HomeMy WebLinkAboutPermit Electrical 2004-11-16
Service Included
1000 sq. ft. or less
/ Each additional 500 sq. ft.,or
IE'Wf (> Poc...Jt.-rL XvH*1 nee-CPT portion thereof '.
, Permits are non-transferabl/and expire if work Is Each Manufuct'd Home or
... not started within 180 days of Issuance or if workls Modular Dwelling Service or
Suspended for 180 days. Feeder
2 ~eo~, 'crcr~Jii{STAEEtt,c"'??'ffTdNlO~?J B, ~SMf~,. ~1ra1'Ef~~Jill't~-.r,IAi,;1%~~~~~1
. ff'..,!,,,,,"":~j!.;~J!..-i'.:!:~q.~e:~~:!::'~-~~~~ ~;,;;r...&o-..~...~~~~)iI(:'~,~~~~~~- _-'_"~
Electrical Contractor . .Jrl5iP,^ '"f.)[U'I,k ~ 1f{ fr~~T~i6PJg>5~w requires you. to' S 63.06
II \I W rult~I_.W'.99 fi,mPIDregon Utiht~ S 75.00
Address 1..525 Wi Dnt.~ Dr '~OjO r ~~tlWP~lCf~Q!M.\IIPSlsaresetlorth S125.00
. .1 ,~:~ ~~m~t6ltbOGWin'WAR 952-001- SI63.00
City _ F:\NJ.. Q ,M- Phone 2tL'T - ~7 't.6b90. YOlJ)veryloOnOOhpwlll& of the rule" UJ S375.00
. \ calling tm;cuumteo<4Y!ote: the tel~~ho, '" S 50.00
tf73if--S' numbe~~:_,_~,=~,. -~. ~"' '
S . L' Numb C . - l'eeaer - - . .""''''~.'''.... .~~ -.
uperv150r lcense er '. ,... ',. ...",.f.. .. . - "~"."'.,' .
Expiration Date j D / 01 f 0 7 ' Installation, Alteration or Relocation
, , III 2 I 200 Amps orless
Constr. Contr. Number 2-0 - It; '.) U /5~7& I 201 Amps to 400 Amps
I f'\ (OK" j 9/0' 7 401 Amps to 600 Amps
Expiration Date IJ oJ C'
Over 600 Amps or 1000 Volts see "BOO above.
I D. ~5""""',c,tilWl~~~#J~~~~Y~'lIiy,:~
,jij __~,...._1i'..~il!i&..~-~,*~~~
NewAIterationor Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
225 nl! In STREET. SPR!NGFIELD, ()R 97477 . PH:(541)726-3753 · FAX: (541)72~363~
ELECTRICAL PERMIT APPliCATION' " , ' c'.; .
City Job Number t.Oo4o\too"i-'O 140l.f Date. II /J~/o...t"''o~t\
;p':_._,.-...~'~_"'" .. ~ .__,___".,~.r", "..... ,,,,_.,..
3,COMPE.eJ.cJ:i! 'ULE.'iB, '0. .,
1. ZL()ciTrON!O:mNS~'TIOM~~
&~=""'''''- -. ...:m~..ho.._~"""-~ '.._.;,':.....,..;...~. -
S 70 ( Ii11 A /IW'" os.,
LEGAL DESCRlPTION
170"l. 35&(1
03/01
,,'
,
d
JOB DESCRlPTION
S 19.00
S50.00
/
S 50.00
$ 69.00
SIOO.OO
5D
Sfrnu-e cif Supervising ErtriCian
\~ -;{nr, / /
$ 43.00
Owners Name M c... 16"","'" (C:! ~
IO~ e- Ib~c...
$ 3.00
City ct1..f:EI<IE
Phone
NOTICE:
THIS PER'IIf;~"'t!l;""'..~.'!!li'si:~Itl'!\.~G1l_"'j;\:la:!,,~~!.!<~"~,j
It ~NIJSteuaiie(j , !rn~lee<le~nOt}iiclUifedy,,,"'acIiITiiStaU"(jO~
;,~IHORIZE 'tJ'f,(J1:1\ 1111';' fl'fflNlfflg' m ..'._-,,' -";'-,..--~."""""'"
