HomeMy WebLinkAboutPermit Electrical 2009-6-30
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.{.,.. .,Tlli.;pormit is i.sued under. OAR 918-309~OOO. Phmlts arc nontransrerabl.:Permlt. expire i'rwork.i. not .tai1ed within 180
y." .':day~or~s~a~c.e ~.~.if~o~k i'isuS~e~~~(l"f~r:~8~ days. _' . - .. -" '. .... . '1)' " " .
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t ,~. . 0 Residential~' . .0 Go\'cmmcnL" _;j _ ~ CommerCial. '. ;' I " .
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> " Job slte,address. I~L..J,~ ,r7 .~ TT.P~,. . :-...' _ .tlll:T~t:()f.. ",' '_'
f': 'Cit)'''5'P..i2-(.v9 l'ii<>'4:i1 Statc:O'rlzIP: 'liI.?171 l'Uinitedeoergy(2).i,'r, ,:$32:00, $
. . Reference: nD~~A(1.- , LI'a.'lot~OV "'I:EllCblllariura<:l",edboine(\imod.ulu~. $ 63.00'
, . ~~~DESCRIP';rION:l.OF::~WORK~~~t. . .d,,~lling scrncc,or fee<le'(2), j. , '!,:;;1i:;.
.:, _.: I /#:ffti// . 3A/ew b()/4;q~':' /);J-c..'J1"y<::,,j.1 seni...;,~ fe,dirs:in,rallation, alleration, relocation'
;:1' nit .,,01-/C.'l//1/'h. 1,I2oolUT1PSI~rl"S(2) t' $81.00 $
. ~::l~~~lltifo'~P.ROP.ER1iY~OWNER~"~".'''''I''''''~~-1El .120Iro~otianips(i),., S 95.00 S
.,:_<,,-;: t~;/::~" __:> ,. _ _ _ . ,:<;;6~~l.\~1l1t!i.(~~~l-"; .
:.:~ ',,; .'.; ::J'Name: ./<eq., 2fAA/iL.-< .: ", ..., ..., , ;' hOI..' 600 rimps (2)~' $158.~ '$ :
1'_". '::0' lAddressi~.ij;.r./l,.g:7Y'Rti!1 . '. ,.'I60!tOI,OOO.mpS (2) 5205.00,..S
:.. - ' .,.I'City:;;-R,eVto/j~.pC)' I SUlte:O r' 1 ZIP:9;1Y'771'; 19"e~t:090,ampsor\;olls(2) 5489.00 $.
,,' . 'I Ph' ',: ' ,.'." 1 F'" . . ". "I:iR,ecriimecionly(2), , ," '$ 63,00' '$
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" Th'" II'" .... "d '''d' "1 'f' .' ,",1 ZOO amps or le.s (2) t, " $ 6300 S
IS msla ahon'lsv~mg ma c,on rc~l l.'l1tI8"or arm property. !" . j .' _If _ "., _ -. "<.'
ow'n'c~'~): f!lc'_o~c,.a)t!cmbcr ormy-iIn~f~i_itlc r~inil)'. :J.'his' ,.:I'201.tO,:400 amps (2) " 1:' , $87.00_ $
P, roperly IS',not tntended for s~le~.exchange~ ,lease; or rent. OAR "'I .,' ',-- " ~
479,S40(l)oitd479;S60(1)., ' ~ ,401'10600amps(2) .$126:00 ,,$.
, :'Sig~an;re:., ;'. "<'~ .' ..' . _ . " 'I.o~f~r ~o. amps, o1'1.~Ovolts. see ser,.'ic~s ~r.r<<:~~rs:~ccii(ln.u~'\.~':'
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Biisiness name: 6elUto. L:ZEc..hti).:c " InC' ,.'I.a,:'l'e~foibran'ch.'circUit< ";~lp~dl~""nra~ivi'~'o.' reededee: ' '1.
'Address:: f:'0);'6k.7.t;ZCY" "I,E""hbianCb circuit' '\1 I JS 6:00,1 $, , I
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, Ph~neJ{)3.,<f,;i>'<J:.9?'~ 1 F';":, '~~e:" ~" ,; L"firstbrancbcireuit(2) :: I' 'I,' S '55.00 I. $5'S-
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'~.:~ .,~:.:. I,Prininameofsigningsupervisor: >~re~ c- :Ji,Mt! (lr~hSign.or.l~utli~.c1ighting(2r, 5:63.00' '$
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00785
ISSUED: 06/12/2009
APPLIED:. 06/04/2009
EXPIRES: 12/12/2009
VALUE: $:'59,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 725 A ST
ASSESSOR'S PARCEL NO.: 1703354204900
Springfield TYPE OF WORK: Heating System
TYPE OF USE:, Repair
PROJECT DESCRIPTION: Replace 3 existing heating and ac roof top units
Commercial
Owner: PACIFIC WESTERN BANK
Address: PO BOX 15144 DEPT KEY
WORCESTER MA 01615
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
GEMCO ELECTRIC INC
FRESH AIR CO INC
License
61331
66155
Expiration Date
05/2512011
04125120 I 0
Phone
503-925-9998
503-692-1234
I, BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Second'ary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:'
Lot Size:
Sq Ft I'st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:,
n/a
I DEVELOPMENT INFORMATION I
Frontyard'Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Scthacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
" Handicapped:
. Compact:
I PUBLIC IMPROVEME~TS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of 3
Status
Isslle.d '
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00785
ISSUED: 06/12/2009
APPLIED: 06/04/2009
EXPIRES: 12/12/2009
VALUE: $ 59,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintio~ I.
Descriution Tvue of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
59,000.00
Value
Date Calculated
Total Value of Project
$59,000.00
$59,000.00
06/04/2009
)iP\!:- P'~i11
$61.09
$25.45
$509.08
$8.04
$3.35
$55.00
$12.00
6112/09
6/12109
6/12/09
6/30/09
6/30/09
6/30/09 ,
6/30/09
Receipt Number
1200900000000000674
1200900000000000674
1200900000000000674
3200900000000000494
3200900000000000494
3200900000000000494
3200900000000000494
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Mechanical-Value
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Total Amount Paid
$674.01
I Plan Reviews I
SUB Review
06/0412009
06105/2009
APP DH
See attac,hed documents for energy
code plan review approval.
To Request an inspection caIl the 24 hOUl' recording at 726-3769. AIl inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wilI'be made the foIlowing
work day.
I Rp(lvm~r~1nprtil''1~
Rough Mechanical: Prior to Cover
Final Mechanical: When an mechanical work is complete.
Page 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
, .
Status
Issued
PERMIT NO: COM2009-00785
ISSUED: 06/12/2009
APPLIED: 06/04/2009
EXPIRES: 12/12/2009
VALUE: $ 59,000.00
225 Fifth 'Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that 3ny"and ali"work performed shall:;be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community ServiCes Division, Building Safety.
I further certify that only contraciors 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 permitcard 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 Signature
Date
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00785
COM2009-00785
COM2009-00785
COM2009-00785
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
. Public Works Department
3200900000000000494
Date: 06/30/2009
,
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
GEMCO ELECTRIC
Item Total:
<;heck Number Authorization
Received By Batch Number Number How'Received
NJM
4491
,By Mail
Payment Total:
Page 1 of 1
10:44:49AM
Amount Due
55.00
12.00
3,35
8.04
$78,39
Amount Paid
$78,39
$78.39
6/30/2009