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Home My WebLink AboutPermit Electrical 2005-6-10 ELECTRICAL PERMIT APPLICATION City Job Number ~t.eO..r-C:to6>b Z. I. F..(OeATfON.'OFiiNsfXiJi1AfioJ.i;HXc.7Ji;;'1" '._ .' .,~-......:.!.~ ~ p".,:".:.:::t-_ ">;:;..o"':<"".<.""~-~'.'~- ,.,--..,:;_.,..>;;J.J,".> ..~", "t 6-~,h~ PL , L{ bC'JO S51 LEGAL DESCRIPTION I 70 '3 J 4 I 2- JOB DESCRIPTION Adct s c.. \ It C....I.-' ., h . Permits are non-transferable and expire if work is ,. not started within 180 days of issuance or if work is Suspended for 180 days. r;roN$~;U.~'~:1NST.A1rU:TI.-(jN!ON1t.':mj 2. ~~""'I'li:ilIl!i:-"I":>foM'.~~~"....,.\:!...;sr/-:l'~"-~~:"":""'''>;;:'t:!J . . Electrical Contractor~.ptPl.. 13~ e/ur :me, Address ,~.}.'!) tP' I ("n,,'.. ))r G'~ () . I Phone 3tfi!f7'1S'-/ City (~ r-1..()P ill I Supervisor License Number l.f.7 3 I{- S Expiration Date i (J - 0 it Constr. Contr. Number /5"67 t..l Expiration Date 1.1 "d 7 S. n lure of Supervising Electrician w- j?uncL )c.1'^"'- L;-ll€y S-SI &f2..,4-V\.; +c~ ~;:>I- ~ Phone 71.{l.(-007~ Address City OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. o (1o&~'Jecl . / ~1tO 6~ '>0/88 . _ Date t:>t:r<<"' ';.Yli,,, 1'&9; ~6~/it. . . "'0,/'. "" - '" "11'"& 6(f 3. I(coMPfErn"FEEisC1t;;:nu<.r;B)U"'W?~~2':'.:r~~~~t~..iJ'9 . ~~,_,,'-<'~_h' ~.~', "~"~~~-~W1WJ,~;~~. .7::JL.~',:"L <=I~dc,?~~;ol~.A:J .,.. CC"'_."'-'T'gi'?~ft't9'''': c."c,'__._,.___.,..,....,'__'*%~... ""'al;"''''---'' -'. ~t"~~~e", ~~q._.. A. f{N~~~~itie'{jti~l:~S=g}iNt"@ti; . 2;~ll~i '. :~,.,~ 4, ~'ng1i~iL~~ i%i~i.,::.~....-.,,"~".'''i;;:....-;d.:~~~~.,~~, '.~ '~'~t-:.2L4~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufac!' d Home or Modular Dwelling Service or Feeder $50.00 r.;;'~~~:.,:'~l:;"'~P"'>,~'~t'>,!''&:..;~.r;~'''..~.dl;;''fi'+:i~,-t""t.:~;:~;'~\~''-'~";~...l"';,t''f..~ :iI B. ~tvices;o...Fee'i1er's''''''Jfutallation;'Alterations or,'Reloc. i tion:~"\'11 "'>-'."'. ,At,.rr.>'\~'^".rl..";.\,,';- I.',,-y=- .;.r.::"'''~,;-;V~.'.~. ,._,!-;..,_....,~":, Y"-'~ -".~.lj,.. ,1v...:-r:-... ;;."...~:H . ;~.. 200 Arn,M'qtf!mJON: Or I . $ 63.00 . egon l1w reqUJ..........IAA 201 Aofp$I~\lllI~E1oPted by.. . '.:-"",,,,,wl) . ~, &II'" Vftlgnn1ltWlu 40 I "",!,>flDatOilrf.6wl\ter. Thos . .1l':l'.Wl In Qb.o . CO'U'''''''''''''I t\rIh 601 A'lhJ"l ",.amtl'~010throygh O"A .1ON' IlQO!\,y,..",__ .. - ,. Over'Hj~I:Y':""I'"'''''''F'obtain COr'''" ... t~ . Reconn6Gl1IDi$the center. (Notc,ih:'l:' Ii .~~~ numbe~for ~ '.. - N'~~ one ~.. ,~. . .. . ... on.Utllt. . ...........m C ~,.. ............f<, uo.... ~f~., .,._,~,~:t4p~q~"""" :At..,,,,,. ",die.", . '.J. em ora" Q ,. "'. ,,"" "',I';,,~!~ ..~. ",'~' '(R',,,, <'".o/:::,"~ "'. .."R..!'Y.~ilP.t.~2,234'4)fic.,.~,c~>'i.f., ,"'".l.,~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. ~'\'Jl".fP"~..::';'~"')l;'~. . ~""Rl'l'lllt?,~.., ".'h~,.~",~,."qJ D. .5.. BBrraailchlCtr.CUlts>,}S" ';45.d;" 'f ,t,",;,~~"-4':~:r;i'~:"f.':AtY;tr,,i'f,~(~:;,?:v . ;...'."j-:'.v\~, r "';___~".....,~ .__.'"'~' ,",._.,. .. ,; ""__ .". . .,,,,... '.,G;,;(' .r, ".'.,.,... "',..~.....~....,...';"" ,,.-., !>., ,..."".."r "",,,", ''',~ New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Z. Service or Feeder Pennit $ 43.00 $ 3.00 4"3 b ~~;"'~r-f:;;;r:-.;.;R-,'j,)fg)".f;:.f'1~:<:""?~,;:~"':'fi..'.:li-",""';;'~"'~i~+-~~},iit:l,<;..~t,>'l.:>:~l."',;~<f'j~,~~ E. ~MJ!!s~!I~,R~!!'1s,!.(~~m~~.!~~t!~!""J\pt;!',l!}.!!.dS~l!Flfu!s!!ilJl.s,!~I!.~!!!'!J~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signalure:HJT!CE: . 