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Home My WebLink AboutPermit Electrical 2003-10-10 , "" f. ~. I '-' . ~:..! ~ I . ~. ~ . ." "\ - ': f;" " .CITYOE-$hdN9E1E,LD, OREGON' . \~-J< reject as submitted h~.S the tollo~inf.t . nd ooes not require specIfic land USb 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~%~ma~689 (2.. ELECTRICAL PERMIT APPLICATION Zoning Pb City Job NumberCOMZooJ' -0073 L( Date !O() 9- 0"3 Date 10.....10- O~ ".,."....,- ~-~--, - ,,- ,,~.;;tb< -.~d-SignalurQ.~ .. - ..' - ~ 3. !'COMI>.LE.1:E F,'EE-8Cl1EJ)UL.t;JjELUWcl:.;.,I" :':"iu\; "", .,,",' C'........... ~..~ ...__. ..........__...,...~_. __.__~~_..... _ _ _.._ _~_~_ ... "'_ '_,. JOB DESCRIPTION /.JWT f'A'^^f 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 Suspended for 180 days. Feeder r:.---:-::----..--:-~... ,_--':--:;-'~_--:i~-:'~"~-l r--._-~---\.-._---:- ----l-,-~ .----7'"- -- ~ 2. l c;,F!!fEYl%ORlI'!~]~A!LA'!7.~~ O!fLY.1 B. ~~v!c:s or Fe~~>':t-' Jn~~I~ti?~;, A~ati~ns or' Re_~c~~?: _. . Electrical Contractor .JOfi:IZ.pL fj", >'lOt ~cT. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts . _ $375.00 Reconnect Only eS \lO\l '~-J $ 50.00 . le~\l'l \J'"'' .. ;;f\I-r:if~o{L;;>{\of\--_- -,' C. : :~#a.~;~'l~c!r~~~~ ~~~.oO'c- ';~,.L:~:_ _~ ,:J -"E,~\\ oo?\0 Se (Il, OJ:>.~ 9 S \ j:>." 1'I~UlIalfoI\\Mt&';lgWbQ4ReIOC\\l,i9.rIl\e e \O\~~~rAln~f.[e~\ ~ \t\CO?\0S 0' W\0?~0~;o$\50.00 \O\\\~~e~~g'\i~ 4llo\~~o\e', ~~~ ~O\,,,vj. $ 69.00 \ 09dOl(\\'rhps6CC60~~M't\ U\\~ 1'\44). $100.00 00 '. 9" \{\ '" O(~.~ ~'3..- ~be'to..~ft$.~.:'vo1ts ~~ '~B::ab~~e. .. ____, D;'\~!!lranQ.!t(<,nrcti!!:" __ __ _.._ _ _ .:-_. __: '_ __ _'. ~ f ,"'U'.'_."~-~:t:'-.-.-- -'.- ~'\ .-"_ ~.' "'----.- ~r-:-:-.-'--"'7", 1. ';LoCAiioNo'RlNST.ALLA11o!li:;'<';""', ~:::_~",~'......;._:..~ ':"'_~_~"~_4,,:,~ ....;I-.____~_-'-_, '2.,!> 2 /p ?tWYl ST. LEGAL DESCRlPTIOJ>f /1502- D62 ( 07200 Address xz6"' vvJ!DM j),--' ><' City 1::4 Phone 3<fif,8t'1::' Supervisor License Number 4-77i-I-5 ~o t./- Expiration Date /0 -) Constr. Contr. Number ;;"0 -If.1J;3 e.. Expiration Date {() -/ -oz./ ""~:'~::I Owners Name .:J4 DL^.QmLV~ t J ' {g., 33Z.r, 71rlVon City c;p~/..r:. Phone 73{, ,owl , -.~. ... 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 hi'" "' .c - ~'if~:; '":----!i'.~.,;_.':.. ''':':'{ ....'':j"~..,';i.;.,;..: -,:'....:.,., ~- ,,::.:' J ;-"' ; ."'4 -:"~; ,. " A.. ~N~,v.l!~si(l~niiaL':: S.ingleo!1\>lultj~F.aIiiJlfp~r dwolJin::,unit.""i ,;-'_._.'1;,~,.,I;.. _..~.__..____._ _,~._,(_~...,_____._...~^-.~u~l),~\OI'~"'" Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 $50.00 New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 3.00 E.\~~~~lIane~u; (S~f~~~dl~11~~~ed)-;E;~hl;s:t~;I.;i~;i.' ~O, lor Ii S\'\t;\::\:-t lLpt\\fJ\\''{-I-&-,..IL --.---- ----" 1\-1\S~~~~irriJ,.:ti&R 1\-1\5 OOI'lE.O rOll, $ 50.00 P.UIS'i~~t{~@igh'i'in~'OP.1'I $ 50.00 CO\uitnit~dJ;'WgftR~~igential $ 25.00 P.\'lliJ,~~d Energy/Commercial $ 45.00 $ 43.00 1-/> Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 11,:7'~---:;:;~' ,..~:-- ,. - - -- ~,- .-.- 4. !~STfI!r2!.~' OF A!3~~. _.'.