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Home My WebLink AboutPermit Electrical 2005-3-10 _ . . I .. 3.... I~ 225..1"'.11 STREET . SP~GFTELD,()~97477. PH:(S41)726-37S3 'FAX:(54il1iW~ . ~ ~~-., , ELECTRICAL PERMIT APPliCATION' '. , _' f~ "~{ ~.,O' ~.c, .. ~ .J CityJobNumber CDI'\II7.o0S-':"'OOZ\"'{) Date, ~i~ ~ OO""~""/ ',.. ",' . 'I' " ,.,'0, ''',. . '. ' 3. [9:Yiii-~1P:EEf~ '.,.. - -'-' "{8~,' '.'''!iP!t.' . ., l$~~ ~~.;;",..,'-~:,~~ ~'., A. ~W>.Kesldentilil~SlI!gl~or; ,ultL a Service Included 1000 sq. ft. or less Each additioual 500 sq. ft.,or portion thereof " ..... 1. ~Uc;rTIOROEillV~TIOM,~~#tIOil. U~::.:.~."...,.,.,.,:::.io -~-''''~~.'"'''-'''_~'''''''.s--''''''''''''-'''''''''-~ i 17~ ~/A--"""'c~ J S~ LEGAL DESCRIPi10N 1703>3 l-( 2.-LI oo'l.t L.{ JOB DESCRIPTION Abb. C( {L C-lA ~ I-:s "3. : Permits are non-tr8lUferable and expire If work is Each Mauufact'd Home or ... not started within 180 days of issuance or ifwork.is Modular Dwelling Service or S5000 ' Suspended for 180 days. . ATTE~..~jJ: Onlgan..,...r'~ . 2' 'l(eiJNJ1iIDl:cro7i'{JNST;;Trrt.&tTIOm,'OMT:.~~ 10110.8'1 ~~.~{lt!iR1'\~6i'if~~1 . r.,'''''''>.........."".",''''"--''',,-,.,...,-..~~~!l Notifice:..' . , .' . .,. . .' iiF~""-~ ."*'\11 Electrica1Contractor,.Jl'I5e.Pb 'f)an~. \ . tc !!tntRI2~~:~=CJ1tt\erul8SW $63.06' . 0090.. ~~(NBm:U\8ttl1&ptlOllt $75.00 . Address 7525 l;JllloY\cft. Dr ,'. ':-~3 f~d~MIi1ityNutiilv.dI~ $125.00 , . ,I r 600_.:J~2344). $163.00 City F=:\MQX\..t . Phone:!:f1...Lr-~7~ Over 1000 AmpsIVolts S375.00 \ Reconnect Only $ SO.OO Expiration Date ; D I 01 10 '7 ., I Constr. Contr. Number 2-0 - % ~ U /SIP?!; I Expiration Date I {) I O~ / 'if /07 . / rp'g:;'l~ Owners Name )ceN' ,rl-DWlkS J I "'>... I E. Ij.(Mfs"t-ffiiffi'€ct1rf,tS~ma~=a.rd~rd"i:i'ffi1ffifl1ijjltll'tn"l Address 7"3 JJ/~ c:!.. P':",--.-.:.-...~~,.,.:o:;:;--=-"""r..:..~~tr..-,;,o<J.'--'~"~' .>>rI....._~.~-:.....,.-,,:;a City 'S f:o/"" I"::.. Phone 7'17- o/)'b Pwnp or irrigation S50.00 SigulOutline Lighting S 50.00 Limited EuergylResidential $ 25.00 Limited Euergy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges ~, . ,~.;?,~,",~...,.,..,~",:_^..~.. J,j);' '." ,.. .":SUBTOTAI;::O~''AB,O.VlU:' .. " .'" ,,;m; II q ~~--$t....,.~",'W.It~.~;'l>.L;;".o1;f:-&~~l.-'" .- . ,~l' ~-'::-~ ' 3Y3 '-190 57 :r~ Supervisor License Number tf 7 3L1- -S OWNER INSTALLATION The installation is being made on property I OWD which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 r\l\Q,' ,()f\ W" lb' c. ~'ln"'o';:""'i\yrSe~'''ces;br:'F'efd'~~,'' .....'iB,;...'f':a'i!,"i''''',~.il~'''',....\I .,,,,,,,P,,,, ,~!:'i --'":!~, ._._~ _.~~._.5~~~~(;!;,,~11i~~-:~~ InstaDation, Alteration or Relocation 200 Amp,s or less S 50.00 lOPlJiPiti:, 400 Amps S 69.00 4b111&Pp'iI~MoowmiM EXPIRE 1~Tl-II: '~$JP!IIOO ~J~RI ~oY~!QOOrvJI\iIWfIfr~8l\O.,Jt; NOT '. ;.;J.",,' , . f 'l,1MliR..~ .~;~~;'~ili"-~ D.. oJ n ~-'< . . ~~~~\W&'<{~"~~~ u , . New Alteration or Extension Per Panel I One Circuit ' Each Additioual Circuit or with Service or Feeder Petmit S 43.00 IT;' b Z S 3,00 7% State Surcharge 10"10 Administrative Fee TOTAL _ ".....,,~~__ 'C'___Ie1_...:.....1 D_;t ......1;.....,;,," 1.01 tilV! . