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Home My WebLink AboutPermit Electrical 2005-1-25 1. ~u&"TIo1VJ)E4NS~TION~""'"' ....~~...,...........:; .-.:..::k\..__...,...,;........---.>....-..,~.-...-~~ L.{ -;-3 ~ 0A A- ( "" I 1 (- LEGAL DESCRIPTION 170 Z. 3 2,l.{ L 3. SPAINCilPUD..D 225 !' ll' 1.11 STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . ELECTRICAL PERMIT APPLICATION City Job Number CO 1M 2.60 l{ - 0 t L.( '-\./ Date. ., DOboo JOB DESCRIPTION. I ~ (",\ L -1-..> <;:;YlSt-f>'\) AD\) 0. Zoo - SC-rt.,fLCL..:) f"'6<1.w-,t / . Permits are non-transferable and expire If work is ,.. not started within 180 days of issuance or It worlds Suspended for 180 days. . 2. [~Q~~~~~~~ B.I~;!~~lij~~~~~"'~~!?ia~-~""Jf~W . Electrical Contractor ...)t'lSI'~,^ ''f)avlfk rdM ;tnc 200 Amps orless Z. S 63.00' /2 b I 201 Amps to 400 Amps S 75.00 Address 1-525 WI/ DYW\ Dr 401 Amps to 600 Amps S125.00 ./ ,r 601 Amps to 1000 Amps $163.00 City ~\M Q n.t Phone :;if't - ~7 if'::, Over 1000 AmpsIVolts $375.00 \ ATRECdiliiElftlOOlegon law require" or':~:} $ 50.00 N~;[~_~.rUI?s..~~~.. .\::~~f'l'k:~kc'$:~1~!j)~~~~ Supervisor License Number t.J..734- -'S _t!!~""~1"'\9.~grr~~\.,"'.$I:\\>-~ f . in OA 52-001-001lj through OAR 952.001- Expiration Date I (j I 01 0 7 0090Jn'JtlIDatiOj1,o\It11i1:1till.Jj..~~1\Y\l1lIes by o II' ,..h, I . I III ! . ca2~p;mpf&'ll!SS. (Note: the leleohone S 50.00 Constr. Contr. Number 2-.0 - jtP ~ ~J5&7ft; / nU~8rAillpJttG490eA!llPsUtility Notification. S 69.00 I 0 ( O() '8/07. 401 XA;~l%j601r~!332.2344).. . SIOO.OO Expiration Date. / Over 600 Amps or 1000 Volts see ~B" above. Siu~S~:T D~~ f Each Additional Circuit or with --V J1 LL( Service,or.Feeder Permit S 3.00 OwnrsName f,>b/L{T'~tA-.L I~Ullut:. ~ PO 27 ( E. .W;~\l!f;i'~~E~~~iitdfd~~ifiil!ll~~''t. At 1110f\'ii'E"[fEJI~UtN I NI::' t-'tKivill I~ U I City S ? I~ b Phone p;.g,j,1oHlmgation,)R IS ABANDnNm m~ 50.00 SigwoUillhe)Cigntii!8;IOD. $ 50.00 Limited EnergylResidential S 25.00 Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.r.~ii.~~'~.TWam.O#Et~.:~;~..~. ' /2 ( ~.....~~:.~-~~~~~~~~:~~~~ \Q 7% State Surcharge 1) S '( 10% Administrative Feel Z 6 0 TOTAL /1.{7 ~ Address OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 _ ,......"..~__ C'~_~fC1_...:....1 D......:, A....li....,.;nn l.fl' ~ .. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01441 ISSUED: ll/23/2004 APPLIED: ll/23/2004 EXPIRES: 07/25/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4535 MAIN ST ASSESSOR'S PARCEL NO.: 1702324200600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: 12 circuits and 2 services Owner: BERAKAH LLC Address: PO BOX 221 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor JOSEPH BUNCH ELECTRIC INC License 156761 Expiration Date 08/21/2007 Phone 541-344-8745 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type:_ SIJ Ft Garage/Carport Energyl>8t\l:NTION: Oregon law reqSijEJ!tmtl.tl'l Sprinkle'd1j'luifciiWi: adopted.l7li the OOOUJlU'ilit)lad: f\Jntifj(,,;::ltinn rQntQr Thl"\co r. .Inr- .....~ ......... ".......'-: , DEVELOPMEN'FIINFORMI\.lFl@FjU,'ough OAR 952.001- . uu"u. 'uu II lay UUlaln Gopies of the rul~IRED PARKING Overlar.C01Mg the center. (Note: the telephOflGtal: # StreeeTPJ~sen..~Ii: the. Oregon Utility Notifica~dicapped: Paved Drive Rqti:nter IS 1-800-332.2344). Compact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Reary8rd Setback: Solar Setbacks: 'PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: . Sidewalk Type: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMFNr.m nR Ie: 6RMlnml~n mo I tllV T I au W\'I PERIOD Valuation Descriotion . .DownspoutslDrains: Description Type of Construction $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid . . CITY OF ~rK11'1u1<1Ji,LD Building/Combination Permit PERMIT NO: COM2004-01441 ISSUED: 11123/2004 APPLIED: 11123/2004 EXPIRES: 07/25/2005 VALUE: Total Value of Project Fp.p.~ P.9id I Amount Paid Date Paid Receipt Number 1200400000000001649 1200400000000001649 1200400000000001649 1200400000000001649 1200500000000000116 1200500000000000116 1200500000000000116 $16.20 $11.34 $36.00 $126.00 $12.60 $8.82 $126.00 11/23/04 11/23104 11/23/04 11/23104 1/25/05 1/25/05 1/25/05 $336.96 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 Rp.ou~n~np."t~ Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. Electric Service: Approval required prior to utility company energizing service. 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 Pa!!e 2 of2 225 Fifth Street SpringfiellJ, Oregon 97477 541Y726-3759 Phone Job/Journal Number COM2004-01441 COM2004-0144I COM2004.01441 Payments: Type or Payment Check . . 1/25/2005 . RECEIPT #: Description Perm ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH ELECTRIC ~Q"'IlLO. 1JIt'....-.--'....-.. ....'".., .i.... ,,,"...,.... ., , ~ ; "' ._, . ,- .'- ~ .JiiiL.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000116 Date: 01/25/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1719 In Person Payment Total: Page 1 of I 3:02:01PM Amount Due 126.00 8.82 12.60 $147.42 Amouol Paid $147.42 $147.42