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Home My WebLink AboutPermit Electrical 2004-12-27 Sj:O=~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)~~ ~--- A!- o. ~ -~ IiiV" ELECTRl~~ICATlON 0.. 'o>/""O''a> . . "S': 1> . 0.:.0.... City Job Number o. Date "'~ "" ~ 0.. '3-.. ~ v ~. or ('I/, ~ : "_.t9 . ~ ,. . 'o.'!!ijffi1 . Expiration Date '0 I D \ \ 0-' Installation, Alteration or Relocation "'" . 200 Amps or less $ 50.00 Constr. Contr. Numql~~'/~::YS1A ~ I p., 201 Amps to 400 Amps $ 69.00 , .)..; ~rl",'lr.)H'LL 401 Amps to 600 Amps . $100.00 Expiration Date ~ ~}'~~j:,:DS.':2:~ EXP/fi!::';- TH Qver 600 Amps or 1000 Volts see "B" above. ..tNt..EfJ O. "IHIS PER Eli(", 0'0 "'r,'" . "" i'riri .. Signature ofSupervisirig'Electrician d IS ABA Va MIT I~'/ ' "rc " ' . ~v u"y PL I DNEO 'u I Cft::. C-/ tiIDO. FDRNew Alteration or Extension Per Panel IV r-. __ One Circuit l. ~I\ 0 Each Additional Circuit or with \ r4l ': rru CuJl J t &moo, '''''' 'om" . )\\.. Phone l4. \.4 j Pump or irrigation $ 50.00 A. Sign/Outline Lighting $ 50.00 OWNER INSiIlt,L NI8f:l1. Oregon law requires you to Limited EnergylResidential $ 25.00 lOW rufes adopted t;lv th" n. _ . . .' . The installattd1iliifl~t]gI",'!ge,'lRW"\lfID'sI oWTl'v<lliCJiln Utlhty LImIted Energy/CommercIal $ 45.00 IS not mtencU:d 491'Rlse~~9r renl'o e rules are seMlDiillum Electric Permit Inspection Fee Is 545.00 + Surcharges O ~ 'uu through OAR 952 . 090. You may obta" ,at.. G.''''''~'u",,#,~~'1j\:~~~~'''',.;iii~~'m'.~ ^ '\ rt\ Owners Slgna~Jiling th In caples of the rUles4iJ~~~~~~Wti'liJ ~ () V'-" , n e center. (Note: the telephone I ~ ~ . umber for the Oreoon I Itilit" Notlfi t' 7% State Surcharge . ill venter' 1 8 . ca Ion IS . 00-332-2344). 10% Administrative Fee _ Inspection Request: 726-3769 TOTAL ~~ . I. ~~(j~~~bN~ . '101\0/ Ll~(lg1ro(:r . Ol1J4 JO~ DESC,RIPTION '1... W\.t:> ~ m \-\ P " ~ t1 Permits are non-trans 'el.ble and expire If work Is not started within 180 ~s of Issuance or If work is Suspended for 180 days. ~~~~V1Ji\TST';;i'r:t:t-'-'.~r!'J.\'im'v.\1 2. ~1rt"~~lI...--~Q~ Electrical Contractor Pc;)J'~, E7 f!.( f(J' (!." 7jy . . I Address p() f)tJX 2f321 City ~.eJlQ. b~b-:J-/lji/ Phone Supervisor License Number 141 LI \.j ~ City 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 $50.00 ~f._""~~~''''='''':Wi';t~'''''~'N''''~~.I'':~ B. ~'i"Js.~o" eea! n'!l'J!i,~~,..~~"q~j;!.&51'.l(!Ml.r. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. ~f.i"irnji{;vis~~'1"~~!l~l.~"f'~~ $ 43.00 Lt~~ $ 3.00 Shared Drive(T:YBuilding FormslElectriclll Pennil Application I-03.doc -':;."~,' Wir. ,/ .~ . . CITY OF ~"'K1j~',"'lJ!,LD Building/Combination Permit Status Issued PERMIT NO: COM2004-01502 ISSUED: 12/23/2004 APPLIED: 12/09/2004 EXPIRES: 06/23/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 809 NORTH RIDGE AVE ASSESSOR'S PARCEL NO.: 1703261201214 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: LARRY CARNINE Address: 809 NORTH RIDGE AVE SPRINGFIELD OR 97477 Phone Number: 541-741-4000 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW License 156678 460 Expiration Date 08/14/2005 06/27/2005 Phone 541-686-5444 541-726-0100 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overiay Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . . CITY OF SPRIl'l\.JI1U,LD Building/Combination Permit PERMIT NO: COM2004-01502 ISSUED: 12/23/2004 APPLIED: 12/09/2004 EXPIRES: 06/23/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Descriptiou + 10% Admiuistrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 12/23/04 12/23/04 12123/04 12123/04 Receipt Number 1200400000000001786 1200400000000001786 1200400000000001786 1200400000000001786 Total Amount Paid $53.82 , 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. Rough Mechanical: Prior to Cover Final Mechanicai: When all mechanical work is complete. Rough Eiectric: Prior to Cover Finai Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the compieted 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 oniy 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 Date Paee 2 of2 i25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . .~ Wir- . ~ of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000001786 Date: 12/23/2004 I :48:30PM Joh/Journal Numher COM2004-0 1502 COM2004-0 1502 COM2004-0 1502 COM2004-0 1502 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard ROB'S ELECTRIC Item Total: Check Number Authorization Received By Batch Numher Numher How Received Ikw 000 I 098513 In Person Payment Total: Amount Due 43.00 3.00 3.22 4.60 $53,82 Amount Paid $53.82 $53.82 12/23/2004 Page I of!