000000002435 1200200000000002435 1200200000000002435 1200200000000002435 1200200000000002456 1200200000000002456 1200200000000002456 1200200000000002456 $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. IRPn~ 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. Pa!!e 2 00 ~~1:~.W~ ji.'-'...., -.' Wit;'-_.~ .~' . ~ ' ,......." -c' .~.""..""'-""'., '-~' . .. . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-01122 ISSUED: 11/07/2003 APPLIED: 11/06/2003 EXPIRES: 05/12/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 berein, 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 tbis project. 1 further agree to ensure tbat all required inspections are requested at the proper time, that eacb 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 COM2003-01122 COM2003-01122 COM2003-01122 COM2003-01122 Payments: Type of Payment CreditCard ~.!~l' ~~_t Receipt #: 1200200000000002456 Description Add, Alter, Extend Circ Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administratiye Fee Received By djb Check Number Batch Number Authorization Number Paid By ROBS ELECTRIC 000219 013991 City of Springfield Official Receipt Development Services Department. Public Works Department Date: 11/13/2003 8:39:54AM Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82 . .