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Home My WebLink AboutPermit Electrical 2005-7-21 approval L U~ Zoning'::f - ~~ '" ..-,m.. , e I Sl 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CC>H.-t zo Oa- 00 9 .r 3 1. LEGAL DESCRIPTION 170'- -SL(/L( JOB DESCRIPTION City ,,- e; t-1.<:1€J1.1 / Supervisor License Number t.f7 31.{- S Expiration Date I () -0 it Constr. Contr. Number /56761/ I() .,:17 Expiration Date Si~ of SUP""'. i,ing Eleetrioian ~,l?encL I - . Owners Name J~(./I-.. 7A'liL~1I Address 67 S-S- p PALA q- City ~~Fh Phone /1(7- Z ''f'1 OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Date "-1.-~I/OS 3. 4. A. Service Included $106.00 $ 19.00 $ 63.00 $ 7S.00 $12S.00 $163.00 $375.00 $ SO.OO c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ SO.OO $ 69.00 $100.00 Over 600 Amps,or 1000 Volts see "B" above. D. 7% State Surcharge 10% Administrative Fee TOTAL ~ E. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 1000 sq. ft. or less ,/ ...-:1 Each additionalSOO sq. ft. or 200 A-fIVIo/ Soa..vW- it 2 C-(rc........' r...r portion thereof I tr~ Permits are non-transferable and expire if work is Each W~~~~t~Hg~iw " not started within 180 days of issuance or if work i~ON'. Ofe9MOa?i~r r~~ilwgrs~rV~~~t.l?r . '1;SO 00 Suspended for 180 days. f>..-rn=:.N1\ dO?tER&~r \I . \es-ai'C"'&~tf\90"'Jt;.rnittPd :-',':',.:.-:1'.:. U:-owirig . s a fIJ .0 \ -.f,r. 2.~\O\j'J ~~~~~ _ I J -;) /; .Q~f\ .. obta\n c he te\e? 0 Electrical Contractor~d3~pk.. pfM1Cl'v\nfi..!#l-9lornre'/ t~~O ~~<g'oV le~ot\\\Ca\\On 6 ~;\\\ng \ne cell 6'ie~'s>W\~~~ ~'ps Address ,f.Sd-S- u-) ,I (dn~"'- ))r G:~~et 'ot tne. gO\l-~~tcf-6TI~ Amps pI; \. elltet \ ... . j/_ r ~ 601 Amps to 1000 Amps Phone 3tfrf7'1S Over 1000 AmpsIVolts Reconnect Only Owners Signature: Inspection Request: 726-3769 . ~~ ~~ z. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ SO.OO $ SO.OO $ 2S.00 $ 4S.00 61 ~BJ 6'" 807:1 Shared Drive(T:)/Building Fonns/Electrical Permit Application I-03,doc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00953 ISSUED: 07/21/2005 APPLIED: 07/21/2005 EXPIRES: 01/21/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6755 OP ACA CT ASSESSOR'S PARCEL NO.: 1702341403702 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: 200amp service change and 2 circuits TYPE OF USE: Alteration Residential Owner: JUDITH JARRETT Address: 6755 OP ACA CT SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor License JOSEPH BUNCH ELECTRIC I~<; _ . .~. I tn 156761 ATTENTION: Oreg~\utlijiNG(i~~imMATION I follow rules adopte .] r lIes are set term # of Units: Notification Center. ThoSff or~~~~52-001- Primary Occupancy GroffPOAR 952IOO1-001? thr<Iif~hbP~JIf1&~~J~Y Secondary Occupancy G~. You may obtalO cDfYPfl...O~f~T)Qne Primary Construction Typecallin9 thmenter. (N~at~.I. Bfttication Secondary Construction TY85mber for the Orego~lM~'-!XRf: # of Bedrooms: Center is 1-800~gy-yatli: Sprinkled Building: Contractor Type Electrical I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-747-2944 Expiration Date 08/21/2007 Phone 541-344-8745 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: . ; ..' Downspouts/Drains: \ ' \ c '\ HiS ::;:::8:\/1\\ S:-:AI_L E)(?iRE IF THE \ilJORI\ ,L'.U-i 1-;O:~;:Lcu l.!1\!'-/=~~ -(I-liS PERMIT IS i~OT Cm.I'\;itil'Ct'J 01=\ is i-'.:~i'\J\mOI\IED FOR Notes: {\NY Ll \.!'--J.J. Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pal!e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00953 ISSUED: 07/21/2005 APPLIED: 07/21/2005 EXPIRES: 01/21/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.90 $4.83 $6.00 $63.00 7/21/05 7/21/05 7/21/05 7/21/05 2200500000000000958 2200500000000000958 2200500000000000958 2200500000000000958 Total Amount Paid $80.73 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. L.nReouired Insoections I Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 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 Pal!e 2 of 2 225 Fifth Street . t S"!ningfield, Oregon 97477 541-726-3759 Phone ~ity of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000000958 Date: 07/21/2005 9:32:58AM Job/Journal Number COM2005-00953 COM2005-00953 COM2005-00953 COM2005-00953 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard JOSEPH BUNCH ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 030930 In Person Payment Total: Amount Due 63.00 6.00 4.83 6.90 $80.73 Amount Paid $80.73 $80.73 .~ 7/21/2005 Page I of I