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Home My WebLink AboutBuilding Electrical 2008-9-11 225 FIFTH STREET. SPRINGFIELD,.OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . ELECTRICAL PERMIT APPLICATION City Job Numbef)7S7J 'is - 0 I 30S I . t New Alteration or Extension Per panfl n aw reqUires you 0 ,. r / .~.-f'1 I :.2 '::'} ~h,:, 0~n::::':"rl UfWty One Clrcu.l~ " .. ~N 'f; t' n Center Those rules are sel forth Each AddltlOna1 CircUIt or With .'1 . 0 lea 10. S' F d P . I-.. I 0 =OOi-OIilllp;:thrQUfWl OlAR 952-001- efV1ce or ee er ermlt Owners Name 'C:: ..~n~t,' '~![-VJ: ...L. - rui -:.~ by Address oe."' a thtt~;&;tf(Jf"IiWlJ~:;t;',:'e E. . r:7 Number i;;Yhe oregon UtIlItYI~Q[iTiGe.t:-)r. . .. . City ~fT IrA C.e.n~1-i<M-I>8U'74"lQ Pump or lITlgallon. . Slgn/Outhne Llghtmg Limited Energy/Residential S'/?r;0"l"11'lf)tif5\~"\~~S.iWLW'i1!f1T;s;;",rWM,'#r~~iWF~.mt\flli~+11o?'{!'![;r# I. 'WOGATIOIi,OF3INSTA.JjL:A.nOIi~t'i";"+1Ji!; .~q~~i&~~~\~e~~ ... LEGAL DESCRIPTION t~02.- D0Lfl 04'10 I JOB DESCRIPTION ~(179. fJICfiL--IfAJD '- 6T. , Permits are non-transferable and expire if work is .. not started within 180 days of issuance or jf work is Suspended for 180 days. rC8~iif((lte!{tjffi!lf;fJlfttlJ:"f(f~I't/&l;'f:fJ 2. ~?tRff1r~+~"'fj:f;h;5~;21i.r2f{illkiillIi2I1~i41F$:';:;~>ii~?J;;;~;;-f4!t&~f?;;.JEd Electtic~ contracto:- ,*1: j;2d~ Address fo?n .h ~t.{tl;;Uf?/ City ft~jJtf) Phone 7lf/ -d-{,t.1 r Supervisor License Number .3 ~ J / S- Expiration Date /~/O/117 Constr. Contr. Number ? 7 '),..).:2- r I,.", OWNER INST ALLA nON The installation is being made on property I own ,which is not jnt-ended for sale, lease or rent. Owners Signature: }4"bO -JIG' , ~ If/3T~uest: ," 726-3769 Date ~I f) >? ~""""""':i',"';;s:~t;j$t1~'" "'rE1w-'Vts;un~{~'M~~%JlR::;1i\"!ll.Ktvr;v;'~III' ."'n:0!1iI 3. COMPEETE'.EEEiSCHEDfJI.iNlEEOW'Il, -" ri'J1!,- ~~~~-ryfth0:t~1ii:1iW~~::"~!.-~;w:r_J&.^%Ii0\~^,-,,ift,:,"'t'i.",lj~ =L ~ A. Service Included . 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufacfd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B.. 200 Amps or less 201 Amps to 400 Amps , 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V olts . Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. $ 50.00 $ 69.00 $100.00 D. $ 43.00 tJ-OOO . 0<0 /0- $ 3.00 LimIted EnergNo'fiEr:ial Minimum ElectriclHrsi~\lJIff -bi~~~;%)l'j(f.'I'tj'fJPI_~I"FlF*,;1 4.:'fSUBToi~ltIDffi jFj<~'iJ&:f<il,'i'41fJ!F:'e0MMEN:CE S B 7% State Surc~ 180 DAY PERIOD. 10% Administrative Fee $ 50.00 $ 50.00 $ 25.00 $ 45.00 7,2,.0 (p- = TOTAL ~7&7' ~ .1 Shared Drive(T)/Building Forms/Electrical Permit Application I-03.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-0130S ISSUED: 08/29/2008 APPLIED: 08/29/2008 EXPIRES: 03/11/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3978 RICHLAND ST ASSESSOR'S PARCEL NO.: 1802064104901 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Installation of heat pump and air handler. Owner: LARSON DALE D& RHONDA R Address: 3978 RICHLAND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor K & K ELECTRIC INC MARSHALLS INC License 87202 25790 , Expiration Date 04/30/2010 . 12/23/2009 Phone 541-741-2663 541"747-7445 BUILDING INFORMATION' # ofU nits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-72~-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- \ + 10% Administrative Fee + 12% State Surcbarge + 5% Tecbnology Fee Air Handlin'g Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01305 ISSUED: 08/29/2008. APPLIED: 08/29/2008 EXPIRES: 03/11/2009 VALUE: Value. Date Calculated Toial Value of Project Fpp< ~ Amount Paid Date Paid Receipt Number 2200800000000001307 2200800000000001307 2200800000000001307 2200800000000001307 2200800000000001307 2200800000000001307 2200800000000001307 2200800000000001374 2200800000000001374 2200800000000001374 2200800000000001374 2200800000000001374 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. $21.00 . $5.20 $6.24 $2.60 $10.00 $15.00 $27.00 $6.00 $7.20 $3.00 $50.00 $10,00 8/29/08 8/29/08 8/29/08 8/29/08 8/29/08 8/29/08 8/29/08 9/11/08 9/11108 9/11 /08 9/11/08 9111/08 $163.24 I Plan Reviews ,I I RponirprJ I~snections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rougb Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line' CITY OF ~nuNGl' IJ'.LU . Building/Combination Permit PERMIT NO: COM2008-01305 ISSUED: 08/29/2008 APPLIED: 08/29/2008 EXPIRES: 03/11/2009 VALUE: ' By signature, I state and agree; that I bave carefully examined the completed application and do bereby 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 tbe 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 nsed on this project. I further agree to ensure that all reqnired inspections are requested at tbe propel' time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved se.t of plans will remain on the site at all times during constructiol.l. Owner or Contractors Signature - Pa2e 3 of 3 Date 225 Fifth Street " , ' . Springfield, Oregon 97477 541"726-3759 Phone Job/Journal Number COM2008-0 1305 COM2008-0 1305 COM2008-0 1305 COM2008-0 1305 COM2008-01305 Payments: Type of Payment Check cReceintl RECEIPT #: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By DALE D. LARSON City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001374 Date: 09/11/2008 Item Total: <':hcck Number Authorization Received By Batch Number Number How Received ,njm 2596 In Person Payment Total: Page I of I 9:09:14AM Amount Due 50.00 10:00 3.00 7.20 6.00 $76.20 Amount Paid $76.20 $76.20 9/11/2008 .