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Home My WebLink AboutPermit Electrical 2004-8-31 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7~CP9. "" <9 o~ ELECTRICAL PERMIT APPLICATION ~ . o~~; ~.,;i-> "'t '"'1. ~ . Q:..a"" City Job Number lJ:MI\ --z..oo Y - 0 I 0 z.. -' Date C> If 31 0 l( ""'>0 ~^ 0"",9-.;". ~. "{'. ., , 3. f/cOii{ptETE'FEESi~.~C-:''::>.''EiDiif~[?i~.~~''fC:~;~~ tv~'-"'= . ~"'~-~~.l.:..:~J~~;,-"-- ~~~:~~<;i~~~~-;:t..,~..J;';1-:'~~'-'~ C:i'~...... l.OoJ'@o- A. ~N~mit~;.;m~'~';-i:~r~~r;@~']Q~&-':"ilii~ ~1b\ : ~r~~1.'?~*f,,;~~J;t'i;;~~~ f:';"~~Xf""""'>'''-'~~'':;'~'~ -~~, :tl ',- '''':;;:'~'::~;'~f....~~i.J.i f$l.... -0 '/0' ~ G-~ ~. 6.00 " 1> 200 Amps or less $ 63.00 . 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 r' .601 Amps to IOO<l.~mps $163.00 Plione 3'-/-4 -f7L/~ Over I~N>~{\\\\>lts $375.00 \~\<e~ ~,ol\~ $ 50.00 1f73ft~\oWOt,,?~~!\ 'O'I~~\\eS<~~~~'2-<.Q~:1s"'''''-'- '< " "~ ,,-:"""'{..- . ..!1!';1 Supervisor License Number ~ ,\ ....r10n~ -fcl'p.'mp~er~rjce~or: Eeeders . ..:.. ''''j!' ~::'l,fu,...f YilC.. .~'\ I> ~:t~ '~!;l p<i -, S.......u 'y ~\;, ~',v_~ ,~e ,~w,;o....t...,. - .. - """ .~ '<':11 ~. ~~",,.,IIq;>,' > ' io;oI< . ,I ~$)'I4I\l.\" (jef\Wt. 0 \"tOU~ So' \". :l\of\e Expiration Date I () - 6, \0 'f\C~\\O~ <)0\.00\ .~omKt18\b \\1fe~~h'.n~Or Relocation . 'f'J- ?- \10" oU\~\ $\\\~~; le\O\\\\ - ') c) - 4 ~ 3 \f\~~ '{O\l.lt\~'lcef\\el~~~~i~~....1.\. Constr. Contr. Number 0- ~u. 'he O~~'~3'.!.OI'l\JO Amps O 0 '-I - C~\\\(\'6 ;',ot \"e 's4{l\i\A~ps to 600 Amps E . D I - ",U6 ~el \ xpiratJOn ate ..\1..- <:,el'l Over 600 Amps or 1000 Volts see "B" above. D . rB\:r,r:"~-Ii';-r;~;~;'7""t :'"!";'s,ft5,):" ':~ y" j~'. >$+ \ {'~~'.r%~::-;-'\"~;: ~tT ;t;.u"~J . ~!}~,,!c~ ,~...:..I~S.l!I.,~ "'?~('1_r~,,~~;,J~~ ':~~i\~'1';:;-b;"""'~~~.:.~-::'[~ ~',~,r&iJ New AJt.eration or Extension Per Panel f ' One Circuit $ 43.00 Eacli Additional Circuit or willi Service or Feeder Pennit E. W\K~~U~j{~g~~;(S~h1seJ!ifd~rd(;tf~~~)}E.~~J;'I;'~t~I'I;;1\1 ~- -\,-W"'-i~~V~-- Pump. 'lr irrigatio~\..\.. 't.'1-?'~\'t:.\\w.~ ~(\? $ 50.00 ~t\~tS;~~ ,\\\ ~r;I0'1l.'(,V . $ 50.00 ~t-i\I!lf?~~~tij~~~~~~~ $ 25.00 ~j\lt~~~~g9~~~aI $ 45.00 Minim'ilhl'El\'i5i'~mitInspection Fee is $45.00 + Surcliarges ~c~\':L-_~ .. ~--~"'.-_~ 4. 1.~(,~foTAijOF~OVE.~.~';~~:~.,:~t::,,%fr~ b ~ [.:.'i-1>>'-~_:;"'" " .."' - "'- 'k <'" ".,' ~" L/ !t..:".".~..., ,~.-,,- ...,.. -,,',", . ^\". zZ " \~ 7% State Surcliarge -:s l\.~~ ~\9 )\ IO%AdministrativeFee l/bO ~"'- ().,!'J.O TOTAL 5'J g ~~1) Shared Drive(T:)lBuitding FonnslElCCl1ical Permit Application I-OJ.doc ~:\'~~.,X'-"'"'r'"....",.,.;;:?t~:."N?"'~"~."":'W".'~'~""J:.",'x-i~r)":;~:":I l. &.:~2.f!\nqN-ggl.lV--S.r.~.1i4!.IQ!"i~.:~4t'!Jl 77') ,J,.....'( c:I&.v , LEGAL DESCRIPTION n03 ZG( l tsr- PL D/Jl-\ JOB DESCRIPTION Abi::> C-. \ /2..u-.. \ h z /' Permits are non-transferable and expire if work is not started witliin 180 days of issuance or if work is Suspended for 180 days. ~"':;'" '..'.>~ '''~> ~~:n>,,?>-::-",~,""-~~~~';r ,~~~-;:~ ",CONTRACTORINSTALIJATlONONLK,i 2. LC""c"~~~ '''~..' -'.\'-~<.r..::6.~d\;1Lti:';':1:.L~"~'''' "..L.:.:J.