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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