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HomeMy WebLinkAboutPermit Electrical 2003-7-24 LEGAL DESCRIPTION 1703'2'--/33 C(>lo,'S \10",,1(\9 e10 '3'b \" 0 Ijse wO" \a(\ JOB DESCRIPTION ,,,\lID" ,?ecI1'c 1000 sq ft or less Z k-C\ ?'5 u\~e A hi\ L-ll1_"-_-W'.i'l(c,,, ;:,' lea, . I? _ ach addItIonal 500 N\"~ c.," \~ \\\e\0\\'~>."o ooe~ /D:S or portIon Permits are non-transterallle,and explTe ~/o, th f o"a",,," '1 V If work IS not started "",tllm l8fbd.Y'> ach Manufd Home or of Issuance or If work IS suspende..cJ.Jor" Modular Dwelhng 180 days ,e'\'-- 0\<"\JIB Semce or Feeder \ C ::>1 Items Cost , .-;, "- <Q225 FIFTH STREET 1'2 ~ w.:i!;l "'" r~ i,"'J-z- ,,~v ~ ~~~"~<< <"<>'~1 ';SPRlNGFIELD, OREGON 97'1F ~l"i\, ~l ~'::., ~~INSPECT!ONREQYJ?S\ 72~:3i69 ~ "" "'~. ;; ;~FFI~p : 726;3759 r:~; it~ I l;;~ I "I ~~y~,,~ .",:t: lf~"'':1 ~ ~" ^' ~~ '" tl '\;. 'l1'ik. \l \ }, 'I LOCATION OF INSTALLATION .'i _'1 < JL{'<,-<:;" CMc-i-'""" ,>7- ;;,;J "'. $106 00 2 CONTRACTOR INSTALLATION ONLY Electncal Contractortl2.t12tck/f1tv! (/y,,/rot; Address ~yr ',;t/wy ff~ $ 1900 _ i...' B ServIces or Feeders InstallatIOn, Altera Relocal1on -,~!tf ",", ~t\~ ~~~~' ,,~1J; 4t ~', " ~l,}.'tt '00 !f~ ,..""-~ ""~~-- '$'7~OO..~l[~t~,>:t ~*,.\:;'-""",,,t'~" 125 00'$ ~t.r;f,1; ~'?f" N."hr-- 1'63.00 ~,'" "k-"'~4~~\ 375 00 :-,;;I\'i , ~5<0.OO ~,,i{r~>" "- CIlYb-.f:&n It 1,i( ~ -"" i=\ Supervlso: LIcenSe Nu~ber 6: , '* ;t'ib^"~'" Jr "", Y ~ ~ "'~\- - E,plra110n Date ',J ~':Ii?:i/ f~ , .. ", #_t'~"" ~"" ,-f>-:'i'~,J"';F"lJ'r~j""i, ~.' .' ,~W '''''lr9''"7A~;~ "< Canstr Cantr I Number ~ '31'^ rf!f/ "/111' "-",,~ ~ ~, "'i',,"-; '\ ~ 'p- . '. E,plTatlOn Date 72Jfbit \ ?^. ~ , ;' f 0( ~,~ . ,,,' Slgn.lture o! Super> ISIng ElectrICian ~ R"'" ~~. ' ~,p ,<>00 ~' r ",' '(z, .',; A<c,,~ ~e<;' e~0..f\,\:j,;":"a&0 'i'! ' " .", "'."" 7f,f/'J"i__ t>:\' .,~\:j V ,>>-/jf:' @l ~~ bP<"\' ,',' A/t/L..tI-1'ff</ ..ev"r/~,\~~p ~O"" ~<;) 0'(;)" " :S~ ,,/-'?J , t ' ' " '<.0 ~,Ce: ~,:>'2: ~~r~qBfl ~'1>'/; j< :~, . OwnmName 'IS'llf f::>lnJJIf!,.O~O't-<0_IO\:j ec0N~ onorE;\1enSIOnPerPan '}"~,,,. 't: ' , ':(\ ,,"' 'S' ~0 I 'i;;J;t"~.-:':.'J '!::"'l~ ~', . ~ ~ 4~'~ ~"r, ' \'_'_eSA"V ~~ \0'" \ ,f~;r.K~~ ~,"-;;~''Tj' Q j??~~ t'*j~ Address ILf S-S- errt<:J:L ~ ~# ~0\ 0~'f1r:.e I, ~ ~~~ :'"'!'~}43 O?,~ . ,(f:\ CJ ("r, <4 ~ "' "' y.,.. _" <_ ~ e'f' '<:\V (".~",; oY"t.. A t",,,,,~\..it ;-" ~ Each Ad u()naI CJfCUl!\l~th Semce, "'t or:.e;~r~en.ll1t ~Y.. ~ ~\)' ~ $ 3 00 ~' , ""~,,L~f\,~~, ' E Mlscellane ~~ ~~:\~ot mcluded) . - 'j;1i ' ~ ~ ~ ~~ ~ 'If :-; , $50 00 r;:,,\\'V ~~' Lightmg $50 00 ~ S <('?- ~1.\;.\) ergy!Res $25 00 \~\ ~~\)~ ~\J~'W,I nergy/Comm _ $4500_ t;-.