HomeMy WebLinkAboutPermit Electrical 2003-7-31
22S FIFTH STREET
;":' SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
2735 . Loop 'VV\A ; I'J.. 1.0 I
I
LEGAL DESCRIPTION
JOB DESCRIPTION
AlC Heat Pump 2-2.5 Ton & outdoor plug
Permits are non-transferable and expire
if work is not started within 180 days
of issuarice or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor JB ELECTRIC. INC.
Address 4685 Isabelle 8t.
City Euaefle. OR 97402 Phone 541.687.5770.'
Supervisor License Number 38728
Expiration Date 1 0/1/04
ELECTRICAL PERMIT~ ~LICATION
City Job Number CoY/'fCQ3- (1)0 &? d has the following
Tile following project as SUUIIII, e .' Ide
~,nl d does not require specIfic an us
3.. COMPLETE FEE SCJW2tJt~ BELOW L \> f\-
Zoning -r _'2..., _~_\
A. New Residential-Single or I ') _
Multi-Familyfp"JPdwellmg unit. ~.
Service Included)unzed Signature II
Items Cost Sum
c ull es yUU lU
1000~. ft"-Pfr\~oregol\ laW IB'j r n$J}~i~ $
Ea(Ailal1i~h~~~~oPted by tne Ul 09"0 set ion:
~ tA\\s)~JMb'tS Th se rules are
,g ~ --'1'-'-----center. 0 OAR 9~2-00
t~~cat'o~"O01_001 0 through IJfe~O\ $
PM~~"1'Hj'me Qr....' opies 01 l\.e
l\"",fttl(A. tf~M,may ootalO(NCote' the te\ephO~e
H~IIl. I~Ilg nter. ' 'f atlon
Servi~l1il~~ ce Oregon Uti\ity Notl ~u.oo $
nu<<lber for the. 1-800-332-2344).
B. Services or FeederCenter IS
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$63.00 $
$75.00 $
$125.00 $
$163.00 $
. $375.00 $
$50.00 $
Constr Contr. Number 37587C
CCB C. Temporary Services or Feeders'
104929
Expiration Date
10/1/03
3/14/04
~
Owners Name: Donald Bramley
Address
City 8orinafield. OR Phone 736-1237
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
f9!" ~1!!~, !~~~~ 9!" !"~nt,
Owners Signature:
JB Job # 03-546
~
200 ~7ii'[ less $50.00 $
~O~ ~Ito 400 ILL EXPIRF IF 1HE WOO~o $
q~r~<REtgt5.MJ 'Ace J!W~ D~RMl1I$OOl)o $
CMtT6~fiWl~o,~ etl--VISloA~A~OONED FOR
B ~~~ENCED OR . .' $
. ANY 180 DAY PERIOD.
D. Branch' Circuits
New, Alteration or Extension Per Panel
One Circuit 1. $43.00 $ 43.00
Each Additional Circuit or with Service
or Feeder Permit . $3.00 $ 3.00
E. Miscellaneous (Service/feeder not included)
-Each installation
~!TIP 9!" j!T!g~!i9!!
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$)0,00 $
$50.00~ $
$25.00 $
$45.00 $
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
10% Administrative Fee
$45.00 $
$
$
46.00
3.22
4.60
TOTAL
$
53.82
-~:it..... _!~~~. ....... '. i...
WIL. ........ i
-' f
......" '-
. -~_.,.__,.,,_.._ '."""~_;7"'-=<O~""" ' .. ,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00685
ISSUED: 07/30/2003
APPLIED: 07/30/2003
EXPIRES: 01/31/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2735 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251406600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump
Contractor Type
Electrical
Mechanical
ATTJ=NTI()I\.'(lr"\3"''' I">'" ~~"~'-""'':': J ~ ~ .~
Owner: BRAMLEY DONALD E follow rules adopted by the Oregon Utility
Address: 2735 MAlA LOOP SPRINGFIELD OR 97477 Notification Center. Those rules are set for
Inf'\aClQc')J\n1nrHn+....__....'_ r"n ~~Q ~.;'
- -..! '..._,c.~\' .,J, . "'-'-.JL. vv
CONTRACTOR' ION tain copies of the rules i
ter, (Note: the telephone
nUttlbf{tp~.t~@ Ores28iW~itm~~~atRone
. I~M\pris 1-800-&37{4~d4l). 541-687-5770
25790 12/23/2003 541-747-7445
Contractor
JB ELECTRIC
MARS HALLS INC
I BUILDING INFORMATION.
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
SETBACKS
I DEVELOPMENWijOifMAN~~ ^ll EXPIRE IF 1HE WORK
iHl~ rt:.n(v'N"OER 1HIS PER~~UiDED PARKING
. L\U1HORIZEO U r;}, t:.f"\.Q
Overlay DIst. I=NCED OR IS ABANOONEllonn:\
# Street TrJeOR.~J:- X PERIOD Handicapped:
Paved Driv~d~ 80 OA . Compact:
% of Lot Coverage:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pae:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2003-00685
ISSUED: 07/30/2003
APPLIED: 07/30/2003
EXPIRES: 01/31/2004
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$10.00 7/30/03 1200200000000001862
$4.50 7/30/03 1200200000000001862
$3.15 7/30/03 1200200000000001862
$12.00 7/30/03 1200200000000001862
$33.00 7/30/03 1200200000000001862
$4.60 7/31103 2200200000000001331
$3.22 7/31103 2200200000000001331
$43.00 7/31103 2200200000000001331
$3.00 7/31103 2200200000000001331
$116.47
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.
~eouiredJnsnections ,
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.
Pae:e 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: cOM2003-00685
ISSUED: 07/30/2003
APPLIED: 07/30/2003
EXPIRES: 01/31/2004
VALUE:
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 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 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 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
Pae:e 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00685
COM2003-00685
COM2003-00685
COM2003-00685
Payments:
Type of Payment
Check
Receipt #: 2200200000000001331
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JB ELECTRIC INC
Received By
ddk
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department .
Date: 07/31/2003
3:15:19PM
Amount Paid
Item Total:
43.00
3.00
3.22
4.60
$53.82
How Received
In Person
Payment Total:
Amount Paid
$53.82
$53.82