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Home My WebLink AboutPermit Electrical 2005-5-3 $PRINQP11U.D -::::::.1. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54f.):?~~~! ~~l~" ELECTRICAL PERMIT APPLICATION _, 00 ~<;>/ <;>"0 1> f~ '<iIW "'- City Job Number (ouA.z.oO~-OOObO Date ~/3/0}""Z, "',,-~' %:'9-", ' , .' 0 ~ 0 ........ ~. ^ I' .... ^ ..... ~ .:"1 3. I iCOMPLETE;FER'S"Uim~,BEmw," " " . . '. ~... ..,.,..,..~;:\\';~;, A. t:N't~-;R~id~1fiii~l~~i?~...iir~iJ;~/':;~'\...iti;~"'Y1YVJ~ j~~~;:eilinl '-iinit~ -:. (~ ,_....,..=........"'~L.g.. .. f~ ,~~II'"1!.~;~~...g.., 1 Service Included ~'''' \' ~.,;'ot, w ~ ~. 1000 sq, ft, Dr less ''a I 06,00> ~ Each additional 500 sq, ft, or portioiiTtlfereoflON: Oregon law reQu I 0 Eachf~~'(tf~bl\\n~6th~f6\f-d by the Oregb{l 'lity Mo"dGI~fIDWerlrn~S'eAA~e J/1ose rules are $et forth FeJlIePAR 952-001-0010 throlJgl:1 OAR 115!2llt9jl. B. ~~~~~~t4~~~~~~tt;~:t~;Ib~aiion:: number for the Oregon Utility Notification 200 Amps or ~ is 1.800-332 2J44). $ 63,00 201 Amps tD 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 I. k1;pb,AT[ONQFIN.$fALLAriQN. ''"'' . ~I a, Vz. A $0+ LEGAL DESCRIPTION 1"703. 3Slf2 Ol(l(OO JOB DESCRIPTION i tZ c..t r!-c.u.( b T t::oM. t> f Permits are Don.transferable and expire if work is not started within 180 days of Issuance or if work Is Suspended fDr 180 days. 2. ICOivfRA,OTOR:!W$tAi:L4i!6NO~fY'-l Electrical Contractor Address BURRELL BROS, ELECTRIC P,O, Box 697 Walterville. OR 97489 54 ~17o~l-2724 City Supervisor License Number U jL i "> 10 '07 ZO -4- 41..(l 1O'Cf.. Expiration Date Constr, Contr, Number Expiration Date ~nI;;7"~7;1 \0 120 L.. ~ + ),j,wE Address ? 0 /So,...- 70 7 80 City ev-&f:.-..f€ Phone r '2 G - 0'( ., r Owners Name OWNER INST ALLA nON The installation is being made on 1"" "1"'..../ I own which is not intended for sale, lease or rent. eN ti~t~:r.,:y,sirV!c';~ iir' F~edtrs".': . .. ;;;.~'.. '. TInstalhitio;,\I~leWtio'n li;:Rb~J[;obHE WORK t~9o;Anfps:arTh~NDER THIS PERMIT P, ~gd.oo G9!IAmp's!f0::400:AlnPs ABANDOI~tU ~vrl$ 69,00 #,o.l(~!9I69QJAmpS1D, $100,00 Over 600 Amps or 1000 Volts see "B" above, D. r~r'~~~lj_,'C{t~~l(~":~} .,~:.jlj<, , , Fi:::-~~ 'Jr :~,;- . 1. . ..' S,,-o .'i, .:. '. .1 f.{J ")7 New, Alteration or Extension Per Panel f One Circuit . Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3,00 It E. ~~:s~~~:I~f.f~.~~~;I~:~~_(~.~lf~;,4.~,r:'i~,~~)~s-~ti,4e~) 7,~'~\~~ ,~_~~t~nat~~~ Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~ "';i"", ,:,"';,;/':'-f~~>~";ili."'i.'''''~fl''il~i'y ,I., ;;i'.,,-J~r")'1 4.'SUBTOTAL.OE::4BOVE.cc.", ,'.,,;e,'..: 'ilx":".' ,,';. '''''''It il": - II ,,'. '.'~l:~:'~+ ,Hr:!!,'<~", ,I... I':::"'n" .:,. __,'. :> ';'-4MI~~~\j,:: /2& ~~lo ~:~:::~:Fee ~~';' Inspection Request: 726-3769_. .. Q-) :\9~AL Il( 7 '!3::: UJ'(~ I( I{j -""",,,""..'---"^-" ,.,~ Owners Signature: . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00060 ISSUED: 05/03/2005 APPLIED: 01/18/2005 EXPIRES: 11/03/2005 VALUE: $ 30,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 819 1/2 A ST ASSESSOR'S PARCEL NO.: 1703354204400 Springfield TYPE OF WORK: Fire Damage TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Owner: Address: ROBERT NAVE PO BOX 70780 EUGENE OR 97401 Phone Number: 541-726-0494 Contractor Type General Electrical Mechanical Plumbing ATTENTION_ tnl/"'...... . Oren",,., ,_ Nnt'''^_ : -'C~ aOOotf'1 .. - -. ""4U1res y I CONTRA0TOKlNF@Wlll:Ar'rIQN ihe Oregon ~~to 0090 --L-vJl'o010 t J rUles are Set Ilty Contractor Caf', You may ~m~eOU9h~~fl~te EHLERS CONSTRUCTION 1~f1~~:g the cenl/!P.j!COPles of thtH'Jnii t- BURRELL BROS ENTERPRISES mcfor the of\ij te: the tel ~tlII5 EHLERS CONSTRUCTION INC Center is 1l ~ Utility Not~1~06 DONN B MERRICK . 