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Home My WebLink AboutPermit Electrical 2004-2-4 t ",.' '<':""~":'/': ,nI!T'V:t::\F" -~:n\r~~~~"':ARER"ON''''''t.. .: ",:,< :;\~./ff'''F i"d )~~ ~;-.,,;,' y :1~~~:..,!!. :: .~J:itl~"~ ,'Jr\.::} 'f">-"~l'~ .!~..rli .,~t~~:~i.!1t: .,.,.,...,.....J;4-._~t '''/ :-..~~,~-....,.~--.::.-..o;~'"i,l.,.. - . .,...~_......h._~~-,.,,~!.. j..~-'~::.~""I' ubmitted has the following _ quire specific land use 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 .'FA'X~~54I)726-3689 L i) Y2- ELECTRICAL PERMIT APPLICATION . Zoning IMI a--U-O<FJ City Job Number COw/ZOOY -00 1"2..7 Date Z - Z - v"t D>lte. 1<; . h.<tIlUflleo Signature r"'-"'~~~~~-~'<J~~::--,.~~.....v.:'~'l;:-~~~'~;'\~>,"'-"ry.'~:"'l 3, 'l.gQ1I1J>'P!:JlJjfAfJt,S,C;ff!iPQI4i~r.;{'QW~J:~d:;;~~~ 1. 'ffi;OCAfiijNOE.l:NsfALoo1'OIW,t~~ ~~-f,:;~"ha!.dJi;..,t'1.~!.~:'':'';~~..:~~~'' ...!.,,,..,j;;,,,,,'t,~<.:! 5<(P~ c;/OiLIV Dr LEGAL DESCRIPTION I '?;O 2. 6 '-(!I A.. ~-N~~.~ke~~id~.itial~~~~'F&~lltrit~F~if?p:-~;r~IT~t.,:~{Ji"i.t?~>;:i'(j ~~'olA-~"'''''' """'~",-~.hI1~~.'C'i~......;..( ,. ...._._~~'.'.~IIUJ.'...,;;,"~ 6L'700 Service Included JOB DESCRIPTION 1LJ:lADil ex, i.JJ, P. &xcL. , t Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder .2 Fco&TRAcroR~lNSTALl]fi1.'(JNrrroN1yjl B. ~S~~\~t~:~i)'IF~Wd'G~~~ali~ffi}{;.Xl:t~;i1iShl$t~>'iiel~Wt1o.~{~ . Utfnl~J#~~""~>!""l' .-..."tdr{"",,"'~'-r<':'.~~h....~ " ~~'l;:\c,.;.~~,_;,,,....,,,IJt-'-~, .~:.-."_.r- ''',,,~,:.,:-.~. ";"'_"i',-~_'-.::t-h"J..Il_""'P~'.:iJ Electrical Contractor ~,oL -a-.....I1.J. ttIPCr.,Irr:... 200 Amps or less $ 63.00 I 201 Amps to 400 Amps $ 75.00 Address 7..5'z.~ vJl/lDM DY' 401 Amps to 600 Amps $125,00 ,u,v- 601 Amps to 1000 Amps $163.00 Phone 3f/1f-'f7q...':) Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 $50.00 City r.:: \~ Supervisor License Number t..f.. 7 3 if ~ '5 I 0 - (J1.(. 2-0 -lffJ 3 ~ ff).....(jI..f C. ~TeIii'p'i-or;lrY;S~r.~ic'es' (;"re-Fee(l~i~~'n.~_..,):; :"~t,'~l:~'~~~l';~-;-~.j~{!!/;:,:--'r.:~ ~4I.o..'l1;~'- """'~~"'~"~~"~k'.ll..........~.....~o;;t~.;..ll~~I~'" "'<J:.~ Expiration Date Installation, Alteration or Reloca~ion Signature of Supervising EleCtri:i~' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. "". "'n":r:u~I:.~.-r-. T " ,....,.~T-~. ~",.. ". . "s ,H "'"'''~''' D !,t{-BdiJ1dltl.jJrfOHits1;~o. :::'~i.~"'R"')'."i.A...\~_..., ~,:.rjJ;~""'~:<;3:""" ' ,u,"""'~" (.;,".'.' '-~:' . :1'" I" S"PERM1IISH'tltr'EXPIRPIPTtlE'weRKl!ll't.,"i ,'"" ~ New ~B'm2~6'~fm~A ~nl~"frnMIT IS NOT ./ One (I ~.~t,'FM~~R IS~Bf'I~JMm felROO 1/:-"3 Each!'i lil~\l3\', er W,1) I ? ,.; ServioM'cIll'Ftil& ,fR1U, $ 3.00 }. $ 50.00 $ 69.00 $100.00 Constr. Contr. Number Expiration Date Owners Name "'P>O to f;)(}...V r::;~3 (':lIA-(.uv'~ City 6PP/n Phone .?>7cfl-z1~7 Pump or irrigation $50.00 ATTENTION-~Oregon law reqSigB.l0i1l1J~~.~ighting $ 50.00 OWNER INST ALLA TlONfollOW rules adopted by the OI!illlft\!d \:!^ij~lJflResidential $ 25.00 The installation is being madCltmiiJlOpSl'i'yG:!1..%E'Jhil;!;'OSe rUIe@i6\r~cffA;.'/commercial $ 45.00 is not intended for sale, lease, qf)~1il.9527001-001 0 thr~\\U~u~~V~;;dr.':termit Inspection Fee is $45,00 + Surchar"es .. bt' caples VI IlIe 'UW::> I 0 . 0090. You may 0 aln : ~r'5J;.b.Clne' .,,~ ".,-. ."'^. . ';:"1l! '. ," t/-& '" Owners Signature: calling the center. (Note4.t,.':-.:;iJB:nTl1lL-OF.~OVE:. "';,S'l~.""~ : .<'.1 O UtilitY.Notiflcatloni2~ ".' .., "iltf....-r ,'" " ',~'11 number for the reg on z."