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Home My WebLink AboutPermit Electrical 2003-9-16 , -. -J;., .. . 1- ",. .., . , . '" : CITY OFS"-;rJINGFIELD, OREGON . ':C'''';',:,','':.' . .. ......!::.t"::-:tL_~~Slgn_?t_Llre s submitted has the tollowing require specific land use LD(L 0,-1'6 ---0 ~ ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX?'{S'4'l)726-3689 ELECTRICAL PERMIT APPLICATION Zoning City Job Number COIM 2003 ~oo8J Z. Date c; -I f:,- 03 Dale PW}iprllItigation ~u EXPIRE IF I\-lF V$()1J:tio Si~\'{~\lij)e.lt.!ihtm~l\llIH\S PEP'~!IT \~I~ffiQO Li91iJq(H~ne}S9JR'!'!Mlfri~{l.BI\NDO!;\l:[) FO~25.00 Litfiire.'d\E~l!Yf&J}~e~~al $ 45.00 'tJ." 1 RO nf\'{ PtKIUU. ~ Minimum Electric Permit Inspection Fee is $45,00 + Surcharges ~ .. ,-.. ----- .--- 'q ---- '.. '-. ~ 4. SUBTOTAL OF ABOVE ~~~~~A. 7% State surc~~r~: - .. .....--.. )J - 10% Administrative Fee TOTAL ~ Shared Drive(T)/Building Fonns/Eh:c<rical.Pcrmit Application t-03.doc L . LOCATION OF INSTALLATION ~; :hi5?: IiA';;~~r iN. LEGAL DESCRIPTlO~ 170~ 2'/33 .J.kh..J <ff)~ r ht411 JOB DdcRIPn&' /-1 P /A,)I. m;1c MI1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. oonO CONTRACTOR INSTALLATION ONLY 2.. - -. -- F . -.. -----.-- -(--- Electrical Contractor ~t?J.. ~t- ~0r , , Address :J-S- 2 s- t,.J I ! !on (\ (J r City ,q- vt4(!'U- . / Phone 5W-1?7tfS- Supervisor License Number !f71t.j-5 Expiration Date /0' () (,I' Expiration Date :;La - '-/(/3 t, / () - O<J. Constr. Contr. Number Signatur77 Supervising Electrician /' ~:J I l?d~u.-- v 1/' tMM-te- P~r,J i-I#t. ,; E'S ., /.AI Owners Name ::Jfi!N Address Zi:"O ~ So P (~b City Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. . COMPLETE FEE SCHEDULE Bb"LOW A. ~_~~~\' ~esidentj~I_-=-.Single o~ ~~lti~~amily p~r dwcll~~g unit. Service Included 1000 sq. ft. or less Each additional 500 sq. fr. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. j Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps _,\\0 $ 75.00 401 Amps to 600 Amps ~\~eS'!~ \\~\\':l:\ $125.00 eO: 0" \\U' 601 Amps to 1000 Amps~ o~eg _ ",e ^,,$163.00 -:--'" ",e '3>'- <.!'-~ Over 1000 Amp'sNolts \\, 'eS ~ OI.Jv 0.$375.00 '1\':,.0'" ..\ '01 \).\ \ . ;., , Reconnect;onlY,\e'-' o."e \ ~ 01". ^ \\}'1'$,50.00 ~\\U~ 'i).00'O( "\~ O\}g 0\'-'" ~u :' ~ ,'-';K;; -'\'0"-'..-""'~C\'\~ -:-pjO-- "e\~'-0-\\O--_.---_.. [€; I ,Tei!.l'orai'~Ser'yices or;F~eders'.'I_,,_...\\\C ~\O"''- "if.'~' f:j\~-- . -8-1' v. ~'?i."~ . ',~u>. -- --O' . - \O_\\\c'3>"~<;,?:'J ," 0'Q:., ~o ,\\\I\\~ b.b.'1' . ~Clnstallallon,fAlterallon ort.Relocallo:l> . ,nr' -.lo\) ',' "c,r~'" O\e~ ,,;?;~" 20Q.'6-mps,9r!less "e \_<o'0jV ."'-\).... \\\{\~, .,,\.\, 'S 20 I Ariips to 400 Amps .... ~'O'(J' _.....'0.:\.'-' 40 I Amps to 600 Amps ,. Over 600 Amps or 1000 Volts see "B" above. ,'-' -- "'-. .....-----------..--- -_O'. D. , Branch Circuits $ 50.00 $ 69.00 $100.00 --_.-_._-~---., , __._ __ ._...l New Alteration or Extension Per Panel One Circuit ( Each Additional Circuit or with 1- Service or Feeder Permit ifz- $ 43.00 $ 3.00 L-- E. I Miscellaneous (Servicelfeeder not included) -Each Installation t . . _____.~_^__.._.._.____.__......___^____._ _. ________..