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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