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Home My WebLink AboutPermit Electrical 2004-6-19 , . . 9 ProJeCI , o~"'^ ctoe ass 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-.j(j39 s nOI reqlJbrnil/edh ~ lJlre s aSlh ELECTRICAL PERMIT APPLICATION oe/e Oning (' ~ PeCific Ie e fOllOINin ( 1 1/ ...J ~ ndlJ 9 City Job NumberCom'ZO'l:lq-00 ,/ ..:I Date t>- t:> -0 -, J1lJ/n P Sa Of/Zed .... ~~~~"~r:;:.~", .....-. -~, ~ __SJgn;Uj~'~'"'' '~O- :'t' -.....~ 3. [gc2!!l:.,,4fP{1;~~~~(:l({~DULE~1.JE..~':~~",' '1'(r;~fi~ A, ~~N"o/;g1;fd~;r:il~figL;~(t@if!f.~I~~ , JOB DESCRIPTION ---r CW\ P YO"" E<L . /17t2Cw'o<L\SO.. ') Permits are non-transferab'ie and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days~ .:::;-....or:::.'I.,.-:? '. '~'h...-,.~:.:-:-' ~:-\"':::.='T .~ ""'; ~~ t.CONTRACTORINSTALLATIONONLY,. ; 2. 1'::.:.'::'*-:~~....:-'~",~:.:.::t..!.;..;.:'4.. XS 1\1.~".~'- f.'"., '..~ Electrical Contractor ~05~ pt~ Bt{~..,J\ bkT. 200 AmRs ~ ~ \0 $ 63.00 . \a,Qjw;Ql ~~'lO'o\~. $ 75.00 Address ;}G.;J.5"" tUff IOI'1(J\ Or. _d..~O~....4~&1~~~~~'_ $125.00 ~\V~-- ~ "u'f ...~ :jS m-O.'<>i,X!!', . '2! "t~ 'O~'N,m,~~ $163.00 Phone ~ _Il-'J.: e O"\OW"9'-\~ ~~!.t~~e $375.00 ~o\\{\~Uii2..()I)"\~'o\e\R<31OJ~~~2f\~\~iC~\iol' $ 50.00 1173 wO..:.c.lOU ~ (\\at. [~~-'m\\\i\'l~~~, . '-'.', - , .,~, ''';,-~.' , ' ,,"'.. ., '~'J Supervisor License Number -r L:to;o;i:. ~tC:e b1~~~~Ii.'!f~,rYic~s.i)r F,e~d~rs.o .'<" . .<~.i1i; :~. ;'~!l.,.~i.~:j Expiration Date I () - 6 t./ (l1)tlI'OB tjef.'lWt \S Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps r::"';; .,:...., -~_.. -",'./', '':oi: ..... "' -.~:>' <I. ISUBT,.9rAL9F,4B~JVE ~. "..~ '." ..' c,." ~~ 7% State Surcharge @ ;\). ~::~'ru.",,~'" ~ ~ Shared Driv<:(T:)/Building FonnslElectrical Pennit Application l-03.doc :"1,\,,-~'":)'""_:~:;"'"'"1",,~~'::;~_""i"i'.<>".'::~?I~'-~7'::.~" '(" ~""''l.; 1. ;;,LOCAT10N.'OFINSTAL1~A:T10Ni'K;..:,', i ?!.o..i':l';~.t" ,,- ", ',.~~~ ...,_;..;.:,;"...;w~-M'.:._.)ti,.i':~~":.LJ..~':"'2l. 5701 JI//l A-III/ ::> '\ LEGAL DESCRIPTION (702.. 334 ( 0310 ( /' City evtA I Constr. Contr. Numbe~ J.c1 - 4 rP 3 C- Expiration Date . 10 -0'-/ "'?Z;?Z::L . Owners Name JIll. J)o-,A-tls. Lot2.f Address lOb /6+t.. jt-I/F City eVtG-/::Wf5" 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 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof :',~ $50.00 Each Manufact'd Home or Modular Dwelling Service or Feeder f~' t>-~';'':'' i ,'" :' ",", - ','.'. "."';" " 'r~ ',:,>i:'f.., _,)~_,,- . ";,;"', < :" ',. . "-~ B. F~-~r~j;~i or:.FJ:.~~_~t~'i:- ~PJJt~,I~,~ !iff~l,'g!!$~~!i2r~~:~.r ~~a~a.~!?E.V;i~ I $ 50.00 $ 69.00 $100.00 5'0 O~er.60~~m~~ or 1000 ~oltss;~ ':!I" above._,_~~.. _ l>\Tl'I"'~'" ,:s:~"~~,'y,:,,,~~'J1:1".,.,~'T';,,,,,', ">":"'~;if,j,~,,)!(,,. "iff;>(, ~~ D. 'l, -, Br1iich;CirCllits:, '~;~:'~.5~,:::.J:f~~:~')%~W:f::~~ fii'l~ '.~'G?>~~i.l' %Y~,;' ~~';~,~;>1 , ' .,;Jr.r~~".;ls.r~" ,-,",",,'",''' --';Z;-,.,'-"""'''' ,,'~"",', ' .,,;.._~'.a.,.i.-~~.;~1:..J New Alteration or Extension Per Panel " One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 3.00 E. l~Mis~~I9lk\~~erti~j;ftWmff~~J:~~;';ii~'ITilh~ ""L.