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Home My WebLink AboutPermit Electrical 2004-12-17Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01550ISSUED: 1211712004APPLIED: 1211712004EXPIRES: 0611712005 VALUE: SITE ADDRESS: 2II2YOLANDA AVE ASSESSOR'S PARCEL NO.: 1703244300700 PROJECT DESCRJPTION: Add I branch circuit RODNEY WORKMAN ?II2YOLANDA AVE SPRJNGFIELD OR 97477 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Residential Phone Number: 541-746-6689Owner: Address: Contractor Type Electrical Contractor JOSEPH BUNCH ELECTRIC INC License 156761 Expiration Date 08t2u2007 Phone s4t-344-8745 CONTRACTOR INFORMATION BUILDING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: nla Frontyard Sethack: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: Vo ofLot Coverage: $ Per Sq Ft or multiplier for the Center Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01550ISSUED: 1211712004 APPLIEDT 1211712004EXPIRES: 0611712005 VALUE: Fee Description + 10oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid Amount Paid $4.50 $3.15 $43.00 $2.00 $52.65 Date Paid t2lt7t04 t2lt7t04 t2n7t04 t2lr7l04 Receipt Number 2200400000000001525 2200400000000001s2s 2200400000000001525 2200400000000001525 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase2 of2 tl ees raro 225 Fifth Street Springfield, Oregon 97 477 54'L-726-3759 Phone Qity of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 2200400000000001s25 Date: 1211712004 8:24:11AM Job/Journal Number coM2004-01550 coM2004-0 r5s0 coM2004-0 rss0 coM2004-0 r s50 Description + 7% State Surcharge + l0o/o Administrative Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Due 3. l5 4.50 43.00 2.00 Item Total:$s2.65 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard JOSEPH BUNCH ELECTRIC djb 148059 In Person $52.65 Payment Total: -$ffi 12n7t2004 Page I of I ET 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(54r)72&3753 o F E I,E CTRI CAL P ERMIT AP P I'I CATT ON City Job Number CDtnzprcr*- orfs-s ZIIZ Ja LEGAL DESCRIPTION 7o3 ZL{tl3 ooao o /7 Service Induded 1000 sq. ft. or less Each additional 500 sq. ft- or portion thereof Each Manufact'd Home or Modular Dwelling Service or Fecder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 AmPSVolts Reconnect OnlY s 19.00 s50.00 s 53.00 $ 75.00 $125.00 $163.00 s375.00 $ s0.00 JOB DESCRIPTION '+\i\ a Lt (Lc,nr lr Permits are non-transferable and erpire if work is i not started within 180 days of issuance or if work is Suspended for 180 daYs. 1 Electrical Contractor Address 75 hlil lrn,o )r Supervisor License Number 3+4 Expiration Date o Constr. Contr,Number 'ZC -\isb76 t Expiration Date 8 0l Nrme LJ,r*k *-.*"/ c. D. Service Permit E. Limited Minimum Electric 7%S,ate Surcharge l0% Administrative Fee TOTAL 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 ArtPs Over 600 or 1000 Vols see "B" above. s 50.00 $ 69.00 $100.00 s 43.00 ,4 7 $ 3.00 vf 3/ tl tu gzoL IL TNC B. City ,IIT SHALL E o nuAN[J0 I\JEO FORRelocation New Alteration or Ertension Per Panel One Circuit / Each Additional Circuit or with Owuers Address o IL City S Pr'b Phone OWNERINSTALLATION The installation is being made on Property I owu which is not intended for sale, lcase or rent. Ownen Signature: Inspection Request: 726'3769 4. E---/rdiJ--l o*ir a ^-liratim l -Ol dm 7 o 3. A. I