HomeMy WebLinkAboutPermit Electrical 2010-3-18
03/17/10 WED 16:27 FAX 5417263689
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Electrical Permit Application
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-.CITY OF SPRINGFlpLD, ORE~pN
225 Fif.h Stree'.Springfield, OR 97477.PH(S41)726-37S.l+ FAX(S41)726-3689
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CITY OF SPRINGFIELD
141002
SPRINGFIELD ';;;p~t;';,'j-.":i:_,
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'.'OEPARTMENT USE ONLY.
(ovV/ z...o (0 -00 ~
Penn it no.:
Date: :s -/ &-- /0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not staited within 180
days of issuance or if work is suspended for 180 days, .
.' "'LOcAl:90VERNMENT""I"~OV);t.... ..
Zoning approval verified? 0 Yes 0 No
........ :~TEGORY:OF:C.ONSTROCTION'::;;...
o Residential 0 Government Commercial
ii!i,';ij"~..stre~RIIliAll9N~\\I.N~;LJ:!c.AT!QNJ'i~:f;f;:i'
Job site address: 3 2 1 G,,.:IT€ lAM
city:5f'Jn"-'0~o Stale:ofL ZIP: 57({7
Reference: 17 0.3 I S3.3 Taxlot.: Cr~O
-OESCRlP:nONOFWORK-':- '.
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City:
Phone:
E-mail:
Signature:
.C.ONTR,AC.1'OR INSTALLAtioN
Business name: S IE:
City:
Phonc:
E-mail:
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'0' ~ft'
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440-2584-) (9/08lCOM)
'~.1':'Vi~,.,,-,ij~1"Jf.~;:'{fJ11E"';$eRE~Vl"Et.? "':]3"1,?;;:i!":;";~.'!-!"
".Total'
:'< ~~st.-.
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $: 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteraJion.! relocation
200 amps or less (2)
$.81.00 $
$' 95.00 $
$158.00 $
$205.00 $
$<169.00 $
$ 63.00 $
f 63.00
$: 87.00
$126.00
$
$
$
I
yolts, see se~jces dr feed~ section above
:. new, alteration. extension per pakel
a. Fee for branch circuits with purchase of aise'rvic~ or feeder fee:
Each branch circuit
$
b. Fee for branch circuits without purchase ~f a serYice or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or fteder ~ot in~luded.
Each pump or irrigation circle (2) ! $: 63.00 $
Each sign or outline lighting (2) $: 63.00 $
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (1)
$
.00 $
$
fee. and .nrcharges (A througll C):
$
$
$
t!L
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00336
ISSUED: 03/18/2010
APPLIED: 03/18/2010
EXPIRES: 09/18/2010
VALUE: $ 14,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 3521 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703153301300
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replace freezer and condensing unit
Owner: BP WEST COAST PRODUCTS LLC
Address: PO BOX 5015.
BUENA PARK CA 90622
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
BOYLES ELECTR]C INC
ALASKA MARINE REFRIGERATlOIll
License
137002
]67810
Expiration Date
04/09/2011
12/28/2011
Phone
503-668-7440
206-595-5353
BUlL I TlON
. . 0" \'3. e Ole e se Q\-
# of Vnits: ',Oleg 0 'o~ '#'Vb,s)ll~~f)~-\l 'o~
Primary Occupancy Group: €.~"'i\0~ '3.00'?W "'i'(\O~:'i~/I~~~tr\W'&~1l
Secondary Occupancy Gro~>tI t~\e cel\\e~\()\'(\~II\!l'!lP\~'Ii\l:;'?'(\O \,\0"
Primary Construction TYP&O\~'le'3.\IO;'()()\-() lo\i1r. ~O\~.I\'lfYIW>\I\IC'3.
Secondary Construction T~O"'~ 9'6 u (l\a~ 0 \,el, ~'Wg;i\'ij\~~'!it>,l'
# of Bedrooms: '" Q9()':0 \'(\e eel' ole<rl\~r.ltJI'iPfilh:
o Ca\\I"Q, \01 \'\Ie \S \~rinkled Building: n/a
~ V''Oe~ - G.""et
\\Vo v
I DEVELOPMENT INFORMATlO~
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carpnrt
Sq Ft Other:
Occupant Load:
REQUIRED PARK]NG
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
.'. .;'
I PVBLIC IMPROVEMENTS ~
H(
",') ;
,i..:/ ~'f,.'
Sidewalk Type: . '1\<(.. ~I;J~(),\
Downspouts/~~~~ \~ ~
. ~"" ~~\';, '?~~'i:.1;J ~()
~\)'\\~\~~~I;J~~~I;J\~ 'r:~~~()
,\'1\\';, 'I\\)~\LX; ~I;J \)~ ~\\)I;J.
\'-~'\ ~'i:.~" ~ ,?X;
,,\)~ ,'O\::' 1;Jtf.
\'.~'l
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
, '1"
Paee 1 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00336
ISSUED: 03/18/2010
APPLIED: 03/18/2010
EXPIRES: 09/18/2010
VALUE: $ 14,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
'J ~ "
Description
Tvne of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Mechanical-Value
Amount Paid Date Paid Receipt Number
$8.76 3/18/10 2201000000000000256
$22.17 3/18/10 2201000000000000251
$3.65 . 3/18/10 2201000000000000256
$9.24. 3/18/10 2201000000000000251
$55.00 3/18/1 0 2201000000000000256
$18.00 3/18/10 2201000000000000256
$184.75 3/18/10 2201000000000000251
Total Amount Paid
$301.57
Plan Reviews I
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To Request an -inspection call the 24 hour recording at 726-3769. All inspections 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.
l....PeouireCUnsnections ~
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.
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. . c, Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,:,
i ~.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00336
ISSUED: 03/18/2010
APPLIED: 03/18/2010
EXPIRES: 09/18/2010
VALUE: $ 14,600.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 Springtield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre 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 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 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 Signature
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Paee 3 01"3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
.2201000000000000256
Date: 03/18/2010
1: 11 :05PM
Paid By
BOYLES ELECTRIC INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
18.00
8.76
3.65
$85.41
Job/Journal Number
COM20 I 0-00336
COM20 I 0-00336
COM20 1 0-00336
COM2010-00336
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
CreditCard
Amount Paid
DJB
018912 In Person
Payment Total:
$85.41
$85.41
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Page 1 of I
3/18/2010