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Home My WebLink AboutPermit Electrical 2003-3-6 r OS/23/02 "., THO 08:48 FAX 54111f3689 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST:, 726-3769 OffiCE: 726-3759 I. LOCATION OF INSTALLATION 1300 HAYDEN BRIDGE ROAD ! CITY OF SPRING;IE~ rn<<.Ao..m<<....Q P_"",+- ~ 1aI00l Pa'7~ e7eA?J~~ COm aoo(;.. -0/3:<1>) ~ 1)o':'''d /;Jerrf ffump ELECTRICAl. PERMIT APPLICATION Wcr ~ 5p'" . ff8f) CityJobNumbcr C!.an<.c1nd- -6/3}..~ 3. COMPLETE FEE SCHEDULE BELOW LEGAL DESCRIPTION ADD HEAT PUMP CIRCUIT A. New Residenlial-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum The fOllowln ' ft. I zonm g project as subm', 1000 sq. or lOSS 9 and does I led ~""';';""'l 500 aO"'t^..~, not require sp' .~ . eCI Ie "''''' . ,J'oe#.;wO;>-08/ Z'~ sq.llor~on Pcrmi!s are non-tnlnSf.mble and expire Onlng - l () lh<:reof if won: is not starled within 180'llllyo ? - Ci-o~\ I:.adlh1,.nllfcLHomc or of issuance or if work is,suspendl:r,t,['lJa SI9na' -d(, ~j-H-~nlor Dwelling 180 days. ure J.l Service or Feeder JOB DESCRIPTION 5106.00 $ 19.00 $ 50.00 Z. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations or Electrical Contractor SCOFIELD ELECTRIC CO Relocation: Address PO BOX 2765 Expiration Dale 10/1/04 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps 10 1000 amps Over 1000 ampslvolrs Reconnect Only 5 63.00 575.00 SI25.00 $163.00 ~ 5375.00 S 50.00 ' City EUGENE. OR Phone 686-8612 97402 Supervisor License Number ~nR-S '.' . , Conslt Contr. Numb"", 38702 C. Temporary Services or Feeders InstsllaUun, Alteration or neloc:>Uon Expirntion Dare 1?/? l/n~ , 200 amps or less 201 amps to 400 llITlpS Over 40110600 amps Over 600 amps or 1000 volts see "'8l1ubove 550.00 $69.00 SIOO.OO :;d~~ . . "' 1?~ o~nersNalDe~l,~\q Address' tYLS~ &00+ . City b~.y ~ " Phone 'OWNERINSTALLATION The installation is bemg mode on property I Dwn whicb is not intended for sal~; iease' or"'tent - -.. . D. Brancb Circuits New Alterntion or Extension Per Panel One Circuit 'J ,.. ,,' ---L- $43.00 ~ &ch Additional CircuiI or with Service cTFeederPemm - 's 3.00.._.. Own~rs Signature; E.' Miscellaneous (S.ervlcelfeeder nollncluded) , -Each installation ' ,Pump or irrigation' Sign/Outline Lighting- Limited EnergylRcs Limited Encrgy/Co= S50.00 SSO.DO $25.00 $45.00 Minimum Electric Permit Inspection Feels $45.00 +' , Surcharges , 4. SUBTOTAL OF ABOVE 7% State Surcha~ge ,)0%.: :Mmil,tis~ativc'Fee~ .: ,TOTAL'.. '::~ 4-5 " ",;;l. ~,~,.., ~~",., , .J1"' ,,-.:..'.. ...... :52.b~,:.; .-:. '. ,'. . -,~ . ~'-~~;":" .1., . ... , . . U It V1< srRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2002-01326 ISSUED: 03/04/2003 APPLIED: 1112512002 EXPIRES: 09/04/2003 VALUE: SITE ADDRESS: 1300 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252200800 Springfield TYPE OF Heating System TYPE OF USE: Addition Public PROJECT DESCRIPTION: Additional Heat Pump for Page Elementary (UP #25) Owner: SCHOOL DISTRICT #19 Address: 525 MILL ST SPRINGFIELD OR 97477 I CONTRACfOR INFORMATION' Contractor Type Electrical Mechanical Owuer Contractor SCOFIELD ELECTRIC EMK MECHANICAL SCHOOL DISTRICT #19 I BUILDING INFORMATION I License 38702 136463 Expiration Date 12/21/2005 08/23/2003 Phone 541-686-8612 541-683-3715 # of Buildings: Primary Occupancy Group: Secondary Occupancy JTrimary Construction Type Secondary Construction # of Bedrooms: E-I # of Stories: Height of 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: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: I DEVELOPMENT INFORMATION' Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS' Street Sidewalk Type: f-.; .;. h'Do'wnspoutslDrains follow ruies adoPtedb -ih' tiYUlI tio ;..J : .' Notification Centel Th/ e ,Oregon Uti/hI' ,,) OAR 952-001-0010 th~6 ru es are set to. 0090 y, . .ough OAR 952-00 cailin~~hmay obtain copies of the rules L n e center. (Note: the telephone Umbe~!~~:~.~ o,r~~,.~~ !~t~~~~I~~iticatiofl " Storm Sewer Available: S . I I ~!nTj,t>~ peCI3 ns rucuyu:: THIS PERMIT SHALL E Notes: AUTHORIZED U XPIRE IF THE WORK COMMENCED O~DI~~~~'~;~RMIT IS NOT .tINY 180 DAY PERIOD, ONEO FOR I of 2 ~ " . . CITY UJ.1 ~l'Kl1'll...J.1lELD . Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2002-01326 ISSUED: 03/04/2003 APPLIED: 11/25/2002 EXPIRES: 09/04/2003 VALUE: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculatcd Total Value of Project I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date $4.50 $3.15 $43.00 $2.00 3/4/03 314/03 3/4/03 3/4/03 Receipt Number 1200200000000000765 1200200000000000765 1200200000000000765 1200200000000000765 Total Amount $52.65 Plan Reviews , Initial Review SUB Review 11/22/2002 1l/25/2002 1I/2212002 APP DLM DLM Faxed infromation to Jack Foster 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 Tnsoections I 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. 5 SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. 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 describcd 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 wiD 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. ~.~k~ iwner or Contractors Signatur~ 3-t.f- 03 Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .e Items: Job/Journal Number COM2002-0 1326 COM2002-0 1326 COM2002-01326 COM2002-01326 Payments: T}pe of Payment . Check ,J 1\ , Paid By Description Add, Alter, Extend Circ Receipt #: 1200200000000000765 Date: 03/0412003 Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee SCOFIELD ELECTRIC Received By Check Number Confirm No lkwq 026932 Page I of I 3/4/2003 II :00:35AM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 43.00 2.00 ::, 3.15 4.50 Line Item Total: $52.65 How Received Amount Paid In Person 52.65 $52.65 Payment Total: - cReceipt.rpt