COMMENClPlmlPfOrl!irigattOiiDONED FOR S 50.00
ANY 180 Dstg,liOIiJiiJ,B Lighting S 50.00
Limited EnergylResidential S 25.00
Linliled Energy/Commercial S 45.00
Minimum Electric Permillnspection Fee Is $45.00 + Surcharges
Address
OWNER INSTALLATION
The installation is being made on property I own which
is nol intended for sale, lease or rent
Owners Signature:
_~::t;~~"~n.~~~,>t..,~""",:~~~",,-
4. .:Sb.lHV.lAIi:.OEABO. , ,
~~S'ila~:;P~;.'~ll;1;r,,><' -. .-- - .
50
3So
50~
s8~
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
_ '"".."":__ 'C'~_~1J;1_"':....1 O_;t ".....Ii.....,;"" 1.fl1 r1nr.
.
. CITY OF SrlUl~ut<lJ!,LU
Building/Combination Permit
PERMIT NO: COM2004-01404
ISSUED: 11/1512004
APPLIED: 11/15/2004
EXPIRES: 05/15/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5701 MAIN ST
ASSESSOR'S PARCEL NO,: 1702334103101
Springfield TYPE OF WORK: Use Initials
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Temp power for Toms trees xmas tree lot
Owner: MCDONALD'S-THURSTON
Address: % M-D SANDERS 106 E 16TH AVE EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
JOSEPH BUNCH ELECTRIC INC
License
156761
Expiration Date
08/21/2007
Phone
541-344-8745
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
BUILDING INFORMATION I
A111:1\1 IIUI~; Oregon law requires you. ~
# of Storiesfollow rules adopted by t~~?n Utility
Height of 1\.~\\1lt'lf!lon Center. Those sqlf1t flPFilltt?rtIl
Type of HIi'Il;:)AR 952-001-001 0 throug!ltltl~~0991.
Water TYl\Sb90. You may obtain cop~ Ei tillieM'eh'i:by
Range Type: calling the center. (NoteS~I1!t'G~I!~rport
Ene.rgy Path: ber for the Oregon Ulq~l0:tljlie:3.tlon
Sprmkled B&iHWng: Center 1d''itaOo-3~''-''''';I'Load:
I DEVELOPMENTINFORMATlON ,
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Description
Type of Construction
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
__ ,__._r~ ,,,,nrD TUI<: D~~MIT IS NOT
I V':'~I: ;;"t'~;;~rD~"" -np~i~.ARf,mONED FOR
a ua IOn' ' escnp,tIOn
AI~Y I QU Ut\l I 1..1 II"".....
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Notes:
Total Value of Project
Page I of2
.
. CITY OF ;:)rK11~tJJ<1Jj,LU
Building/Combination Permit
PERMIT NO: COM2004-01404
ISSUED: 11115/2004
APPLIED: 11/15/2004
EXPIRES: 05/15/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.Fl'l's PaW
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$5,00
$3.50
$50,00
11/15/04
11/15/04
11/15/04
1200400000000001615
1200400000000001615
1200400000000001615
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.
I Reouired Tnsnl'ctinnsJ
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 tbe 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
Pa2e 2 of2
225 Fifth Street
Sp'r!ngfteld, Oregon 97477
'541-726-3759 Phone
.
Job/Journal Number
COM2004-0 1404
COM2004-0 1404
COM2004-0 I 404
Payments:
Type or Payment
CreditCard
11/1512004
RECEIPT #:
, Description
+ 7% State Surcharge
+ 10% Administrative Fee
Temp Power 200 amps or less
Paid By
JOSEPH BUNCH ELECTRIC
~t
Jiii.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200400000000001615
Date: 11/1512004
Item Total:
Check Number Authorization
Received By Batch Number Number How,Received
djb 153700 In Person
Payment Total:
Page I of I
9:19:06AM
Amount Due
3.50
5.00
50.00
$58.50
Amount Paid
$58.50
$58.50