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Home My WebLink AboutPermit Electrical 2003-9-25 s submitted has the following require specific land use 225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F.B?:r~53ir2~-3689 ELECTRICAInf.1f.l!WIW'PL1C.1'f{ON omng City Job Number ~. J IDl'\UDate q / d~ 1 tJ3 ~::;'O;lzed Signature 200 Amps or less Constr. Contr. Number IJnJ~C:: r ('1--rK 201 Amps to 400 Amps Q ~'1. ~ 401 Amps to 600 Amps o~N~()!>!7~ : Expiration Date -4Y-rriORf$, i:JHA ' Over 600 Amps or 1000 Volts see "B" above. Signature ofsuperviiAq~f/1!, UNDE~ EXPIRE D. W I _ . 11/j)' 18nl~!D 01;;& THIS PEt THE ~RAlteration or Extension Per Pane~ ~/~' ~Bios ABANDiJtv. MIT ISGJ.ri; ~rcuit l . tD FORf!.Jdl Additional Circuit or with Service or Feeder Permit 1. t)l)JJJ)D JOB DESCRIPTION l~ ~~~!~~r~r~bl' and exPir~ not started within 180 days of issuance or if work is Suspended for 180 days. 2. R {)~5 FJer.krlt Address ~} 55 Oh j (\ s,f- City r\Jt)f/Y1!. Phone CA~--S4i.JlJ Electrical Contractor Supervisor License Number ----I/ilA: LJ7iLJ.S Expiration Date / b ~ J - 6 4 The installation is being made on property I own which is not intended for sale, lease or rent. l...})(C- , '1--.;<.(,., o'~ \ Cf>)(...'d 3. A. 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 $106.00 $ 19.00 $50.00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 S 75.00 $125.00 $163.00 $375.00 S 50.00 c. Installation, Alteration or Relocation $ 50.00 $ 69.00 $100.00 l $ 43.00 S 3.00 490.00 'A .00 E. Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Conunercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4\0 .00 ~~. QIL "\ . <.DO ~'n .~ Owners Signaturq:\;rTENTION:Ore9on law reqUIres Y,P. follow rules adopted by the Oregon U . l\!otifir.Ation Center. Those rules are seH~ State Surcharge ') OAR 952..{)()i...o010 through OAf' 952-<rd% Administrative Fee . J090. You may obtain copies of the wlas r InspectIOn Request: 1::lJ,6.:itM center. (Note: the tetephoniOTAL ~n19 ~ . number for the Oregon Utility Notl ,oatlon Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc Center is 1-800-332-2344). Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00740 ISSUED: 09/25/2003 APPLIED: 08/11/2003 EXPIRES: 03/2512004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1349 MODOC ST ASSESSOR'S PARCEL NO.: 1703362202200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: PARADA HENRY A & MARIA Address: 1349 MODOC ST SPRINGFIELD OR 97477 Phone Number: 541-746-9413 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC HOME COMFORT HEATING & AIR License 156678 84164 Expiration Date 08/1412005 06/25/2007 Phone 541-686-5444 541-345-2838 I BUILDING INFORMATION. # of Buildings: 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS 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: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: ATTENTION:Oregon law reqUires you to NfJVr6w rules adopted by the Oregon Utility Notification Cellter. Those rules are set fort' 1 OAR 952-001-0010 through OAfl952-00' J090. You may obtain copies of the rules 1, calling the center. (Note: the telephone number for the Oregon Utility NotifiCation CAnter is 1-800-332-2344). Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED fOR ANY 180 DAY PfRIOD. Pae:e 1 of3 _S',PAI'''',. GiF.,JIU. \1Ii.!D,..,~.",' '...,', Wi=='a . t - .~ ; ,...' . .. . -"'-"--~-~'-',,-~-,-,~ .. , ... Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ 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 8/13/03 8/13/03 8/13/03 8/13/03 8/13/03 8/13/03 9/25/03 9/25/03 9/25/03 9/25/03 Total Amount Paid $116.47 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00740 ISSUED: 09125/2003 APPLIED: 08/11/2003 EXPIRES: 03/25/2004 VALUE: Value Date Calculated Receipt Number 1200200000000001949 1200200000000001949 1200200000000001949 1200200000000001949 1200200000000001949 1200200000000001949 2200200000000001583 2200200000000001583 2200200000000001583 2200200000000001583 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. ~eouireCUnSDections I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00740 ISSUED: 09/25/2003 APPLIED: 08/11/2003 EXPIRES: 0312512004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Owner or Contractors Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00740 COM2003-00740 COM2003-00740 COM2003-00740 Payments: Type of Payment CreditCard Receipt #: 2200200000000001583 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By nJrn Check Number Batch Number Authorization Number Paid By DAVID LAWLER 000179 025260 City of Springfield Official Receipt Development Services Department' Public Works Department Date: 09/25/2003 , . 3:38:29PM Amount Paid Item Total: 43.00 3.00 3.22 4.60 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82