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HomeMy WebLinkAboutPermit Electrical 2003-2-18 r; ~ : . CITY OF S).-~dNGFIELD, OREGON 0, lect as submitted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: lttn~~~3'6Q'ges nol require specific ran~ use ELECTRICAL PERMIT APPLICATION Zoning LbrZ Arity Job Number COli\.< 'ZOo:3 ~ bCO SI Date 0 2.. 6 b 0 :3, Datp R - l't> /~ .- c:.<.., I J 1. 1 LOCATION OF INSTALLATION 3. I COMPLETE FEE t;t!l'fiID'tfilJ'tK,luw, dJ~ IA./J/-( /-1 CL LEGAL DESCRIPTION 1/03 Z { ( 3 2. I CONTRACTOR INSTALLATION ONLY I B.I Services or Feeders - In~taIiati~n; Alterations or Relocation:,: Electrical Contractor Ie <; f(" ~fIl(c:. ~~(,.1t.~ ,200 Amps or less $ 63,00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps 'l0\)\~," $163.00 Over 1000 AmpsNol~.>\\as ~ vi..\':';,-&. $375.00 Reconnect Onlya.-.t'l (~ O\aQ,O a sa'- ';"C\\' $ 50,00 0,0\" '\'(\e '().~ I';ie:-- Xl'> I "j"" ;"u'e'1 ,J,P~.vf.,O\ .",d< . c. . cJl~mp'qrliry,\~.~~~c~f..re~y1;\P _,,0 '. ....\ \';;.\"'\}\as;.>:(\\a\' .~~,o ,,~asO\a\a9~';'3-\\0~ , ~\Oo:l Installatio~<AlteratJim or,.Relocatiori \0 , ',!\\u'" (\\)\ ",\'3-\\'~\o\a. "~I"'v' .\ol..\\\C 20_0:-A:mps,ofCless, .~~ . \\~\"l n.tJ.b.'\' N \>o.v, ~ (\\'" _~p" ,,~v n,Q;" . 00 201tJ.ffi1'~to:400~ps ~'!i"- $ 69,00 \ ()()~1401\A1ri~\ t~\(06)A;np<;,\\-- $100.00 rZ>.\\' ~{\O' ~lo;P." \~ Qv,ef.600:Amps or 1000 VOlls see "B" above. D.(I' Braiich Circuits ' ' ---L973 Ob700 JOB DESCRIPTION 1~}4-r 1/ tI flz;jJ v Permits are non-transferable and expire if work is not started within 180 days of issnance or if work is Snspended for 180 days. Address (l.D. 6c# ::J-V7 :3 .J' City .fUr~~ ) Phone tf6-k23 ~ .Supervisor License Number 3 </97 S Expiration Dale / 0/1 /o~ Constr. Contr. Number 70 8~'7 Expiration Dale /..;2,/3 i.-J 9" Signature of Supervising Electrician YP~ (.r-' jJc..1 ~ ~ Owners Name ma-/ltJ 1/1,) ~ ,kA ~L Address /773 me. 7.;<1t!15# City S(f /_;1] Phone ?,}h -1.P7Y OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~.._ ,..~~ibs'J Inspection Request: 726-3769 A. 1 .New Residenti~1 - Single or Multi-Family p~r dwelling unit. ',I $106,O~b $ 19.00' ~ Service Inclnded 1000 sq. ft, or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 $ 50.00 j;,.~" l , " I . New Alteration or Extension Per Panel One Circuit / $ 43,00 Each Additional Circuit or with , \lI~ Service or Feeder Permit \~e~ E.I'JM~~t~~~~rf~~~~~~~:~~~~~;ist~U~tion'.1 Pump or ~Ni,QJ\\l\\l Q\lI \'21 ~~ $ 50,00 SignJOutl;~e'I:.iglitik~ ,"-' oc.\lI\UV, $ 50.00 ",'J" (\..,' r <- Limited EnerwlR&\8ential $ 25,00 t\, Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee i~SurchargeS 4.1, S,uB1'OTAL OF AB(HTE, , "I l( ~~ 3/)-- '-;so <;'2 bl~ 7% Stale Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding Fonns/Electrica1 Permit Application 1"()3.