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Home My WebLink AboutPermit Electrical 2003-3-12 (2) s submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~,&\OW' _t require spaciflc land use ELECTRICAL PERMIT APPLICATION approval t:bi2.... .ity}ObNuinber ('f)(,()~D()s --/){){)f"nate j() fhfj.A/ ciOD:s Zoning 6- \~- 0 3> \ Date - ';'\ l~ 1. I ,LOCATlONOF INSTALLAl1O,N . , ,I 3. I.COMPLETE FE)!;c$~~WMlrBEUm' . .: - .2303 1)QAJ S;+/'~et LEGAt~o161nt \ ClLW JOB DESCRIPTION GA s F wf? NCd.P_// tJ L (j/J/ r I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address (], O.1jOJG 2(/93 J 'aOlH3~ }"yO o~ ~ M:" City ~~ l{I~aNl;fffih&.eHk(~~~l~,~t. ION SIIIWH3d SIHl H30Nn mZIHOH! "I, . )fHOM 3Hl :II 3HldX3 ll\iH~ I.IW1:I3c c: .upervisor License Number .3 Qtj7..:Si'l1 ! ' /0// /0.,/ Expiration Date Expiration Date /(),f17 /.;L/3c:/oY Constr. Contr. Number Signature of Supervising Electrician <(/A-o.riJf / ,;. " Owners Name /'h; lr e Ai p e Address 2 I03 '7),,"7'\ S Tf" f" e t City S fvt) Phone 2d {,.. RW OWNER INSTALLATION The installation is being made ou property I own which is not intended for sale, lease or rent. Service Included A. I New Resid~ntial-: Single or Multi-Family per dwelling \Init. 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 $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. I Branch Circuits New Alteration or Extension Per Panel One Circuit l.~ $ 43.00 Each Additional Circuit or with f ." Service or Feeder Permit . $ 3,00 I 42, . 60 . . (5'l) 2. E. I Mis~ellan~ons' (Se~vice/f~eder not included) -Each Install?tiOl~ I Pump or irrigation Sign/Outline Lighting Limited EnergyiResidential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 2, I'~ONTRACTOR INSTALLATION ONf:Y I B. f Services o~'Feeders - Illstallatioll, Alterations or Reloca'tion: Electrical Contractor Ie S hi ad ,'- c: / [dYlruLI~ .$}.(. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 AI II:N II(OJi~.UlegullloVV requlles '$'0'.1 601 Amps to 100. .Amp's . _ '163.00 IUIIUW rUle~o(jPted by 11Il:! ult1yon "'Pi'" Over IOOO.f...wP. . olts $375.00 R~~~"T~"'ci8~iy. elller. Those. Ull::;:' dl t1 lf50'(jQlt .11 eJ',,'A :10z-001-0010 IhrouYIl U"N ~52-001 ~~90. .\\:'w JQv,v' Ini. "P 1113 c.1 Te!llBW'i1J:~liervice~orFe.~~rs.~Ollne rU/eSH f 'l:I'lFle eCRIer. {"'"m,. 1111:: 11::1l:!fJIlUIlt1 number for Ih" ()rpnr>I> II""'.. N I'f' I' Installation Alteration oi"Relocation 0 I Ica tOn 'Center IS 1-800-332-2344). 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Owners Signature: . '~~~~~O\~ 4.ISUB1'OTALOFABOVE 7% State Surcharge 10% Administrative Fee TOTAL I 4~.cP .3 .;;:l)., 4 '(~6 53.~ Shared Drive(T:)/Building FonnsIElectrical Permit Application J-Q3.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00084 ISSUED: 03/10/2003 APPLIED: 02/13/2003 EXPIRES: 09/10/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2303 DON ST ASSESSOR'S PARCEL NO.: 1703272102800 Springfield TYPE OF Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Install furnace and ac Owner: NEE MICHAEL E & SUSAN M Address: 2303 DON ST SPRINGFIELD OR 97477 NOIIL,: ICONTRACIORINFORMATIONI ,.. LltIesyouto THIS PERMIT Si ~,\L1 C'<""'.. W rJC 'I}j}; , p.:n E:N \ IU\\j:u,,,,gol~la~'l:I6.reqon Utility Ci\IIDIWZIM~NDb<;:\>m[~c,t9r.;" i; I,U r tolloW n..~jt;en8e?tedEt~ir~l~g%~ltt~ toPhODe Ap fOO~ NeED OR IS ~~~~SiIjl~l,crUR otilication Center. ThO "(1" OAR 952-0(686-6236 :.e: Il~O DAY PERln~HITTlM ENTERPRISES I INC ~ OAR 9dZ:326)1-001?throO:J~86~~?~ rules b) oJ 'WEE MICHAEL E & SUSAN M ~"n" VnI I may obtalO cop ,~_ ."Io"hone , BUILDING INF~;RMA:rJOrncen~I~~~~\:;iii\ty Notification numol:l' lU' the. r _ on_332-2344). # of Stories: CenteflS 1 8 Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport' Energy Path: Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: IDEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Storm Sewer A vailabIe: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: I of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00084 ISSUED: 03/10/2003 APPLIED: 02/1312003 EXPIRES: 09/10/2003 VALUE: Status: Issued 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 carefuUy examined the completed application and do hereby certity that all information hcreon is true and correct, and I further certify that any and all work performed shall be done in accordanee with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 wiD be used on this project. I further agree to ensure that all required inSpeCtiOIlS 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 approvcd set of pi aIlS will remain on the site %1:::;:L?:;~~on. 3/; (j /03 - I I Owner or Contractors Signatur Date 3 of 3 . 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 Type of Construction $ Per Sq Ft Square Foota!!e Total Value of Project I Fees Paid I Fee Description -Mechanical Issuauce Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu MinimumlAdjustmeut Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $10.00 $4.50 $3.15 $8.00 $6.00 $12.00 $19.00 $4.60 $3.22 $43.00 $3.00 Total Amount $116.47 I Plan Reviews I Date 2/13/03 2/13/03 2/13/03 2/13/03 2/13/03 2/13/03 2/13/03 3/10/03 3/10/03 3/10/03 3/10/03 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00084 ISSUED: 03/10/2003 APPLIED: 02/13/2003 EXPIRES: 09/10/2003 VALUE: Value Date Calculated Receipt Nwnber 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 1200200000000000695 2200200000000000573 2200200000000000573 2200200000000000573 2200200000000000573 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 ~ . I 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. 2 of 3