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Home My WebLink AboutPermit Electrical 2005-4-7 , . . r I I.' · 61 SPR'NCF'~:;J 225 FlFTH STREET. SPRINGFIELD, OR 9~477 .. PH:(541)726-3753 . FAX: (541)726-3~;oJ. ''-'~~~ ELECTRICAL PERMIT APPLICA!.l~ . 0 0",,/ ""~.o~ ."-. City Job Number r- JJ WI t.<XY:) -oolJ//J Date 'f -1~ ~^ "b&~ ~"~/" 1".1...... ..~-?: 0.... os ~ .....-._......... . f_ _...... ~_~~......"..~_,~ . 3. fCOMPLETEFEE(SCHi....... c'~E~.iv,i~lf\>.:l9i>..i~~i?J".1 ? ~""'-_'" "~~"""V,",'" ';',...%'-l.~~....- ~ _.~Y-....,__... ,"-l"t.; 3,c,;,,,--,, 'L":''i,,' ...' / \9.., \.9' '"0- ~I:' ~e 1.... v"'" (I.....r A. ~~.~~~d1ifti~;f~Jgt~;g~~ffi;11~iti(tit~1iiil"~=f}.; \ :~rffi~g~~~~~~~:H ~~~~,';c;.;r' ,.--~- -,.,....,.-~_..".""'-~-";-~ ~ <-;.n :"..,... ~J.':Wo,.lrii Service Included ~ v~& "'t Installation, Alteration or Relocation 200 Amps or less $ 50.00 .. _ _ 201 Amps to 400 Amps $ 69.00 IwdCE: 401 Amps to 600 Amps $100.00 ~~~~\~~~~&,;~&~~__;~i~;~~~\~,~~~.~~&"~1 ANY 180 DAY~'t'li~15ratio~(WE'Wefim,'n Per Pari . ./ One ~rrcuit $ 43.00 75 Each Additional Circuit or with } p Service or Feeder Pennit $ 3.00 ~ 1. L:.t60iTi6iY.'OBINSTXiir~fidN;';i)l:~~ }!;c-.'l...~-...i4::. .:J;,......"t... .'O::,..._~.-.,_.~.. ......_.~..~'ih~.,.' J-~~ JJf1L/-.ntld, Y"/rlt10 - LEGA'AESCRI~ON -I i("Y::>ZO h~ I OS-]oe> JOB DESCRIPTION ^~;) Z (". \ ..J.-.LLJo..< r~ . Permits are non-transferable and expire if work is .^ not started within 180 days of issuance or if work is Suspended for 180 days. ":C6NJ;RA'"croRYiNsrXTrTf:4:rrON76RDltl 2. t(, ~'i.:"l~"~."'i'"~"'l.,~.l.~.ilil:::':r.';-~'''''iVt,.-~.i'C1'7'-~''''''I.::tf~y~~ Electrical Contractor~l-6tPL J3u..ttdv e~r :J:I1f, /$;;'S- v:> JltJnt-".. JJr ~H4 0 I (-:- c,1<1btf Phone 3tfi/-f7'1S.-/ / Address City Supervisor License Number l.f.7 .3 if - 5 Expiration Date i () - 0 f1 Constr. Contr. Number j5"61 t. I 1.1 ,d7 Expiration Date 1 S' n ture O~iSing tCian .u15~ wners Name . \ I "^ ")0 (' re.V1j::)y) Address JUi) LOVl1rid~~ City ~ Phone OWNER INSTALLATiON The installation is being made on property 1 own which is not intended for sale, lease or rent. ..~ ~ Owners Signature: ~ Inspection Request: 726-3769 ~~~ 1000 sq. fl or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or MbJJiAm\V~lli&~e1O'ir~-Dr re . $50 00 "'''" I "ow qUire!': Ifnll +n . . '~ee....erru es adopted by the Ore . if ~1.~ife$':i~t~&lil;~~qrGsiAllirt:~rI~~"ii~)~\"tfiti;;ri}~"~ . ,H:.t1' 43llllf:dJo.1~lr-jr()""" '~o1~<j-.,..~:~T.....-'^,"w-~,.rit,>;fM~'I-J,~:~ 1, OOi~~~f~8fJeRbta;n COP;;S of the rUI~~~3.00 nmh&8'lJOAAg~~Mr. t'Jote:. ~he telephone $ 75.00 . 401 A"""" to.600 e Dn Utility NotificationSl25.00 . -vt:lntlrlS - 0-332-2"" 601 Amps to 1000 Amps .......). $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 " fl",.----,....."...~~. ...,-~"'.."-.,--......~t'--.h...----'~....,.b.:. ^:'cJ.' ' -."I.~""'.:-.?Mfr ,,-.~..." ':c. :,.~......., j c. ':fern" ora~'..~_.s-ei;vices..or.1Fee'de'rs'?:-?-v'~,~~~::~~j,:"1,l.r.,~?~i,~A'f~':;j~-..~~~t~ ?~ '-~ .:.",.n .P _ ._ IT. "...., _". ,,,." ..__....,... "'-~', ,.--- -,., _. ;""..'t>-' 'r;.___,""iilt;..:..,:F...".. ..~ '-' ..... . , r"~""""" ... '-'f" --",., ,-~." ,.., ",..,,' . ":":,,, "'"" '...",~.~.. "".":- ::::'\A,.,~";;.., '., ',-.' ,'-"""""-"\ ." ,,~, ."'1 E. ~~5{!l'Kit!~~.~;J~~tYicOiJ€.qel[~~MfEt~~)FIj:.jI$jf;l'iS.t~i1~t~ 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 $45.00 + Surcharges ~..;g,..",._4";;::;.~\"" '~~'''''''-':~~--:;4t:;';r:f'''''''4il'~'V':''''H'/i'~0. ~?..r.