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Home My WebLink AboutPermit Electrical 2003-6-1 6. ..tl... , CITY OF S...."ZINGFIELD, OREGON ' ,_.> . .., !. 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX~C(iS4t)BUit-a689 ~~~~eSQUUbl.m;tted h,a,s the fOl/owlng appro , . re specIfiC land Use ELECTRICAL PERMIT APPLICATION va . . City Job Number (}arn2tnJ3-oo~ Date Sr2.-c:r"-O~ate ZOning~_!ff- _L__- 1. l iE(;)c4.mltJ~l@ii}I'liSlf~fJjlt/JJlf3]y;t::;ri~:.~lif,,;%~~1 3. fflfiifiNim'liitifE}1tFiHIs.iiJJMa.'aTR ~i.RELQW CJ?'-v.;" J ",q ','. " i.,,,,. "".",,,,,.,,"w, ' ,'",',' "",'O<j"""'''''''''''''''1!li1l1li1lli!:l.1lIi18i:' .hI' . !I"''"'''''6w~''_"w*",",0-*'i''' '.""""""7"""'""'",,,!!1,,l5'I:l'.I'\:f..... . , . --c~ 45t'S Ot\ J S V ( LEGAL DESCRIPTION 17{)LJ24~ JOB DESCRIPTION JJ evu /Jtee..-ne/CA'/ ICE-VI ~e- (5 7 '(aC> A. _~~~!~~~~@~~ti~'11;:!~.ingl~~b\ii'M~lii~Fa nIlly per"llwelling un it. · Service Included Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,~""~'l<,*, .. 1 .... .. "..... - - ..... _$,~_>~'_~'''''=':':'i:I:I:_'''''''''xm~ ~ ti:eOMFm4:GE7fR;INsFi!AJ!/mTl(!JNloN~'\. 2. L':: i' '" '}::t'-;,'---' ..~..i:;J}':':";" . .... : <g:.::-'> . . -' ""'<7:-;:' . ~-~. .'""ii;> - "--:-.:-<~:1~:~~:;o_ o~"" 1 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 ,,' ." -""".' .<._;...:;".(,{"'~"".,"".-...,..,4c,.,;"""mb",;."',~.""..c..,.,....l\';~mn.~f,.,.. .;.-......,...,.. ,...,..,."""......',. .-.-..............--'l B. l~'~~~~~~;'~f!Fd~~~;-:~'injt~ti;ti~p~ Alterations 6r (lelocation: Address 4f~ t,f{( fIlv~eI: S f(E:UlY-I l et~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only QUIres 'IOU to . . .uon law Ie n Uti\\W io:\~~\;~\~~~~*.. NotiiicatlO" O(jInstallatio'iiP~laration'or R~lo~Jtion 952- '-V-. 'es Ul ,..- in OAM l'lI~9o~~pS'&-qrJ1! the te\ephO~e_ $ 50.00 0090. '(oUt"',,20!1!rJ.Un..ps~~'40~.tAmps~otitiCatlv.. $ 69.00 \'''9 \I""~~ ~II\I'" ca, Ib "~O\4~H:?A'rii'p~U&~00.Arr:p.s44). $100.00 e.' .,. OO-~''''--' ~ "urn . .~.. \". i-8 Ce0ver 600 Amps or 1000 Volts see "B" above. D. ~Jlfa1Fc"ii;@rr'tfii{g(' ~~'ili-~$..%~,,:-:::;m~"~mtm~~~~~u~~~~' I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c'6~' Electrical Contractor sr City $PFP Phone 717~ OKI( Supervisor License Number b'~b""~ Expiration Date /0 ,.. 4-.... 0 ~ eJ I g--S c' /..- f- (j5 Constr. Contr. Number Expiration Date Signature of Supervising Electrician /~ /) ~~ . UI~ Owners Name f:;;Qv-. I r-,"? L T~ i , Address ~ ,&(j~ S'-( City T I A v.. ~'E.+""b-.... Phone ..J OWNER INST ALLA nON B\<<..wce..~ N O~d~i~~~!i~~.../ffir~~~ijiMlbded)-~~~h"I~'~~~'1I;tion 1 1HIS prnM\i-S~ ~ 1HIS' PERMIl' IS NU T AU1H~YWK<W i'tH~tiJh DONEO F0~ $ 50.00 COM~\m'~~D,inrefLl~{~N $ 50.00 AN'1' viIUitS4\1trte~YR~idential $ 25.00 Limited Energy/Commercial $ 45.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 - The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee i~ $45.00 + Surcharges Owners Signature: 1l'''.iX!......''''..'^'-''-''~''~ ~~~.."''^"._''''''\.,.;..,....".,...,. 'CO'" ,."...".-....j.~i'''....."......... .-'...,..,.:'.'-.,...~..<<."',...",. t....-... ..,' 'if''-'' . . ~ ",....... .... , .., ,.." ..,',.,.~l..'.."F.'.."'.""'.,-", ,< .,,' ..,~'''p,...,.,.".\.,...-"'...,....,..,'-.>~'''',:.;.,~.,."""""",',:k.....,. ,.-.-,>~.""'~" ...,'". ,,~. ,."....., "''' ~ '" ,..~'..,..-,..,....,."",,,.,,. ."..,...." '"",~""'~'>""',.,. "~''-''''~'W'~''','''''..",,',..'' .."..,......'.,. ,'" .,...... .,..,.,.,'".." "';1.<:; '." - ,.,., "'." >..... . , 4 """S"'r':TiJrrr.TAitHF'Ali'o' "'Vi; .", ". "'}"""'" .. " '", . ~;i~i,,:~~.:<~;~~, ;'".:" ,..t"'r ."~;.'.~ . 7% State Surcharge 10% Administrative Fee b 3 '!>- 411- :(, 3Jl- 73 7J.- Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FormslElectricaJ Permit Application I-03,doc ~ ~,~9~~~~1!!l!.Q, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37~9Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00339 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 11/30/2003 VALUE: $ 25,000.00 SITE ADDRESS: 4595 DAISY ST ASSESSOR'S PARCEL NO.: 1702324307400 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire damage Owner: EQUITY LIMITED PARTNERSHIP Address: PO BOX 54 THURSTON OR 97482 Contractor WARRIOR CONSTRUCTION LLC L H MORRIS ELECTRIC EQUITY LIMITED PARTNERSHIP I BUILDING INFORMATION I \0 # of Stories: eS iO\} 'X\\i Lot Size: R-3 Height of Structttte\\}\:< ~O(\ U\' \O~ Sq Ft 1st Floor~ V-I Type of He~t.~\l'l "'eO:<e ~e Se\ ro..O\ Sq Ft 2nd Floor: JI,t).V \\, '3,\ c..,ZJv VN W...~tgr.:ry'p'e:oi ~.\\eS a g',J S'O'.Sq Ft Basement: (..'.... ~E;V e ,v O~~ ~e VN I(;:.~\ ~R..a~gJ)'P~p~:(\oS ~'0- X\e:<\) ~e Sq Ft Garage/Carport ~'\ :<\}\'E'n~~x~p.at~o \'0-:<O\\es 0\ ~ ~e~'0-0 \O,Sq Ft Other: \0\\0\1'1 'f,,,\0(\ v ~:~/\'OO w CO~ . \'{\e \e ~\,\c'3,~ Impervious Surface Area: ...t\C',e: AlJO _""0'. ,,,'Ie. .. ~O ~ :rp.E'VEI:6p.MEN~1"I'l~FQRM~iI~N';'r)' \ OO~\J~\$\<?J \~~:< \'0-e ~'\ J~o\rV- C 0ve'i-lay, DisH \}~.- ce~" (\ # Street Trees Rqd: Paved Drive Rqd: . Contractor Type General Electrical Owner # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special I nstruction: Notes: I CONTRACTOR INFORMATION I License 150837 01838 Expiration Date 04/21/2005 06/08/2005 Phone 541-729-8824 541-747-0811 REQUIRED PARKING Total: Handicapped: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I c. \r ,\\t. ~~6, 'j..?\'?\\' ~\~'~ \" ,re.. \.l~\..\.. '€ \,.s\dt~U{, ~: ..,$1 \.I~. ..r.~, S\'\ X\ ,~\'j ....f\N.t.\) " ~S ?t.X\\~\ \) 'U~\)t. 1\~~lUWispoutslDrains: \~ GX\\lt. G~ \S l" ~'U\~ ~t.~Ct.\) ~t.~\G\)' CG~ CO\) \)~'{ ~~'{ "\ Paee 1 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00339 ISSUED: . 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 11/30/2003 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descri~tion I Description Tvpe of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Minimum/Adjustment Mechanical Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $10.00 $26.94 $18.86 $224.40 $33.00 $12.00 $5.20 $3.64 $43.00 $9.00 $6.30 $4.41 $63.00 5/19/03 5/19/03 5/19/03 5/19/03 5/19/03 5/19/03 5/21/03 5/21/03 5/21/03 5/21/03 5/30/03 5/30/03 5/30/03 Receipt Number 1200200000000001232 1200200000000001232 1200200000000001232 1200200000000001232 1200200000000001232 1200200000000001232 1200200000000001273 1200200000000001273 1200200000000001273 1200200000000001273 1200200000000001384 1200200000000001384 1200200000000001384 Total Amount Paid $459.75 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. 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Ceiling Insulation: Prior to cover. 3 Drywall: Prior to taping. 0 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Mechanical: Prior to Cover 6 Final Mechanical: When all mechanical work is complete. 7 Rough Electric: Prior to Cover 8 Final Electric: When all electrical work is complete. 9 Electric Service: Approval required prior to utility company energizing service. Paee 2 of 3 ~~e~!""~F.1I~~J t Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00339 ISSUED: 05/19/2003 APPLIED: 05/05/2003 EXPIRES: 11/30/2003 VALUE: $ 25,000.00 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 bccup ANCY 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. Owner or Contractors Signature Pa2e 3 of3 Date 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department t Public Works Department . Official Receipt ' Receipt#: 1200200000000001384 Date: 05/30/2003 Job/Journal Number COM2003-00339 COM2003-00339 COM2003-00339 Description Penn Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Amount Paid Item Total: 63.00 4.41 6.30 $73.71 Payments: Type of Payment Check Paid By LH MORRIS Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid 73.71 $73.71 . . 5/30/2003 2:45:29PM Page I ofl cReceipt.rpt