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
. N" ..- -"..- .n.. .~._ ...,_ .".0.
',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
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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