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Home My WebLink AboutPermit Electrical 2005-2-1 (2) t LEGAL DESCRIPTION \, n~ 'J7 ::J4'O/{,.,(fD JOB DESCRIPTION i\ r~ ~ CJ'f} , " ()() ~ r '\nPriOJ\~ r;'vruds Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. t'?f.-~f ;?'11;"~";'1~'"'::l:~ '.I:~;~,';!1'~:'-~;,!"~';~ "'~1'~ '''''lo:.~'l:~',.!'':t...;~'-_.~~l ::CONTRACI'ORINSTALflATION ONLY. 2. 17 ;:(J-f,;~;j;t....r...;'l.'e:.;-~_:~f~~";.~"t:.1!,"YJ. ~~,~''l;'.,;.. ;.~~4'6~,,"'_':rr" !A. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX:T(54'h)~Uin3~R8Jecl b' , 'fJr as su mltted h h ELECTRI~'r::oRMIT APPLICA 110N ~..~::~;a~no does not requira speci~i~ t'a~~O~~:ing City Job Numb r _"A~ -(bI.s2-Date J. -0 I -d-tTOS 20ninr e...t. L i'.ioCAj7oi/of~iNsTAiLA110N::':'.~;r<~ 3,' COit1P'iEriiFEllSCjIEDtJffl-llBM?U/~~ ,\;. e>-? . .. \ q S'r'1)';:O'~'" sr'''''' ','. '\;' :,1" ho'" "., -><j. """"~:;L~" SIY"al~;o _' '" oK~J ,. '. ~~.- .'," ".' ,- ", .' ' , . . A. '..NeJYJ.t~~ideniial- Single or r.Inlti,Family per' dwelling 'unit.: . . "'A ITENTION: Oregon law requires yOU to' , . "..' .... '. Semj~ew,~!i!I~<!JdoPted by the Oregon Utility l~bo!sq,f[..r'Of1les5nter. Those rules are sel fo$lll>6.00 Eirch':'a"dliifionaJ:5lJllIilij\1ftl t1rrough OAR 952-001- port16fi.tliercomay obtain copies of Ihl! n111!~ ~y9.00 Eacf~I~~~f~gfdllBl~hfNote: the telephone MogUirrD\'VlfI'llri~'S,9{;R!el(,? Utility Notificatio~ Feeder Center is 1-800.332.~~ ~l. 50.00 ~f.-:'~'i-'-'}"r~~''''>.-:,'.. "'~'\(.-: -" ~~'.':';""""'~"''''''- ,.... .~,..' B. ':'Ser.vices or'Feeders -.Installaiion. Alterations or Relocniion:. -\: ,.~.". ~ ; -v""," . ":1 '"}:""" '.'''; '" ,~. "to.., ,;.. '~,"'.' . Electrical Contractor Ell,'ldpfs . [if>c+r, 'c, InC f: fO:O;6~ps or less I $ 63.00 T 1-2QlfAmps to 400 Aml1s $ 75.00 . ,,'..WIII..1n I -t- AL40lrAmps to 600\~psXPIRE IF THE Wnn'(125.00 .. 'v. ,,~~u UIVUdl I HIS P "''' CL'60V~ro~'t\9 LO~9s'I11p's ERMIT IS NOT$163.00 4 ~5 ~ en~:::t AN<ilV):i;t!qg9\'i"IPEMhl~'Is[jANDONEO FOR $375.00 Reconnecl Only U . $ 50.00 -{/3 UD Address IClS MClCk'\CY1 City (IJjen( Phone Supervisor License Number 3-:J.Cj 0 - S ~ .d- i-V Expiration Date 10, J - kf9" 0, Constr. Contr. Number 4 -:;:lq ( 0 Expi iorrfate \ -:) -- 10- 0 I ignatur.lof Supervising Electrician b-.-.... ~~,." ", ..... ....... ~'.,.l'~"" ,.....,...~, :";..~~' "M,"''T"''( _ ....4. ;.....".'~"'"......l c. "T~.Ippof~.ry~.~~!:vic.~s ~r"F.~!~~rs:: .ii:.. .,~.t,'''.~''')'~~l', ;:(;:~:~,~.1'~~\;:"{\';'~; Installation, Alleration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "8" above. ~, ......,... ',,' '. ..:. ";,<'::-"'. f'-'"7", '~~;.- .0;\ D. .Bra~ch CircUits ',1' .... ~':. '::.1. .' :. : $ 50.00 $ 69.00 $100.00 ,~~~~~:,..., ...~;....~,>:. '" ~TJ:~~1 41/.- ownersName~ 'PI.~ Address \<15' 1)O() :si City ~ / Phone OWNER INVrALLATION New Alteration or Extension Per Panel One Circuit $ 43.00 Eacli"Additional Circuit or with -'1 I " (S'O Service or Feeder Permit .-v'-t' $ 3.00 7 -'- . ... ....., ~-. :~ '-', ...., "'r-;-, " -....;'..... ,.... ....... . , . E. :"Miscellaneous (Service/feeder not inc\uded)..,.Each Installatio,,' .; ,\. : .' '.' ,I: '. - .',' . . . '. .-, The installation is being made on property I own which is not intended for sale, lease or rent. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is S45.00 + Surcharges Z~,'!:";"~"":"'~." "~'~:.r,;7' I_.'-q;'-:I.';,:....,..,-.~. ", . 4.',SUBTOTAL.OFABOVEl.: ,. 'c,' : .... :;'~:';'11'o; '-', ",-'",~jo }'li:' '~-f."