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Home My WebLink AboutPermit Electrical 2005-02-17Status Issued 225 Fifth Street, SPringfield' OR 541-126-3753 Phone 541-726-3676Fax 5 4l-7 26-37 69 InsPection Line PROJECT DESCRIPTION:Install replacement electric furnace SITE ADDRESS:2145 31ST ST SPACE 10 Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1702302104200 Building/C o m bin ation Permit VALUE: WORK: Ileating SYstem TYPE OF USE: RePair Residential PhoneNumber: 541-747-5062 Owner: Address:^il'#i.Yflr'+'o SPRINGFIELD OR 97477 Contractor TYPe Electrical Mechanical Contractor C PERKTNS ELECTRIC INC License 159537 25790 # of Stbries:aw requ Height of Structure ytheO Type of Heat:ose rules Expiration Date 04/15/2008 1212312005 Phone 541-953-8811 541-747-7445 MARSHALLS INC '' Orrgon li Lot Size: # of Units: Primary OccuPancY GrouP: SecondarY OccuPancY GrouP: PrimarY Construction TYPe Secondary Construction TYPe: # of Bedrooms: R-3 VN Water TYPe: Range TYPe: through OA EnergY Path:copies of Sprinkled Building:nh OverlaY Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Sidewalk TYPe: REQUIRED PARKING Total: IIandicaPPed: Compact: / obtain FrontYard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImProvements: Storm Sewer Available: Special Instruction: Notes: Pase I of3 LL,l coM2005-00185 0211712005 0211612005 08/1712005 PERMIT NO: $SUED: APPLIED: EXPIRES: DownsPouts/Drains: 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: COM2005-00185ISSUED: 0211712005APPLIEDz 0211612005 EXPIRESz 0811712005 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + l0Yo Administrative Fee + 77o State Surcharge + 7oh State Surcharge Add, Alter, Extend Circ Furnace - up to 100,000 btu Minimum/Adj ustment Electrical Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200500000000000189 1200s00000000000213 2200500000000000189 1200500000000000213 2200500000000000189 1200500000000000213 2200500000000000189 1200s00000000000213 2200500000000000189 Amount Paid $10.00 $4.50 $4.s0 $3.1s $3.1s $43.00 $12.00 $2.00 $33.00 $115.30 $ Per Sq Ft or multipHer Square Footage or Bid Amount 2n7t0s 2n7105 2tr7t05 2n7tos 2n7t05 2n7t05 2fi7t05 2n7t0s 2lt7l05 tr'ees Paid Plan 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. Rough Mechanical: Prior to Cover Final Mechanical: \Mhen all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Reorrired fnsneetions Paee 2 of3 L-T Valuation Descriotion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00185ISSUED: 0211712005 APPLIEDz 0211612005 EXPIREST 0811712005 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 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. Zzzs,'2-t z-D f Owner or Contractors Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Job/Journal Number coM2005-00185 coM2005-00185 coM200s-00185 coM2005-00185 coM2005-00185 RECEIPT #: 2200500000000000189 City of Springlield Official Receipt .:velopment Services DePartment Public Works DePartment Date: 0211712005 1:48:31PM Amount Due 12.00 33.00 10.00 3.15 4.50 Item Total:$62.65 t' Description Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0o/o Administrative Fee Check Number Authorization Payments: Type of PaYment Check Paid By MARSHALS INC Received By Batch Number Number How Received djb l 8463 In Person Amount Paid 65 Payment Total: -$62"6-t t- 2/17/200s Page I of I SP;ITNGFIELD ,J:..:.: 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726'3689 E LECTRI CAL P ERMIT AP P LICATT O N City Job Number U 1a7so r- oo I S i Date Z-t7-of 1.3. ztrl { 3tt+to LEGAL DESCRIPTION 7oz 3oLt o Y z<) o JOB DESCRIPTION Aux a c-_t (Lc,.-, L Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 7 Electrical Contractor Address City Cnesr*JL Phone g9-{/9 4 /. Over 1000 Reconnect Supervisor License Number 70-s c. Expiration Date ,/a ^/ -Installation, 401Amps 601Amps 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. A. D. E. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 s 19.00 $50.00 B. .EE, 200 AmPs or less 201 Amps to 400 Amps Constr. Contr. Number /.{f 43 ? Expiration Date a Signature of Supervising Electrician s 63.00 s 7s.00 s 50.00 $ 69.00 $ r 00.00 s 43.00 $ 3.00 L/3 k vl ,+*J New Alteration or Extension Per Panel One Circuit / Each Additioual Circuit or with Service or Feeder Permit Owners Name 17\ tA Address ztL({ i i t+ -/ /9 Ciry 5 Pt\ phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: $ 50.00 $ s0.00 $ 25.00 7% State Surcharge l0% Administrative Fee TOTAL 3tr qt" SZ{lnspection Request: 726-37 69 Shared Drive(T:)/Building FormVElectrical Permit Application l43.doc t 952-001{01 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection the $p696 olthe IUltro I number Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00185ISSUED: 0211712005 APPLIEDz 0211612005 EXPIRESz 0811712005 VALUE: SITEADDRESS: 214531ST STSPACE 10 ASSESSOR'S PARCEL NO.: 1702302104200 PROJECT DESCRIPTION: Install replacement electric furnace Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Phone Number: 541-747-5062 Expiration Date 0411512008 12t23t2005 Residential Phone 541-953-88rr 541-747-7445 Owner: Address: Contractor Type Electrical Mechanical ANITA WARI) 2145 N 31ST ST #10 SPRINGFIELD OR 97477 Contractor C PERKINS ELECTRIC INC MARSHALLS INC License 159537 25790 CONTRACTOR INFORMATION BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla UNIUA PERiOD Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh oILot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: storm sewer Available: ATTElITf,ht oltlon hr nqthar you b Speciallnstruction: tilortdGfdotradbyftaOragonUdllty NotMon0oiloG tttosc lutec are set forttNotes: hQARg$a.ml{OtQhrough OAR952-001. 0(}90. tbu may obtaln copieg ol $e rules by Oalling Ep oenH, $.lote: the telephone mrmbcr lor he Oregon l.rtility Notification Center ls 1 €0Gtr2-23441. Sidewalk Type: Downspouts/Drains: IVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page I of2 I Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00185ISSUED: 0211712005 APPLIEDz 0211612005 EXPIRES: 08/171200s VALUE: Description Type of Construction Fee Description + l0o/o Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Paid Total Value of Project Date Paid 2n7t05 2tr7lus 2n7t0s 2n7105 Value Date Calculated Receipt Number 1200500000000000213 1200500000000000213 r200500000000000213 1200500000000000213 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $4.50 $3.1s $43.00 $2.00 $s2.6s Iees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee2 of2 Date Valuation Description I Kequrfco ltrfl)eeuolls] 225 Fifth-Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 1200500000000000213 I)ate: 0211712005 e:38:43AM Job/Journal Number coM2005-00185 coM2005-00185 coM2005-00185 coM2005-00185 Description + 7Yo State Surcharge + ll%o Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Electrical Amount Due 3.1s 4.50 43.00 2.00 Item Total:$s2.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard C PERKINS ELECTRIC djb 024786 In Person Payment Total: $s2.6s -$s2r-f 2/17/2005 Page I of I