The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-5-28 submitted has the following . ct 8S. cific land use 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAXi'M@~~ not reqUIre spe ELECTRICAL PERMIT APPLICATION approval. ut:>tt- City Job Numb" U-I- CU .':;-2 7 Dat, . .0.tO .. z~'ng r:;- thg~ 1. LOCA1ION OFINS1'ALLA1ION 3. . COll'lPLETEFEE ~.M1J~191!L..t1'W . . 7-73 c:;,nf6a/~/krl ( , LEGAL DESCRIPTION 170~74L{ ( JOB DESCRIPTION CX::ilOO If~~ z c.. ( ~W l)...\ \-s Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. . ~.eVl' Residential- Single~~Multi~FamiIy per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 ^-.,'" ','-.." .. -,,,.......-..'... -,; ',' .,"-- ",' -..--.:.,...... ....'.,.;' 2. C()lf.c;RftfI'PRINSI~LAl'J()l-fOl-ffY B.tS~rv~ces or Fee~l~rs~Installation,Altel"ations or Relocation: Electrical Contractor jml.p~ ~Lt~ aU.' JJ"'G200 Amps or less $ 63.00 o . 201 Amps to 400 Amps $ 75.00 Address ~5Z5' Wi I btlOv Dr. 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 City E~ Phone f:J..W-"?7L/5' Over 1000 Amps/Volts $375.00 J Reconnect Only $ 50.00 Supervisor License Number '-1-734 - 5 J 0 ~o t/ Constr. Contr. Number 20 -lfIp 3 L. Expiration Date 10 ". 0 if Expiration Date Signature of Supervising Electrician ~j)l ~ncl Owners Name ~~V' fi-c...-v\. ck~~ 0-... 'r-"-,'7":;./\" -', : " .. '_ .,,,. ': .,- .,',-:...:",>'" ""'< C. Temporary Servi~~s or Fee?ers Installation, Alteration or Relocation 200 Amps or less $ 50.00 1~MMP~ 400 .;\rp.B\ EXPIRE \F lHE-W~~O 41'\l\~~~OU ~tR 1\-\IS PERM\1IS NJtl>W.OO D.ii1~t:~!:!~R f $ 43.00 I $ 3.00 One Circuit Each Additional Circuit or with Service or Feeder Permit Address Z'7'3c;; iMoavt.y k;l (L.\- E.Miscellaneous (Service/feeder not included) __E,ach Installation City <;'(r:::!) ATTENI1H6)N: Oregon faw reqwres yo~~~~ or irrigation $ 50.00 follow rules adopted~Y the uregon U~\j~utline Lighting $ 50.00 OWNER INSTAL~ro~ion Center. Those ruleOsARare9S;~~ed Energy/Residential $ 25.00 in OAR 952-001-0010 through . ... . The in.stallation is be~~%<[p~~a~'of the rulefljy:d EneIgy/Commerclal $ 45.00 IS not Intended for sali~6~n~g fflgtcenter. (Note: ,t~e t~~~ Electric Permit Inspection Fee is $45.00 + Surcharges number for the Oregon Utility Notlfl~tiQfl . . . . li / Owners Signature: Center is 1-800-332-2344y!' SlTBTpTALOF ABOVE 1 D ~'ZL 7% State Surcharge / 10% Administrative Fee YbCJ, TOTAL 5') 5z.. Inspection Request: 726-3769 .~~~\Q~ ~<k~~\ Shared Dlive(T:)/Building Fonns/Electrical Pelmit Application I-03.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00527 ISSUED: 05/06/2004 APPLIED: 05/06/2004 EXPIRES: 11/28/2004 VALUE: --'~I:iGF'~.E'I,J) iii' ..... ...... ,.:...1... ~"" . ~~. ..... ~ ~.. I . ., . ,......-.. ...~. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2730 MERRYHILL CT ASSESSOR'S PARCEL NO.: 1703244100700 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Install heat pump and air handler Owner: HENDERSON DAREN W & DENISE L Address: PO BOX 61 WALTERVILLE OR 97489 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water _~XP!.:. Secondary Construction TyDl:TENTION: Oregon Ift.%~~ you to # of Bedrooms: follow rules adopted b)tUeFg9~R11 Utility Notification Center, ThOSl"Ulla~~rth n/a ,... C\^[" "Ii'" n01 f'If'11 f'I +hu'''f'h nAD Q&:;')-nn1.. ",_...,,__,___J --. v 0090. You may l)ll\M J!!llI!lNIIEll1 TION calling the center. ote: e e ep one Front yard Setback: number for the Orego'bV~iijf.X,~Wi!ication Side 1 Setback: Center is 1-80~?e~es Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: New Residential Phone Number: 541-988-2050 Expiration Date 08/21/2007 12/23/2005 Phone 541-344-8745 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: REQUIRED PARKING Total: Handicapped: Compact: . Sidewalk Type: DownspoutslDrains: ~~I~I~:~MIT SHALL EXPIRE IF THE WO~~ AUTHORIZED UNDER THIS PERMIT IS N r.nMMENCED OR IS ABANDONED FOR ANY 180 D~l rLlil\.:b\ Valuation Description I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.,..Fees Paid' 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, ExtendCirc Ea Add Amount Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 Total Amount Paid $116.47 I Plan Reviews I Date Paid 5/6/04 5/6/04 5/6/04 5/6/04 5/6/04 5/6/04 5/28/04 5/28/04 5/28/04 5/28/04 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00527 ISSUED: 05/06/2004 APPLIED: 05/06/2004 EXPIRES: 11/28/2004 VALUE: Receipt Number 1200400000000000659 1200400000000000659 1200400000000000659 1200400000000000659 1200400000000000659 1200400000000000659 2200400000000000675 2200400000000000675 2200400000000000675 2200400000000000675 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. Reauired Insnections . 2 Rough Mechanical: Prior to Cover 1 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 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 ca'rd 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 Pae:e 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 $41-726-3759 Phone ~- r<:(y of Springfield Official Receipt ,velopment Services Department Public Works Department RECEIPT #: 2200400000000000675 Date: OS/28/2004 10:06:54AM Job/Journal Number COM2004-00527 COM2004-00527 COM2004-00527 COM2004-00527 Description Add, Alter, Extend Circ 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 000398 946514 In Person Payment Total: Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82 5/28/2004 Page 1 of 1