( ""~_'N:~ 1.1'1(\(\- ~<l?-27.'W~late Surcharge ~ 10% Administrative Fee 1(60 '5 "5 8.L ~01..~W5',:'-'';'''\:$:;-<:'''): .V~'." "'..~". ,',:_ ~:;"":_~;""";.r, 'J" ~:;'{:,i<~~. "-,,,,'~5'?""1r.1 E. bmI~c.,W.~!I!.9HS .(Ser,:!ce/fe~lI~r~I'1!' !'jd'!..~eil);" E;~ch.Ins,t~lI!'tion~ Address Inspection Request: 726-3769 TOTAL Shared Drive(T:)lBuilding Fo~s/Electrical Pell1lit Application l-Q3,doc . . Ll1 f OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00127 ISSUED: 02/03/2004 APPLIED: 01/2912004 EXPIRES: 08/0312004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5563 GLACIER DR ASSESSOR'S PARCEL NO,: 1802041102900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: ROBERT DAY Address: 5563 GLACIER DR SPRINGFIELD OR 97478 Phone Numher: 541-741-2767 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 Expiration Date 08/21/2007 12123/2005 Phone 541-344-8745 541-747-7445 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENT INFORMATION I Front yard Sethack: Side I Sethack: Side 2 Sethack: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: _ _ I....... ..onlllrA~ vou to AI\~;'~'I~~'~;'~;d I/1\Vll\BLl(lJ'~R'eVE~1ENTS I fo Those ru'"'' '''0' ~~. I. . Street Improveme~~lification Center. hOAR 952-00 952-001-0010 throug Storm Sewer A vailiitlw.\R blain' copies of the rules I Special Instruction'3090. :ou ma~e~ter. (Note: the telephone calling the Utility Notification Notes: number for the Oregon ) ("~~+N;" 1_800-332-2344 . NOTICE: E IF THE WORK IS PERMIT SHALL EXPIR ~THORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Sidewalk Type: DownspoutslDrains: Paeelof3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Fee Description -Mechanicallssuance Fee- + 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 Total Amount Paid I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00127 ISSUED: 02/03/2004 APPLIED: 01/29/2004 EXPIRES: 08/03/2004 VALUE: Value Date Calculated Total Value of Project Fpp<. p"W Amount Paid Date Paid Receipt Number 1200400000000000136 1200400000000000136 1200400000000000136 1200400000000000136 1200400000000000136 1200400000000000136 1200400000000000159 1200400000000000159 1200400000000000159 1200400000000000159 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. $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43,00 $3.00 1/29/04 1/29/04 1/29/04 1/29/04 1/29/04 1/29/04 2/3/04 2/3/04 2/3/04 2/3/04 $116.47 I Plan Reviews I ~RIf'lnlllh~If'lrt Tn~np.ctions I 2 Rough Mechanical: Prior to Cover I Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Paee 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . \..,111' OF SPRI1~ul'u'LJJ Building/Combination Permit PERMIT NO: COM2004-00127 ISSUED: 02/03/2004 APPLIED: 01129/2004 EXPIRES: 08/03/2004 VALUE: By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 he made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 Page 3 of3 Date 225 Fifth Street'" Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00I27 COM2004-00127 COM2004-00127 COM2004-00127 Payments: Type of Payment CreditCard .r~~.o_~,.!LD "....0 ~""':'.".''''-.-' .....- .- -\ . ,_ "...: .'..' .,,,.,,..,,1' -'." Receipt #: 1200400000000000159 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add Received By djh l:heck Number Batch Number Authorization Number Paid By JOSEPH BUNCH ELECTRIC 000291 946820 .. City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/03/2004 2:15:03PM Amount Paid Item Total: 3.22 4.60 43.00 3.00 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82 . .