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Home My WebLink AboutPermit Electrical 2003-9-30 submitted has the following require specific ,land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAXi!C(541)726-3689 L,f')R..'" ELECTRICAL PERMIT APPLICATION ,Zoning, a; . ?po ..0 3 \ City Job Number CoW\ZOo3; DO 76't Date i-Z7-q3 Date 'Cf)W' J' .J.[I'Ullb;;~ Signature fk't~~~~f):~~'t;(',t~~;~1tt';l;~lw-,,;\", >o/'~~~'~Y't:"T-{;"'<~",~N~u,").~~~~~,,~~~r:~;r::: ~,)~M~~.~~~~l:t.~..'t~i'~':'~' \A 3 fu~eOMRlJETE;EEE~SCHEJjUIJE,B.bL()W;$''';' ,~Ij 't~f~'(:;i~';l.w&. . t'~~'i\'f}~~:~~'t,..~~~h~:~}t:tli~A~t~:;-""'~t~~j~~~~'.1.~;l" :l. ''\;'"\'\~~~~:'~I1i1rhJ.[:~u!a.,r.:~~ 1. filIiOCATftJ.NJliE'lfNs?ltf:r;!tE4iw':(]';' ~"'~~1t.!'t.~~\iS";"~~-~rl;t::4:,tl;:$!A\.:':':-:-'t'i- ""\"-'~~:~ci~i~tk~<-~ 5335 'l)r:~ \sv ~) LEGAL DESCRIPTION' 1707. ')")00 . ':{~t1;;$~ti;~;~t~~r~i);~~-;~ti~~.ttu~tr,~;~!rt:fii~~\~:7;~~~~~~~~~;~YJ:~7.tij~f'f~~~i~h~~:;~t~~);t\i~~~ A. ' ~~~~&,B~,s,!'~~n!~~k~:~S"lng!~;'Rn~l~!tI;:,f.,~J!1.,JI);<P~.r- ,9'y,~I~.mg~.~1!1 ~~p~~,,~ ~_~,",~""'cR:1:;",,,~...t~\<.t.ll:.~-,,,,\l;;,,,,'l~,;~:$:";;~"'i::;\\i""'>X'::'i"'~"~l!li<>'\<,<"'Vo:i~,~_"'".lk4','\V~.~,~~, ! ..........,.,).l, ...{_~,~ '~L"<f,O.",,;';"''''''''''''~~'\.l. ~ .,f ....1"""....,..'. ",.'r" :.\~ 0130-0 Service Included l-te~t\ "Vl,^ W\ f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1000 sq. ft. or less r;//,- fh{j}J1 nt' ,/ Eac~ additional 500 sq. ft. or t:;.Uvl. ItA. , r r C7 , portion thereof $106.00 JOB DESCRIPTION $ 19.00 Each Manufact'd Home or Modular DweIling Service or Feeder $50.00 , , " , ,q~'r~\'(.~"'."':'''t~''''''',~m,,~,,'~.,r&''''';:W4~~~~'~Ji'< . . ~~:""'k""""";'''.'l'''~~~~~~lQ<?~;r:~~''':'':I1'':''1,'C\~''''~~ ", ;, J~t:I:~....-.....l~:Y:""l. *,~~Jfl<-!~~;r,:~,~,,'\Q..-ti;~~:'';/;':'-~FM\'ri&.G::Z.~ :~*~~:\'::t ;"\.0'l'<;.;~"'\\;F+; '-}'{:l~,~~~??;~;!>.~;;;!1~}1 'Jl~&":r}~~;;~'~'~~;: '~1'~'N?\,~d~~i~l~:{~&_~~f~\f1:~::tr.",:,"~~~~\?"t.. J'" ""::".'~:.: 'I' J 2. ;'i~~~~~~.~1JllJfljJJgj B.,' i,~.S.~S~$i ~~'~~1~J\Jdl~~J:H.=~it~~:~~~~~;~Au~t~,~~~~j~J Electrical Contractor ("IEeok'~ V\C ~ 200 Amps or less $ 63.00 r--" I I' '20 I Amps to 400 Amps $ 75.00 Address J.5J-~ f..,J;t anOl Dr 401 Amps to 600 Amps $125.00 Jll/ ,./ 601 Amps to I009kmPs U ' $163.00 Phone 3'1T-'f7lf'J Over 100Q..M~~1~(\~~'J '$375.00 Re6t)~",\:ro~{>> ~O\.. 6\)\\~ 800 $ 50.00 .~~~. f>~~, ~!~ Q\.. ',0 ,~ .1 ",~~1J~"~,,,. ~i1i"'~J'o.\.'QaN~~~~Uc~~'i~,~ ~~~., .;..'t;;J.1i2~~%:Ji,\r.,~";;,, "":~~">I'1I\'''~...,~, 'v :.~l~e ,t'3~7!P~Qjiee ,.",,,~,, :,~,'~~'''.l', 1~ ~1~~:L-~i.~xk, O~ ',,\U~ "":&~,, "'~~..::~;~\l " .