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00057 ISSUED: 02/06/2003 APPLIED: 02/03/2003 EXPIRES: 08/06/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1973 MCTAVISH CT ASSESSOR'S PARCEL NO.: 1703271306900 Springfield TYPE OF Heating System TYPE OF USE: PROJECT DESCRIPTION: Install heatpump and coil Owner: PITCHER MARVIN & VALERIE Address: 1973 MCTAVISH CT SPRINGFIELD OR 97477 I CONTRA'-J VI<. mFORMATlON I Contractor Type Electrical Mechanical Owner SETBACKS Contractor KS ELECTRIC COMFORT FLOW PITCHER MARVIN & VALERIE BUILDING INFORMATION I '1.0 # of Stories: ~O'> .~,,~ , Height of-.)\~e'" t::o- 0'1 'o~ Type odIeat:)O ",e'l. f0\:i" ,,~ I ": 'l>-~e f.>'l: '0'1 ~a~l{<rYl!\~;; ~q, ~e'" < .\0QR8ogeType:o~ ~~-.) ^e \J !l;nv e.,'C.. X\. .;s.1f".J 0" ~ "i'" oo~En~gy t~tIi: 0' ~e~'(C!. ziP v:~\ ",'li- ~e~' \)>is'~ ,,\e'" e'l.e 'i,.if:,.\V . \ ~ ,,~e rB~ ,,('\'\ _ c.oy .,~ ~o . 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',o,'.0\,,~I'DEVELOP1''''''''J m'FORMATlON I o~'" ~",. \"-' e\" el?>- ,~-,- ...\ o~ ~o'> ee; 0\ o,~~-- .' ,I\\)' . ^'" ~ O*flay.Dist: ,,'" ~\\ '" \'" ^~- < I ,,'li- ~e~ l!.Street Trees (" ,^' Paved Drive Rqd: License 70889 460 Expiration Date 12/30/2004 06/27/2003 Phone 541-686-6236 541-726-0100 # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport: Sq Ft Other: Impervious Surface Area: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: % of Lot Coverage: \\\~ ~\)~~ .<. \'i: .."t \S IPUBLlC IMPROVEMEl'fX:Sfj..\'~~,?~':~~ 'i:\)~ Co' c.~l' a. \~ .C'\\l\" ~,\\~\.~~~ "'\)~'i)~\' ~'O~Si'dewalk Type: ~ \\\S ,?-X:; ~\1-~'i) \)\l- \S \l'i).DownspoutS/Drains '\ ~\\\r::s ~,,~'i) '?~~ ~ ~~-x:; 'i)~ "~~" \ 'O~ Notes: 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00057 ISSUED: 02/06/2003 APPLIED: 02/03/2003 EXPIRES: 08/06/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated Total Value of Project I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Aller, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Receipt Number $4.50 $3.15 $43.00 $2.00 2/6/03 2/6/03 2/6/03 2/6/03 1200200000000000660 1200200000000000660 1200200000000000660 1200200000000000660 Total Amount $52.65 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. I Reouired uectionsJ 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 1 have carefuDy 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 descrihed 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 wiD be used on this project. 1 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 Signatnre Date 2 of 2 SF!RfJfaFlELD; - "~l Iak:~',,~'--"'~'.~"'-~~"~'~' " ", . '-;.'-.-, i - I",p. i ,-,",.._.",' ~.",' '.. ~'.. A ....n_.___'"_,__.~____ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Nnmber COM2003-00057 COM2003-00057 COM2003-00057 COM2003-00057 Payments: T)IIe of Payment Check Paid By KS ELECTRIC Description Add, Alter, Exlend Circ Receipt #: 1200200000000000660 Date: 02/06/2003 Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Received By Check N umber Confirm No djb Page I of I 2/6/2003 '- Il:04:26AM ' .' City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 43,00 2,00 3,15 4.50 Line Item Total: $52.65 How Received Amount Paid In Person . Payment Total: 52.65 $52.65 cReceipt.rpt