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HomeMy WebLinkAboutPermit Electrical 2005-11-5 ,. ..J~ 'S'0 0-'> 'lJ.~ \'lJ.~ ,., ,., ',"" 00~'~\V , ~\~ ~V'O\0 ' 1\.... 0o..'V 1); FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-37S3 . FAX: (S4I)726;,",'6~~0" ~Q ~ . ELECT.RJ~PERMIT APPLICATION I It ,j,\" ,,0. f" I c:-......, / / t:: 0 c: ,0,\0 0-<::,-0 Cirv Job'~um er - 'd1 -' ,'6 Date , ) ,} <,"1'0 ,,,~~. <-\"~ . ". .... ...,.....'I...''".!!;!.'<:~ I~~.~~_' /!JJ~'!f.'''' :1J1Jl'l~rJ;O. 1P ! . 'LOCATJOIV:.bFi1,J,Yi>."J,1t.~ . "!J. . j~j.. .' 3. P.l. " '.. ,. ;f!.iW&!Jl>~w, , . ',:'; qqq"S,';'lfj"""2i.S r.q'" <J~0 /" A. ,-:0'.L DESCRIPTION 11 o:S ~.c:- Lt.1 D Cj ~ (JD (3-Y~S~f/~fs / h-f ltf r (/rCl/I'-f ramllS ;He non-(ran(ferable and explre if work is /lOt 51Jrltd \\"irhin J 80 days of issuance or if work is Suspended for 180 days. :'~O!{iMiF7f~ll~~~W~~~~ "._':~'::";";":'J"k'1l1!.~~~' ~ ~i::,:'!rK::l CO[1[raClOf ,:'.c:cr::::i:i Surrell Bros. Electric 40i'59 Booth Kelly Road Springfield, Oregon 97478 ~,-\""-L.~'-~ C~r: S'-,;X!"\ I~or License Number ~~J\. ~ !: \~.~r~l~on D31C \'0.\~~ CJr,w COl1ll Number '\!:::J~~"-o Service Included I 000 sq. ry',o,; lessrlCN' Ore~. .. $106.00 Each additional,500 sq. ft. or gon IdW reqUires you to 'L '.. rll'(,; aoo t d b ponion/um.cof't' .' fJ e y the Oreoo$j IJtW'y \, r '" 1011 Center Th "' n'_.'. '. ..., . . ose rules are set f rth .~ach Manufact'd'HbI!'~ 9r0010 throu h 0 0 Modulaf;'El.welling,Seevice or . . g AR 952-001- . "'''1 ",",am COPies ofJb.e $,0 no Feeder collillg the cente ("J ' mas by r. ,.ote: t t ""h . t~ iaeR8.f1\'.l~~t. \ ' '"r E. ,I ~ftNJ>~~I~,I.J~~~\ , ........'" vv -.c:::vq't. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps NOTl~~r 1000 AmpsNolts THiS pROCPMect Only AUTIjO tN/VlIT SHA . . . COMMl ANY E . R IS ABANnn or 18ltDAlYaPfllllOlY,ra fi3trl!ffli./Jrf~n 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 63.00 $ 75.00 $12500 $i63.00 $} 7 500 $ 50.00 $ 50.00 $ 69.00 $100.00 ':\0'""'-0'\ Dare \Cl \l:'I' , Over 600 Amps or 1000 Volts see "8" above. S!gn::(ul"e o( Supervislng Electrician D. _.~m1Jfl\\1;~~;::'~';',~':.:':'..:'):"~ 0\ f"\l .. ~ fl. ...... !I I.. New Alte~atlon or Extension Per Panel U ...." .;~L~ "'__ r J, Jf\JA.llJ r)~ One ClJ'Cult I $ 4300 '-tV) . - . 1ea..~..E.aeh Additional Circuit or with:'2 -'01 _ 0,'"",0,;"", <) \ l \/RO Li t? _" ' ~Ice or Feeder Permit ,'J $ 3.00 -, .'.adl'" ~ q q s AS-+rf..~~E .~~m.Il1l~fJ.~JIm1\1~i{~&1i'~:Yi;6:n"1 C,,\~tO ri .. Phone 0\\\[1< Io\'~-'..LLATION T,~-: !:1S!3!hilJon i~ being made on propeny I own which ::> not lnlcnd.:::d for sale, lease or rent. ()',',ner':i Sign::.[ure: InspC'Cllon Request: 726.3769 Pump or irrigation Sign/Outline Lightlng Limited EnergyIResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4'__-.5.:>.00. 7% S tace Surcharge .3. & i 10% Administrative Fee , 6. d 0 TOTAL :if, (00 . () y Shared Driye(T:yauiJding FormsfElo:tricaJ Permit Applicatioo 1.0J dO: .' Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 999 S A ST ASSESSOR'S PARCEL NO.: 1703354109200 PROJECT DESCRIPTION: Owner: Address: SIL VER LITE TRAILERS INC 1291 S A STREET SPRINGFIELD OR 97477 . CITY OF SPRINGFIELD Building/Combi.nation Permit PERMIT NO: COM2005-01570 ISSUED: 11104/2005 APPLIED: 11104/2005 EXPIRES: 05/04/2006 VALUE: Springfield TYPE OF Electrical Work Only TYPE OF USE: Addition Commercial T ':~'T ON: Oregon law requires you to . .. _.._. ~l_ _ n.~...,.."..... I HiI:tu _ .v:' ,,'.....- ............~i'.~- ~J ... ~ . . ~,: L:a!ion Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by callino the center. lt~Ole: un" ,"I"fJ"UIO I CONTRACTOR,INFORMATION=Iln Utility Notification Center IS HlUO-332-2344). License Expiration Date 136446 08/20/2009 Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Phone 541-747-2724 I BU>LumG INFORMATIONI # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated I of 2 . . CITY OF SPRINGFIELD - Building/Combination Permit Status: Issued 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01570 ISSUED: 11/04/2005 APPLIED: 11/04/2005 EXPIRES: 05/04/2006 VALUE: Total Value of Project Fees pai.I!J '",.Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid $5.20 $3.64 $43.00 $9.00 11/4/05 11/4/05 1114/05 1114/05 Receipt Number 1200500000000001687 1200500000000001687 1200500000000001687 1200500000000001687 Total Amount $60.84 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. Rough Electric: Prior to Cover 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 wiD 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 ofthe property, and the approved set of plans wiD remain on the site at all times during construction. Owner or Contractors Signature Date 2 of 2 225 Fifth Street Spriugfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1570 COM2005-0 1570 COM2005-0 1570 COM2005-0 1570 Payments: Type of Payment CreditCard :r :! :c :r. '( .( " 11/4/2005 '\ . RECEIPT #: 9: "- lJ.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001687 Date: 11/04/2005 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSHUA J. BURRELL Item Total: LnecK NumDer AutllorizaUon Received By Balch Number Number How Received njm 06058 06058 In Person Payment Total: I of I 2:50:02PM Amount Due 43,00 9.00 3.64 5.20 $60.84 Amount Paid $60,84 $60.84