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Home My WebLink AboutPermit Electrical 2004-8-24 ~;~l~!:jl' {.rni'~elllY:,:~F~~'l-l1,) ,QEJ.EL"iD;:'Q~gQ1'r? gC .~>':,.) ...~~.'. .""\_...~." _-,..~..,\+t. .........."".;:. :r;..~. ..... ......._~ ._.......u~ ..... _,. ,_ ~. .('"...-,. ._ ~ _'to... '" ,>~, y ~.. - ~'.. ""'c-...... ...~. . .-... ......-..." 225 FiFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-~~~~ ELECTRICAL PERMIT APPLICATION "~o City Job Number eo"," =4 _ 00 99 b Date g -2 <r -0 "-/ '^''''~O' Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $50 00 Suspended for 180 days, NOTlCE: Feeder HE WORK ' i~"~""-'- '- --'-~'l;1""''ift'3lI''lm!'SHAll EXPIRE 10 ~'~--.,.' --,_.-. --"~"-":<:'~ ~-..-." 2 fCONTiMGTOR.:mSTALLlllJIJUN-rJ. l'''NDER -RJ1"<.1aEWlJi'\~Jl!li\;rs ~ In~tall~liori,'AIt~ra!i~ns or Re"i~:ltion;":! E'le~:; ::n:::: j;:;t~=E~f~~2~!.~:~~-~' , ," ,,' ., .-1,,' .~ $ ~3,:~ . ~ ". , , AN'i 18U UA' r . 201 Amps to 400 Amps $ 75.00 Address ;).5;15' tv,( (~I'1'~ Or. 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 AmpS~~to $69.00 10 -04 40~ ~i\'f $100.00 =ii:~~d ~~;:~~~:o:'~1~~j 1 v ~\ll8~ &'1i@ilii~~a\\rorWith ($ 3.00 I ownersN:lm~ S'^tI,V~ ~ ~ i::~~~~~~'''~~T;';c" ;;,".;,'7,T:~"lf;;-~'--"'o/:~81;:.-";' Address I c) (ScJl",- l..t ILl 0 L/ E. ~;'lVliscel.l~ne~'!.s~(S~rVlc!,/feeder;no.l U1clu~ed!--~~s,talla~ City {-!v...&f:r11I€ Phone ",\,~~~""......,. '~':f;""'~' ''^~t:''l.''''''''!:'"''-'.'<N'_e:.-,;Jf~V-'~ 1. \.LOCATIONOFiNSTALLATIof.r..,oq,";';. \1 1:";.~j";;;":;'C ." ~"':'.J,.&."~~,^'''::;:;;,~\:.t.o!.o).,:~-::AtllL.~~ 4j60 J/Vl /J-I III ~T" LEGAL DESCRIPTION 17()7_ '523/ JOB DESCRIPTION 02800 A-b;\ L C /Z.0.A\'h. ./ City e-lItA ( Phone 3cfL.1. -f7L/-~ Supervisor License Number '-1734"-$ Expiration Date 10 - 61 Constr. Contr. Number J.O - 4 r; 3 c.. OWNER INSTALLATION The installation is being m:lde on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~ \fu '\~\ ~ 'Y.~~rJ ~_~.-5:-A-.":'i7,~:,.. '~-x':':::1J""'~_:-f~u-~Y'r'~:r~'i.......~ ,""""-;'~'..-l;,"". .. A. ~}N~~J~!1tdfl)!~aI2-,S~ngl~:~r;i\'I!lIJi::F.a_mI'~~,p<\... _..r~5L... . Sen'ice Included 1000 sq. ft. or less Each additional 500 sq, ft or portion thereof $ 19.00 I . " -'" ... ,. r""... ,,' .,'f' ..,,'.. , "0""'" . "cJJ':' C. :-ltempofar,',Ser\.ice'sto~.Fe-eders';' ...(: :'~,';\':::,,"';':'~j{t t" ;..'",~"I~~ .~::~..~.; .__,....l~.,/..........t,:;.__~.:... -.-i.l._".,......~,., ""'~'. ...... ..~1o.f;.:..I Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surch:lrges 4. ~EB,t?'iAl' 9F;,~P"VE '. :":7._' ,':':ljJ L( b '3zz. l{bO S'7~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drivt..-(T:)IBuilding FonnslElectric.a1 Pennit Applicmion I~03.doc . . CITY OF ~rKll~l>l'u,LD Building/Combination Permit PERMIT NO: COM2004-00996 ISSUED: 08/19/2004 APPLIED: 08/II/2004 EXPIRES: 02/24/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4360 MAIN ST ASSESSOR'S PARCEL NO.: 1702323102800 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Install gas furnace and a/c. Owner: SULLIVAN JOINT TRUST Address: PO BOX 41404 EUGENE OR 97404 Phone Number: 541-726-3102 I CONTRACTOR INFORMATION I Contractor RK License llQ1i .