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Home My WebLink AboutPermit Electrical 2005-8-8 \t(:,.0V C,\\V- .,' ,v'tf''':..~ t2- ,.,,,,~,e~~ (>00 SP""""11 n ,. "'-_ . ~ ,ft..--: r.o'io,"' . -<'(\'0 . I ~~J~, .~.A " . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5,y.~~q.ll68~(>o\(>o~ ,,~; - ELECTRICAL PERMIT APPliCATION 0,,9. 1; ,- Ci~,,~:.~:b:~.~,~~:~,-~\~~ ~/" ,'.~:,~"~~i~{~~;;,:~:~~,r~.,rW.,~-. I. 2f~~rr2~&~1~ !.1.~'fl.QN;~'; :<:~; 3. \.,c....OM.I:gr.t;; ~~..!.C~IM-.t.1!~2lli~./ ;"" ',: ","..~, ,~W '11./6 OlyrvuOu.., LEGAL DESCRJP1./0N . l,0'3UJ4I O~~ " . Each Manufact'd Home or Modular Dwelling Service or' , Feeder \ \ 0 ,,0': CI to. 0 ... ~ ~, , 0, 2. }~s<L~~g~ir{$lf~?E{nQN-9Bt1f1 . B. ~$~~fV.i~~~~~~;~~.~M~!s::-l~~!~,lt~?JiO~, A~t~_~~,tli)n~ o~:~e)o~c~tiinr .] \ I L.. ....,.. . - Electrical Contractor C!. rt("JI..}{,IJ, E/",,;;r~,Ji,~' 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69.00 40 I Amps to 600 Amps $100.00 Expiration Date '" - / s: t)!(' -- F\ II!:,"'I\:"', vregon 1~r<<l~~Pjjl,!'~~'y?lts ~e"~~~___,--,- Signature of Supervising Electrician follow rules adoptedQ.y'@~~fi~I:!~.irci!iti.JY:C;'_~," .' " .. ..... ,..' " 1 -f2 Notification Center, ThcN~JlJA1M.i1l6'jfM('E1~ension Per Panel ~n 0 ~ ,.7'onO/lR85~:001-0010tho'[)LJ~c'!OI)H952'OU1-. I $43,00 A"2.DO l~l/1 _ ~ __fA _" ne trCu,t I b 't'7. U'" ~ . ~ ~ . -'l":l~ CE~ch~Aa&iti6h~1'Cfi.cuYt or with I \_ 'CL ~. o. oSeiviberorFeed6PP~rmit $ 3.00 3.00 OwnersName ~l/re- ~Ve.v- .".: .:'It:on Address \ \2ce. ~rn9lc..... E. ~~~~,!ap~~usJS~r.\i~e(f!'..d.~r not incl~de(h,"E:io~hinst;~:i\iO.lt~ Ci~~i.Mhdd Phone74-7-4t3c" f J OWNER INST ALLA nON JOB DESCRIPTION 'J-. Circuiis {ov- ~ ~ Permits are non-transferable and expire if work is .,' not started within 180 days of issuance or if work is Suspended for 180 days. Address .f<n . R.,,, II f..? Ci~ /i LJ&O",,1r, '-1- Phone 9<;t!,d, R9.5' Supervisor License Number .:J 9 70-.5;,- Expiration Date '/tJ -/ - C!~, Constr. Contro Number /t;"'9.<'?7 The installation is being made on prope~ I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 (;f>:-:~;:":'r'P,::'tX1;";J..;,~."it:':i:':~~A.'r..~~?(~~I;}'~~;;r<;r~~,'~..." '.':~:"\::r"p~';'r--- '~''1.P:-:;''~:~,:,,~jo/'o''i A. 1\'~e!.Y~I!ij,s,id.e!1.!!aJ=_~ingl.~;pr'l"r~ltj:f!l!llilyp.fr ~~Ii,!g uJli(o'.o 1 1>;-- ". ":'.,!\,,,,-___ \0\\0 . Service Included \\\a , v,a ,.I'r1'3S {\U .- I\e W $106.QO 1000 sq. ft. or less Each additional 500 sq, ft. or portion thereof $ 19,00 . " " ""..Jl $50,00 ' $ 63,00 $ 75.00 $125,00 $163,00 $375.00 $ 50,00 c. l;:f~.mp~~.r~it St~'1~.e~'o~:.f~~!J~rsr ': : ::: f I Installation, Alteration or Reloeation Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited EnergyIResidential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~~i:OiAi 6F AiiOVE~~:.,- :~c:-'~l AJ - 0 'Ik.:" ~'- ' ':s... .~2..:.. -..:-.