HomeMy WebLinkAboutPermit Electrical 2009-8-6
225 Fifth Street. Springfield, OR 97477.PH(541)726-J753+FAX(541)726-J689
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I Permit no,: (!,r~ lzfS I
I Date: :/I/;/o? I
Ele~trical Permit Application
This permit is issued uuder OAR 918-309-0000, Permits are nontransferable, Permits expire if work is Dot started within 180
days of issuance or if work is suspended for 180 days,
1~~[0qe:LI(G~:\l.egl\lMJ;l\Iifj'~B.R~PV:'#.~~~ ;gi;ls:c;;6!EEii:!~..!;
I Zoning approval verified? 0 Yes 0 No ' '~lfQ~I~GQs'6lI!r "ot
la~li;~mEG0R;Yjf!:jJ;kl!3~N$mR!!t~111(j:r\i~J~ ,. "".<'ft,:. <"'ik~"",,~~~ "~~()st
i~j~:~~~miJ;jjIN~~~~i~;~;~N~I~6\~~';'Ni~~;l!1 i ~~~:::ti;I,:,~:s:::; service inclnded: I' $134.00 $
1 \\ 'f r -r- .h' I Each additional 500 sq, It, or portion' I
Job 'site address: 7aJ,- A ~ ' thereof . $ 25,00 $
,I City: Si:lM~.d~Y I State: j/~I ZIP: ' I Limited energy (2) , I / I $ 32,00, $
, subdivi'-i~~:-V?l )O:s:r ~'i 7_ I Lot no,:OC( 7C c::) I Each manufactured home or modular I I
~=:~G~e:/1;w"~gg~!~~i ~~~~:;s~::;~:s:e;:;el:;~I;~~lon, alt~ration, relo:at~;n:: r :
l~~~~B~BERttii:(~~<WNE&li~~~~~~;;-:II~II^m~;:,~,~,~~;,~~~o :1::::: $
I Name, J~ /r/-AAA..h NOllrk';::tfjnn (',..._'"_ _, (" ,,1 \ JI ....n,...,.....p' '-" , $
1 Address: cz:;, J.., [/7 ~ "" -f- ;f~no~!,R 952-00'j :0-6; .'1:01''60111611,009 m!'p~;i7.),1 $205,00 $
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I City: ~,.o'#" A.t L? 1 State:t?livc~'I"i~)p\lh~~~ ,:btairl ci,9,yf,r 1,qg~ ~;~roPVOlts (2) $469.00 $
I Phone/ - (;!/l I Fax: !lumber fo~ ih~'O;~(JJclt'ReCO!)n,"-S\'9?)Y,(~,OY I $ 63.00 I $
I E-mail: . Genter is 1_8cl~~)~i~f!ip"~iarYis.e1:'~tsF1' or feeders: installation, alteration, relocation
, , ". " , zM-ahtpYor less (2)
ThIs mstallatlOn IS bemg made on resldenllal or fann property $ 63,00 $
owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 8700 $
property is not intended for sale, exchange, lease, or rent OAR I .'
479.540(1) and 479,560(1). 401 to 600 amps (2) " $126,00 $
Signature: lOver 600 amps or 1,000 volts, see services or feeders section above
IR~:GJ;j'N)tf~CmOR~fi\jSm~I!I!A11iI,~N~;ll);w:~1 I Branch circuits: new, alteration, extrnslon per panel
I Business name: PI/PMl OA"~_ & r.J~ 1 I I j a, Fee for branch circuits with purchase of a service or feeder fee;
Address: PO ~4-x 2r;9 ~'C'T!C"': I Each branch circuit" ., I ,I $ 6,00 I $
City;7l.U .Io.,t;0 I State: tr.1c D drZl!i'+G.;;ri1'::; 7,":J I h, Fee fo\;-b{~pch CIrCUIts WIthout purchase of a service or feederfee:
I ' I ,,-, ~t-::J,~l'!-~~ In!;: IFTH~ .,CRK
, Phone: S03 bCJJ..I J.J0 F,,*;OO~i1'l1fl ~'~R2i: IS P~j:il;jlllJr"l1!'lJIf~'1"it (2) " $ 55,00 $
I E-mail: COMMENCED OR IS ABI~N JO/il'!'fl'I'WRonal branch circuit $ 6,00 $
, I CCB license no,: 10 t, 1 SS~ I Bcd\fil:~n~gQcD.Af nJtI~R I Miscellaneous fees: service or feedef not Included
I Signing supervisor's license no,:, Jri. ;;t L/::-_.4 I Each pump or irrigation circle (2) $ 63,00 $
I Print name of signing supervisor: {tjJL./,,)J ('?AA // I Each sign or outline lighting (2) $ 63,00 $
I Signature of signing supervis ' ,. /1 JJ / pi '. r-.... Signal circuit or a limited-energy panel, ~ $. 63,00 $
, or. _ ,d,I'//t,U~~ alteratlon, or extenslOn (2) 'tf:
- / Each additional inspection: (I) u-I $58,00 $ ,I
~~"l&:L~Ji!eF.!m(;j;arNilll1Jt:f$'E~"J.2~~
~~tJ ~ -(A)"En:e;~;:ta,l'of~,ii~:V;,'fies~U- '~," $::;: OD
''''_" C\ V '\ ~n,imum Permit Fee $58.00L--! v;
<6 ~~ (B) Enter 12%s~~ch;;:"g~ (.;~A]) ,. I $ d- yo
~l.f!5\ I (C) Technology Fee (5% of [A]), I $ (:; f0
'3> I TOTAL fees and surcharges (A t~rough C): I $ (;;1, IX' (p
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CITY OF SPRINGFIELD
Building/Combination Permit
.
