The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-7-25 submitted has the following zo require specific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~f ;futl)726-3689 ELECTRICAL PERMIT APPLICATION Zoning City Job Number [O/..\-1 2-00J ,- 0D b Z 7 Date ~/2 s;/o 3 Dafe 200 Amps or less 20 I Amps to 400 A~ 401 Amps to 60~~~{\'\ i!- ~,-0 ~;:'....'A. \0 , 601 Amp~~IU~~v: ~\) Ove~~OO~~~s~t~~'2; !lJ~ '<.- R..e\)~q~y.':l ~<?- ~~ ~0 .0\0'1> 0'<;) 0 ~ 0 .;s.0 ~O \0\' <..J / L/lj S" .'\\O~~~ L . ~~~ ~0':l 00 ~<:) .~~ C; ~0' .~'" tl.b0- Expiration Date / (J..- 0 / - () f ~, ,,~~. O~ ~tlj'istbliji~o~t~I.Q~ Relocation \O~-. (j~~ ~.W ?JI1'll\ A rl\\,~'<.' ~o~ ~'"6(; $ 50.00 "7ii.-.. / LI / / ' ~'I. ~ ~ ~vv ~ ()~0 R\)' Constr. Contr. Number ~- 7 (9 L/~O O~ --t O~ ~ ~S:-t~%O' Amps $ 69.00 &1 '7 ~ 6U \~~~<:)'~~~~A~)'g600Amps $100.00 Expiration Date 7 -- f..-.) - f '5 (j'O- ~0 r.e<0 f\.~~ OVer' 000 Amps or 1000 Volts see "B" above. D. New Alteration or Extension P~\~~ ~ ~Q\ One Circuit ~ t~~W;' ~'V. ~ ~ 43.00 ~~~~~l}.~~~~~\\ ~~~~Q~'Q) to $ 3.00 S~~~ ~~f' E. C ,J '\ l\Q Pump~~tion Sign/Outline Lighting Limited EnergyIResidential Limited Energy/Commercial 1. 6 7S- L c ~+ LEGAL DESCRIPTION J 70 l. 3 ~ 3 Z JOB DESCRIPTION 00 l-O ~ A~'" L '- ( L.L-....... J ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor kbS E/ec.-Ih~ Address 2 f :;- S- ollr 0 S 1-. City G"1?d-t(.. 6 f 6- Jo-'j '-/ if Phone Supervisor License Number Signature of Supervising Electrician p~ ~ ~ Owners Name b 0 Ai bfS-L SPFb Address AL ty Atv/:)L'<L. C 'S+- City Phone OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 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. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 LtJ "3 $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. '-It. :5 22. Lf60 5":) -Yl 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc -1ii.~._~~.Dji.. ........... . . ."'" . ,'_I . """ ,. '.'- . -__.__ _......_,____,-..__,...,._r _ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00627 ISSUED: 07/15/2003 APPLIED: 07/1512003 EXPIRES: 01125/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6952 C ST ASSESSOR'S PARCEL NO.: 1702353200203 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: ALEXANDER DONALD H & LAUREL Address: 6952 C STREET SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electric,al Mechanical Contractor ROB'S ELECTRIC COMFORT FLOW License 146149 460 BUILDING INFORMATION I Expiration Date 09/25/2004 06/27/2005 Phone 541-686-5444 541-726-0100 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Lot Size: Height of Structure \0 Sq Ft 1st Floor: Type of Heat: ~O~ ~{\~, Sq Ft 2nd Floor: Water Type: ~\~0S ~ 'U~ 'Q~ Sq Ft Basement: Range Type: ~ ~0~~eQ,O e tOe' J:jO Sq Ft Garage/Carport Energy P8t~~ ~e ~ ~~ 9J~?; !I X. Sq Ft Other: O~0~ 0 'O~ 13 ~~\e O~~ 0 ~~\-e ~0 Impervious Surface Area: _N. ...\e "to ~'(\ f"~ )"0 J' ~ "-~ ... i"'~ ~. rP'! rri ~ ~ ~(,\C~~ . ~ ~\O~ ~\O(\ nO\ ~\~(\ ~o\~~~ ~~". \0 ~{{\c~\.~~~Qfae~' O~ ~?;"t ~O O~~~.1i~8~~\Y~ $\ eO PlJl\~Y;r~~ft(Jd!\'~ O~ ~~' ~\.O . 0~~ (i ~~<t~~erage: ~'S REQUIRED PARKING Vlhr SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compa~t: Street Improvements: Storm Sewer Available: Special Instruction: \f'J. I PUBLIC IMPROVEMENTS I \t \~'t. ~ ~G\ . t>-~~i&l~ll~~ C(Q\\ \\\:)~\t~~~\\ ~~~1.~~~ms: \'0\S ~ ~1t.$ ~ \S ~ ~\'0Q~ ~t.\) \) ~\Q\)' ~ ~~t.~ ~ ~~ rv\) \ CO\) \) t>-~" Notes: Pal!e 1 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 , 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 7/15/03 7/15/03 7/15/03 7/15/03 7/15/03 7/15/03 7/25/03 7/25/03 7/25/03 7/25/03 Total Amount Paid $116.47 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00627 ISSUED: 07/15/2003 APPLIED: 07/15/2003 EXPIRES: 01/25/2004 VALUE: Value Date Calculated Receipt Number 1200200000000001763 1200200000000001763 1200200000000001763 1200200000000001763 1200200000000001763 1200200000000001763 1200200000000001826 1200200000000001826 1200200000000001826 1200200000000001826 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. ~eouiredJnsnections 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. Pa2;e 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00627 ISSUED: 07/15/2003 APPLIED: 07/15/2003 EXPIRES: 0,1125/2004 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 Pae:e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00627 COM2003-00627 COM2003-00627 COM2003-00627 Payments: Type of Payment CreditCard Reccipt#: 1200200000000001826 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Received By djb Check Number Batch Number Authorization Number Paid By ROBS ELECTRIC 000129 025964 City of Springfield Official Receipt . Development Services Department - Public Works Department y Date: 07/25/2003 4:11:19PM Amount Paid 3.22 4.60 43.00 3.00 $53.82 Item Total: How Received In Person Payment Total: Amount Paid $53.82 $53.82