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Home My WebLink AboutPermit Electrical 2005-3-29 2251'11' uI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number LOIAA. -z..doj~ 00 3 Z, 7 1. 5/1.. ~~'!'I~ wl+--t' I LEGAL DESCRIPTION 17D3 ZZ\Z- JOB DESCRIPTION 03700 11- ~ i) Z- C-t ~ -; J-s. , Permits are non-transferable and expire if work is ,r. not started within 180 days of issuance or if work is Suspended for 180 days. 2. B. Electrical Contractor _,..Jo~eyb '!)fMlA\ f!/ocr .tnc Address lSZ5w ,1l0Y\C\ 'Dr- . Phone (?1tft.{- - 'J7 l{( City . E\MQX\-l \ Supervisor License Number '+73lf-s Expiration Date _ I D I 01 I 07 , J Constr. Contr. Number 2-0 - % ~ J;S676/ Expiration Date I {) / O~ / ?J /0 7 / r:Ofhr::rcmn Owners Name \cM~/~';'7< i2(V\ c- S S Address Sf'7- u-n-~i,ifAL~..tV E. I City S?F~ Phone 96&- l.(7')L OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 J/z.71o ~ ~ ~_ I 'Date 3. 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only ,<nr.t:' $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~\.\THOR\IED UN ." 'Ir\ONEO F()R Insta ation Altel'atiorilOl' \l!eloEati'on '{j\VlfVlt.\\!\.JL-crc;,.. . 200 AmRs.ol1less DAY PERIOD. $ 50.00 AI~I \UU 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Am s or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel I One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 L/1 S ( Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ifb S"Z ybo 5"3 8 z.. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)!Building FonnslElectrical Pennit Application I-03.doc ~ ~~~.~,I.~~E!~~.~; ~1 ! ); Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00327 ISSUED: 03/23/2005 APPLIED: 03/23/2005 EXPIRES: 09/29/2005 VALUE: 225 Fifth Street, Springfield, OR \ 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 512 CARDINAL WAY ASSESSOR'S PARCEL NO.: 1703221203700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: KATHLEEN RINESS Address: 512 CARDINAL WAY .SPRINGFIELD OR 97477 Phone Number: 541-988-4352 . I CONTRACTOR INFORMATION I ~: ~t~ Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 Expiration Date 08/21/2007 12/23/2005 Phone 541-344-8745 541-747-7445 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Aype.?-f.HO~: . Sq Ft 2nd Floor: ,Wa't~r 'Ttpe: : Oregon law requires YOUIt5t Basement: Nf~~Yt~iTYP~fidoPted by the Oregon ~i'u Garage/Carport Clllf/C;:Jtl('~'1 f'ente Th ~r . Ehe~g~;Yaffi. r. ose rules are se$4dffl-Pther: . I~ ~&}inm~a-BQiIdi{ig:O throu9tntaAR 95~OO\Rant Load: OYD..YnIJ m~l' nht",i.., M~.~:._ ,. f 11 I .. , .. - -1-0-"': - '\;jo IU Q.-, uy I DEVEbePMENIf ~NIitf)~(f)~telephone IlUIIIUt:1 lor me Uregon Utility Notification REQUIRED PARKING Overla9lJUr:r is 1..800-332-2344). # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: R-3 ~: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHOHIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, 4". ." 11~ :- Page 1 of 3 .....~~ -~ ~~FJp,~.,g~I:gb;RJ (1~!I"'J!j1<.!!,L "}:, -",) ~. ", ,Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00327 ISSUED: 03/23/2005 APPLIED: 03/23/2005 EXPIRES: 09/29/2005 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone : 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage ;or Bid Amount Value Date Calculated Total Value ofPi'oject ~ Plan Reviews I "t.. "'1- ,. 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. L..ReouireCUnsQections 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. Page 2 of3 $~RI,NGF'JiliL'P,' I~r ...".",. -., "..."' ,,~.<..,..~, -=-;,~ " !t 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: COM2005-00327 ISSUED: 03/23/2005 APPLIED: 03/23/2005 EXPIRES: 09/29/2005 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 Page 3 of3 Date 225 Fifth Street .' Springfield, Oregon 97477 541-72'6-3759 Phone City of Springfield Official Receipt relopment Services Department Public Works Department i Job/Journal Number I;:COM2005-00327 COM2005-00327 COM2005-00327 COM2005-00327 Payments: Type of Payment CreditCard I 'r, .,.\;, " 3/29/2005 RECEIPT #: 1200500000000000385 Date: 03/29/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 494477 In Person Payment Total: Page 1 of 1 2:29:41PM Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82