~ BUNCH EL~~mfwrC\C 'NO 01 156761 ~M,~\ ~'t-$i~\"";\ ~'C Ilfl1~;: ~S : 25790 ~I\-10R\lEO \JN~ If. BuiliIlJN6tiNfdRMA TION I t/lt.NCe.O 0" . # ofUnils: COt/l180 Dt-.'i \'e.RIOO. # of Stories: Primary Occupancy Grou~'i B Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary Construction Type: Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Contractor Type Electrical Mechanical Expiration Date 08/2 I/2007 12/23/2005 Phone 54 I -344-87 45 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor, Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Sctback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION 1.-t\O ~"W~ '\i\ili\'f o .~on \a'fI o~on &e\'~ ,..11wqff~ ~~r:lUIllS ate gSz..oo'. \OIIOJlaw"fI01!fl\lJtq . \htoU9" or:e tu\llS 0"1 "O\W\%\~~-b~l e: r.o9V69 0\ ~6~~ 11' o.~ ';nu ll\a'l o~... \tlo\6:. ~~ :o\i{\ca,\\Oft IPIlliU\~Q~~~r I\UflW'" cel'\8f \'IiI I. . Sidewalk Type: . DownspoutslDrains: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated PaeeIof3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Dcscription -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Camp 3-15 HP Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Aller, Extend Circ Ea Add Total Amount Paid SUB Review 08/II/2004 Amount Paid $10.00 $4.50 $3.15 $22.00 $12.00 $4.00 $7.00 $4.60 $3.22 $43.00 $3.00 $II6.47 Total Value of Project Fpp~ Date Paid 8/19/04 8/19/04 8/19/04 8/19/04 8/19/04 8/19/04 8/19/04 8/24/04 8/24/04 8/24/04 8/24/04 I Plan Reviews I 08/19/2004 APP JF . LU l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00996 ISSUED: 08/19/2004 APPLIED: 08/1112004 EXPIRES: 02/24/2005 VALUE: Receipt Number 2200400000000001073 2200400000000001073 2200400000000001073 2200400000000001073 2200400000000001073 2200400000000001073 2200400000000001073 1200400000000001254 1200400000000001254 1200400000000001254 1200400000000001254 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 RpnllJl;rlllnon..rtiow Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00996 ISSUED: 08/19/2004 APPLIED: 08/11/2004 EXPIRES: 02/24/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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. Owncr or Contractors Signature Date Paee 3 00 225 Fifth Street . SpringfjeJd, Oregon 97477 541.-726-3759 Phone . .~P.~'R1"'!!!"~_~_i", Uk.' ~_,-,I 1iiitY of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000001254 Date: 08/24/2004 II:02:08AM Job/Journal Number COM2004-00996 COM2004-00996 COM2004-00996 COM2004-00996 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Payments: Type of Payment Paid By CreditCard JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 885574 In Pcrson Payment Total: Amount Due 3,22 4,60 43.00 3,00 $53.82 Amount Paid $53.82 $53.82 8/24/2004 Page I of 1