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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