571 9 3J2-23441~/q~06 Phone 541-689-6177 541-747-2724 541-687-1907 DUIL...ING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT..INFORMATlON , THI - . -... REQUIRED PARKING S PERMIT Overlay'DistR: J SHALL EXPI Total: , .e ''1LJ 'c:o"> RE IF # St.eetNTrees Rqd: UNDER THIS THE WHandicapped: up {'I/II--"I,...- PE \'''1{ Pav~~ ~r~~~R~d:D OR IS AB RMIT IS rvCompact: % of~ot GOVC)1ige:PERIOD ANOONED FOR U I I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Page 1 00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Deserintion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fpp< P'\ilIJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Temp Power 200 amps or less Vent Fan Amount Paid Date Paid $10.00 $5.00 . $41.97 $3.50 $29.38 $43.00 $33.00 $253.65 $42.00 $33.00 $3.00 $50.00 $12.00 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 5/3/05 Total Amount Paid $559.50 I Plan Reviews I . CITY VI' ~rRIN'->'N~L1J ' c;:7 Building/Combination Permit PERMIT NO: COM2005-00060 ISSUED: 05/03/2005 APPLIED: 01118/2005 EXPIRES: 11/03/2005 VALUE: $ 30,000.00 Value Date Calculated Receipt Number 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 1200500000000000565 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. ~eollirerLTn(,.I'IIfl'Ii"'ti~ Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the huilding is complete. Rough Plumbing: Prior to cover and including required testing. Paee 2 00 . . CITY OF SPRINGFIELD'.7 Building/Combination Permit PERMIT NO: COM2005-00060 ISSUED: 05/03/2005 APPLIED: 01118/2005 EXPIRES: 11/03/2005 VALUE: $ 30,000.00 Status Issued 225 Fifth Street, Springfield;OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. . 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 ca,~ iS~; at the front Df the property, and the approved set of plans will remain on the site at all timeSd~PaG J41 ~ .2oor- owner"ttractors SignaWre Date ~ I P-B.b1.. 1\...dl'\<.u:., ~ ~/~~ Palle 3 00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ...~_..................~.. , lit.. .~............. ......... -............ . ' . .. . ! ' ......, . . ,1" 11 - "' . 'p" ",' City of Springfield Official Receipt evelopment Services Department Public Works Department J~b/Journal Number COM200S.00060 COM200S-00060 COM200S-00060 COM200S-00060 COM200S-00060 COM200S-00060 COM200S-00060 COM200S-00060 C;OM200S-00060 COM200S-00060 COM200S.00060 COM200S-00060 COM200S-00060 Payments: T~pe of Payment Check , i S/3/200S RECEIPT #: Date: 05/03/2005 1200500000000000565 Description Building Permit Fixture Minimum! Adjustment Plumbing Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Paid By EHLERS CONSTRUCTION Item Total: Check N umber Authorization Received By Batch Number Number How Received djb 3S243 In Person Payment Total: Page I of I 2:11:44PM Amount Due 2S3.6S 42.00 3.00 12.00 33.00 10.00 43.00 33.00 29.38 41.97 3.S0 S.OO SO.OO $559.50 Amount Paid $SS9.S0 $559.50