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Home My WebLink AboutPermit Electrical 2004-7-13 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX:(5~1)72~G'gRlassl''b ' . . 9ib1 '- tr}. ELECTRIC~ryEEff. ~rr~~~~. ~ON Dale <Ol)il)O reQiJire ':;d has Ih City Job Number \ \ILJ . LJ~ ate 4iJlhori~ ;.:: eCilic la:lolloWi ~,' "e,." ~.... ' d /os I)", " s. ,-, e ,'I 1.:.t~o9A?i101,['iOI?mSrALLA';o'<" 3.1((jo~f1?LEreti'EErstl1i!!15iJLE . . A:\~-'~~ ~-~ "~~~,_,_'_~4~_ LEGAL DES9W'T~N , A. \1 (J 3 L\6 /A /) ~ Sf) I Service Included ~BQES;P;O~r~u(? _ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended fo.r 180 days. ::S7rW:'W::>'-?;~J'<:(://:::::::r:-\::r:::,:....-:::'{:~-:}:::Y::'/?fr;':~?Fnrf&':w+t:;i:'-Y'W:P:W?tr.t~::':'?n~~.::rr:;?-7;:.'i}~~'J{i:c-:::f};<'~::"TTf 2 ;;;f:;QNTRA-CrOR:'INsTALTiA.TlONONEX.j) . ~~'"',::;',k',')Sit:DE::SY'&S-k;ii4;:~\2-{1 Electrical Contractor l ',> JQ., 7;}f;(1rl L. Ti7c Address p(~\) I30x 2$,2~1 ' ci"J'h~7fnl Phon' 6(kf/!!I( 4-7lff/S fuSP'''iO~~~' ~~~~ 5.6A 1 1000 sq. ,ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 4~PO ~400 $ 50.00 $ 50.00 Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1-03.doc Status Issued CITY OF SPRINGFIELD Buildling/Combination Permit PERMIT NO: COM2004-00867 ISSUED: 07/1312004 APPLIED: 07/12/2004 EXPIRES: 01/13/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 212 Q ST ASSESSOR'S PARCEL NO.: 1703262401501 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Electrical for Heat Pump and Air Handler Owner: DAVE WILLIS INSURANCE Address: 212 Q STREET SPRINGFIELD OR 97477 I~ONTRACTOR INFORMATION I Contractor Type Electrical Contractor ROBS ELECTRIC INC License 156678 Expiration Date 08/14/2005 Phone 541-686-5444 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard 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: NOTICE: . PUBLICIMPROV ul'4:uregonl8wrequlresyouto . . . s adopted by the Oregon Utility Street ~~eJRldtl: SHALL EXPIRE IF THE WORK ~otlflcatlon Cent8tte~~e_~ are 8etforth Storm ~YJt.Hl~~fJtlIMNDER THIS PERMIT IS NOT In OAR 952-001-BQMl~mm-gA8 952.Q01. Specia{1JWM~ED OR IS ABANDONED fOR 0090. You may obtain copies ofthe rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone Notes: number for the Oregon Utility Notification Center is 1-800-332-2344t l..,y aluation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 _S:i;G. ~)no~... ............ .l'. W;L..,.r I '-":A!; . . ~.. ! .. --~._-,,~..,,-... ~''"-''''''~'-''"'' - Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00867 ISSUED: 07/13/2004 APPLIED: 07/12/2004 EXPIRES: 01/13/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees paidJ 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 7/13/04 7/13/04 7/13/04 7/13/04 Receipt Number 2200400000000000914 2200400000000000914 2200400000000000914 2200400000000000914 Total Amount Paid $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. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired Insoections I 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. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street . . Springfield, Oregon 97477 541-726-3759 Phone S~.:G~..UU..: ,....... ......... u.... --. a- . .... "...-.... ,....~y of Springfield Official Receipt _ _velopment Services Department Public Works Department Job/Journal Number COM2004-00867 COM2004-00867 COM2004-00867 COM2004-00867 Payments: Type of Payment CreditCard 7/13/2004 RECEIPT #: 2200400000000000914 Date: 07/13/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ROBS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received lIh 00438 013645 Phone Payment Total: Page I of 1 7:26:01AM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82