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Home My WebLink AboutPermit Electrical 2004-7-12 P,o" . 0'0$ <9901 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX~( )726-ili~? '" "Ot ~"'''''6 ELECTRICAL PERMIT APPLICATION I;:>. ~ "t~o,,~ "o?. ~9"1;.:lit~0'~ City Job Number COW\'Z.O<:>4-QOl:n '7 Date 7/(L_~'1. ~O'oS}O""t,', ~ ",o~C/~:~~~,oQ. l11;M ..-,__/:r-"T';f'.:-,~..~;>.-::""'.Q't".l~ '!"l--.--;::-'"""'~''':::l1:'''~~ 1'<V5..",;:'~.............._,........ .... ,-~~7'1h~ 0. .. ~~~,,="~O'z.-P...4>.~ I. 'iiY!S;Af!PJX...,W';.~~[Lf!lF!.f.:.:M, 'j) 3. 'iFH,lI~1?WlJJE!.~S.HED(iLl},_ ~ '{, ~'''':':<,k 'l:t:'.ff~,~~" '.~.Jj LJ <70 Cclo",-/Al ~r_ Permits are non-transferable and expire if work is .Each Manufact'd Home or not started within 180 days of issnance or if work is Modular Dwelling Service or Suspended for .180 days. Feeder 2 !~eoXKiLieToR71NSiALI1l1:ji5;fiJNi1!:;il B. S-s~;J;~~~6~i f~ed~~~'s'=;-InS(all~~io~n,~Ali~~aii~~~;;i~fci~~'tiJn;?:lj . t~.:.::l~Vh~"",~~".'i'":"', ~r"l'!~o,j~...;al~''''''~'~"' . "i'~,,-~SScl t.-~',...-'t~-t<. _";;:" "",,'~"J ,,...,,., } ",.!s."..'"~;.c.r..,..._r.,-,,-,~ - _~ '_I'f-<""" ~ Electrical Contractor j(J5Lpt, B:I...-d\ &~T.~~~~~moS~~LL EXPIRE IF TIlE WOnK$ 63.00. . AUTW6~Dtwmmflls PERM:T IS t:~lT$ 75.00 Address ;).5;l~ tv,l ("/10'1 Dr. co~&lf!Nim}06~01~'l\IHANDONED ron $125.00 . (1/1 !?7JI,..,.....AN'f~M~cpflAMY.'Ps $163.00 Phone 3-r-t -0 '-t'C:) . Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 ~~11G~1l~'OUtD tolIew.mlns adopted by the OrQSmi.tmJitt43.00 Y J Nd~i6l1lllltSitc$haGWithl91 are ~ fo!1h, b 1ns.MR~~~~lhrough~t;.oo ~.O~':..~.t~J,~'~.~~e.~1E;cldJ~.t.aih'a6'"; --""-- 'Q"1.....:vvIl\~it-l'.. , .Jllct . .____,,~ . ., number for the Oregon Utility NotiflcatJmt Pump o~~ t-800-332-2344' '---'$ 50.00 Sign/Outline Lighting. ,. $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges '_"'~_ :(Ii~-T..<,;,'\-,,,,,,;.~..-'.,f-'l,;l;-i,';;_.,,.,.' -:.--rq: ~,..:~~:;;:~-~ L.l C; 4. k8.!:LB,L8-rAf.'P1.':N1Bl{E.". .,'.' ,\ :'}.I,''f;t:l 7% State Surcharge 3 t/1 ~\\)\.~~::::ministraliveFee 5; ~~ \ ~~~ ~i'\) Shnred Drivc-(T:YBuitding Fonns/Elcct,icnl Pen";t Applicntion I.Ol.doc LEGAL DESCRIPTION /70 3, 7..7.- \ z.. JOB DESCRIPTION o oZo ( Ah~ "3 I G\ .e.c..-'-"'. \' \) ~ ...--' City e1l1A , . Supervisor License Number I..f 73 Ll-5 Expiration Date I () - b 1 Constr. Contr. Numbe; dO - if ~ 3 t. Expiration Date 10 -04 SigCZ::LiS2?E:t I ' Owners Name ;1A, c.-4 tI/-e ( b 0 oA.,,4. k..... e Cor ().A(,4--( ~ Address L( 70 SP\~. Phone City 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 . Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 $50.00 '-".",.~".)'~.'"", ,..;. -~-,..,...--._,-,,,.;:..:...,,,,,,<,,,~.,;,,:..~..t-..:.\, l.:" ," ~'\I C. ~~~~~,~ry~.S~~nc~s~~rf.~~d~rs/ '}". -,>:: ::,;. ~~l \;:t. ,j::~;'t.l_~'> .-lJ. Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Am~~.(" ~OOO ~olts fe~ "B" ab?ve;.... _~ D .rtB~."~:"'"h1.-..-.-C'~., I~. ::;-~\;:~"tg~,:'?T:.