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Home My WebLink AboutPermit Electrical 2003-1-21 o CITY OF SL)IN6FIELD, OREGON ' (), 225 FIFTH STREET. SPRmGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION I City Job Number Ol-OO 97l.{-o1 Date ~/O'3 1. I LOCATlONOFINSTALLATlON I 3. I C01I.fPLEI&FEESCHEDULEBELOW ~\V' lf7 Y J) v'VId f\ .) t ",,\~e~~ \lSe , LEGAL DESCRIPTION \l'O",'~~~~~;Re,sidsPmI.., Single or,Multi'Family pcrdwe!1 170 Z. '3 Z If Z- 0010 I .~,eC\~~~el),-i"e' nc1u ~ ". ,,0 ",\~~ 60es \0\\0 (\0 A L ......... f l i ...~e,~~'\ ~I--o _ .' L. '" <) 't-t?J 1-0"~,0"'" 1 o';'''\-cO _ I J' Permits are non-transferahle and expire if wor' ,,,,,,\\lle not started within 180 days of issuance 0'dl'~\'Or1.j!; ""~ Suspcnded for 180 days. ~\l\~01' 2. I CONTRACTORINSTALLA,TlONONLYI Electrical Contractor {2. ohJ Eli. (,,1 h ~ JOB DESCRIPTION $106,00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B.I. S~r\:icesd;.F~eders - II~Sl~II.~tio.I~, 'A.lt~;afi~'lls'or:R~location:' Address 2 I ~ S- 0/1/0 fl 686- .riYy' 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN oIls Reconnect Only $ 63.00 $ 75,00 $125,00 $163.00 $375.00 $ 50,00 City /3."'(,(r-c.. Phone Supervisor License Number c. I T.mp-Ofa.xServices,or Feeders: I Installation, Alteration or Relocation $ 50,00 $ 69.00 $100,00 Expiration Date , .' $ 43.00 t/3..!il- ~ .P~ Owners Name S $ 3,00 Address ~ '7 '-I D V''' .-; ~ City 5;;(://,41' W- Phone OWNER INSTALLATION Pump or irrigation The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspcction Requcst: 726-3769 TOTAL Shared Drive(T:)/Building FonnsfElectrical Permit Application 1-o3.doc ......~:,~--- ~.. WIt. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-00974-01 ISSUED: 01115/2003 APPLIED: 08/13/2002 EXPIRES: 07/15/2003' VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4740 Main St ASSESSOR'S PARCEL NO.: 1702324200101 Spr TYPE OF TYPE OF USE: PROJECT DESCRIPTION: Replacing unit heaters with 2 gas furnaces and ductwork. New Commercial Owner: Salcha Enterprises Address: 4740 Main Street Springfield OR 97477 Phone Number: (541) 747-7900 I CONTRACTOR mFORMATlON I Contractor Type Electrical Mechanical Owner Contractor DAVID ROBERT LAWLER Service Specialists Salcha Enterprises License 146149 Expiration Date 09/25/2004 Phone 541-461-9409 (541) 736-3940 (541) 747-7900 # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: 'IOU IV BUILDING INFORMA nON I )/'l {e(\\l\{es , \}\iliW . 'O{e90{\ Ia: ne Q{e90{\ p,\ \O{\~ # of Stones:. N\ION. ~edb'j\ \J?'>!'5lfe:' ,(}(}'\' Height "fit:. \lIeS acto? ,nose {U:'sq~l\IS'i>~~Q"0'4 Type ofueaH \{\ ce{\\e\(}\n{OU9t'S~~t,,1nQlFIi:gr: WaterJyp~~a\\ 5Z-O(}'\'(}(} ai{\ CO?iefS~ ~'1!~Il.~'1,~\ Range ;rme:P- 9 U l'Oa'4 ob\ ,~o\e', ~e ~9!ii:li~Carport EnergY81l~:'~o \nece{\\0{. O{\U\!il\\~l/!er: ca~~{\O{\ne~~~~OO_'3'31n1>-ervious Surface Area: "J'" ~-~..-.. I DEVELOPMENT INFORMA'f10N I REQUIRED PARKING SETBACKS Frootyard Setback: Side 1 Setback: Side 2 Setback: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: IPUBLlC IMPROVJ:,MI'NTSI IRE If I\'1E 'NOR\<. . ,'tV ~ ~tRNlll S\'I~~ff;l~ ~^Il IS \'401 ~I\'10Rll.EO U~~qg~p,&illOtjFJ?rlOR CONlNlt\'40COE~ PERIOO. (>.1'4'( 18 ' Notes: 1 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-00974-01 ISSUED: 0111512003 APPLIED: 08/1312002 EXPIRES: 07/1512003 VALUE: . Status: Issued 225 Fifth Street, Springfield, OR ' 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I Desc ription Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project Fees Pa,id I Fee Description Amount Paid Dale Receipt Number 8% Administrative Fee - Mechan $3.60 8113/02 10270 BWOP - Mechanical $45.00 8/13/02 10270 Less than 100,000 BTU $24.00 8/13/02 10270 Mechanical Issuance $10.00 8/13/02 10270 Minimum Mechanical Permit $17.00 8/13/02 10270 One to Four Outlets $4.00 8/13/02 10270 State Surcharge - Mechanical $3.15 8/13/02 10270 + 10% Administrative Fee $4.60 1/15/03 1200200000000000560 + 7% State Surcharge $3.22 1115/03 1200200000000000560 Add, Alter, Extend Circ $43.00 1115/03 1200200000000000560 Add, Alter, Extend Circ Ea Add $3.00 1115/03 1200200000000000560 Total Amount $160.57 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. UeouiredJnsnections I 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 2 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-00974-01 ISSUED: 0111512003 APPLIED: 08/1312002 EXPIRES: 07/15/2003 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certity 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 described herein, and that NO OCCUPANCY will be made of any structore without permission of the Community Services Division, Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 wiD be used on this project. I further agree to ensure that all required inspectious are requested at the proper time, tbat each address is readable from the street, that the permit card is located at the front of the property, and the approved set of pia us will remain on the site at all times during construction. Owner or Contractors Signature 3 of 3 Date l~;-;a ---= ~ 111:: ~, I . '-_ 1 < ..c=""~ '".,,- '^.. ,,~,..._.a_ 225 Fifth Street Springfield, OregoD 97477 541-726-3759 Phone Line Items: Job/Journal Number 02-00974-0 I 02-00974-0 I 02-00974-01 02-00974-01 Payments: Type of Payment Check Paid By Description Add, Alter, Extend Circ Receipt #: 1200200000000000560 Date: 01/1512003 Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee RON OTTOSEN Received By Check Number ConfinnNo djb Page I of I 1/15/2003 ~ 2:45:53PM City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 43,00 3,00 3,22 4,60 Line Item Total: $53.82 How Received Amount Paid In Person 53,82 $53.82 . . Payment Total: cReceiptrpt