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Home My WebLink AboutPermit Electrical 2005-4-5 LEGAL DESCRIPTION /7 n3:;)Gj. L.f3 () & t5l5V Service Included , ""- JOB DE~CR ION 1000 sq. ft. or less $106.00 1.] L ",' . /)- tV- _ rJ. 1_ . J /~ _ ~\Eac~ aMff<ID~nS.tWMgGtr:~on law requires y,o tft W~{} A / .JYt;:J <VV1Ut 'A:l2I1Cl{.(t1G1portIolfor.@'~pfule~ adopted by the OrcgOn{,\ni~ Permits a;e non-tra~sferable and expire if work is Eac~!~1rrli'~i~d1&'metBf.. Those rules are set forth not started within 180 days of issuance or if work is MocillilagE>weBmgrsatr.r.ieeJ~{) through OAR 9fi~0Q$01. Suspended for 180 days. Feed~)90. You may obtain caples or me rules b ,/" B. 1. 3. ;;(?~2, Q/iO 2. Electrical Contractor ~ ~ 'EJ e( frt'c.. JIrr . Address p() n!JK 2fJZ! Phone f:/6b-SJ./.LJt/ City ~.Q JlQ_ Supervisor License Number 4 (Li 'i S Expiration Date 1 DID \ 0 I Constr. Contr. Number \ S lr'\ \n I ~ Expiration Date ~ I \ Y IDS . I Signature of Supervising Electrician ~~ z:-- ownersNameC>>n~ ~ Addrd:;) :J 3 _ 6JI-o ::ST Oi&tj,R./ IL1 {feR-Phone r 97~77 OWNER ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 200 Amps or l~pnter is 1-800-332~2344)o$ 63.00 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN 0115 Reconnect Only; $ 75.00 $125.0'0 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less f,r (F .....afl r-~ k 201 Amps tpA00 V>..mp's $ 69.00 401 Amps t~M94\1f!WViIT SHALL EXPIRE$lfo<Iblf WORK Over 600 A&~srM(rod0K.r.'dliJ~~~~'B"TdBJ,$ePERIViIT IS NOT D. New Alteration or xtension ~~ One eircuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 43.00 CJO ~~F ~n 2.0 v I $ 3.00 E. Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/eommercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4&.tP t 3. cl,) . 4. &,0 $5~.g2 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Pennit Application I-03.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00394 ISSUED: 04/05/2005 APPLIED: 04/05/2005 EXPIRES: 10/05/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2223 OTTO ST ASSESSOR'S PARCEL NO.: 1703244306000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat Pump & Air Handler Owner: Address: LUND GEORGE A & DEANNE M 2223 OTTO ST SPRINGFIELD OR 97477 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth ;" ex-; OC: W1 U(}13 tl;.r::J~1 '::' ^ 0 ~:I) ()(\i I CONTRACTOR INFOOlWAheNIIY obtain copies of the rules by \,;d111l18 ll'l::lbenter. (Note: the telephone Contractor nuEie@n~ the ~i€PlJlafiJ~wti'>~pJificfljpJhe ROBS ELECTRIC INC 156618enter is 1-8~8h~fo6~44). 541-686-5444 I BUILDING INFORMATION. Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , . # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Typ~:' ':,,". Sq Ft Garage/Carport Energy Path':II.:) hJ:,';T c~'J I -" Sq Ft Other: Sprinkled Building:'IL" ~. ,~'l'it'/aL t,\:-IOccUPiintrLoadbK/ ,,:. ' : 1,-, . I C LJ u i ~ I J;: R Ti-', (. ._,~ "I L ~ V U I , I DEVELOPMENi'i~RoJiMiTIeN Iii P\BAj~DOi~E~ ~/)~'\jOT - ~ "-"II oUilDD. REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Uate Calculated Paee 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees paidJ Fee Description.' + 10% Administrative 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 Total Amount Paid $53.82 I Plan Reviews I 4/5/05 4/5/05 4/5/05 4/5/05 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00394 ISSUED: 04/05/2005 APPLIED: 0'4/05/2005 EXPIRES: 10/05/2005 VALUE: Receipt Number 2200500000000000385 2200500000000000385 2200500000000000385 2200500000000000385 , 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 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. '~\O{Yv('Q . ~~Q( ~ Owner or ~ntractors Signature Paee 2 of 2 C01.f- O-s-- OS- ~~ Date 225 Fifth Street 8,pringfield, Oregon 97477 5!41-726-3759 Phone ri.ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000000385 Date: 04/05/2005 11:02:51AM . Job/Journal Number I €OM2005-00394 I €OM2005-00394 I ; €OM2005-00394 COM2005-00394 Description Add, Alter, Extend eirc Add, Alter, Extendeirc Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By j' erediteard DAVID LAWLER !. i' Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 066164 Phone Payment Total: Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 ; $53.82 . ~~ ,t'. /i 1, r. , { 4/512005 Page I of 1