Status
Issued
PERMIT NO: COM2009-00785
ISSUED: 06/12/2009
APPLIED: 06/04/2009
EXPIRES: 02/0,6/2010
VALUE: $ 59,000.00
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 ~NFORMATION 1
Contractor Type
Electrical
Mechanical
Contractor
GEMCO ELECTRIC INC
FRESH AIR CO INC
License
61331
66155
Expiration Date
.,
OS/25/2011
04/25/2010
Phone
503-925-9998
, 503-692-1234
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I IUJlbDINC:INFORMA TION I
follow rules ado -t~d" 'u"' '~ytjires you to
Notil,# of,Stor-ies: p Thby the Oregon'Utilit'Lot Size:
..............1. Vt:::llter ()S I J,
in OAHeight,of Structure e ru es are set 10rtS," Ft 1st Floor:
, . ~ '- vv I-VU I V tnro h 0 r- ,<"1
0090,Ty'pe oLHeat:lar'n ug AR 902-00'8" Ft 2nd Floor:
- '''~1 uu COploS I th ~
ca'JM'fJIter8T:XP'~,:ar, (Note'~th 0 e rules b~q Ft Basement:
nUmRang' e'T,ype:" '" e telephone S" Ft Garage/Carport
" , , ",regon Utrlity N t'f' ' ~
Energyi.r.a!!!:l'800-332_234~) I rcatlon Sq Ft Other:
Sprinkled Building: n/a Occupapt Load:
I DEVELOPMENT INFORMATION ..1
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar, Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
, Handicapped:
Compact:
I PUBLIC IMPROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
NOTICE: HA~e't~pp.l!!SItJ,}r'ii'lh'i:WOR~
THIS PERMIT S ER THIS PERMIT IS NO
AUTHORIZED UNO S ABANDONEQ FOR
COMMENCED OR I
ANY; 80 DAY PERIOD,
Notes:
Paee I of 3
Status
Iss u ed
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
, $ Per Sq Ft
or multiplier
$1.00
Bid Amount
Use,Bid Amount
Total Value of Project
!?pp< ~
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
+ 12% State Surcharge
+ 5% Technology Fee
Low Voltage - Commercial Indus
Amount Paid
$61.09
$25.45
$509,08
$8,04
$3,35
$55,00
$12,00
$6,96
$2,90
$58,00
Total Amount Paid
$741.87
I Plan Reviews ,
SUB Review
06/0412009 ,
06/0512009
Square F,ootage
or Bid Amount
59,000,00
Date Paid
6/12/09
6112/09
6/12109
6/30/09
6/30/09
6/30/09
6/30/09
8/6/09
8/6/09
8/6/09
APP DH
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00785
ISSUED: 06/12/2009
APPLIED: 06/0412009
EXPIRES: 02/06/2010
VALUE: $:59,000.00
Value
Date Calculated
$59,000,00
$59,000,00 ,
06/04/2009
Rec'eipt Number
1200900000000000674
1200900000000000674
1200900000000000674
3200900000000000494
3200900000000000494
3200900000000000494
3200900000000000494
220Q900000000000887
2200900000000000887
2200900000000000887
See attached documents for energy
code plan review approval.
r ~i
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will1be made the following
work day.
Reouire1Jnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Low Voltage: Prior to cover. .
Paee 2 of 3
. _Si~~}&,~~!~W..
~f"'- if'-'", ~>
'Status
Iss u ed
CITY OF SPRINGFIELD
Building/Cqmbination Permit
PERMIT NO: GOM2009-00785
ISSUED: 06/12/2009
APPI,IED: 06/04/2009
EXPIRES: 02/0612010
VALUE: $!i59,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signatnre, 1 state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 fnrther 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 wo'rk described herein, and
'that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 wili: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. j'
Owner or Contractors Signature
Date
.
Pa!!:e 3 01'3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00785
COM2009-00785
COM2009-00785
Payments:
Type of Payment
CreditCard
cRece;l1tl
RECEIPT #:
City of Springfield Official Receipt
'Developmeht Services Department
Public Works Department:
2200900000000000887
Date: 08/66/2009
11:24:29AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58,00
2,90 '
6,96
$67,86
Description
Low Voltage - Commercial Indus
+ 5% TechnologyFee
+ 12% State Surcharge
Paid By
FRESH AIR lNC
Amount Paid
djb
$67,86
$67,86
316042 In Person
Payment Total:
/
Page I of I
8/6/2009