!. ";""~"; , . "~I 7% State Surcharge I 0% Administrative Fee 135 o-u q,'-i5 /3,00 157. q5 Owners Signature: Inspection Request: 726-3769 TOTAL Shored Drive(T:)lBuilding Fonns/Electricol Pcnnil Arplicntiol1 I.OJ.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00132 ISSUED: 02/02/2005 APPLIED: 02/0112005 EXPIRES: 08/02/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line Owner: Address: COMFORT FLOW HEATING CO INC 1951 DON ST SPRINGFIELD OR 97477 Springfield TYPE OIN~6'RKJIH~~!~i9a~oWork'Oni9 ATTENT~O_ ~ r~t~d b the Oregon Utility fo\Ly,pE10F u~: T.t.~dit;B'.1'S are set ms1lnncrcial Notification cent~~1O\~;;U9h-OAR 952-001- in OAR 952-001- . . '. ~M'D" nf the rules by 0090. YOU I""Y v___'" ote' the telephone calling the cen~r. ~~n Utility Notification number for tthe.1S 1re600_332-2344). r.An er - SITE ADDRESS: 1951 DON ST ASSESSOR'S PARCEL NO.: 1703272401600 PROJECT DESCRIPTION: Two 100 amp feeders (24) circuits I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BUILDERS ELECTRIC INC License 4296 Expiration Date 12110/2007 Phone 541-485-0922 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: BUILDING INFORMATION' # of ~t,ories:_';:. L EXPIRE IFL'iitISize:')HK Heigh,t:'?tStr'uct':J~ S\1AL Ii 1\115 PEf~,9 :l\t\1.:s(FI.ror: Type ~Xff~~!::iiZ\:O UNO\:. t.~,q"H'I~ Floor: Water~Type:IENCED OR IS ABANDO Sq'Ft Basement: ,',,,", 100 Range l)~ei BO DAY PER. Sq Ft Garage/Carport Energ~Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I Frontyard 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: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . Lu f OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00132 ISSUED: 02/02/2005 APPLIED: 02/0112005 EXPIRES: 08/02/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fpp< tlWU Fcc Description + 10% Administrative Fcc + 7% State Surcharge Add, Alter, Extend Clrc Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $13.50 $9,45 $72.00 $63.00 2/2/05 2/2/05 2/2/05 2/2/05 Receipt Number 2200500000000000116 2200500000000000116 2200500000000000116 2200500000000000116 Total Amount Paid $157,95 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. ~pptinn\.l Electric Service: Approval required prior to utility company energizing service, 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. ~ U.J.Aac.J'_R-c9- ~ ~ I'~{()S d---J r--:-:.. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street S-pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00 132 COM2005-00 132 COM2005-00132 COM2005-00 132 Payments: Type of Payment C,redilCard ;\ ,,' , 2/2/2005 . RECEIPT #: ~.R.IN~~,~ _ i. ~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department 2200500000000000116 Description Perm ServlFdr 200 amps or less Add, Aller, Extend Circ Ea Add + 7% Stale Surcharge + 10% Administrative Fee Paid By BUILDERS ELECTRIC Received By nim Page I of I Date: 02/02/2005 Item Total: Check Number Authorization Batch Number Number How Received 087160 087160 Fax Payment Total: 8:20:07AM Amount Due 63.00 72.00 9.45 13.50 $157,95 Amount Paid $157.95 $157,95 FEB-01-2005 07:57 BUILDER5 ELECTRIC 541 485 4055 P,01 .' . FAX C 0 V I': H S II E E T f)I\Tf'::_~.:J ~.Q? FROM: be llf-----. -,-,.... ....__..'...m....'___,..__,___ TO: JJ ~_,jt S1]4 ~,]_fLQQ...JL!t,5o/i~L TOTAL NUMBER OF PAGr:s INCLUDING Till:, covrm SIIE!':T:. 2___,. Please adv{se if you l1ave 1101. I:ecr-,ived 1.111' !;olllplel.'- trallsmissioll. Our, fax number: (54]) 411:,-.4ll5~; telephone lIuII,be [': (~j41) 4B!i--()n~ ~~ )0/0;