~ Electrical Contractor ..:JOS<: pt, Bt{~..,J\ &1fcT. Address ;)-'5;l.5"' t<.Jd /:>1'1(/\ Or. City e-Wl I ~--- Sirz:2rviS~:i I Owners Name' Jo..J S~telL )~"ck>r Cr IL Address 17)' >~Fh Plione City OWNER INST ALLA nON The installation is being made on property I own whicli is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Service Included 1000 sq. ft. or less Eacli additional 500 sq. ft. or portion lIiereof Eacli Manufact'd Home or Modular Dwelling Service or Feeder $50.00 ~-~~ '.,.'.,;-~ ,,"7.7';--';"'-;\'-,~' .,,,\}' ," '''to: "''; ,,:-,~) B. I~Se{vice-s~'Or F:ee(Jers'k~In~t~1I13tion,~Altefatioris"or Relo61tion:;~~ &i.:dt~:..,. . .~~_". '''-';>P-...::s- .~:. ~.'\ '.~: ~~.;...,,:,;;:,.;.. .)}"\."f~- ~..5.:::~~~t:..~ $ 50.00 $ 69.00 $100.00 I liS J $ 3.00 Status Issued ~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01023 . ISSUED: 08/17/2004 APPLIED: 08/17/2004 EXPIRES: 03/03/2005 VALUE: SITE ADDRESS: 775 HAYDEN BRIDGE PL ASSESSOR'S PARCEL NO.: 1703261201321 TYPE OF USE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: install heat pump and air handler Owner: ST AFEK JON C & VALERIE J Address: 775 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I ~ Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ~ Frontyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I BUILDING INFORMATION I law requires you to ATTENT,(ljlQf~l1mctli'" Oregon Utility R-3 folloW ru\~l~~ liIDse ~Ies are set forth vrtlotificatiol\~I'I=thrOugh OAR 952-001. In OAR 951~OO~ 'b1Jf~ copies of the rules by 0090. You ne ~t"tNote: the telepho~e :'~~~~r _ r~'-~D~,~~~~~~~~ili~~lon I u"'~":rlaPMENhNFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I 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: II ~~c WOR" "01\C~:. \\/IIi S\-l~L~~;J!ilWl~t~~\\/Iltis NOi ~~:~~IEO \J~~~; ~~~~OONEO tOR CO\\/l\\/lE~~~~ ofRIOO. f;."o, ...'.'_. I Valuation Des~~iDtion , $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type of Construction ~' Paee 1 of2 Value Date Calculated .if Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance 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 . . CITY OF ~"'I<11'1ld'lELD Building/Combination Permit PERMIT NO: COM2004-01023 ISSUED: 08/1712004 APPLIED: 08/17/2004 EXPIRES: 03/0312005 VALUE: Total Value of Project FI'I'~ P~irl I Amount Paid Date Paid 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/17/04 8/31104 8/31104 8/31104 8/31104 Receipt Numher 1200400000000001226 1200400000000001226 1200400000000001226 1200400000000001226 1200400000000001226 1200400000000001226 1200400000000001291 1200400000000001291 1200400000000001291 1200400000000001291 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 $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. -. I Rl'nuirl'rlln~nl'dinn~ I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When aU 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 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 Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 54"1-726-3759 Phone . ~. ...'1 .ty of Springfield Official Receipt "'evelopment Services Department Public Works Department Job/Journal Number COM2004-0 1 023 COM2004-0 1023 COM2004-0 1 023 .":COM2004-0 1 023 ., I Payments: Type of Payment CreditCard ~f ~J 8/3112004 RECEIPT #: 1200400000000001291 Date: 08/31/2004 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 765914 In Person Payment Total: Page 1 of 1 I :54:37PM Amount Due 3.22 4.60 43.00 3.00 $53.82 Amount Paid $53.82 $53.82