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Home My WebLink AboutPermit Electrical 2004-6-18 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 2 rSqNfM&OR'!iNsfXT:i?ATI.'ON'()W[l71 B. gfs~~,,;~Js;~'r)'Fe'id~~s~I~~'i~Ij';;-iiotAi~ali~~r~~ R;lo'~illion:::l . "," ~l~~-"';:"+WJ~.,,' o;..,.;JL~~':>iA:-'..IiI~;..-.,.~J g.it"'h"~_:"- -t_..;.-><-;:;'~"'", H,'l, -.r. -~.~ 4Y-'t.~., .':',' .':,:;J''':"t.~~C;.:..~ Electrical Contractor ~Oh ~ tf/Ed pic.. 200 AmVW~ireS you~O S 63.00 . ,.uENtION: Qm~~ lMqg~3 Ut\\it'/ S 75.00 U;15"w I Il0Y\(J\. fl.(?':""f\1\eSa~t'Wl&~(U\Ql~/il;set~g~_ SI25,OO ,~at\.ftC<Dl1On~W'mr~G)~~52 Sb'J S163.00 Phone 3Wt;(:JNts\ 952.oo'\5~U6\W~AlJlMl rule ne S375.00 0090. ~ou ma\R~~%'f.'~@.l#\'Ie tele.~\'IO. n S 50.00 1/ 73 " _ <:" calling \he :':-€)r'egon?lJ1\l,\.t'f~~~:ca\\~ . '''' /'" ~ .;~..".. en '~. ~ Supervisor License Number ..,. 't ,:) numberf~. !mD1nmm:I"I;:se~~~br,F,eeders;~,'i" ,1" :"~<.''";r."J.: <- . <'.' Center \s.~;!IN~*"-,,,~~,, =-~ ..:-ll:>_,-,-~ ID -01./ Constr. Contr. Number 2-0 -'1& 3 t. lo-o1/. , Minimum Electric Permit Inspection Fee is S45.00 + Surcharges \ 4. f;-m;f6'i'1t!io'F.:.ffiOYE. t'i'.{ ;;\~>~~1:.~S!i l.{ b ~..... ~..,. ,,<,.;t.,. 'w","' ;-f'-'" ".'~', ",.,-,-=,l.~"" .'6D (\ 7% State Surcharge _ "-~ \: ~ \J 10% Administrative Fee ~ to TOTAL ~~ Date i. fg~:f.{.glf~tw~f~[m~~~ //60 ])oNoEA <;, LEGAL DESCRIPTION I gO 2. Db{ '3 JOB DESCRIPTION I~JOO ..4DI~ 2- c.. l (2.u.,\., 1" Address City EVIj Expiration Date Expiration Date Signature Oft1::g L"c~ I ' Owners Name i:2od....l::.l' AU,6'L- /It..n Dbv--~ St- SPI':::J\ Address City Phone l -,~, .' 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 lm1tj.:'::';;;"t'ti"~}r~~i)'':":::'rr)I~'1?~~~7j;:-~:r.~T}~~~~~1::~:'''~~r~il:.f.''~-::m A. ~~~~.~\i';t.~lJL~'l[.t;IJ1.t~~&;r.~B,l':~w.el\t~!l.um'!~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 S 19.00 S50.00 installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D ~iB:'-'\" '~'.h""C,;."1.M'-'~7"';"'" "-lJ..:},.r~.. -, ,'#" ,",>~~'-,.. f '.Y ..~.. . ''':''~\-::1 . ~._..,Ij~f1c.,' ~~~JJJ~~-,'._.';' ,~-"';~:.:~:';:; ~ ,.,,~ .:<;,,~~;. "~,,,;,;.:...:..:,:.,j,;-:"~" S 50.00 S 69.00 S100.00 New Alteration or Extension Per panel/ One Circuit Each Additional Circuit or with Service or Fceder Pennit S 43.00 S 3,00 L{) ~ , E. ~~!1~~!'2irs}n:~~i;i~~~~i"~mQ.~~E:g~li~ti~,~;, ~01'b"" 1 S~r>.tt"t~r-I""t?>~\i-\S~UL..__=->-=....w; jI\li\UpI'J.~~i~\)t.?> it\\;~Qt.\~1'\ fQ?> S 50.00 p,ijiVl\hl~~lttt1~S f1.\)t\ S 50.00 1{jIi}1~\:lI~m~ll\illldl S 25.00 LJtblll:J~~ergy/Commcrcial S 45.00 :s'2Z L/ /;,0 5s~ Shared Drive{T:)IBuilding FonnslElectrical Pennit Application I-03.doc . . CITY OF :srKlNGFIELD Building/Combination Permit PERMIT NO: COM2004-00636 ISSUED: OS/28/2004 APPLIED: OS/28/2004 EXPIRES: 12/16/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1160 DONDEA ST ASSESSOR'S PARCEL NO.: 1802061312300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: InstaU heat pump and air handler Owner: ALBER RODNEY P & CYNTHIA Address: 1160 DONDEA ST SPRINGFIELD OR 97478 Phone Number: 541-726-5805 I CONTRACTOR INFORMATION I Contractor Type Eledrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 Expiration Date 08/2112007 12/23/2005 Phone 541-344-8745 541-747-7445 VN , BUILDING INFORMATION I # of St9{les' on law requIres vo~~o Lot Size: ,..nENTiQ~lit'Of~l8~Y't~e OregoO ~t\~h Sq Ft 1st Floor: follOW rllWe~lJiea"hOSe rules are s 2.00t.Sq Ft 2nd Floor: , NotilicatN\!llfer-lJWei 0 through OAR 95 s bl!.q Ft Basement: '0 OAR ~geltf~1 I copies 0\ the rule Sq Ft Garage/Carport \ 090. 