~_,.. :~_' i L{(' 7% State Surcharge 10% Administrative Fee -/J '" l{'o 5265 TOTAL Shared Drive(T:)JBuilding FonnslElectrical Permit Application I.03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00934 ISSUED: 09/19/2003 APPLIED: 09/19/2003 EXPIRES: 04/09/2004 VALUE: SITE ADDRESS: 3326 PINYON ST ASSESSOR'S PARCEL NO.: 1802062107200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New . Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: JEFF PUGMIRE Address: 3326 PINYON ST SPRINGFIELD OR 97478 Phone Numher: 541- I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARS HALLS INC Phone 54 I -344-8745 541-747-7445 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 156761 25790 Expiration Date 08/2112007 12/23/2003 BUILDING INFORMATION I # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: ImperxieJ1J~. rface Area: _.....1"\1 HCeS 'Y . ---:-. \~". . n Ulh'l1.1 , DEVELOPME!\l]:,INF~MfO~. 1'1 toe orego Illiqort , " rules auvt"-ioOse rules are QWRED PARKING folloW center. 0 OAf\ 9 Overl~)'.e.i~ntiOn _OO~O toroUg f t09 Te\al~ I # Stree.ri5'hCR'~i(d:OO~ btain copies 0 le~wllleapped: Paved nr~'(j' ~qdJ rna'1 0 r ~\\Iote: t09 te t'~elPS/3ct: 00, 1M cents . Utili\',' \\10 , % of Lot eo~r&'ge: toe oregon 2-2344). nurnberlor .~ 1_800-33 r.p1"'\'t~"b I PUBLIC IMPROVEMENTS' Sidewalk Type: Downspoutsffirains: tWTICE: EXPIRE IF THE WORK 1\-\\S PER!"'ll SH~~~ 1HIS PERMIT IS NOT .\lJ1HO~\lED lJ~R IS I\BI\NOONEO FOR CQI'IMENCED I\N'( 1 BO 01\'( PERIOD. Pa!!e I of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp<. PaW Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.50 $3.15 $43.00 $2.00 9/19/03 9/19/03 9/19/03 9/19/03 9/19/03 9/19/03 10/9/03 10/9/03 10/9/03 10/9/03 Total Amount Paid $115.30 I Plan Reviews I . \..-11 l' OF SPR11~\.d'1~L1J. Building/Combination Permit PERMIT NO: COM2003-00934 ISSUED: 09/19/2003 APPLIED: 09/19/2003 EXPIRES: 04/09/2004 VALUE: Value Date Calculated Receipt Number 1200200000000002172 1200200000000002172 1200200000000002172 1200200000000002172 1200200000000002172 1200200000000002172 1200200000000002292 1200200000000002292 1200200000000002292 1200200000000002292 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. 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical work is complete. Pa2e 2 of3 . . \..-11 i' OF ~r1<.Jl~uN~LD' Status Issued Building/Combination Permit PERMIT NO: COM2003-00934 ISSUED: 09/19/2003 APPLIED: 09/19/2003 EXPIRES: 04/09/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 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 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. Owner or Contractors Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00934 COM2003,00934 COM2003-00934 COM2003-00934 Payments: Type of Payment Check " _."~.'~!'1.~>_. _ '. ~. . "tilt, j , _,. ""_" _ "__0' Receipt #: 1200200000000002292 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Paid By JOSEPH BUNCH ELECTRIC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/09/2003 2:46:33PM Amount PaId 3.15 4.50 43.00 2.00 $52.65 Item Total: How Received In Person Payment Total: Amount Paid $52.65 $52.65 . .