~:.....:..::.;:.~....;~, .../,-,...:"_.:...:,. ." ...,-.0.0 ~. 2-"1- 4.bO c;:;. <62 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:YBuilding FonnslElectriC:l1 Pennit Application 1-03.doc _.~\ IItIt (;, ,,~ Status: Issued 225 Fifth Street, Springliehl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 III'IWdioll Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01060 ISSUED: 08/05/2005 APPLIED: 08/05/2005 EXPIRES: 02/08/2006 VALUE: SITE ADDRESS: 112S OLYMPIC ST ASSESSOR'S I',\::(;EI. ,W.: 170326410SS00 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESClUI'TION: Inslall heat pump and air handler . I " ~..t 't' _' Owner: Address: . " . J ! ;~ \ t; I:: \. ,.! " ,~ JOYCE BEAVER 112S OI.Y~II'IC ST SI'R!';~;F1 i-:Ul OR 97477 ;,' l~ \ ..'" . I. \. ' _ ,., " . ~ .. ., I'" "I' "I. Phone Number: 541-747-4136 '\~, Ii-u l' I ." -. .....1 , . _ .. ,'. t ;. r' ::~ I" "J \,J~IRLl ~Ut\ , . ,.t -,'...tL \..r" \.. ",., . . \ .., t ~ ~_. : ~-l Contractor Tmc Electrical Mechanical I CONTRACTOR INFORMATION' Contractor C I'Eln':INS ELECTRIC INC ~IARSHALLS INC Phone 541-895-4466 541-747-7445 # of Units: Primary OCCllp:II!t'~' Group: Secondary Ocnlp:~,ll'Y Primary Consl rudill'l Type Secondary CUII..,.1 rlll'liu!1 # of Bedrooms: Front yard Set h 'Il' k: Side I Sethade Side 2 Seth,,'k: Rearyard Selha"k: Solar Sethack" Street Storm Sewer A\"ailahle: Special Instr ""t' 1:" Notes: License 159537 25790 Expiration Date 04/15/2008 12123/2005 I BUILDING INFORMATION' # of Stories: Lot Size: R-3 Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: . ~:LIfoGarage/Carport Energy,NR1ath", Oregon law requires \~qIFt Other: All' IV", r'\ gOI1 ,"IV" SprinRledle~ adopted by thilla,re CCl!Pilpt Load: tnlloW HI . _. _ _ ... .ln~ ~rp. set Tv. 1I IDEVEmp~IENT:I'NFO'RMAif.ioN:.' OAR 952-0U1- -'''''':''''',." -, 1-\'" ~onlE'S of the rules bYREQUIRED PARKING , '\ r. ' " , h e l_ \ . " ^lr)tl" t\13 l,;lep on O\"erlay Dlst: ,I~: i\! \'tlcfltion Total: # Slreet Trees, ..' ,I. 1,.'/1 U Handicapped: , .>:,-;4) Paved Drive Rqd: ",.' Compaet: IYo of Lot Coverage: IP~~<,:,,~MPI~OVEMENTS' Sidewalk Type: Downspouts/Drains I of 3 "-6.~~~qI!IIU.O' J~ Ilk; ....,. -, /~ ~ . ., IJ; " .' '~, . _'. '.' ,"",.0_- -'. ......... . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753I'holle 541-726-3676 Fax 541-726-3769 I '''I",clion Line I V ah~~t.ion Descriotion I Description $ I'er Sq Ft or multiplier Square Footage or Bid Amount TVlll' of Construction Total Value of Project Fees Paid I Fee Descripti4)11 -Mechanical Iss II illH..'(' Fl.C..... + 10% Admini,tr: IiI'<' Fcc + 7% State SlIrcharge Air Handling Ullil Up to 10,000 Heat Pump Minimum/,\dj""!l'lt'nt ;\Icl'llankal + 100/0 Admilli'i!rati\'l' Fc.'t' + 70/0 State Slln:ll:lq~l' Add, Alter, Extt.'IHI Cirl' Add, Alter, 1-:\1e'11I1 Cirr Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25,00 $4.60 $3.22 $43.00 $3.00 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/8/05 8/8/05 8/8/05 8/8/05 Tnt:!! ..