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Home My WebLink AboutPermit Electrical 2006-5-31 5'/3/1 D~ I ' Wr~r.;\,%~. 'N~f.lf~>lJf/W ,u~ . :~~IlI~~~W!i",(~~~. ~ 3, &\il.<B.i,j~~~~'W:,'" ..~, vD(. S!;J/Oh ~ tvl dvf'i>Y"~ 'ntj':I;::)"~~';i'::"; : ,.' .r~',lj;'l",f"t..,.... . ~~l~'f~lj-::;':~l":~':'::~:::~ ,,: .- 1.\. n) FIFTH STREET. SPlUNGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726.3689 LLECTlUCAL PERMIT APPLICATION l Job'~umber .cun:;)~~ Date !. .[O~c41j6;~-;fffF:fji!i:Sf!I'1'-~m~;'T"'A~,. , . " .._." ... .' (f_.,,,.\.uc..\i.:.J.",~~ 1~&L1", SID BrDot<.dede, ~:::C:,.L DESCRIPTION 1'1 0; Zz. 4-Z- O,?,oo . ,'OS DESCRIPTION J'.eUI~ ft~hA~ fOamils are non-transferable and expire if work is nul Sla,ntd wirhin 180 days of issuance or if work is Suspended for 180 days, E:l:.ctl(..l' <.. .:., ,::0 rt:):) '1)obo~ L 9/ wn Hi. e..v, I h:.) 0 e.. - Q,L\81 ~'-\~ -I- ~-~,:L ~ e!!\ :';J?::!".hor License Number ~~"l-\. ~ ::i:.!;::!!on D31e \~ \~:'\ CY:i!r, COIHr. Number \1::::J~\.\\....o i>::)i.c!!!O!' Dale \~"" :\" ,"" "S, P'~" u; ".:L"';';" . ufJ~ ~)~0 U"!"C'~ .\"I:le _~W St1M.-h~",o 510 '-I3raoJ4:1ati CH\ Spr/~e"f Phone ~.,.5~11 ..:.. o~rC' S!~ U\\\EI< j:\'STULATION ,'h, ':'S!3!!alion is being made on property I own which !, ",0' !Alenoc:d for sale, lease or ren!. 0'.,")0:" Slgnw,He: !",p,,,;o,, R'qoe,,, 716.316$J ~ Service Included 1000 sq ft. or less Each additional 500 sq, ft. or ponion thereof $ I 06.00 $ 1900 Each Manu,f~HtH~r0~r Or ' Modular D.f~ellingr?lervice or egon law reqUlre$s510'OJO' to F d ,'.'I.m . ....Ies adopted h" tho n.~ ,u. . ee er N!;lt/fication C ,'- ~. vgon Utility . enter. T-h()~A rI d",,,, ~.~ _ , ( 111t, . '. .' ~'.'. .~. ."~...rj,. "ll\::.i1i!r.1. \.".~~i'.r\~~f.l!~I'"":",,:,,,;,!:: :: B.:'1'.', . :' .,' 'rff'\~'~1:{o'~~: ',ei'OC~(jOI;: . . ' Be.,.. ~~\!L~MJ~\}:~;",..<,~ ': , .""" "'.I" '[elII J Goples f th ~ k..... . .."..f..... .. ,. ~W";r, th'" 0 e rules by 200 Ampsro"~)~s's::r' f \, C8nter. ([\!ote: the t~16~'.OQ,nQ I~'lllln,,::;,' .(1" jill" 0r' U' . Vr-"/.. 20 I Amps to 400 t.r?'~,,)' i" J ~.~';~. ~I/~Y N$~iZ~l0iltion. 401 Amps to 600 Amps' ,I f30v:33.::-234-$)2500 60 I Amps to 1000 Amps $ I 6300 O'ver 1000 AmpsNolts $375.00 Reconnect Only I $ 50.00 !;t). 00 Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40] Amps to 600 Amps $ 50.00 $ 69.00 '$100.00 Over 600 Amps or 1000 Volts see "B" above, :\ q "D1" J~~~ ~! l~ , . . . ~wr~W~:M1Wfi;::r'.~";,::\" ; ,: : ~ .: JI ii d~~ . I J " 'i ~H::U1iuf:(~~~i:/k~~~;~':..~(:..'<:" ,', TH I SI'r'elv~J..j.t~rittJ9,~ldl ~:~re:if~Lo':lFPrr-j ~a~nl~ R K .l\Un(.)=n~~i[{~Ji'tJNDER THIS PERMIT I~ /\Inr $ 43.00 COMEachlAdclitionalj (Sircui,t ,0fDw.ithED FO.R - ",LdvLLI VI \ U nul" ~ VI.. I\~IV Ser\(Oicei?r,Feeder-Boermit $ 3,00 '.1',. 'C' UnT t"tKIU . E r.~ 'l'f.~'.LGlIi; . '.'lf11 :;OWl 'f~ ,ml ,":vi 1\ ','.Nli II(: '(Y;\fiiY.l.';.