The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-5-19 Permits are non-lransferQble .nd expire ifwurk is Each Manufucr'd Home or nnl slllrled wilhin 180 days of issuance or it wor!, i$ Modlll3r Dwelling Service 01' Suspended for IRO doys. Feeder 2. ~:-Sg~1:1:~I~~::{~~,*~&f9~lftJ,~~:; B. ,~i~f:~it~~;~'-~{e~~~~:~!i;;st~li:~~~~ri;~-;:~r.i;j~ri~~,~~~~~;jii;!\~;? Elecoical Contractor En1:'$r()n Fle.e/ric//!{ 200 Amps or less ..n," \r \~~3(gll.~C)\ 20 I Amp"o 400 Amps t>-\..\.. 't.'}.I"~ ?~\lI~\~~~\ 2-7 401 Ampstl"'6~q,AlnI1SS\\ nCo \\\\,),n(\~llj1~.OO ~... nt',.,\'" ,\~v,-", ~~ 601 J\j~P~\lO 1000\~''' \'0 t>-\,>t\' $163.00 Over I O?E.:,A,h\~l'\,,~Ltt\) C)~\lI\\J\)' $315.00 Reconnect Onlytl'-" n"-'{ 'i''- S 50.00 .I..>\J'" 'QI:J v" C. mT1~;~~~~[f,ifS€~~!;~1~[fu{:;~i~t:~)~;i~i;~{2~t~\;:jJtjj;'Jiit[~(]i:;1;~ 200 Amps OI b, 20! Amps to 400 Amps 401 Amps 10600 Amps Over 600 Amps or 1000 Volts see "B" _b.oy.e; D. ftl~f~E~CS!f~~;~\~jN~~!~~~Z~l~~~~(t~f~j?*;[fi~~;~iif~~ti)~;J t New Allor.lion.ur EXti;i\~jon,p.;\p.uel-Je\ '~()' . . >9Jv' \~"'- Ie.- ,.. LI'1: e-::>~? One C;~~u,i,lr.U\~'eO'o'j oIU\eS'3'..., (o'2-'$~3".o.o -,.:> ~"t~\A~~~~~jIIGlicl:i!.\or.:with ~ Ot'" e (u\e ., ""Sc-rv,ce,or'!'ecdcr,PerIlll1''''lOug ~\ \~ ....;(>,00 ,.,. >/l'v G"'" ,\,j\\' 'e~- ~ev" 'o{' \O\)?:~::;~~:dlE~~.~;1'rr:};~~~@;fi;2:~-~~:~{\~i~1~~;:(J~~~~:~;~i~:~~.z:.,~(~~,f:~~~'i:;~Wt~~1 E. ~,l~~i!'1.~!1!!Si.!S~!;1'!R~e~~I.c!,!lo_t''?!f~.!(I~'!ttF:~~.\I.J"5tJ!II.~ ~g'1,'1 ~u O~\"'~~~{\\:):"; e~\e1:\:"~~\),\I;"~~~:'1; H' _._._u.__. ...... \l'~\jump or i'T(g~lio~' e oleg()(\:!,~'2-' S 50.00 I' ~ \;n,,',,!"i '0 ,v Sign/ol,lIiIic\lljghriDg.\S "I' $ 50.00 . .-. :c..'O'd :.. (\'~\ . . LIID!tcd Energy/ReSldenu.! S 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric PermIt In~pectiOIl F.. i~+ Surch.rges 4. r~~!{~L~~II~tif~~{t~~f[[:;ji~{~i~b . '-I S- '3,r 7% State Surcharge '-' 5'0 10% Administrative Fcc _ t sts-z.y: \ Sh:md Drivc(T:)l8uilding Forms!F.lcctticill Pc=rmit Appliclilion I-O,.doc 05/15/03 THU 11:10 FAX 5417 .. ELEcnuCAL PERMIT APPliCATION City Job Number COmzoo3 -oo'$3.b Date :\: ' .0:: ..:, ,'~:', :";;:"'''': "0:':, "., " " .'. ....:' ,',.:: .., ., :'~ ::";:';", '-:'\:(' ,":: ". ',' ..~,::-, .:',:' '.::;~':,,:::.: ':'!::,;,:':(;; I. : 'LOeATlON.oE-INS-TJ~U1'If)N-:.c::'.:::-:'--:':i"i ;7:Z-:2-'-;~~-~r':;;/<;:-'-:'-"" LEGAL DESCRIPTIO.!>" J I 7[) '3, Z 34 Y () 7 <jfC-D JOB DESCRIPTION A-b~ .1 C-r .e.u...,-: \ Address -PO ~ Ci ... Pht::lne 9!3f?~ 3QZ7:S /04 Constr. ConI>. Number 2J).~ 9/.Q:1{l ExpirariOll Date ~ 03 Supervisor Liccn~e Number Expiration Dale ~ 0/) . . crJ30q 1Z/os Sign3ture ofSupe_lvising Electrici.,n ~';L~--? Owner>Name '--r7lvrnh ~"'-"'S I!M-..Jt::":, ~ fA Addrc." Z72~ SP~ Phone City OWNER INSTALLATION 'fbc installation i~ being made on property I own which is not intended fOT sale. lease ('II' renl. Owners Signature: '. Inspection Requesl: 72(,-3769 CITY OF SPRINGFIELD Ic!l002._ approval. -: :It).(L. '.:. ..' O~/l7/o3 Zoning ,5-0-4-03 J J. ;~Si?~i{#t#:tM~~~~~l;:;:/~';;;,,;;:i1;::: :;;;:'.".. A. i~~~~~~ii~t~~I~j#r~jH@~:;rt~~t~:.t~ffi~~:'i~~i{@~~~!~:~ff.";';)": Ser,,;ec.lncluded 1000 sq. ft. or less Each additional 500 sq. fl. or portion thereof $106.00 $ 19.00 SSO.oo InstaUatino, Alteration or Rel04.::atinn S 50.00 S 69.00 S I 00.00 TOTAL . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00336 ISSUED: 05/05/2003 APPLIED: 05/05/2003 EXPIRES: 11/27/2003 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2722 HARVEST LN ASSESSOR'S PARCEL NO.: 1703234407800 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas line and range Owner: THOMAS HERMANS Address: 2722 HARVEST LANE SPRINGFIELD OR 97477 Phone Number: 541-744-3011 Contractor Type General Electrical Mechanical Owner I CONTRAC,vn.u,FORMATION . Contractor License SIX DEGREES CONSTRUCTION CO ~ 149410 ERICSON ELECTRIC INC ~\)~ 95909 COMMERCIAL AIR INC ,\'(-v.