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Home My WebLink AboutPermit Electrical 2005-3-23 .Ii -- '" " ~ ~~ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753' . FAX: (541)726-3689 ELECTRICAL PERMJT APPliCATION ' ?, ,$~,,' , CityJObNum~~r fJJm;).()as - D0305 ,Date ~1jt~t.~ 1. ~;L6CArr@N?eF~~ilj1iM 3. T'-is^:--;;.u"-:'''fiEtOTA~~~ '\ Y-~A=-S.p- " -. -,='---'- " "'>~<> . i o'r~~~~6 ~t A. ~w1R:sid=t '..w~ ;r. .iwtl; . ';~" ~~illi.~!il. ~J~~ . _f..-..L ". \ZI;'- iX!. r ~ Q> servl, ce Included "~;> ~ C}~~ ':"" I ;r / .-- 1000 sq, ft. or less . 1>I!!\.00 .l.U.1.Il..-- Each additionai500 sq, ft, or 0..~ "~" " portion thereof' . 7,<""-,1 '\ S 19,00 . Permits are n.on:transferable ~nd eIpire~ work is. Each ~~'i-~;? Home, or' ~ "- ~ not started WIthin 180 days of ISsuance or if work IS ModulilhDwellmg Sel'Vlce or IRF ~THES5000K ' Suspended for 180 days. ' 'FeederfHIS PERMIT SHALL EXP Q . , .-..,-~ '."''''''f1..li!'<: D~.?MIT I~J~~ . '~~""''''''''~A''-:Affi.4:~'';~.r: t?~~~~.l!)t"-~~~<!l;,\r.'",~'" ~""~<;;\I~ 2. GUlY:i.~?Tq 'IN~'R' , \T.!f!.. .,Jl,lYEl('. ',B. ~~~~~~~~~~!!~~ti~t~J~~ " I ...."."'''' ) /.) HIY.; p,n DAY PERIOD, Electncal ConlrllctOf=><1 C/A../Y/v .uL tJlI /JJL 200 Amps or less S 63,00 , s"., _ 201 Amps to 400 Amps' $75,00 Address :t<;-;;''!(!A),I(OM Dr 401 Amps to 600 Amps SI25,OO 601 Amps to 1000 Amps SI63,OO Over 1000 Amps/VollS S375,OO Reconnect Only S 50,00 LEGV'\5~W;O~'LD DloXD JOB DESCRIPTION l,UYfu u... h(3'\A. ~ ~~ City tl"4 Phone 3'1I/-Y7I/r" Supervisor License Number 4-73 C) - S Expiration Date 10, au Const!', Cont!', Number 15'& 7/;;> ( Expiration Date 1(/ .,.. 6:;- Si~U;;pe1?;;[ I Owners Name iA.); (LI'ewv. J)e.J..L A,ddress ~\ ~,.cL. City~ Phone OWNER INST ALLA nON C ~"'.""'""~'s' """"~="''''F-''''d''''--==-\'''''..IJ'<C'';~' .>,..' "",'<C'~ . :em or "i erYlcesror:-' :ee ersr;~i;' ..... .....'X..'::.W' . ',,-' g.~ I1tE- - ......p,~, ~.,_,_.l.,~~..._l~ _'_...~' ~~.^, _~G.".Vi:~...-/'4\: ....._., ~". Installation, Alteration or Relocation 200 Amps or less S 50,00 tW~~~_law requl'.... vntJ toS 69,00 fgRb_ll'gOO~'bY the Oremin Utllit1100,oo N~OO~'olr.I~w.l~'~<;)alI6t"W~h 1"""'.......""."""'il'IMlrr'\' nn':Q1l....,o.,.",,'" ''''''''''~'\f..", ."",,,,,,,,'!l:J a '~Dc.!-~?W~cB~ ~~~~'~~.l~Ve~~~~'i5~%~:OC";~ O~'i1~i~,~8l9rWef.x{Flli ~tf1~_hone 88~.J~\~~r the Oregon U~lIity NntificatiolS 43,00 ~\.cti~~!lAMl QrflllQ~~~2344). Service or'F'~'iletPOnmt S 3,00 E. ~~!t1f([t~M~~:~)~~l!t~ The installation is being made on property I own which is not intended for sale, lease or rent ' Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial S 50,00 S 50,00 S25,OO S 45,00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges Inspection Request: 726-3769 ~~j~,'I;Ie"""":;'~:'.";=';~~~~'I'l.I'~ l>~1 ... jl cJD- 4. e,SUBTOT..4ft.:..QJf/ABO, ",' . '1 . ,,~""""""'''':'~1'''''''~' "'", ,,, iOe:" .N~ 7% State Surcharge 7. L/- J-. ~~ :~-'~ ;~~~~ \j Shared Drive(T'YBuilding FonnslElectncal Permit Application l-D3.doc Owners Signature: . . U J 1:' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00305 ISSUED: 03/17/2005 APPLIED: 03/17/2005 EXPIRES: 09/17/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1474 A ST ASSESSOR'S PARCEL NO.: 1703363200600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Whole house rewire Owner: WILLIAM N BELL OREGON LIVING TRUST :\OTICE: Address: 821 NORTHRIDGE AVE THIS PERMIT SHALL EXPIRE IF THE WORK SPRINGFIELD OR 97477 AUTHORIZED UNDER THIS PERMIT IS NOT (;()iVlNlfNCED OR IS ABANDONED FOR , CONTRACTOR INFORMAl'ION, IJAY PERIOD, Contractor Type Electrical Contractor JOSEPH BUNCH ELECTRIC INC License 156761 Expiration Date 08/21/2007 Phone 541-344-8745 BUILDING INFORMATION I # of Units: Primary Occupaucy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: , Occupant Load: nla Street Improvements: Storm Sewer A vailahle: Special Instruction: I DEVELOPMENT INFORMATION I REOUlRFnpARKING , on law requires yOlTtu Overlay Dist: ATTENTION, Oreg db the C1ie~ Utility # Street Trees Rq!l~ow rules adopt\h Yse rul~a.!!PjClll4lQIlh Paved Drive R'I4!btification Center, ~roughqy)llP~-001- % of Lot CovertwOAR 952-001-0010 t 's of the rules by Y obtain cOple 0090, Youma. __'M INnte: the telephone I PUBLIC IMPROVEMENis;I'~r .;~~ ,the Oregon Utility N04l)llIc.auv," > '<; 1_ROO-332-234 ' Cesili~WalkType: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: DownspoutslDrains: Notes: I Valu~tion Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . Cll1' OF ~nUl~uJ<U,LD Building/Combination Permit PERMIT NO: COM2005-00305 ISSUED: 03/17/2005 APPLIED: 03/17/2005 EXPIRES: 09/17/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fl'l's Paid' Fee Description + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft Amount Paid Date Paid $10.60 $7.42 $106.00 3/17/05 3/17/05 3117/05 Receipt Number 1200500000000000340 1200500000000000340 1200500000000000340 Total Amount Paid $124.02 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. I Rl'nllio~nsnl'ctions' Electric Service: Approval required prior to utility company energizing service. 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 Date Paee 2 of2 225 'fifth Street ;pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00305 COM2005-00305 COM2005-00305 Payments: Type of Payment CreditCard 3/17/2005 . RECEIPT #: Description Residence Wiring 1000 Sq Ft + 7% State Surcharge + 10% Administralive Fee Paid By HAROLD HENRY ~,"~'.',"'",',',"r:afI,""'!!-O,_, "__,..,.._", ", Wit..' i ^'~ ,,"'" j j ,j :1" 1 ,"", , ~ of Springfield Official Receipt eelopment Services Department Public Works Department 1200500000000000340 Date: 03/17/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 307605 In Person Payment Total: Page I of I lO:OO:13AM Amount Due 106,00 7.42 10,60 $lZ4,OZ Amount Paid $124,02 $lZ4.0Z