\mOllllt $116.47 I Plan Reviews I . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM200s-01060 ISSUED: 08/05/2005 APPLIED: 08/05/2005 EXPIRES: 02/08/2006 VALUE: Value Date Calculated Receipt Number 1200500000000001148 1200500000000001148 1200500000000001148 1200500000000001148 1200500000000001148 1200500000000001148 1200500000000001155 1200500000000001155 1200500000000001155 1200500000000001155 To Request <"l i 'speetion caUthe 24 hOllr recording at 726-3769. All inspection requested before 7:00 a.m. will be l",'\('~ I'll' SIW1C working day, inspections requested after 7:00 a.m. win be made the following work day. 1..2.~I'''''!r('\~.,'_!'~i'..t~ Rough l\!cl'hallical: Prior to Cover Finnl i\~l'l'!Il~nil'al: \\'hcn all mcchanical work is complcte, Rough I:""r.,oic: Prior to Cover Final V' '..::ric: \\"hen alll'll'l'trkal work is l'olllplctc. 2 of 3 ," ~u::.--.'" < ~~. --- , .........1. . . CITY OF SPRINGFIELD Building/Combination Permit PERMlT NO: COM2005-01060 ISSUED: 08/05/2005 APPLIED: 08/05/2005 EXPIRES: 02/08/2006 VALUE: , , Status: Issued, 225 F1fth Strrrt, Springfield, OR 541-726-3753 Phonc 541-726-3676 Fax 541-726-376~ 1I,,:'cl'lion Line By signature,: 'I' 'c aud agn'r,lhal I have rarefully examined the completed application and do hereby certlfy that oil information h[' ... is Irnr and ['(IIT,'rl, and I furthrr rrrtify that any and all work performed shall be done m accnrdance with the Onli ., "rs of Ih,' Cily of Springfield :1Ilt! Ihe Laws of the State of Oregon pertaining to the work described herem, ond that NO t:: '('I 'I' ""CY will he made of any structure without permission of the Community Services Division, Building Said" I ;,[rth,'r ..rrlilY Ihat only contractors and employees who are in compliance with ORS 701.005 will be used on this projeet. I further agr'l'r 10 ensnrr Ihat all required insprrtions are requested at the proper time, that each address Is readable from the street, th a: '" ..,'''., it ..ai'll is lo,'atrd at the front of the property, and the approved set of plans wiD remain on the site at all times tlll:.-" "oll!<.(nu:tiulI. Owner or CUI: rs Sigllalll~'l~ Date 3 of 3 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 I 060 COM2005-0 I 060 COM2005-0 I 060 COM2005-0 I 060 Payments: TWe of Payment CreditCard l' :' :c '( " 8/8/2005 . RECEIPT #: .r~RIN'!"'~ .... I ~i ~_" .J;fity of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001155 Date: 08/08/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paidll)' C, PERKINS ELECTRIC Item Total: t;heck Number Authorization Receh~d By Batch Number Number How Received dk 222706 In Person Payment Tntal: I of I 12:52:IIPM Am.., nt Due 43.00 3.00 3,22 4,60 $53.82 Amount Paid $53.82 $53.82