- S ~\))10075 THOMAS HERMANS h.::o;. ~ ,~.~V- ~o. Expiration Date 10/25/2003 01106/2005 12/18/2005 Phone 541-434-6510 541-998-5848 541-461-4821 541-744-3011 I B\J'Wi,NG'INFORMATION, ". 'i0Y'v ~ \' ~\>- # of Buildings: ~\'i..'Y::' ~y.. S\)~\)Y#.!(fiSt~ries: Primary Occupancy Group: ~<;::, RS' :t.v.-\) \)~eigbt.of Structure Secondary Occupancy Group: ,\'(-\S ~\)~\ R,v.-\) '?~'t;'f Heat: Primary Construction Type ",,\)-\VNtv.-~ \)~ Water Type: Secondary Construction Type: C,\)~\ ,\<0'0 Range Type: # of Bedrooms: ""~~ Energy Path: SETBACKS Lot Size: Sq Ft 1st Floor: Sq Ft .2nd Floor: .i'\v .lIt" Sq'Ft Basement: ~"'T \ ,.. t.("\\~ eo,\>\ Sq:ft Garage/Carport \. ....~ "'0 I'U .~>l'l O~Sq.Ft.Other: '" \v e ~ ().' ~"'.Y"'- :e."". 0.0<:- ,'~ . ~dmpe""ious,Surface Area: '\'(e~ ..\.'0, .....'<.v ('\t'" ~ \V ~,^0 , DEVELOPMENT INFORMA:rIOi~\I.o;~o\>~~", 0' ~e\e~~:~q}\o" . A'(;.' \>\e~ r.e~'- ~,\:j~ C,o~~ .'S'e ",REQUIRED PARKING ~ ' ~ ~ f0 v '\'~ ~~ o\e. '1\'\~ ,~'\' Overlay Dis~1\ 'l>~o ,\l\l 0'Q"- ~ \)\~' ~TotaI: # Street ~r~~;~!!~:f:>7; ~'l>~ e~\e~' e~o~ ,~~'1: Handicapped: Paved Drl~e I!.qil: o{o\> 'S'e c; e O~ -'o\l\) Compact: \~~o,\l"~ ~~'s' % of Lot Cov.erageJ~\~ e~ \0 ^\e~ \ "~'Q ve" <:>>S I PUBLIC IMPROVEMENTS' , Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A v'lilable: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of3 . . Ul}' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00336 ISSUED: 05/05/2003 APPLIED: 05/05/2003 EXPIRES: 11/27/2003 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft . Square Footaee Value Date Calculated Total Value of Project Fpp< p.,W Fee Description Amount Paid Date Paid Receipt Number -l\1echanicalIssuance Fee- $10.00 5/5/03 1200200000000001122 + 10% Administrative Fee $4.50 5/5/03 1200200000000001122 + 7% State Surcharge $3.15 5/5/03 1200200000000001122 Exhaust Hoods $9.00 5/5/03 1200200000000001122 Gas Outlets 1-4 $4.00 5/5/03 1200200000000001122 Minimum/Adjustment Mechanical $32.00 5/5/03 1200200000000001122 + 10% Administrative Fee $4.50 5/28/03 2200200000000000944 + 7% State Surcharge $3.15 5/28/03 2200200000000000944 Add, Alter, Extend Circ $43.00 5/28/03 2200200000000000944 Minimum/Adjustment Electrical $2.00 5/28/03 2200200000000000944 Total Amount Paid $115.30 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 Rpnllir~ 1 Rough Mechanical: Prior to Cover 2 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 3 Final Mechanical: When all mechanical work is complete. 4 Rough Electric: Prior to Cover 5 Final Electric: When all electrical work is complete. Paee 2 of3 . . CITY VI< M'Kll~GFIELD Building/Combination Permit PERMIT NO: COM2003-00336 ISSUED: 05/05/2003 APPLIED: 05/05/2003 EXPIRES: 11127/2003 VALUE: Status Finaled 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 infnrmation 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 ofthe 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 wbo 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 Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00336 COM2003-00336 COM2003-00336 COM2003-00336 Payments: "l'ype of Payment CreditCard 5/28/2003 City of Springfield Development Services Department. Public Works Department Official Receipt' . Receipt #: 2200200000000000944 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Date: OS/28/2003 Amount Paid Item Total: 3.15 4.50 43.00 2.00 $52.65 How Received In Person Payment Total: Amount Paid . Paid By ERICSON ELECTRIC INC Received By Check Number Confirm No djb 000079 134483 52.65 $52.65 3:20:26PM , . Page 1 ofl cReceipt.rpt