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Home My WebLink AboutPermit Electrical 2003-09-04Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00857ISSUED: 0910412003APPLIEDz 0910412003 EXPIRESz 0310412004 VALUE: ,ii$fl\\ SITEADDRESS: 2180sTHST ASSESSOR'S PARCEL NO.: 1703262105800 PROJECT DESCRIPTION: Service change and 7 circuits Springfield TYPE OF WORI(: Electrical Work Only TYPE OF USE: New Residential Owner: Address: RADICH JACK JR & RAELYNN 2515 WALNUT RIDGE DR SPRINGFIELD OR 97477 Contractor DELLS ELECTRIC J CO ENTERPRISES INC Contractor Type Electrical Mechanical License 109864 156807 Expiration Date 0u03t2004 09t09t200s Phone 541-935-2154 541-689-1667 )R INFORMATION BUILDII # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: }flWfiU'p*p*ihff#3r R-3 vt[ # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARJqNG Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Pase I of3 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00857ISSUED: 0910412003APPLIEDz 0910412003EXPIRES: 03/0412004 VALUE: Description Tvpe of Construction Fee Description + l0Yo Administrative Fee + lYo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l$Vo Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid Total Value of Project Date Paid Yalue Date Calculated Receipt Number 1200200000000002062 1200200000000002062 1200200000000002062 r200200000000002062 2200200000000001499 2200200000000001499 2200200000000001499 2200200000000001499 2200200000000001499 2200200000000001499 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $8.40 $s.88 $21.00 $63.00 $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 $160.93 9t4t03 9t4t03 9t4t03 9t4t03 9n0t03 9lt0t03 9n0t03 9n0t03 9n0t03 9n0t03 Fees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wiII be made the following work day. I Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. Renrrired Insnecfinns Paee 2 of3 ItIGFIgLE Valuation Descrintion I Building/C ombination Permit Status Issued 225 F"ifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00857ISSUED: 0910412003APPLIEDz 0910412003EXPIRES: 0310412004 VALUE: 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 required inspections are requested at the proper time, that each address is readable from the street, that the permit card is times during construction. at the front of the property, and the approved set of plans will remain on the site at all Owner or Contractors Signature Date 3 Paee 3 of3 x&3rg.LD f /i,,\ 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Date: coM2003-00857 coM2003-00857 coM2003-00857 coM2003-00857 coM2003-008s7 coM2003-00857 Heat Pump Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0o/o Administrative Fee 12.00 8.00 25.00 10.00 3. l5 4.50 Item Total:$62.6s Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard GAYLE L TILER dlm 000164 010252 In Person Payment Total: $62.6s $62.6s *FE$IEFlTLD 225 FIFTH STREET . SPRINGFIELD, OR97477 o E LECTRICAL P E F-ilff T AP FLI CATION CifyJobNumber Lirqzaa>= A,-;8i 7 Dare PH:(54117 26-3753 o -FAX : (.54117 26-3689 i rrs lortowrnC prolec, as submitted has the toll owing zuning. and does not require specific land use 0 Zoning d.,Dfz 3. ./rirrnorized Signature ) approval 1. LOCAT'ICIN b LEGAL DESCRIPTION lTo3zGZl ort-oo JOB DESCRIPTION Permits are non-transfera and expire if work not started within 180 days of issuance or if work is Suspended for 180 days. A. New ltesidential - Singlc or S{rrlti-F-arnill per drrctling rrlrif. 7 Electrical Address 0 Phone SupervisorLicense Number 6 I t S Expiration Date -o I Constr. Contr. Number Expiration Date g Signature of Supervising Electrician ,'.1 1o"., fi ^-l*;,+ Service Included 1000 sq. ft. or less tlrnfriiiiiiltionar soo sq ft or Each Manufact'd Home or Modular Dwelling Service or Feeder D 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 .{?Itlnry.. 1000 Amps $163.00 ffi$htffi 6ffi $[n[t ExP r R E r r+r+rw ffi ;of n0r uonizro uru0 rR THls PERtvtlrt$NoT C. Temirorarl- Sen ices or Feeelers $50.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. llrarch Circuits New Alteration or Extension Per Panel One Circuit $ 43.00 'ls 3.00 2/ -/ $ 106.00 $ 19.00 OtrILI' B. Sen ices or Feeders - Installation, Alterations or Reiocation: 'O 2oo Amps orless $ 63.00 e,/t') City Each Additional Circuit or with Seruice or Feeder Permit Owners Name Address City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signahrre: Pump or Sign/Outline Lighting $ 50.00 Lirnited Energy/Residential $ 25.00 Limited Energy/Commercial $ 4s.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges loh State Surcharge l0% Administrative Fee TOTAL 4. *UBT1TALOFABAVE y\ ,8r s1e ?i ztr E. the u9( Inspection Request: 726-3769 Shared Dive(T:)/Building Fonns/Electrical Pennit Application l -03.doc ffi#, IffiE W"-MI !3{dd/ F'PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00857ISSUED: 0910412003APPLIEDz 0910412003EXPIRES: 0310412004 VALUE: SITEADDRESS: 21805THST ASSESSOR'S PARCEL NO.: 1703262105800 PROJECT DESCRIPTION: Service change and 7 circuits Springfield TYPE OF WORI(: Electrical Work Only TYPE OF USE: New Residential Owner: Address: RADICH JACK JR & RAELYNN 2515 WALNUT RIDGE DR SPRINGFIELD OR 97477 Contractor DELLS ELECTRIC Contractor Type Electrical License 109864 Expiration Date 0u03t2004 Phone 541-935-21s4 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Lot Size: fffiflffiifi tt's H 1;i^ 1g F 5 J [ ffi #ffitm' m?l fi HIlT|o'J-# iJ A i [N D 0 N iBffi:'"-"x"",o,, "'itxf+ffi'urv p-tnt0o' i*i'$t"'Jlu.r,ceA"e": R-3 VN Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage:on law requt d bY the Or REQUIRED PARKING Total: Handicapped: Compact: rulet t!:ureg adoPte *rrouoh OAR 952-00 Sidewalk Type: Downspouts/Drains:calll lUmt $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page 1 of2 DEVELOPMENT INFORMATION Valuation Descriotion Description Tvpe of Construction Value Date Calculated D U r.Lr-rlr\ (, r1\ r (,r(]vrA! l'lllll 0090. You maY Center F' Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00857ISSUED: 0910412003APPLIEDz 0910412003 EXPIRESz 0310412004 VALUE: f,'ees Paid Fee Description + llYo Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $8.40 $s.88 $21.00 $63.00 $98.28 Date Paid 9t4t03 9t4t03 9t4t03 914t03 Receipt Number 1200200000000002062 1200200000000002062 1200200000000002062 1200200000000002062 PIan Reviews To Request an inspection call the24 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. 1 Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. Reouired Insnecf 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. Orvner or Contractors Signature Date Pase2 of2 tl 225 Fifth Street Springfi eld, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department 11: coM2003-00857 coM2003-00857 coM2003-00857 coM2003-00857 Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Item Total:$98.28 63.00 21.00 s.88 8.40 Payments: Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check Number Check DELLS ELECTRIC djb In Person Payment Total: $98.28 $98.28 *F,|INSF|TLA