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Home My WebLink AboutPermit Electrical 2003-9-29 submitted has the tollowing 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAOOtl~54Jly7iij~6S9 require specific land use ELECTRICAL PERMIT APPLICATION 1:" approval Zonino L;p (Z... C':l' -Z.. 1 ~ L~'" '- ~ r" ~ 00... City Job Number (1..llM 2,\2C) 0<::...> <;S'Li (Date . . "; "'o -"JO''O _ .. . ~f ~ 0</ ~ ~ t.J 1. LOCAI10N OF INSTALLATION 3. COlllJPLETE FFJlErseHEYr1f!E .BELOW -- G,' 7 -;61 (\ ~;Jt (' ~J jn yf ;2'.1-- Signature of Supervi~ing Electrician (~/~( ,3 I"~ ~)~/~b/{~ \ J - Owners Name A n Jj Y' A (:0 C...{!j/[il AS/c-Y- ,:,-,T.- Phone 'J~ -:- r (/;(:j "\.~.'1'\~~PRo~r i~i~~~~~~ I:.'{D\P,t w: I\AE \fiC, :.~,~ $ 50.00 '-" P-:'.\).i.\' Si,/mI... . 1t!.e.~'g\!Jwg." .... '.'... ...'~\(' i,\.\ $50.00 ,. · p' \~t'.... v\ '."'" ';),+.i \~'.,- OWNER INSTALLATION ' I ,:,':,S:11niMd~It~f,gyKR(ts1rettri~r' "" .. ':<';:\ $ 25.00 The installation is being made on property I own which ..' .. \ it~i~d/Eljle,~gY/Comm~t~taI;\.;....u. $ 45.00 is not intended for sale, lease or rent. Miil~~l~,~;~,~i~Wt~ihnspection Fee is $45.00 + Surcharges Owners Signalu,e: ci ~\&. 4. SUBTOTAL OFABOVE ~ : ~\~~ ~ 7% State Surcharge "" 'of :> \ XJ\J \ 10% Administrative Fee ~~7~ ~:; ~~~ TOTAL / ~. ~ ~ Shared Dlive(T:)/Building Fonns/Electrical Pennit Application I-03,doc LEGAL DESCRIPTION I 7D'2- 3Lf'-/t.J JOB DESCRIPTION OCliC):~ .- ,'-J I -r' / A I 11 . I Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. e t.Af:, Supervisor License Number C/-'7 "3 L/ - <) 1 D - () 2/ Constr. ContL Number r}D ~,t..) C'j ( J Expiration Date I D ,() 2.( Expiration Date Address &;'} 7{p City S P F I D Inspection Request: 726-3769 A. New Residential- Single or Multi-FamHy per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 or Feeders ....Iristallation,Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 Amps/Volts $375.00 Reconnect Only <'~ J ~~(\'-!$ 50.00 \ )d\\) ~a'"' ') " 'j . ....\.\\ ~O\ ti~\~ CO C. Temporary S~~J. r~l1~J~\X\ o~.()fj '- l'6'0 ,0 ,\,\e .,\ (\ d....JO ~''''J-.:.., J ,(\ \). . ~e.. ~-eV" \) -0 'Il 0"- Installaltlop, ~~~~ ~~at~~f(,<; ~-e':)\\\~ \ ~,\a~ 0.\. V",'J \..\ 0~\. r \).0\ -.C'I\~2 2QQ\ s ~~s e\V'" (J \0 \,\0...) .f\\~~'~ 161 ~et ..1~ ~.,...::-~~\)~ ,.\0\ '{'.S'6\' .~9:~O ,~~n}lSe~V ,WI'S .," ,. 0"\\' \ \'"...... . 401~P\ t~tP~'lc~';:'~'9'<';\; '" r\'.~Ov- $100.00 \ - '1Sb '{'. s,'O\v" \ >.1\ r..'CJ'<~ \ . ovar.()tJ'd~'S~fa~~l;?~~tS's'ee "B" above. D. B~\t\~~i~,(\be '::\,\~. 'f...c~ New AlteflfAon or Extension Per Panel One Circuit I Each Additional Circuit or with .., Service or Feeder Permit t_ $ 43.00 tiS D~ $ 3.00 E. :Miscellaneous (Service/feeder not included) -Each Installation Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00841 ISSUED: 08/2912003 APPLIED: 08/2912003 EXPIRES: 03/29/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726~3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6776 ASTER ST ASSESSOR'S PARCEL NO.: 1702344400403 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: ACOCELLA MICHAEL R & SANDRA Address: 7967 THURSTON RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' SETBACKS Contractor License Expiration Date JOSEPH BUNCH ELECTRIC INC 156761 ~u'Q0 .'W2007 MARSHALLS INC 25~'t~\~'Qi' ~0\~~~/2~93 BUILDING INF~~O ~~:. e\l,\ ;o~.~~~ -,"J'V ~\\\~ ~') ~0~ 0 ~'0~ G 'O~ 0'" # OfS~06\. ~ 0\1.\-.0\0 0 \,\\'0'~"..\.OOi'ib~~o\ H~~o ~~~'0\OO ~\ o\.~~eI);JJH~rl'Jl?<rr: Type ~~~, ~ \1.f>f\O~ o\1.~ ~ 09~.t~oor: Wa~G~~ ~O 0$\~ eS ~ ge'~ ..~Pa;sement: RangeQNp~~ 0~-e S 0 e'"' N \,\0'(0).0 Sq Ft Garage/Carport Enei~~: \,\o'60~ :00). tt-'0\ Sq Ft Other: " ~,\\\\(\ f. S0).\{\ Impervious Surface Area: . (\0 .1.. I DEVELOPMENT INFORMATION' Phone 541-344-8745 541-747-7445 Contractor Type Electrical Mechanical # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: 'Na~mpact: % of Lot Coverage: 'j..,?\rnt. W- \~~ \<2> ~a\ ~'(\~~:~~,~~\\ <2>~~":~:.n\\<2> '?~~~~ tarn I PUBLIC IMV.R?Y.~~TS'~ \<2> ~'Of\~\JU ~$ \ ,,\c \J t:>" (\Q ca~W\t\" Gf\'i '?t.\,\\\J~jdewalk Type: i\~'{ "\ <o(J Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-~753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction 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 OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00841 ISSUED: 08/29/2003 APPLIED: 08/29/2003 EXPIRES: 03/29/2004 VALUE: I Valuation Descriotion I $ Per Sq Ft OF multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $10.00 8/29/03 1200200000000002040 $4.50 8/29/03 1200200000000002040 $3.15 8/29/03 1200200000000002040 $8.00 8/29/03 1200200000000002040 $12.00 8/29/03 1200200000000002040 $25.00 8/29/03 1200200000000002040 $4.90 9/29/03 1200200000000002227 $3.43 9/29/03 1200200000000002227 $43.00 9/29/03 1200200000000002227 $6.00 9/29/03 1200200000000002227 $119.98 Plan Reviews' 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. ~eouh:edJnsnections I 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. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00841 ISSUED: 08/29/2003 APPLIED: 08/29/2003 EXPIRES: 03/29/2004 VALUE: 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 Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00841 COM2003-00841 COM2003-00841 COM2003-00841 Payments: Type of Payment Check Reccipt#: 1200200000000002227 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH ELECTRIC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Departmen't Date: 09/29/2003 3:00:50PM- Amount Paid Item Total: 43.00 6.00 3.43 4.90 $57.33 How Received In Person Payment Total: Amount Paid $57.33 $57.33