\) ~Y:. \)#- - .;,.' , \J\)~~um Electnc PerImt InspectIOn Fee" 545 00 + SUI chal gc; t;-.~ ~ / 4 SUBTOTAL OF ABOVE If 0 7% State Surcharge ".1.,:1- L- 8% AdminIstratIve Fee ~ le.D 5-) n_ Cltv <:R'-:::D Phone OWNER INSTALLATION The mstallatIon IS beIng made on property I own which IS not Intended for sale, lease or rent On ncn. SIgnature TOTAL ----,1 ~,-.- ,~""'.~-, .-..--~-;..,...T.................... ., , ..-.,.. ~... -. ... ,-~- - -.. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00625 ISSUED: 07/15/2003 APPLIED: 07115/2003 EXPIRES: 01123/2004 VALUE Status Issued 225 F.fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectJon Lme SITE ADDRESS 1455 CHEEK ST ASSESSOR'S PARCEL NO 1703243300108 SprIDgfield TYPE OF WORK HeatIDg System # of Stones HeIght of Structure Type of Heat Water Type Range Type ~Path ~O'~~*" J0<Q,.7~~~. -.' ...f~EL@PM~.l'NFORMATION , ~ II ..... t.. 6 I~' .. (:o,'l>~" ~'II't-"(' ts. (:00 1.0CbO b'9~ g,0~ t(\C6..t~~~O~ o~.o o~....e ~~o ~o\}~e'll'S~l~es Rqd _~~ g,~~ ~0':s..,a~ oO~~r~l~Rqd V)- :,.0 00 ~- ~ ~OVl."'~~Jl~ Rearyard Setback ;.' ~~.;s O~ sS>" o'9....9i' 'I.'~ o~"l'd !bfi.lrot Coverage ~ Solar Setbacks ...~:"o~ ~';)'j;",(\~>~~~\1~lY~~r ~\)~r-t,. ~o ot'" ~o (:b'S' ~'-" 1,I.'!UBiIC IMPROVEMENTS I <>..~ ~ \\\\'0 a. .s- Rl" :,..(:' 1....0 ~(, ,-t~"" ~~~;., <:,.\)" Street Improvements Cj(:J vi} "$:)0 u0~ ~\. 'Ol1 ~~ h~ >>~ Co' S~~ (L "'\ '.:...~'V ~ ~\t\,' ~"'\ ~\)0J)~'5I'""outsfDraIDs ~~ ~~f(I. ~\) ~ R- \S ,\~\S y,1:)~1) RJ~\) 'V ~~I:)\)' ~~\ ~~~ ~~ CJ\)~ \ ro\) \) ~\\'l. TYPE OF USE PROJECT DESCRIPTION Replace a/h add heat pump Owner DINGLE WILLIAM A & B A Address 1455 CHEEK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type ElectncaJ Mechamcal Contractor MCDIARMID CONTROLS INC ASSOCIATED HEATING & AIR CONDITIO License 77023 106275 BUILDING INFORMATION I # of BmldIDgs Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstruetJon Type Secondary ConstructJon Type # of Bedrooms SETBACKS Front yard Setback SIde 1 Setback S.de 2 Setback Storm Sewer A vadable Spec.al InstructIOn Notes Pa2elof3 Add.tJon Res.dentJal ExpiratIOn Date 10/24/2004 08/3112004 Phone 541-726-1677 541-683-2590 Lot SIze Sq Ft 1st Floor' Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other ImpervIOus Surface Area REQUIRED PARKING Total HandIcapped Compact ~_.,..,,~ tlIi ~- ~ - - Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme I ValuatIOn DescrlOtlOn I DesenptlOn $ Per Sq Ft or mnlhplIer Square Footage or BId Amount Tvpe of ConstructIOn Total Value of ProJect F...... P<ti<ll Fee DesenptlOn -MechanIcal Issuance Fee- + 10% Admmlstrahve Fee + 7% State Surcharge AIr HandlIng UnIt Up to 10,000 Heat Pump MInImum/AdJustment MechanIcal + 10% Admmlstrahve Fee + 7% State Surcharge Add, Alter, Extend c.rc Add, Alter, Extend c.rc Ea Add Amount PaId Date PaId $10 00 $450 $315 $800 $12 00 $25 00 $460 $322 $43 00 $300 7/15/03 7/15/03 7/15/03 7/15/03 7/15/03 7/15/03 7/23/03 7/23/03 7/23/03 7123/03 Total Amount PaId $11647 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO, COM2003-00625 ISSUED: 07/1512003 APPLIED, 07/15/2003 EXPIRES: 01/2312004 VALUE: Value Date Calculated ReceIpt Number 2200200000000001249 2200200000000001249 2200200000000001249 2200200000000001249 2200200000000001249 2200200000000001249 1200200000000001809 1200200000000001809 1200200000000001809 1200200000000001809 To Request an inspectIOn call the 24 hour recording at 726-3769, All mspectIon requested before 7:00 a,m. wIll be made the same workmg day, inspections requested after 7:00 a m will be made the followmg work day, I Rpn'l1n~rlJnsnections I 1 Rough MechanIcal PrIOr to Cover 2 Fmal MechanIcal When all mechanIcal work JS complete 3 Rough Electnc Pnor to Cover 4 Fmal Electnc When all electncal work IS complete Paee 2 of3 -~~ CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2003-00625 ISSUED: 07/15/2003 APPLIED, 07/15/2003 EXPIRES: 01123/2004 VALUE 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn Lme By sIgnature, I state and agree, that I have carefully exammed the eompleted apphcatlOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance With the Ordmances of the City of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be made of any structure WIthout permIssIOn of the Commumty ServIces DIVIsIOn, Bulldmg Safety I further certIfy that only contractors and employees who are 10 comphance WIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUIred llIspeetlOns arc 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 remam on the sIte at all times durmg construction Owner or Contractors SIgnature Date Paee 3 of 3 225 FIfth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00625 COM2003-00625 COM2003-00625 COM2003-00625 Payments Type of Payment CredltCard ~jiJ ReceIpt #: 1200200000000001809 DescnptlOn Add, Alter, Extend ClfC Add, Alter, Exlend ClfC Ea Add + 7% SIale Surcharge + 10% AdmmlstratIve Fee Received By dJb Check Number Batch Number Authorization Number Paid By MCDIARMID CONTROLS 000127 611120 CIty of Springfield OffiCIal ReceIpt Development ServIces Department . PublIc Works Department Date: 07/23/2003 9 13 28AM Amount Paid Item Total 4300 300 322 460 $53 82 How Received In Person Payment Total Amount Paid $53 82 $53 82