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Home My WebLink AboutPermit Electrical 2004-5-26 etas SUb . not, . mi/tad has th aqUl'a sPac; a/Ol/ow;n 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)7~9 I/c land usa 9 ELECTRICAL PERMIT APPLICATION Data City Job Numbet:CWiUYOl{ -0'0 L(7b Date Autho,;zad Si gnature 3 rrCOMj?llfE;FEE:SciIEiir;iKBEWw~:':''' :~- -:. "':<4;~~lif'~ . ~<i~~'h~~'A:l<..'-'~"" '-""H'~","9I'" .~ d "..::..~~.lIC~ ~ I. filbCAfii:iN:oF;fNSfXFi;1if6Ni~'r;'r-'J.~ ..zolrif::!~'Vw,A:...-....r-"-:":"''i..::.'e;...k.:~'::lo.~,,'-'''I)b '~~'2 1377 LAwV'--r:-dl e:- LEGAL DESCRIPTION 1703252-2- . 05700 JOB DESCRIPTION Ab0, ~ c... t (k"" -: k Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. f'S.ONTRA'&bkiN., "STAr;T;JATION})Nl:~?i 2. ,,~.~~it.'j!'~~~"'n\'~~'~ i....:"-""::.;::;;.~., .~-'J>'"'.'.~.l Electrical Contractor ~()" ~ !!teer; ne..- . ' Address Z 52~ W /1 /mut' D r City e-~ Phone lJ/lf-'671./5- A. ,~!~tIi~~~~rf:~~61~j~l~f~liliE&T~~~~{ .I;~ 1 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or _.ponion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 !",}:r-....:,f:f".f'~':~;,:,' l~V.: ''\:'.....:1,........,. .,--.~i'I.....;,'ti C"'.~ "{1.:- . ,.;t'/,.", ..tJ.~...::..:t,~~~ .J'~" ,,' . \ B. ~~c~sl~1~~~e.~.9~e!;s~!n~t;aP~)!of~,~~\!!~i:U~~~Jrg.t~~!~~~ !!~~.:/:. I 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number I '7" I 1 -.5 ' 00 II c. b'I~ihHof;r;/rSer.fi~es :'o~ Feede~( ~ ~'{l.,"" 5~gZ\ 'i~'}?~J;.;;l{!4~,:.>:~:t.~ , ...,... ::>"'1 '-N (\f\ ~,-..~,~_._.,.,~.. ~ko#~'-""'" .,~ '':'''~'',.."'~ /0 -{)' I ~t.WWt. ~o\ Expiration Datb~ \\ \llv1.'f..?\_ n'€.~lII\\\ 1'2> Installation, Alteration or Relocation \\ '2> ?t.f(,WlI \ \) ~~I}.)\\\;) \ 0~t.00f(, 200 Amps or less Constr. Contr"~\l~~~~~~~..1 ' 201 Amps to 400 Amps r-\\ '1~C\:\l rJrAIOD. 401 Amps to 600 Amps Expiration Dat,(,GWI .~~. 'f-f' . r-~' r - , ' Over 600 Amps or 1000 Volts see "B" above. D ~'B"""""h"'f"";"'t'''\'' ,,,'i.,,*.~..,.,,,,,.~ ';'> . '~"""l;'lt~/ "\,,'I,,"j "..- "0::; 8~"',"'" . """""'"." '">-", """." ,,,--,,, .."", "",",,".,~, lOP New Alteration or Extension Per Panel 'u:3 h.- Bu~ One Circuit / $ 43.00 -, ~ '- ' .~, Each Additional Circuit or with ? b 1\ I I -c> _ 1_ _ Se~}Q!iLFeeder Pennit ~ $ 3.00 Owners Name 'N:> ro "'- A~re~egon law re'lo, - ..,. . - I . A' _~nll, adopteo by the OreQlil(l:\J\I.ll\~.,=" . e""::V '., ".,~ ~~ .'. - ,'ro;,;.,.,r';'SS'i-:::J Address 1377 W'trJdl\f'lvr'e~Vc_t.~~ :Those ~1~~~S,tl!c:t~~i\i~'(s.e~vjc.e,I!~~~ei:n!!r,!ii~I!I~ed)S;E."~2Jntt~l~ /' NotIllCIl\lUN ....~, .-.' OAR 952-001- . 50 :p I-~ PQAI0AR 952-001-001 0 througrpwnl1 oLirrigation $ 50.00 'in copies 01 t.le 'v,e .., 0090. You m.~y omi! (N t tSignLOutline.bghting $ 50.00 . " tar 0 e: lit.: l.....c-tJ'........- OWNER INST ALLA nON calling the cen Or~ on U\ili\y~!~!IIEnergy/Residential $ 25.00 numbertor the 9 ,.;- . "d E IC . I $ 5 00 The installation is being made on property OOneYliil:~-800-332'<!mlle. nergy ommercl8 4 . is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 47 ~ 7% State Surcharge :3 'i J ~ ~ ~ ~ ~ I 0% Administrative Fee t.{ 90 I@J ~ "t;~ TOm_ ~"""'""";.~~".,~,_'^.,~:,~,:" City Owners Signature: Inspection Request: 726-3769 $ 50.00 $ 69.00 $100.00 ~"'f"""""'''''~'"",''''-~'~'''''.'''' ,',-"".'IJ:l'1, ;}{',' . '''.,~\' !t~~.;."..""..<~"."...".'