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Home My WebLink AboutPermit Electrical 2004-7-7 1'0 :0 Ip/~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: '(541)726-J~/ i!l1)0' ;;'/)1'0; , ELECTRIC~~mJ~'P ' j1 ~Nbi!ll& <- Ofil8;C01i!l,s "l 01)' 01 .s'v6 City Job Number _ ' ' ' te VII]OI)<>& /1)0 _ I'fil9v11'/S'Q;/11&0' L ifi;6CJrflON"OF/Iit.SrimiilaJl13ihrfr: 3, ,};OMPUi:EEEES&iEi'f'f%:J7Ji"of. ~9J~'f):~~'=~~' ,~, ,,'~-- ~~-~'-"~"~'~d1i'''~ ..~ A. ';I~!l~:_:~~!~~I~I~~;~~~~J~!~t~~~~~!H:i ~,~ JOB DESCRIPTION ~~~:e::-~a~a~ li~f~'k ~ not started within 180 days of issuance or if work is Suspended fO,r 180 days. :iec~~::lf!tf!:f!tfrt B. Address VI)(2vK 7t3Z-1 City ~~ n.Q Phone Jib.6f!1f Supervisor License Number t.J 1 '-It..; _ S Expiration Date jt) 'oj,-1) ~ / fdJ).Jj(lS: 200 Amps or less $ 50.00 Constr. Contr. Number / SDIfilIi rf.fi:r1IT S 201 Amps to 409 Amps $ 69.00 , . v HALL E~kR&lpslbffiOW~ $100.00 Expiration Date X ~/lf- --~=E~~~~~ ~~I~R T~ef[J3~~~.~fbOO Volts see "B" above. Signature of Supervising Electrician ANY 180 DAY PERIOJ! :~f~lts ~rt- ~-' '..... - .....,~:;\~~~~i-~i~n or Extension Per pan\ _ ~ Each Additional Circuit or with l , ~~\I t\ \\I\~ ,l\/\ , Service or Feed(:r Permit $ 3.00 Owners Name ~,\ \ \ \\ \. I Address t~\~)~,. SW - E. City L C\r) lll~ ,- Phon~ '15lo :.ftto\ Pump odrrigation " ::';" Sign/Outline Lighting $ 50.00 OWNER INS LATION AIIl:.NTION: Oregon law ~",,"t~Nm/lesidential $ 25.00 follow rules adopted by theD(~91!Y.tl . The installation is being made oNplt~avd~"nlu+.h Those rUtW~..~~l[ fftommerclal $ 45.00 is not intended for sale, lease orj\1@AR 952-001-001 0 tt"Mmgn~~~it Inspection Fee is $45.00 + Surcharges Owne" Signature OO;~ii~~~:a:e~~~I~~~~~?~]~~~f~~'c]~r:' 4w.r]) number for the Oregon Utili~)()'iotification ;( t')Jj' :f:nter is 1-800'332-Z'j~4j~e ~urCliarge I f.... - l.o g Co · 5 "tL\ l ' 10% Administrative Fee ~ f~'" ~ f'1 Inspection Request: 726-3769 TOTAL < ; "--' '0 ~ L\1113~~~ ()S?J:\\ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation $ 43.00 43 ~ $ 50.00 Shared Drive(T:)/Building Fonns/Electrical Pennit Application I -o3.doc ._"::i;'..,.;p;iiii... H." war.. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00699 ISSUED: 07/0612004 APPLIED: 06/14/2004 EXPIRES: 01106/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 548 S 5TH ST ASSESSOR'S PARCEL NO.: 1703353405301 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: MIKE MAYNARD Address: 548 S 5TH ST SPRINGFIELD OR 97477 Phone Number: 541-736-7461 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 I 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 Ft 1st 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 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPR . foil Oregon faw re~wires you to ow rufes adopt~~ O'~on Ut'I'ty Notification C ""!:I I I Storm Sewer Available: In OAR enter. B9~ip911ilSllrei89t forth Special Instruction: 0090 Vl952-o01-OO10 through OAR 952-001- , '. ou may obtain copies of the rules by NotesNOTICE, carling the center. (Note. the tel h THIS PERMIT SHALL EXPIRE IF THE WORK flumber for the OreQon Utilitv N ;f. o~e . AU I HU HILtu U I<ucn -. HI~ n;; 1,1I~ l!lllOi """} 18 1-800-332-2~' ....,"" COMMENCED OR IS ABANDONED f Oflaluation Description . ANY 18Q DAY PERIOD. Street Improvements: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 Status Issued ,....-- CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00699 ISSUED: 07/06/2004 APPLIED: 06/14/2004 ,EXPIRES: 01106/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 ,Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project LFees Paid' Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $10.00 6/14/04 1200400000000000900 + 10% Administrative Fee $4.50 6/14/04 1200400000000000900 , + 7% State Surcharge $3.15 6/14/04 1200400000000000900 Air Handling Unit Up to 10,000 $8.00 6/14/04 1200400000000000900 Heat Pump $12.00 6/14/04 1200400000000000900 Minimum/Adjustment Mechanical $25.00 6/14/04 1200400000000000900 + 10% Administrative Fee $4.60 , 7/6/04 2200400000000000897 + 7% State Surcharge $3.22 7/6/04 2200400000000000897 Add, Alter, Extend Circ $43.00 7/6/04 2200400000000000897 Add, Alter, Extend Circ Ea Add $3.00 7/6/04 2200400000000000897 Total Amount Paid $116.47 I 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. I Reouired Insoections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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. , I Owner or Contractors Signature Date Pa2e 2 of2 .225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~~.0,.Y' of Springfield Official Receipt M;,',.. '~elopment Services Department Public Works Department Job/Journal Number COM2004-00699 COM2004-00699 COM2004-00699 COM2004-00699 Payments: Type of Payment CreditCard 7/6/2004 RECEIPT #: 2200400000000000897 Date: 07/06/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ROBS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 00430 006294 Phone Payment Total: Page 1 of 1 12:08:59PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82