'l'g!ll\l1lYlPliib~ 0 te: the telep'hooe Sq Ft Other: o callir.w!?~~!~~g~Utility N~?Ja-;at\On Occupant Load: ---..,.. \.. . - -,."",-" I DEVELOPMEN"ruNFORMATION I REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construdion Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compad: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer A vaUable: Special Instruction: Sidewalk Type: Notes: DownspoutslDralns: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ,:""UJ:Mf'l=n OR IS ABANDONED FOR I .ANY 18\1 UAI PERIOD. Valuation UI!Scr of ion. Description Type of Construdion $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paeelof2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Total Amount Paid . . CITY VI< ~rK11'lljNJ!,LD Building/Combination Permit PERMIT NO: COM2004-00636 ISSUED: OS/2812004 APPLIED: OS/28/2004 EXPIRES: 12/16/2004 VALUE: Total Value of Project -':f~~ p~id I Amount Paid Date Paid 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 6/17/04 6/17/04 6/17/04 6/17/04 Receipt Number 1200400000000000827 1200400000000000827 1200400000000000827 1200400000000000827 1200400000000000827 1200400000000000827 1200400000000000923 1200400000000000923 1200400000000000923 1200400000000000923 $10.00 54.50 53.15 $8.00 512.00 $25.00 $4.60 $3.22 $43.00 $3.00 5116.47 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.~~?uir~11~ Rough Mechanical: Prior to Cover Final Mechanical: When an mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When an electrical work Is complete. By signature, 1 state and agree, that I have carefuny examined the completed application and do bereby certify that an Information hereon Is true and correct, and I further certify that any and an work performed shan be done In accordance with the Ordinances of the City of Springfield and the Laws of tbe 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. 1 Curtber certify that only contractors and employees who are in compU,mce with ORS 701.005 will be used on this project. I further agree to ensure that an required Inspections are requested at the proper time, that each address Is readable from the street, that the permit card is located at tbe front of the property, and the approved set of plans will remain on the site at an times during construction. Owner or Contractors Signature Date Pa2e 2 012 ~v 225 Fiftl) Street Springfield, Oregon 97477 541~726-3759 Phone . .~~. --~~ -_.. , WiL~, \ ~ ' ~.._'"~-~ ...- av of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000000923 Date: 06/17/2004 8:28:16AM Job/Journal Number COM2004-00636 COM2004-00636 COM2004-00636 COM2004-00636 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% Slate 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 000413 383968 In Person Payment Total: Amount Due 43.00 3.00 3.22 4.60 $53.82 Amount Paid $53.82 $53.82 6/17/2004 Page I of I