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Home My WebLink AboutPermit Electrical 2003-9-26 , 1'. 'mT!~@"'6EliN~~~~' SfU. ur~." , . ,. .~()\\ I'~:~ . ~ ~~7: DlSD\ ' A'S~~f~ril1t(~~rM~rli1g~~~'~~~~~iiiW~~j~ JOB DESCR}PTlON . 1000 sq. ft. or less $106.00 () 1\1\' ^~ lOll.. c:::......... 1 \ ".L J 11\ ^ ^ ,.jach additional 500 sq, ft. or -L \' J\ \ 'I illl"J \.." J V ",oj :\AI ~lOn Ulereof Permits arc non-transferable and expire ifwori i~. Each Manufact'd Home or not started within 180 days of issuance or if wor\Js Modular Dwelling Service or Suspended for 180 days. Feeder 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726~3753 . FAX: (541) _~ing projec'es submitted has the tOliowl'ng , IllgUand does, ' ELECTRICALrfGv..~LI.C ~!9N .' appro;al. no require specific land use City Job Number ..u.llUUJJ.an~te q / d5 J 0<' Zoning ...l'U(L 3. ~r€@MP~.EutEE'1s&~iL~18EOO.,f.1:~9-~. ' .,1.?~~~~~iSZ.Wl(;'~J!'.t'llU~ G@Srgffa'fu" :. ~~~~ $ 19.00 $50.00 B. ~~~~ld+tr~TIiit:iI1tt~~;~~~ o~JR~7ciiti~r{:~ 'an~...":~..,.let.q;v:v~~... }(.~~~~~....,.., - ". ~..... Ii "~.vri.J~~ 2. Electrical Contractor ~ (\ n <:.. .8e.c .\-\\C. Address dl CiS (\\-" A ,,+ . City ~JV\O Phone In't.&~q4\j 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNollS Reconnect Only $ 63.00 $ 75.00' $125.00 $163.00 $375.00 $ 50.00 The installation is being made on property 1 own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 Shared Drive(T:YBuilding FonnsIElcclrical Permit Application l-Q3.doc ., -Wlt~~J~qgJ~: .,- . , . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2233 DORNOCH ST ASSESSOR'S PARCEL NO.: 1703272207501 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00785 ISSUED: 09/26/2003 APPLIED: 08/18/2003 EXPIRES: 03/25/2004 VALUE: Springfield TYPE OF Heating System PROJECT DESCRIPTION: Install heat pump and electric furnace Owner: HOISINGTON PHILIP E & EDNA Address: 2233 DORNOCH ST SPRINGFIELD OR 97477 TYPE OF USE: New Residential I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor ROBS ELECTRIC INC HOME COMFORT HEATING & AIR License 156678 84164 Expiration Date 08/14/2005 06/25/2007 Phone 541-686-5444 541-345-2838 # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: I BUILDING INFORMATION I # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: R-3 VN Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: I DEVELOPMENT INFORMATION I SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay D1st: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTSI Street Storm Sewer Available: Special InfWqtl'UE: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZEO UNOER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone numberforthe Oregon Utility Notification Center is 1-800-332-2344). . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Fp.p.~ Pairll Fee Deseription -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Add, Aller, Extend Circ Ea Add Amount Paid Date Paid SIO.OO $4.50 $3.15 $12.00 $12.00 $21.00 $4.60 $3.22 $43.00 $3.00 8/22/03 8/22/03 8/22/03 8/22/03 8/22/03 8/22/03 9/25/03 9/25/03 9/25/03 9/25/03 Total Amount Paid $116.47 I Plan Reviews I . CITY OF ~rK1j'<lt.t<l.li,LD Building/Combination Permit PERMIT NO: COM2003-00785 ISSUED: 09/2512003 APPLIED: 08/18/2003 EXPIRES: 03/25/2004 VALUE: Receipt Number 1200200000000001997 1200200000000001997 1200200000000001997 1200200000000001997 1200200000000001997 1200200000000001997 2200200000000001584 2200200000000001584 2200200000000001584 2200200000000001584 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. I ~lrrl1~':r~1 'rl~?p.ctions I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Final Electric: When all electrical work is complete. 4 Rough Electric: Prior to Cover By signature, I state and agree, that 1 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 wilh 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 wilhout permission of the Communily Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance wilh ORS 701.005 will be used on this project. 1 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 Paee 2 of2 Date "225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-00785 COM2003-00785 COM2003-00785 COM2003-00785 Payments: Type of Payment CreditCard . . .. "~ ~1 ~".._;+,.; Receipt #: 2200200000000001584 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By nJm t:beck Number Batch Number Authorization Number Paid By DAVlDLAWLER 000179 025705 City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/25/2003 3:40:35PM Amount Paid Item Total: 43,00 3,00 3,22 4,60 $53.82 How Received Amount Paid In Person Payment Total: $53.82 $53.82