-..l 4"1 3'13- '-1 <;0 S7J> . . CITY OF ~rlUI'lt.FIELD Building/Combination Permit PERMIT NO: COM2003-00832 ISSUED: 08/27/2003 APPLIED: 08/27/2003 EXPIRES: 03/16/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2505 HARVEST LN ASSESSOR'S PARCEL NO.: 1703243300120 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump, air handler and attic fan Owner: PETERSEN JEAN MARIE Address: 2505 HARVEST LN SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION' . es'/OU\O Contractor . (eg01UiC~...D1~~~gExpi~~1~?n Date JOSEPH BUNCH ELECTI~.I,(fJNCU\~'~oP\edI567~r le5 ale S(0!l/~H2007 MARSHALLS INC ~II("'\J (U1es.a _'Dr 125790 (U... njl.,f', gf1-2/23/7003 Bu'iI!.DING1NFORMATiON"';I~S 01 \\13 '~~';e UI'f' - - OO'~'" \\le \ele? ." :\ ,/~" (T\a,/ 'Note'. ..ti...~t\o.. C#'l!f,Stories: center. \ , 't',llt" NCUot'Size: JV . .~ne onv.J.- HeigM'of$tructureQ(eg '3'3" "'3'\'Sq Ft 1st Floor: ~ ,- .f1')f \.\,..... 0 t:..~t:.. Ty,~S\'1f.He~: tel is 1-80 . Sq Ft 2nd Floor: Water Type: en Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Impervious Surface Area: Phone 541-344-8745 541-747-7445 # of Buildings: Primary Occuparicy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN SETBACKS I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Overlay Dist: Total: # Street Trees Rqd: E' Hand~'W~~K Paved Drive R4~Ol\C. SUf\ll EXPIREtfo;Wacl~UOl T~S PERMll n IS PERMll IS N % of Lot Covera . ORIZEO UNDER 1\-\ EO FOR . ~n~~MI=NCEO OR IS ~Bf\NOON I PUBLIC IMPROVEM~NTStO Of\'( I"tt\IVu, Sidewalk Type: DownspoutslDrains: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: .' Paee I of3 . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00832 ISSUED: 08/27/2003 APPLIED: 08/27/2003 EXPIRES: 03/16/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuat,ion De~criotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project l.l?Pp< P~iIU Fee Description Amount Paid Date Paid' Receipt Number -Mechanical Issuance Fee- $10.00 8/27/03 1200200000000002032 + 10% Administrative Fee $4.50 8/27/03 1200200000000002032 + 7% State Surcharge $3.15 8/27/03 1200200000000002032 Air Handling Unit Up to 10,000 $8.00 8/27/03 1200200000000002032 Appliance Not Listed $9.00 8/27/03 1200200000000002032 Heat Pump $12.00 8/27/03 1200200000000002032 Minimum/Adjustment Mechanical $16.00 8/27/03 1200200000000002032 + 10% Administrative Fee $4.90 9/16/03 1200200000000002141 + 7% State Surcharge $3.43 9/16/03 1200200000000002141 Add, Alter, Extend Circ $43.00 9/16/03 1200200000000002141 Add, Alter, Extend Circ Ea Add $6.00 9/16/03 1200200000000002141 Total Amount Paid $119.98 I Plan Reviews , 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 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Paee 2 013 . . CITY OF SPRI1~\.jn~LJJ Building/Combination Permit PERMIT NO: COM2003-00832 ISSUED: 08/27/2003 APPLIED: 08/2712003 EXPIRES: 03/16/2004 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 Paee 3 013 225 Fifth Street " Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2003-00832 COM2003-00832 COM2003-00832 COM2003-00832 Payments: Type of Payment Check ~i ~~ Receipt #: 1200200000000002141 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% Slate Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH ELECTRIC Received By djb l.:heck Number Batch Number Authorization Number City of Springfield Official Receipt. Development Services Department' Public Works Department. Date: 09/16/2003 2:17:43PM Amount Paid 43.00 6.00 3.43 4.90 $57.33 Item Total: How Received In Person Payment Total: Amount Paid $57.33 $57.33 . .