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: . 1173 DIAMOND ST ASSESSOR'S PARCEL NO.: 1703342400214 . CITY OF SPRIr\l\.Jl'lELD Building/Combination Permit PERMIT NO: cOM2005-00245 ISSUED: 03/1112005 APPLIED: 03/0112005 EXPIRES: 09/1112005 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Contractor License Expiration Date JOSEPH BUNCH ELECTRIC INC 156761 0812112007 MARSHALLS INC /. . ;[~mON: Or2~'lllOlaw reaulresl~IMf9ll0S BUILDING 'iNFO'RM'iifOif.PY the Oregon Utiiity . - .~se rules are set forth # ~Psl~~f ?52-001-o010 through OAil.Q!SMl01- lJl'YU ~~II rmw obt . . of Helgh1 ~f !;t'ruCT1J1'e aln copies ltsqmlEntlSloor: Typel(,if mIltlhe center. (Note: the teSlpl102ud Floor: wa&J.iifYp'e1 for the Oregon Utility NcS.QillitImement: Range Typegenter is 1-80G-332-2344IiR Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Owner: KEN THOMAS Address: 1173 DIAMOND ST SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-747-0156 I CONTRACTOR INFORMATION I Phone 541-344-8745 541-747-7445 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: NOllL!:: E WORK TlltC' occ~m "HAil EXPIRE IF TH I PUBLIC IMPROVEMENillS.,UNDER THIS f'tKIV\II I;) mJ' 'c'o' M'IV\' -tNvtU OR'S ABANDONED FOR , Sidewalk Type: ANY 180 DAY PERIUU. DownspoutslDralns: Paee I of3 . . Lu f OF SrKlJ'Il..Ni!,LU Building/Combination Permit PERMIT NO: cOM2005-00245 ISSUED: 03/1112005 APPLIED: 03/01/2005 EXPIRES: 09/11/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Fpp< p"W Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fe.... $10.00 3/2105 1200500000000000282 + 10% Administrative Fee $4.50 3/2/05 1200500000000000282 + 7% State Surcharge $3.15 3/2105 1200500000000000282 Air Handling Unit Up to 10,000 $8.00 3/2105 1200500000000000282 Heat Pump $12.00 3/2/05 1200500000000000282 Minimum/Adjustment Mechanical $25.00 3/2105 1200500000000000282 + 10% Administrative Fee $4.90 3111/05 1200500000000000315 + 7% State Surcharge $3.43 3/11105 1200500000000000315 Add, Alter, Extend Circ $43.00 3/11105 1200500000000000315 Add, Alter, Extend Circ Ea Add $6.00 3/11105 1200500000000000315 Total Amount Paid $119.98 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 Rpowrpd Insneetions , 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. Paee 2 of3 . . CITY OF SPRINvl'u..Lu ' Building/Combination Permit PERMIT NO: cOM2005-00245 ISSUED: 03/1112005 APPLIED: 03/0112005 EXPIRES: 09/11/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 3 of3 225 Fifth Street Springfiel~, Oregon 97477 541.:-726-3759 Phone Job/Journal Number COM2005-00245 COM2005-00245 COM2005-00245 COM2005-00245 Payments: Type of Payment CreditCard " .' 3111/2005 . RECEIPT #: ~~' ~.. City of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000000315 Date: 03/11/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH ELECTRIC Item Total: (,;heck Number AuthorIzation Received By Batcb Number Number How Received djb 964855 In Person Payment Total: Page I of! 10:37:59AM Amount Due 43.00 6.00 3.43 4,90 $57.33 Amount Paid $57.33 $57.33