$"ffi!~.J~l ~~ 4. !'fSUBTOTALWFiABOVEif,;:"ii'\"Cif',<iJ-i:'j{r..j,. ~;~e~~r~'~"~~":~~h':;"';" ~'O~~4t:tiH1-l:i .. 37.Z '-{bO 531?Z. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:YBuilding Fonns/Electrical Pennit Application 1..Q3.doc . . CITY OF ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2005-00396 ISSUED: 04/06/2005 APPLIED: 04/06/2005 EXPIRES: 10/07/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 1091 LONG RIDGE DR ASSESSOR'S PARCEL NO.: 1802064105300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: JAMES SORENSEN Address: 5729 MAIN ST PMB 154 SPRINGFIELD OR 97478 Phone Number: 541-747-0593 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor Li~5U~s vo~iration Date JOSEPH BUNCH ELE~'Wffi~~: Oregon la"i~l;'1!ilegon UtilitV08/21/2007 MARSHALLS INC A ,_... ."\,,s adopted by ~'~l!~ ~re set forth/23/2005 1.~If.W\'Ill1;'iNF'dliMA&fulll11 OAR 9b"t-V~- O^Htl::>.:!-UJl -, "softherules Y \n " obtain COplB hODe Oog{)91lStIllmV lNote: the tele.~",ol Size: ~!lttb1iSifmWte on Utility Notiflca~\?t 1st Floor: ":X<<i\Sdlf\llth'tI3.0Ie~oQ-332_2344). Sq Ft 2nd Floor: "Water ~EPA6r IS 1.... Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprin~ed Building: ~,,, nla Occupant Load: Phone 541-344-8745 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: _ # of Bedrooms: R-3 VN I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: NOTIC,:PUBLIC IMP~OY.EM.&N'J\SrIWORK THIS PtrlZIVE"D' U"N' "O'ER 1HIS PERMIT IS NfSldewalk Type: AUTHORI 0 FOR COMMENCED OR IS ABANDONE DownspoutsIDrains: ANY 180 DAY PERIOD. Notes: Paeelof3 . . Ul ~ OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00396 ISSUED: 04/06/2005 APPLIED: 04/06/2005 EXPIRES: 10/07/2005 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< PiilIJ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fe.... $10.00 4/6/05 2200500000000000390 + 10% Administrative Fee $4.50 4/6/05 2200500000000000390 + 7% State Surcharge $3.15 4/6/05 2200500000000000390 Air Handling Unit Up to 10,000 $8.00 4/6/05 2200500000000000390 Heat Pump $12.00 4/6/05 2200500000000000390 Minimum/Adjustment Mechanical $25.00 4/6/05 2200500000000000390 + 10% Administrative Fee $4.60 4/7/05 2200500000000000404 + 7% State Surcharge $3.22 4/7/05 2200500000000000404 Add, Alter, Extend Circ $43.00 4/7/05 2200500000000000404 Add, Alter, Extend Circ Ea Add $3.00 4/7/05 2200500000000000404 Total Amount Paid $116.47 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. Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa!!e 2 00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00396 ISSUED: 04/06/2005 APPLIED: 04/0612005 EXPIRES: 10/07/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signatnre, 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 ofthe 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 Sp'ringfield, Oregon 97477 541-726-3759 Phone . a~.~..-:-~N't.~EU>.___-,. _,_, '.'.. Wir' '~~:iIIti!.i:'.. -~. : '.~/ ,ii JiJ..ty of Springfield Official Receipt Wvelopment Services Department Public Works Department RECEIPT #: 2200500000000000404 Date: 04/07/2005 2:47:20PM Job/Journal Nomber COM2005-00396 COM2005-00396 COM2005-00396 COM2005-00396 Deserlption + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Payments: Type of Payment Paid By CreditCard JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 533021 In Person Payment Total: Amount Due 3.22 4.60 . 43.00 . 3.00 $53.82 Amount Paid $53.82 $53.82 " , " 4/7/2005 Page I of I