HomeMy WebLinkAboutPermit Electrical 2005-11-5
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1); FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-37S3 . FAX: (S4I)726;,",'6~~0"
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ELECT.RJ~PERMIT APPLICATION I It ,j,\" ,,0.
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,-: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.
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Surrell Bros. Electric
40i'59 Booth Kelly Road
Springfield, Oregon 97478
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S'-,;X!"\ I~or License Number ~~J\. ~
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CJr,w COl1ll Number '\!:::J~~"-o
Service Included
I 000 sq. ry',o,; lessrlCN' Ore~. .. $106.00
Each additional,500 sq. ft. or gon IdW reqUires you to
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ponion/um.cof't' .' fJ e y the Oreoo$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
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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:
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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
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. ~,: 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
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11/4/2005
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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