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HomeMy WebLinkAboutPermit Electrical 2005-7-21 ApproVAl. G\.)2. Zoning 1- I~d- -0...> s,~~~tn~ r~~;.~~~ ~ ~ . 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 ~ 1. ~f6eATION'offiINs, T,,4'jXf?'\iioN:aZ~~'t;'<,;'~ , "-::':a~~.,~Ji:...-.J''f_,.-..".~.....__.~~ .~......~~"",. ,.-' -'"'~ 11A~/"".....+- 05700 ~7b LEGAL DESCRIPTION /gOZ.Obll JOB DESCRIPTION A-d d Z c-( r u.-....d-, . Permils are non.transferable and expire if work is ,. not slarted wilhin 180 days of issuance or if work is Suspended for 180 days. ':1CON!fIDr"cTo:RYiNs,rAlJIiA:,r(TIOJVfoNLW, '';1 2. r:";::":'\~...~;';lIIIIr'~'iH:~::-/",~...."'M~",":'''''->i:$l~~-''''~ Electrical Contractor~f3tPL J3M-~J., elur II1{, Address :;S:;.) v-!J,((dnt.'- ))r €m 0 I Phone 3tflff71(~ City ~ Vf<1 €Jttl / 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 JZWf~/ --- Owners Name ---gr,A--. ?.!)_.....~ <67D IM:ct::~.... ~ S?e~ Phone 7'1/- 1"32% Address City OWNER INSTALLATION 7;fr/o1 Date ( 3. ~'COMPLETEFEEiscHEjj&ti;rBEl;(j"i-v.l'~;:.:fi1t~>!l,4.,:j>"?'~ L;:',-^'-'"",-,,-~~~~~~. ".......v;z,;-,~',' 1....":\", v~._(...,:.:~~ A. tr~f~jf~~~iif~Si~g;tji~lri~~1fti~\:ii7y-~p'- 'i~fi~ifg~~13~,~ lit.~'--'''->-''--''~'~+-'' ..,.<-...." ~ ---'""....,.'-."'~.~. .........N.~r.:;.-,,~~~_.~.....u 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 ~~\'\ff5~..Q01othrO~g ;ti~~ '''1es~,oo \0'01\ btaio cOpies v' ,- h ~ .l\~~~;,W',Mi"/~I.,ll>']\1tle~,'''~~':;~;!.'''''"''''''''';:-1i'f;'''''', ,:c.:t{"l G:' ~~~'lsWtTh\itY~'OtiliC.llnun\}"f~;" ,:.,:'Mi' \i~.';'.j{ 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,~?'~ ., "'-.- :ar" -,,"'.--.,- ~""'.<.....it}". ---. . ;-~ " ,~.... "~--'" .... ."".'f::."-',' "..""'-'" ,,,--,,,-~,_,,'I.~' '''<~ New Alleralion or Exlension Per panel/ One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43,00 $ 3.00 1./; S ( ~~,"~,'_;"~,","'1i~- .~j.-li'_,"-"',j:":,'A1, j\o.t:I'~~'>',%, '''',',';:J;.;.':.i'.D,':~Y'~,'~1,':...:;.:.; ...,',. t:iY1, -',t, '~\!::f1""'I,'~,";;~ E. W'~~~~a,!J{~~~i(~.~':Yi~.!f<9,e1J..~,~t~~i~l~d,ed)::OJ;:_a,~!iln~!!!.I!,,1~iJ:, 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