(l.,:;..., F""'<::~~",_ ~""'".", ',' ',:'" ~ 't',. (" <<::' 4..~,SUBTOTAL'OF'ABO.vE~Oc.'1\i 1>_.>11<: ,'''<iM {t:," .'" c.,,; y~., ~.~,.~. .<\" 1-:'"'-,1'" ","~.":' '~i"" ~)~J,f_~..l~\' '-b( '..A~'<,I.\ Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . LIt l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00476 ISSUED: 04/2812004 APPLIED: 04/28/2004 EXPIRES: 11124/2004 VALUE: SITE ADDRESS: 1377 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703252205700 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Replace air handler add heat pump TYPE OF USE: Owner: ALSTON T BURKE & SHEILA Address: 1377 LA WRIDGE AVE SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 I BUILDING INFORMATION I # of Units: NOT'CE~M\T SHf>.ll EXP\RE~~f~~1~9RK ' Primary occupancyT&~~~~RJZEO UMER 1HIS p~g't\T 01's~QJture Secondary Occupanl)l'Gfl1.lp. lirlS ABANOlJ'mt!:hfug,t: Primary Constructiollll1yp~tNCEO 1~ 0 Water Type: Secondary Construcl/lilj'jfypt) OA'( P 1'10. Range Type: # of Bedrooms: Energy Path: Sprinkled Building: nla Frontyard Sethack: Side I Sethack: Side 2 Sethack: Rearyard Sethack: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I DEVELOPMENT INFORMATION I Overlay Dlst: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . I PUBLIC IMPROYJ<;W.JllW ATTENTION: VI "of"' ,.- e Oregon Utility follow rules adopted by ~ rules are set forth Notification Center. ThOhS hOAR 952-001- 2 001-0010 t roug In OAR 95 - btain copies of the rules by 0090. You may 0 Note' the telephone calling t~_~ ~:~~~~~nn Utility Notitication IIU"..........- , - -r ~"""''') C nLe.r.lS l-OUU-"V~ ~- \ ' , I e'T valuation Descriotion New Residential Expiration Date 08/21/2007 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: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type or Construction Paee I of2 Value Date Calculated . Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project FI'I'~~ Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4,90 $3.43 $43.00 $6.00 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 5/24/04 5/24/04 5/24/04 5/24/04 Total Amount Paid $119.98 I Plan Reviews I . CITY OF SPRIl~ld<I1!,LJJ- Building/Combination Permit PERMIT NO: COM2004-00476 ISSUED: 04/28/2004 APPLIED: 04/28/2004 EXPIRES: 11/24/2004 VALUE: Receipt Number 1200400000000000556 t200400000000000556 1200400000000000556 1200400000000000556 1200400000000000556 1200400000000000556 1200400000000000791 1200400000000000791 1200400000000000791 1200400000000000791 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. ~1'"tion\J 2 Rough Mechanical: Prior to Cover 1 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. 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 ohny 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, tbat the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pal!e 2 of2 Date 225 Filth Street Sprit\gfield, Oregon 97477 5401 -726-3759 Phone . Job/Journal Number COM2004-00476 COM2004-00476 COM2004-00476 COM2004-00476 Payments: Type of Payment CreditCard 5/24/2004 RECEIPT #: "!'~''''!''!J'I,'~,'''-'__''_'_',', Wirl - - , , , -' ~. -'" JjjJy of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000000791 Date: OS/24/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batch Numher Numher How Received djb 000391 740873 In Person Payment Total: Page I of 1 11 :43:08AM Amount Due 43.00 6.00 3.43 4.90 $57.33 Amouut Paid $57.33 $57.33