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Home My WebLink AboutPermit Electrical 2005-11-23 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (lj4'WJ~~-3689 ELECTRICAL PERMIT APPLICATION Zoning. City Job Number CO m.aims - 0 I CtJ3c.o JOB DESCRIPTION 1000 sq. ft. or less ^ (l A_ ._ /"". ' '. 1.-' " ~K Eac~ additional 500 sq. ft. or oJ- lof ('lOOt LA.ACt1.A.JtS -feY hRtdiij7-..Jem5 portIOn thereof Permits are non-transferable and expire ifworR: IS Each Manufact'd Home or Modular Dwelling Service or Feeder NO :~~(:dFj;X;:F;r+ B. !;/sery @;,;{%/i\'J7!lt.itfJ 200 ~~W~.IZED UN~~ ~XPIRE IF Tl~r-63.00 201 MJtIs 1Cfltf 'flJPJR IS A8 HIS PFRr.1J'l-MIOJRK €weN.- Or.. fl'102. 401 Amps to 60 ~fRIOD AflJDO.NED ~'6J.N0t 601 Amps to 1000 Amps' 9R3.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 1. ';:':~q~~~~fi~~~,~IEi~T:/0i:<: 5B3'A~~;;;;; ,LEGAL DESCRIPTIO~ /7 03 2~ 4:;. (){){o()O not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor f2,oh 'j eld..i:fn i ::t:f<lC- Address ~,o. g ,9)( 2.. f 2- I City [VL) e.;ote.... Phone f-l ~ b ft- )' Lj c.f tf Supervisor License Number i/7'iYS Expiration Date I () - I - 0 f::, Constr. Contr. Number / 5 C, t 7 g Expiration Date 't - / ~ - 2- () 0 -, Signature of Supervising Electrician ~ ~..~~ City Inspection Request: 726-3769 Wl (}..p~~1dr11(f 3. I5lfttf -tH d. h\. ....,...w}"A\!t~!9X!~Q~~~~..../. . ErE;PEE'SCHEU.lJT.EBkLol"." ;i:,>'(~;:",,,::~j4L:',,,,B:,iC::,,<<:};;:Ll:~,, :i:;Xf\:~,;/ .\~~~\;,;:;-t:t:,:'\.~: '\~";;,,:;,'_;:-:~;'?r,;;V-{t*,,,-,~: A. Service Included $106.00 $ 19.00 $50.00 (' c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 . $ 69.00 $100.00 Over 600 Ampsor 1000 Volts see "B" above. ADr fo/Io-.,. ",./ . j'9gon '",." . N t'f' New ~t~JGatIon or'ExtenSIYHifeJ: Panel . , 0 IIC~ir'r(i"'''\ 'tUptea by the 0' ::; you/to In OA vne '--l1'C.~Ler. Th" regor. ' ,J REQl::o^~dd" )C' ,<::c. ,.,.th vlff/lY 0090 aCH"d lllona IrcUlt.'.OflWl""e ~ )( .' . '-'v {' th - '-<I set j . . SeF\(iq~yorc;'beeder'Peffiigh OAR 9 _ Orth cal/in ,[am co . 52-00 _ nUml. E. . enter is 1 R //ity Notifi . P~mp or ~ga~&'n~32-2344). Ca!lon Slgn/Outhne Llghtmg' Limited Energy/Residential Limited Energy/Commercial $ 43.00 $ 3.00 48EO 3.00 $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 4ft. DO ~~.cl ~. 4-, {p 0 53 <6~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Pennit Application 1-03.doc --iii~ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01636 ISSUED: 11/23/2005 APPLIED: 11/22/2005 EXPIRES: OS/23/2006 VALUE: SITE ADDRESS: 583 FLAMINGO AVE ASSESSOR'S PARCEL NO.: 1703224200600 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat Pump and Air Handler. -r~, Owner: Address: Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC COMFORT FLOW NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AU71Iu~IL~u UI~DEn TI1I6 rtnlvlIl I\) I~U I CONTRACTOR~(\)M S ABANDONED FOR 00. Expiration Date 08/14/2007 06/27/2007 Phone Number: 541-726-8431 THOMAS WILLIAM H & JUNE 583 FLAMINGO AVE SPRINGFIELD OR 97477 License 156678 460 Phone 541-686-5444 541-726-0100 I BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction , # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 'I I DEVELOPMENT IN...F~JJQ:IN~on law requIres ~~~iI\;y I \. t d by the Ore9flliQUrR.~;p PARKING tollow rules adop e h e rules are $vl 'ie1't1' Overlay Di~otitication Center. 1 o~ou h OA'in6.'tat?-001- # Street Tr~f1s0AR 952-001-001? th 0 i~S ot t\l\lJlnd'reapped: Paved Driv<<o'-5:~g: You may obtam c fe' the t~8,nP.acf: % of Lot Cover;lge: 9 the center. (No U' . \'t Notitication CO,,1I1 0 on t\ \ Y number tor the~ ~e~f'\()_332-2344). \ .t::illV' .- IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutstbrains Notes: 1 of 3 ~iii- 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: COM2005-01636 ISSUED: 11/23/2005 APPLIED: 11/22/2005 EXPIRES: OS/23/2006 VALUE: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project l Fees Paid' 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 11/23/05 11/23/05 11/23/05 11/23/05 Receipt Number 1200500000000001751 1200500000000001751 1200500000000001751 1200500000000001751 Total Amount $53.82 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wlll be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2 of 3 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: COM2005-01636 ISSUED: 11/23/2005 APPLIED: 11/22/2005 EXPIRES: OS/23/2006 VALUE: 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 wiD remain on the site at all times during construction. Owner or Contractors Signature Date 3 of 3 i 225 Fifth Street Springfield, Oregon 97477 ~41-726-3759 Phone Job/Journal Number COM2005-01636 COM2005-0 1636 - COM2005-01636 COM2005-0 1636 Payments: Type of Payment CreditCard \ ) 4 I J . " :) ,4. 11/23/2005 ~~~~CD~ WIL... . r<~ty of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 1200500000000001751 Date: 11/23/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ROB'S ELECTRIC Item Total: Check Number Autnorization Received By Batch Number Number How Received ddk 092377 In Person Payment Total: 1 of 1 9:15:37AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82