HomeMy WebLinkAboutPermit Electrical 2005-7-21
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. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO....... 'Z...OO\," - 00 b g ~
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05700
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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. Permils are non.transferable and expire if work is
,. not slarted wilhin 180 days of issuance or if work is
Suspended for 180 days.
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Electrical Contractor~f3tPL J3M-~J., elur II1{,
Address
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Phone 3tflff71(~
City
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Supervisor License Number l./-7 3 if- 5
Expiration Date i (] - 0 &
Constr. Contr, Number / S''' 7 t.. I
Expiration Date /,1 Jd7
S. n ture of Supervising Electrician
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Owners Name ---gr,A--. ?.!)_.....~
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S?e~ Phone 7'1/- 1"32%
Address
City
OWNER INSTALLATION
7;fr/o1
Date
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3. ~'COMPLETEFEEiscHEjj&ti;rBEl;(j"i-v.l'~;:.:fi1t~>!l,4.,:j>"?'~
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Service Included
1000 sq, ft, or less
Each additional 500 sq, ft, or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
, '. T O~iiJgpr:Q;"cta~--5 Ol]ll""~"~"'" . -.. ,."~._",",,,, ,...'..~' ~
BS. ~. ",- "F""-ll'~F"," ' ..e !;.j.~'Jril=';Q"1 .. ....', ,," ,'"
. .- er:vlces or" ,ee CU,~;DQ ~frW..l.!:''J . o~,\.e ocatlon:.~,l
, -- ,. -'",:', i . -'_ 'Hlr~\.':!\."k~'::hn<. . ti .I!j;~ and.use~~''''U-.;d>l;>l
$50,00
200 Amps or less $ 63,00
201 Amps to 400 Amps . "0$ 75,00
401 Mt'itl~6'19r~ laW reqUire" '.~\,,;~125,OO
~5\Y~y the ~re~~~otfO~ij3.00
N~ vffcaGB~~ptlt\fOI1-hose ru h~';:;; Oo;?-Osm,oo
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\0'01\ btaio cOpies v' ,- h ~
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bertO! the Orego .2344). '
It\'lmali~~ri$ttoR>'.l?i~calion '
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69,00
40 I Amps 10 600 Amps $100,00
Over 600 Amps or 1000 Volts see "B" above,
D. [Bf!~htci~~iiits~i1'~~:~~111i:.1.~.W~r~:'~~ "r- \"~!~i~~~~ii~u\t,~?'~
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New Alleralion or Exlension Per panel/
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43,00
$ 3.00
1./;
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Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limiled Energy/Commercial
$ 50,00
$ 50,00
$ 25.00
$ 45,00
The installation is being made on property I own which
is not intended for sale, lease or rent Minimum Electric Permil Inspection Fee is $45.00 + Surcharges
Owners Signature: NOTICE: T SHALL EXPIRE4A'!S&BT,OifAL:OF.&tBOVE4li';,.f.;:,~.I),~:~~:;:Ir;:;::1 'II
1~~H~~~~ID UND~~ T~I~tDPOEN~tE~~J::::~;~"'''''',''~\~~:aM~~C.d j'Z'Z-
I,;UIViIVitl~vt:U un to!nlif'j' u ,run " , Ubi>
ANY 1 BO DAY PEr. W:. lOX. AdnunIstrattve Fee .,
'm.~'." """~" ""'''' ~~ ()\ TOTAL _ ~"",,",_ __,_'^"",:~~.::
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. \..11 l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00688
ISSUED: 06/0812005
APPLIED: 06/08/2005
EXPIRES: 01/21/2006
VALUE:
SITE ADDRESS: 870 HAZELNUT LN
ASSESSOR'S PARCEL NO.: 1802061105900
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTlON: Install heat pump and air handler
TYPE OF USE: New
Residenlial
Owner: BRIAN BOWMAN
Address: 870 HAZELNUT LN
SPRINGFIELD OR 97478
Contractor Type
Eleclrical
Mechanical
I CONTRACTORINFORMATlON I
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 Selback:
Side I Selback:
Side 2 Setback:
Rearyard Selback:
Solar Setbacks:
Slreet Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I BUILDING INFORMA TlON I
# of Stories:
R-3 Height of Structu~e "ou to
i l\l;leatfeQulres , .
~E.NlI0N: ~~dIlYPe'ne Oregon Uti\l~
101\OW rules a a~t!l'1~ rules are ~~~-gOI.
Notitication ~~~&:m~1bU~~e rules by
In O,c..~ 7_5; _~" Pn6ItM\~~ , II.: '~I.,nhO~~/a
uu~~i~,jjj;illEWPME~_IN~Q~~n6N"i
numberlorl. r~i .Jl~800-332-2;j'llfr,
cer&ve~ay Dist:
# Streel Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Phone Numher: 541-741-1328
Expiration Date
08/2112007
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:
Downspouts/Dralns:
N01ICE: PIRE IF I\-1E WORK
1\-11S PERMll S~~~~ ~\-I\S PERMll IS NOl
P-U1\-10R\Z~D UOR IS P-BP-NDONED FOR
COMMENCED
P-NY '\80 DP-Y PERIOD,
Paee I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriplion
Tvpe of Conslruction
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% Stale 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
Penalty Fee - BWOP Electrical
Total Amount Paid
.
. CITY Uti ~rKll~ld'l~LU'
Building/Combination Permit
PERMIT NO: COM2005-00688
ISSUED: 06/08/2005
APPLIED: 06/08/2005
EXPIRES: 01/21/2006
VALUE:
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Foolage
or Bid Amount
Value
Date Calculaled
Total Value of Project
F pp< PIili\J
Amount Paid
Date Paid
Receipt Number
2200500000000000732
2200500000000000732
2200500000000000732
2200500000000000732
2200500000000000732
2200500000000000732
2200500000000000959
2200500000000000959
2200500000000000959
2200500000000000959
2200500000000000959
$10.00
$4,50
$3,15
$8.00
$12,00
$25,00
$4.60
$3,22
$43.00
$3,00
$46.00
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
6/8/05
7/21/05
7/21/05
7/21/05
7/21/05
7/21/05
$162,47
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.
IRp~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work Is complele.
Rough Electric: Prior to Cover
Final Eleclric: When all electrical work is complete.
Pal!e 2 00
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00688
ISSUED: 06/08/2005
APPLIED: 06/0812005
EXPIRES: 01/21/2006
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 berein, and
that NO OCCUPANCY will be made of any slructure without permission of the Community Services Division, Building Safety.
I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
I further agree 10 ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is localed al the front ofthe property, and the approved set of plans will remain on tbe site at all
times during construction,
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
54h726-3759 Phone
.
~.
Jll..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00688
COM2005-00688
COM2005-00688
COM2005-00688
COM2005-00688
Payments:
Type uf Payment
CreditCard
:1
"
7/21/2005
RECEIPT #:
2200500000000000959
Date: 07/21/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Penalty Fee - BWOP Electrical
Paid By
JOSEPH BUNCH ELECTRIC
Item Total:
l:heck Number Authorization
Received By Batch Number Numher How Received
djb 014568 In Person
Payment Total:
Page I of I
9:36:36AM
Amount Due
3.22
4.60
43.00
3.00
46.00
$99.82
Amount Paid
$99.82
$99.82