~';;:t'...::_t..~~;t.. ~" . ";[~;.;",,\, '!l.'J\~\~ i\ 0~\' t\O'J \)~ ~\.O \)0\.... ~\O\ uo\~ 0\).0.0\0 \.0 4B~lal1it1\oo\ ~i~n.QJl~~,,~tion -<!i'J ~, , ,,~o"l. '\' , .e ~~\,. ~~ , s9\~~ 0 'd~Q2~O )'\9!~~~~~oQ. O\~~ \ fP:1r~fJ e~'0 ~r ~JAol~Q)~~ ',\O\,\eS oeet~ ~'t~ 600 Amps ,>t" ;$\ ~ ",(\"Oe f?,\~\ of- s0uver 600 Amps or 1000 Volts see "B" above. 0\ ~ D :iiB:1Y\:;,\:;n{-;""Ii'}~ "~~I1!~~~'~'::;,~~~~~:ii~'*~;;::~'~t'i,';,\ ~~~1j",," Sl atureofSupervlsmgElectnclan . ~ ~anc ~\.11~CU :~~\~~'s1\!. ''''11~j':t'~" ~i.~~\'~ .~~~>1'4""''t' ,&I\~ ~ M(L~?~~,- ~:==rExteosl~~p:;p:r "s~:oo';3 . a , /). . Each Additional Circuit or with ~~'T-. !3 'Owners Name ? -<rf ~ 1!fc15 -t Y) Service or Feed~r Penn~ \r "",'t. \~ Q\ $ 3.00 , - ~ -, - ~~s~~~W~*,~~~~(;;~~\*F"~~~:)""~lij>,;;'~~~~~'2;i'!:~~71';q Address S-~ J S !I(A 'Sf.Il < J \\$"'\Jt~",~~,~;~~~~~~eJl~l~~g~~).~"~~~~~~~.l}t~,3n~ City S P J--IIQ Phone; :/7 ~ ~'5"Zf9 \\\\~ ~~p~~tl& ~'O~ $ 50.00 :"7 ~~\tJ.~~~~~f~~~g $ 50.00 . c,G'':LiI'/iifi,~~nergy/Residential $ 25.00 ~Wi ,,\"(1-, Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges L/-/P aD ~z.2. lf60 J. 8e;.. 1>53_ City e ~ Supervisor License Number 4134 - 5 Expiration Date /0... 0 V ., Constr. Contr. Number ;) tl- L/-IP'3 G {{)-tJt/ $ 50.00 $ 69.00 $100.00 Expiration Date OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. Inspection Request: 726-3769 ~~~~ , {)\9lU~ ~-u ~t.\;';';7"1",'.w"i""""''''''~''>>''7'''',N''' ..... ttt~~,,,,-,,:"A,~~, N":'q:{.~%':"H'1-" :\,<'t~~.t?.tnl'~~'.0 ..'~" ~'l'.-~-' 4.' f""SJ1BrrDltA:fj,JJEtABOJlE" ' ~j:,',,~~}::t;:fif~tf.""'~rk;~\~~{L~K$~\;h;.~';.C&f;*,~,l~',~,,:,.;t~ ,'; i:;f",~;;~::;:~>~_'P*,'1'1*tta;~:i4~;~::',.'~&;&\w~~~1iti.i>^,.i~~.m,i"~~1;~ '", --......I<'".-'I".--~J . :'"'' ~,'-"'.-I"""'~-"\ eX:, ,.lI(Q~('" . ai'trl "". J:~) t ,J } - ':''''''';~ft~''::~;$t ~':~i~ , r~,"','.k:(,J~~l' ,..,t~;;('~v-'-d>:,,)_ ~1">W''''<l'oo_-,h:,"""-",,,,_\.l;>',,,,,,~ Owners Signature: 7% State Surcharge I 0% Administrative Fee TOTAL , Shared Drive(T:)/Building Fonns/Electrical Permit Application I-03,doc ~~,'~~W-'~I~~r" ~ .' .' . . CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00968 ISSUED: 09/26/2003 APPLIED: 09/25/2003 EXPIRES: 03/29/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 Daisy St 69 ASSESSOR'S PARCEL NO.: 170i330001300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: SHARON GADSEN Address: 5335 DAISY ST #69 SPRINGFIELD OR 97477 Phone Number: 541-870-5289 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC , License 156761 25790 Expiration Date 08/21/2007 12/23/2003 Phone 541-344-8745 541-747-7445 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I BUILDING INFORMATION' ' # of Stories: ~'?