4. ~UBTOT.:U;OFMOYEfti~':~~~~~t*'t;'.i . THIS PERMIT SHALL EXPIRE IF THE We~lr"='" ''''~,_o''''',~,,,,.;j:l};D3!..;L..:.~$.t..) WHUlRI7m IINnFR THIS PERMIT IS NQ;% State Surcharge COMMENCED OR IS ABANDONED FOR 10% Administrative Fee . AN" j gn nA,Y PERIOD. InspectIOn Request: 726.3769 TOTAL Y-' ~ l.(3 lj '0 57':.33 Shared Drive(T:)IBuilding FonnslElectrical Permit Application 1-03.doc 6I!A'NGI'I~ -iii: . Status Issued . . uuOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00662 ISSUED: 06/02/2005 APPLIED: 06/0212005 EXPIRES: 12/10/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 551 GRANITE PL ASSESSOR'S PARCEL NO.: 1703341214600 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residen.ial PROJECT DESCRIPTION: Install air condilioning Phone Number: 541-744-0075 Owner: KIM LILLEY Address: 551 GRANITE PL SPRINGFIELD OR 97477 Contractor Type Elec'rical Mechanical I CONTRACTOR INFORMATION I Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 Expiration Date 08/2112007 12/2312005 Phone 541-344-8745 541-747-7445 R-3 BUILDING INFORMA nON I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: . Energyepsth.,'" Sprinkled Building: nla # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq F. Other: Occupant Load: VN ATTENTION: OrQi.F.YtEL.O~~ATION I follow rules adopted by the Oregon Utility . Notification Center. Thos<OVeitl6j3Dlsi!3t forth in OAR 952-001-001 0 thrdlJ~tlilMl-~l. 0090. You may obtain cojP.avedlDl1&tilti\i1:by calling the center. (Nol'l!'! ~((j.,bil~l\enage: number for the Oregon Utility. Notification VCIILC: IOJ I puiiiJe iM7~~ lJ ~ldENTS I REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: NonCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 OAY PERIOO. Paee 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion , Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp<. p.,W Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical + 10% Admiuistrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 $4.90 $3.43 $43.00 $6.00 6/2/05 6/2/05 6/2/05 6/2/05 6/2/05 6/10/05 6/10/05 6/10/05 6/10/05 Total Amount Paid $119.98 I Plan Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00662 ISSUED: 06/02/2005 APPLIED: 06/02/2005 EXPIRES: 12/10/2005 VALUE: Value Date Calculated Receipt Number 1200500000000000727 1200500000000000727 1200500000000000727 1200500000000000727 1200500000000000727 2200500000000000754 2200500000000000754 2200500000000000754 2200500000000000754 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. ~ RPnIl~ 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. Pa2e 2 of3 . . CITY OF ~rKll~uJ<11i,LU Building/Combination Permit PERMIT NO: COM2005-00662 ISSUED: 06/02/2005 APPLIED: 06/02/2005 EXPIRES: 12/10/2005 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 wlil 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 Slgnatnre Date Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . iii~ """ity of Springfield Official Receipt .velopment Services Department Public Works Department JoblJournal Number COM2005-00662 COM2005-00662 COM2005-00662 COM2005-00662 Payments: Type of Payment CreditCard , , u ;( , ,'- , u :r 1 n , .. ., 6/1 0/2005 RECEIPT #: 2200500000000000754 Date: 06/10/2005 Description Add, Alter, Extend CiTC 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 Number Number How Received djb 176777 In Person Payment Total: Page I of I 8:41:24AM Amount Due 43.00 6,00 3.43 4.90 $57.33 Amount Paid $57.33 $57.33