HomeMy WebLinkAboutPermit Electrical 2003-7-24
CITY OF S:JlNGFIELD, OREGON CJ
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~J;if)l~mrojec' as submitted has the tOl/owing
, aes not requIre specif I
ELECTRICAL PERMIT APPLICATION approvai. IC and Use
eCitYJobNUmber ('f1YV\1.m)~AX)Slq Date (-:14'-0'2, Zoning ~
Date 1~ ~ ..z> 2.J
I. LOCATION OFINSTALLA110N 3. COMPLETE FEE S.(;JJ.&!JJd~,Mfu!eOW 'l5uJ
/fJ...9J"F ~AlI1J~ Loaf
LEGAL DESCRIPTION
A. New Residential- Single or Multi-Family per dwelling unit.
. utreS you \0
Service Included 1101'l:Or890n laW req on Utility
JOB DESCRIPTION 1000 sq. ft. of<ibf,E1'I \ s adopte.!i bV the orrfll\oge' tnrt
/J/'I) II .Il/,/JJS (I) rl t/ ~ 1DCt1tf" /.) Eachadditio~\\!AA\W.'te&nter.ThOserUle~:~q52.00
/t.! & ti}!l1!!"J!L -f"/U ",'f f..It;/R'(Vti . lh portionth'T{clitiCatlOn..o01..Q01nthrOU9h'$'I9.UO Ie" \
. nAR 952 'Ies 01 the ru - .
Each Manu~~..t;..lj..llWuWay obtain cop. the telephOne
Modular D~'\S,;,t;\;~'iB'Center, (Note"'Tt'~50rotilication
Feder ca 11.'11 U - --, liT
e numbertorthe. ;~800~332-2344).
B. Services or Feeders COOtfNiluon, Alterations or Relocation:
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.
CONTRACTOR INSTALLATION ONLY
City
Iiu{~
Phone tJf6 ~t,)..:Jk,
,,! ('~ A. 200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpslV olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Electrical Contractor Ie r rJ ~ ,..-(;1 .;.
Address 0. /l
/; cN:. J.. f/<? 33
J
.Supervisor License Number 3 1/97 S
. Expiration Date / /)/// f ."....
C. Temporary Services or Feeders
\\InT'CE', \0 P\~~ IF 1\-\E WORK
Ins~~,go~E~\t'Jl't.iJWor\Re~\gi~~RM\1 IS N01
200 Am~H\5~'\~O UNOER 1\-\ \'~"'l<;r\ row.OO
201 ~\l~I~~Rct~j!lP5R IS Ml!\ '..IJ1 -- $ 69.00
401 At~ t~BtIC\..,'WJ:\sERlOO. $100.00
Over 600 Amps or 1000 Volts see "B" above.
Signa/,Uture of.;supe.1. is in ' Electrician D. Brauch Circuits
f New Altcratiou or Extension Per Panel
One Circuit I
Ubf/. Each Additional Circuit or with ..-
Clt..lbO ...L - f f /" Service or Feeder Pennit :J $ 3.00
Owners Name A- nuJM~LJ-~
Address I () l./. (\ ~~ ~ _ E:; Miscellaneous (Service/feeder not iucluded) -Each Iustallation
City :5'/..... 0 Phone 7L,/&..5"OVD Pump or irrigation $50.00
U Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited Energy/Residentia1 $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Constr. Contr. Number
Expiration Date
70JO~7
/.L/ 3o/{) 3
$ 43.00
4-'3. CD
\~.6D
The installation is being made on property [ own which
is not intended for sale, lease or rent.
.
7% State Surcharge
10% Administrative Fee
6<&.OD
L-\-.O("
~SO
to 1. <t,l,o
Owners Signature:
4. SUBTOTAL OF ABOVE
Inspection Request: 726-3769
TOTAL
COM .2003-00517
Shared Drive(T:)/Building Fonns/Elcclncal Permit Application 1..Q3.doc
;
.
. CITY OF SrKll~GFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00519
ISSUED: 07/24/2003
APPLIED: 06/17/2003
EXPIRES: 01124/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1045 Gateway Lp
ASSESSOR'S PARCEL NO,:. 1703222002300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Add 6 beat pumps and air handlers UIlBS yOU \U
On laW req Ut'\'ty
-r-~'-'-" 1I\l:ureg , _ ,....annn , ,
",1_'. d teouy"'-- - lInn
Owner: RAMAR PROPERTIES tol1ow rules a op se ruleg>lloneNumber:
Address: 1045 GA TEW A Y LP SPRINGFIELD Olt, ~{rt~c?at\On Center. Toht~rough OAR 952-UU\
,,,0 0..,,-001-001 .. _. ...." rules
In v"7' ~ -. _~" nbtaln "ut'.-- - elephOne
I CONTN\.w""-'R'INFORMA1IONIII\e: ~~e ~oti1ication
"....r.. 'W . Oregon Utility
nUl<lber tor tth~~c~I!.KeJ-33'Ei~MI\ion Date
Cen e 25790 12/23/2003
Commercial
541-485-3101
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Phone
541-747-7445
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
B
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
VN
SETBACKS
I DEVELOPMENifilNI10RMATION I
THIS PERMIT SHALL EXPIRE IF TH!l\9Y~,W:D PARKING
Overlay Q\u:rHORIZED UNDER THIS PERMI1tl&liOT
# Street T~'O~/!-.\~iJCED OR IS ABANDONED lIaiifIicapped:
Paved Dr~f~\l"'<uO DAY PERIOD. Compact:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal1e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. Uli" 01< .srJ:UNGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00519
ISSUED: 07/24/2003
APPLIED: 06/17/2003
EXPIRES: 01/24/2004
VALUE:
I Fee~ Paid I
Amount Paid
Date Paid
Receipt Number
$10.00
$12.00
$8.40
$48.00
$72,00
$5,80
$4,06
$43,00
$15,00
6/17/03
6/17/03
6/17/03
6/17/03
6/17/03
7/24/03
7/24/03
7/24/03
7/24/03
1200200000000001573
1200200000000001573
1200200000000001573
1200200000000001573
1200200000000001573
1200200000000001814
1200200000000001814
1200200000000001814
1200200000000001814
$218,26
I Plan Reviews ,
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 InsnectionsJ
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,
By signature, I state and agree, that I bave carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify tbat 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 tbe 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.
~~~:1
7(2///0 '3
Date
Pal1e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00519
COM2003-00519
COM2003-00519
COM2003-00519
Payments:
Type of Payment
Check
.
.
-.J..'l!JlI=.="..'.......... ... 'I'
WI....h. ............ '. ... ....
~~"=-.t:! 1
i . j
. ,
'i ,; .....,,"'.. ....
Receipt #: 1200200000000001814
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
KS ELECTRIC
Received By
ddk
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/2412003 9:41:35AM
Amount Paid
Item Total:
43.00
15.00
4.06
5.80
$67.86
How Received
In Person
Payment Total:
Amount Paid
$67.86
$67,86