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Home My WebLink AboutPermit Electrical 2004-11-24 225 FIFTH STREET.. SPRINGFIELD, OR 97477 .. PH:(541)726-3753 .. FAX: (541~ ~- ~9 ;0 19 0 ~LECTRICAL PERMIT APPL!~ATION ' () "ot-~~ ~?;i>..o,., CIty Job NumbWwrJJi -OJ 3 fa:J.. Date 11-24-04 ..y~~ ~1'0 ~ OO&<I'%(\/' 1. 3. r:(S2f~tf@l[E:f~~~~~'~';~:C:':'I~k~~:.~;i~';r~~:0':;;j}:T':";,,'i 'Q '/ "6> ~6L 735 ASPEN STREET ."~,, -?o'V'-1 LEGALDESCRlPTION A. :'c~I~tiWiffJ~it~" i', 03> 3 Lf ~ I 0 1<00 () Service InfO"BWrules adopted b ' JOB DESCRIPTION 1000 sq'. ftottfPsation Center. Those Each addifi<S~R~~OOt't!)010 throug 5 01. portion ~. You may obtain c(')~ies of e'Jf Y Each Manumsdlir1g~lm G~nter. (Note: the telephone Modular D~r;f,efitt!EilDregon Utility Notifigation Feeder Center is 1w80D ~22-2344).$)0.00 NEW SERVICE Permits are non-transferable and expire jfwork is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Cont.ractor SCOFIELD ELECTRIC CO. Address PO BOX 2. 7 6 5 City EllGENF..OR glit.Q2 Phone 686-8612 Supervisor License Number .l2.iO~ Expiration Date 10-01-07 - \ , Constr. Conu'. Number 38702 Expiration Date 12-21-05 Signature of Supen;ising Electrician ~~~f) Owners Name BOB MCCULLOCH Address 735 ASPEN STREET City _S"p'RTNr:~Tl?Tn Phone q 11-') 1 nq O~NERINSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 B. 'R.e1ocrr tion:':' .".'.".i .....:......,:j......!.c:' 63.00 200 Amps or less 1 $ 63,00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Ampsl?dQS9,,~mps $163.00 Over 1000 Allib!W'€>hs $375.00 ReconnectTctJti&PC,I:1i\I!lT SHALL EY[>IRE $ 50.00 ,e.UTH(J'=i'-" .. - <Ii I IF THE WOPK c. ;(Ti'I~~~fiMs~~fQ,iJAbE~tI1f~!p~8Mlr1s N 0:1;:,':':: ,....~...'AN'{ 1BD'6~~!f~g ftHI-\NDONED FOR ..... ,. Installation, Alteration or~efJPation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 $ 3.00 E. Pump or irrigation Sign/Outline Lighting Limited EnergyIResidentia1 Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 63.00 4.41 7% State Surcharge 10% Administrative Fee h.1() TOTAL 7':l. 71 Shared Drive(T:)/Building FormslElectrical Permit Application 1-03,doc 225 Fifth Street Springfield, Oregon 97477 .f 541-726-3759 Phone Job/Journal Number COM2004-0 1362 COM2004-01362 COM2004-0 1362 Payments: Type of Payment Check 11/2912004 RECEIPT #: "ity of Springfield Official Receipt Jevelopment Services Department Public Works Department 1200400000000001663 Date: 11/29/2004 Description Perm Serv/Fdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By SCOFIELD ELECTRIC Received By NJM Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 029196 By Mail Payment Total: 2:12:41PM Amount Due 63.00 4.41 6.30 $73.71 Amount Paid $73.71 $73.71 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01362 ISSUED: 11/29/2004 APPLIED: 11/03/2004 EXPIRES: OS/29/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ATTFMT'n~t. ^-- I foll""'.... - ''"'::IV'' i:lW reaUf", SITE ADDRESS: 735 ASPEN ST Springfield .~ (OJ1eW~tecfBytlWnO-U"JY! you to ASSESSOR'S PARCEL NO.: 1703342101600 .Notlfication Center. The e regon Utility In ~f-~t:0010~*e rules are ~~ial PROJECT DESCRIPTION: 80lf sanitary sewer + 80lf water line 0090. You may obtain ro~gh OAR 952-001_ callinQ the r.Antor 1~~~Ples of the rules bv numb t {, _t.... li u;; It:l~DI1nn.A Owner: KFP PROPERTIES LLC er or the ~99~NwnmyN ~ffl-~-~o='5068 Address: 2445 LARALEE ST SPRINGFIELD OR 97477 Center is 1-800_332_234~~Tlcat'on I CONTRACTOR INFORMATION' Contractor Type Electrical Plumbing Contractor SCOFIELD ELECTRIC ROBERT D STORRS License 38702 76940 Expiration Date 12/21/2005 11/08/2005 Phone 541-686-8612 541-689-7574 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: , , . ~-M{t 1~oor: o U.fj9J~inBtFf66rAF THE W ,,' ...lED 0 q t asbhtagq aRK . '>.' DAY p~~~ ~a~~~~'lr's NOT ~ .Other: J1!"lJ FOR nla Occupant Load: V1hr 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: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of3 i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Sanitary or Storm Sewer Cap Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin Water Line - 1st 50 Feet Water Line - Each Addtll00' + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01362 ISSUED: 11/29/2004 APPLIED: 11/03/2004 EXPIRES: OS/29/2005 VALUE: Total Value of Project ~ Amount Paid Date Paid Receipt Number 1200400000000001567 2200400000000001368 1200400000000001567 2200400000000001368 1200400000000001567 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 2200400000000001368 1200400000000001663 1200400000000001663 1200400000000001663 $4.50 $11.80 $3.15 $8.26 $45.00 $45.00 $438.72 $576.96 $14.00 $10.00 $'-857.12 $865.31 $82.03 $55.80 $45.00 $14.00 $6.30 $4.41 $63.00 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/4/04 11/29/04 11/29/04 11/29/04 $1,436.12 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. lJeouirerUnsnections. Sanitary Sewer Line: Prior to filling trench and including required testing. Water Line: Prior to filling trench and including required testing. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. ' Electric Service: Approval required prior to utility company energizing service. Pa2e 2 of3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01362 ISSUED: 11/29/2004 APPLIED: 11/03/2004 EXPIRES: OS/29/2005 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