~..~',r.h'1!" .,'''V. '~'\'~t.i .\~~"'~..li: '( ..71 . ~,!~~n_~"h ~~~I~~,~ }\~:.:..;:;~::.:f~~....#' ~,f,?~ '",1'0'" l'~;,_c :J!1J~:'11i1l: '~,:,' '-'~_ ,; . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00819 ISSUED: 07/06/2004 APPLIED: 07/06/2004 EXPIRES: 01112/2005 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ADDRESS: 490 COLONIAL DR ASSESSOR'S PARCEL NO.: 1703221200201 Springfield TYPE OF WORK: Heating System Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: !, . _: J:r.':"" n""",,," lAW rElilulres you to I PUBLIC IMPRO~MjiN'i~adopted by the Oregon UUIIlY r Wi ~r~ -:. lhose rules are setforth Notification G8nte~w~aAR 952.()01. In OAR 952-O01.(). . ._. tl..", rules bV 0090 You may olJW.{"'''r~,l51.,.~aIM: liin the center. (Note: the tel~pho~e :mb~r for the Oregon Utility NotificaUOn Center 18 1-80G-332-2344). TYPE OF USE: PROJECT DESCRIPTION: Install gas furnace, ac, water heater and gas piping Owner: DONAHUE MICHAEL K & THELMA M Address: 490 COLONIAL DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 I BUILDING INFORMATION I # of Units: . ~. W ,\'It. '-N~~~~tories: Primary O.hCYIIGro!U!.i~\.\. t.~? ~~t.I'-~I' IS HeIght of Structure Seconda~U<!C a{\~\~~~R:,t.1'- ,\'lIS, Cl~t.G rClType of Heat: Primary q\ft's'fr ~t\YjJ(!~~ S ~~~ Water Type: Secondary ~1i" ~~~WYP~ \ G\). Range Type: # of Bedrool%~~ GI\.'l ~t.I'-\ Energy Path: . I\.~'l ... 'Q\) Sprinkled Building: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paee I 00 New Residential Phone Number: 541-744-8099 Expiration Date 08/2112007 12/23/2005 Phone 541-344-8745 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculatcd Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amouut Paid . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-008I9 ISSUED: 07/06/2004 APPLIED: 07/06/2004 EXPIRES: 01112/2005 VALUE: Total Value of Project Fpp< PIilIJ Amount Paid Date Paid Receipt Number 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001071 1200400000000001071 1200400000000001071 1200400000000001071 $10.00 $4.50 $3.15 $8.00 $12.00 $12.00 $4.00 $9.00 $4.90 $3.43 $43.00 $6.00 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/12/04 7/12/04 7/12/04 7/12/04 $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 Rpnnir'f'orl1 nsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00819 ISSUED: 07/06/2004 APPLIED: 07/06/2004 EXPIRES: 0111212005 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 Pal1e 3 00 225 Fiftl,1 Street Sprihgfield, Oregon 97477 541-726-3759 Phone . 8f~~~!!F,I~---- !.. WIr ,. -.~ I. . ~ . . '-""~-"~""- ., ."~ JilY of Springfield Official Receipt .elopment Services Department PubIic Works Department RECEIPT #: 1200400000000001071 Date: 07/12/2004 I :28:57PM I Job/Journal Number COM2004-00819 COM2004-00819 COM2004-00819 COM2004-008 I 9 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 000436 786221 In Person Payment Total: Amount Due 43.00 6.00 3.43 4.90 $57.33 Amount Paid $57.33 $57.33 7/12/2004 Page I of I