HomeMy WebLinkAboutPermit Electrical 2003-7-24
LEGAL DESCRIPTION
1703'2'--/33 C(>lo,'S \10",,1(\9
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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
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",",
~t\~
~~~~'
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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