/:) ~(\U Lot Size: . Height ofS~'!.'l~e )0\)0~ ~~'J Sq Ft 1st Floor: TYR~.pb~~~O e~\ ~~\ fi~ '0'000 Sq Ft 2nd Floor: VN ~~~r ~~~e:. 'IJJ\~ ~ (\C~ ~O \) Sq Ft Basement: '\~~~~~.p): ~ ~~O ~~~~~ ~'J\\~O~ Sq Ft Garage/Carport ~~\\\\o \B{e....e)igyJGtjli~~ r$f\''J'JI -\10~'1J 0\\0\ Sq Ft Other: \).0\)), 0~o0f!i \0 tGev. Ol>u.\O\' 'l>e~eO'@$$\t. ~ , \'<J Impervious Surface Area: '-\~ ~,\\ \l ;.f\'CV. I' \ r~ .. \~.Y'" ........ - .,'\.~ rtw...u... -.... '''' , "'~, \~ 0 -NT-...;U . N 0\ \as e ~e)O ) \II''0\\} V ~\\\\{\ '<Yv~~ijist: f\ ~\ (\o~ Street Trees Rqd: Paved Drive Rqd: REQUIRED PARKING SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: ~Q?-.'" - .("_\\-\~ \~')\ I PUBLIC IMPROV~M.ENTS IX\~\.\. t.)\'?~~~~?-.~\\ ~~~ ~U ~ \\:;~?-.~\\ ~\~$'STh~al~~~~\). \\'\\'2> " \It.\) \) .lc.. ~'O~ , ~~\\,\a?: Ct.\) a?-.D'6\!~~pouts/Drains: CQ~\'I\t.~ \)~'{ ,?t.~~ ~~'{ ,\'0 Notes: Paee 1 of 3 J . ~~~~~.q~I'l~', '., ~. . I \, if Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ 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 Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 9/26/03 9/26/03 9/26/03 9/26/03 9/26/03 9/26/03 9/29/03 9/29/03 9/29/03 9/29/03 Total Amount Paid $116.47 I Plan Reviews I . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00968 ISSUED: 09/26/2003 APPLIED: 09/25/2003 EXPIRES: 03/29/2004 VALUE: . Value Date Calculated Receipt Number 2200200000000001593 2200200000000001593 2200200000000001593 2200200000000001593 2200200000000001593 2200200000000001593 1200200000000002228 1200200000000002228 1200200000000002228 1200200000000002228 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. Paee 2 of3 ~~~~!l~"~-9' ~_ " , . . CITY OF SPRINGFIELD' Building/Combinati~n Permit PERMIT NO: COM2003-00968 ISSUED: 09/26/2003 APPLIED: 09/25/2003 EXPIRES: 03/29/2004 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 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 Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~~~,~",';~,,iz,,,"',,y ;' , City of Springfield Official Receipt Development Services Department ~" Public Works Department Date: 09/29/2003 3:03:14PM , Receipt #: 1200200000000002228 Item Total: Amount Paid 43.00 3.00 3.22 4.60 $53.82 Job/Journal Number COM2003-00968 COM2003-00968 COM2003-00968 COM2003-00968 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Paid By JOSEPH BUNCH ELECTRIC Received By djb Check Number Batch Number Authorization Number How Received In Person Payment Total: Amount Paid $53.82 $53.82 . .