-;;:'.'/;""~'.~;":";';:;;" {. ~~k L, .:/I~1';t'll ,c.:,,\ 'IT t r~ .. foJ1:\-'f.fl~[!i.~\(io~'" l:J'u\ .._.~. \~"_-.". .._.... Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges :m~~'I\ . 4'~M~(" i, ct j% State Surcharge 10% Administrative Fee so.oo 4-.00 5.00 5'7.00 TOTAL Shared Drive(T:)IBuilding FormslElectrical Permil Applicalioo I.OJ.doc Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00659 ISSUED: 05/31/2006 APPLIED: 05/31/2006 EXPIRES: 11/30/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspec'tion Line SITE ADDRESS: 510 BROOKDALE AVE ASSESSOR'S PARCEL NO.: 1703224203900 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Service Reconnect. Arn::l\ffV}>;E:@F'I:l![SE': la\iliRe'paiVes you to Residential , ' .1 r, 'v:1'" "ollo\'>! ru'''''' 0r'C":'0(, IJ"', ,lC ur::r<::J:l U~ It\l \:I'~'~;h::;2tiC1'~"S~-,:;.(.c"-:':lC::O~ (L"~Cj c':e ~::;~C"i::l Owner: Address: FORECLOSURESOLUTIONSLLC 910 LARCH ST EUGENE OR 97405 ;r; :-." :' . .r_~_r' ";.' ~ .; l: .": \ ".,. I ._~ - : ':-1~_1~_. ~.... '..' :;.... -,-JV i- :-. '_. ,-' ~:: \J - ~;-' '-I ." ~ ~,1,'.JY ,........1 . I ,,' "- -..~ ," '" _ 1 ~'.llS _' , I. . '.. ',-, ~ I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/2012009 Phone 541-747-2724 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled..JJ\,l~!9ing: nla Occupant Load: .._ . - ,\,,....,.-,,11 .. . ., - 0 "" I", I :' \ \::. \ r I C1 L '1'1 U I I" I DEVELOPMENlf'-INFORMATIQN::", PE-RMIT \S NOT ", ,".' u'" ." " ,IS REQUIRED PARKING .' _"'\~ ':G C'(l, IS :\8:1.\\\OONED FOR Overlay Plst: "'/'C8\OD Total: # Street Trees Rqd: " Handicapped: Paved Drive Rqd: Compact: % of Lot Coyerage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00659 ISSUED: 05/31/2006 APPLIED: 05/31/2006 EXPIRES: 11/30/2006 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' Fee Description + 10% Administrative Fee + 8% State Surcharge Service Reconnect Amount Paid Date Paid $5.00 $4.00 $50.00 5/31/06 5/31/06 5/31/06 Receipt Number 1200600000000000760 1200600000000000760 1200600000000000760 Total Amount Paid $59.00 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. LReouired Insoections I Electric Service: Approval required prior to utility company energizing service. 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 2 of2 225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone Job/Journal Number COM2006-00659 COM2006-00659 COM2006-00659 Payments: Type of Payment CreditCard cReceint I RECEIPT #: Description Service Reconnect + 8% State Surcharge + 10% Administrative Fee Paid By JOSH BURRELL C' . of Springfield Official Receipt l _ ,elopment Services Department Public Works Department 1200600000000000760 Date: 05/31/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 094268 In Person Payment Total: Page I of 1 1 :33:08PM Amount Due 50.00 4.00 5.00 $59.00 Amount Paid $59,00 $59.00 5/31/2006