-'-l\'lI~t'41"\'l1l >c. ".,~ ER-1\1\~N't-l'\l..r,L,~~~,,,~; Pump orIlM1MQ~~~~O U6~ IS A6ANOON~05g~~ SignlOutl1Ql~tGffimlllA'( PERIOO, $ 50.00 Limited ~~}~yW'}krential $ 25.00 Limited Energy/Commercial $ 45.00 $ 43.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges "f;~~.p3:"i'tJ , ...',t."'J-'~-~'~ " :~:"'''l.~ij ~o ~SO S-Oc.) S'8~ . CITY OF ~r'K11'luJ:'1J!,LJJ Building/Combination Permit .. -r.:;::: ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line PERMIT NO: COM2004-00713 ISSUED: 06/17/2004 APPLIED: 06/16/2004 EXPIRES: 12/17/2004 VALUE: SITE ADDRESS: 5701 MAIN ST ASSESSOR'S PARCEL NO,: 1702334103101 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: PROJECT DESCRIPTION: Temp power for fireworks stand Owner: MCDONALD'S CORP 36-113 Address: 10616TH AVE EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JOSEPH BUNCH ELECTRIC INC License 156761 \. '-._~ ~.. ,.. ~- d .BU.JUDJN6'INFORMAII1ION I ~TTENiION: d by tn" \-u" t 10rtl1 # of Units: 'jO\\OW rules adopte Th~):!totli!f, are ~~2.001- Primary Occupancy Group: NotifIcation cente~1~'I!~l!!I\~'lt~iI';1\es bV Secondary Occupancy Group;n OAR 952-001-0 ; ~SI9I';l1~tlhe! one Primary Construction Type I 90. 'feu may ebta r~Ii{et:IPe:te\e.ph ion Secondary Construction TypePO ailing the centerR~gr."v1i>;P.9:Not\I\Cat # of Bedrooms: C mberfOr the.O!EII,~R!J(~tt,WA4). {lU Center IS 's~Hinued Building: nla I DEVELOPM"'I'1 m..ORMATlON I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: New Commercial Expiration Date 08/21/2007 Phone 541-344-8745 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: I PUBLIC IMc"uv ...1....." 1.31 NOTICE: EXPI~~f"l"nktTrJ'SRK THIS PERMIT ~~~~~ THIS'?'!..'YlimqaitSfjjmns: ~~~~~~Z~~D OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction : Total Value of Project Pal!e 1 of2 Value Date Calculated . . CITY OF SPRIr~lJ..u..L1J Building/Combination Permit PERMIT NO: COM2004-00713 ISSUED: 06/17/2004 APPLIED: 06/16/2004 EXPIRES: 12/17/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ~ Fl'l'~ Paid I Fee Description + 10% Administrative Fee + 7% State Snrcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.00 $3.50 $50.00 6/17/04 6/17/04 6/17/04 1200400000000000921 1200400000000000921 1200400000000000921 Total Amount Paid $58.50 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. , Rl'ouirl'd Insnl'ctions I Temporary Electric: Approval required prior to Utility Company energizing pole. 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 ofany 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 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00713 COM2004-00713 COM2004-00713 Payments: Type of paymeut CreditCard 6/17/2004 RECEIPT #: ~ Ilk. .. JiitY of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000000921 Date: 06/17/2004 Description + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Paid By JOSEPH BUNCH ELECTRIC Received By djb Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 000413 571653 In Person Payment Total: 8:25:53AM Amount Due 3.50 5.00 50.00 $58,50 Amount Paid $58.50 $58.50