HomeMy WebLinkAboutPermit Electrical 2007-11-20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 205 S 54TH ST SPACE 84
ASSESSOR'S PARCEL NO.: 1702330001200
PROJECT DESCRIPTION: 200 Amp service
Owner: ZEMKO DlNZEL I
Address: 205 S 54TH ST #84
SPRINGFIELD OR 97478
Contractor Type
Electrical
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01706
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
I CONTRACTOR INFORMATION'
Contractor
BURRELL BROS ENTERPRISES INC
# of Units:
Pr.imary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Description
Type of Construction
License
136446
Expiration Date
08120/2009
Phone
541-747-2724
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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 Rqd:
Paved Drive Rqd:
% of Lot Coverage:
$ Per Sq Ft
or multiplier
Page 1 of 2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Date Calculated
Status
Issued
CITY OF SPRINGFIELD I
Buil,ding/Combination Permit
PERMIT NO: COM2007-01706
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$3.50
$5.60
$70.00
11/20/07
11/20/07
11/20/07
11/20/07
2200700000000001725
2200700000000001725
2200700000000001725
2200700000000001725
Total Amount Paid
$86.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
I Reouired 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
Pa!!:e 2 of 2
f~7;'"t:'~~~;~~~(><M..~'f.-].''liig:'J:''' " ~ ~. ~'};[J;;.,~/. jx'/\ ""~~':.~ ..~~+.,. ^O",~i;'" <'Ii '. ~,. ~.1'/'~;~~':' \ 'f.'". ',_.
"-"-"?"'<>'''#fCI~''OE SRRT1\.fGEIE:ED" ORE6UN~ ; ,~, . - . ,
,:,~tt~.~~::::~~t"'"': :",,>.~r:~ ;.~;~,~.," ,,*1-;;4'\. ,"- ':r '" .,.7..... ,- ,'", "Jr'.'lf" .;:':-~,~."'i;,,,~.,~,,'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number .fj)Mz,007 - D (70" Date
1. 3.
2.D5 ~. 9-\-i:Y. ~84-
LEGAL DESCRIPTION:
\CIIJ~. 83 CfJO \ ~ 61)
JOB DESCRIPTION:
~OMfJ&JJ/~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
City
v V r1 }
bo'l Gq 7
U (111-((1/,'))-r Phone 1-':D '-17 ')y
Electrical Contractor
Address P 0
Expiration Date
Lf 7 Al S
10 -10
/ 3 (; tf4 ~
/o-oq
I
Supervisor License Number
Constr. Contr. Number
Expiration Date
ignature of Supervising El,ician j~
YJ.iJUk_ 'J \AMl,"-.
rs Name 1),' V\1..d' 2..eovtlCo
Address 1-bS- ~.,~ 9- .:I=- golf
City ~iCf'~ Phone
OWNE~lfitt~\~qJ'(l;:'n 1':.'! ,r
The inst!il:l!iri~nriS' lhfeirrgciflade (on property I own which
is not irNOOileilEfuf>5'afe?I~.a'Se or-rent;
in OAR 952-00 i-0Dj y,
Owner~~atM""'" may nvbt8'.,o'l c"'''.''il';' ., "', ,. ;'..., .....\,1
~"01j.J. l.U..l ~-_. ,'.-'.....,.- ,--' . I ,~, ',..~- '.' j
calling the center. (t\ow' t it; ~t%; :).18
nurnoer TOr me ure~Jon Uli.il,/ i'wti!:CcHion
Center is 1-800-332-2344).
Inspection Request: 726-3769
A.
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.
$117.00
$ 21.00
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
/
70, DI)
$ 70.00
$ 83.00
$] 38.00
$]80.00
$4 ]3.00
$ 55.00
c.
Installation, Alteration or Relocation
200 Amps or less
20] Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
Over 600 Amps or 1000 Volts see "B" above.
D.
~
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
,.
4.
70. tJO
8% St,t1e, t:P[NlN~f ~~~L E~P'RE IF THE \AtnR.j(.~.bQ
1~%i~~~~~~~~t-J:vill<~~I;JtR THIS PERMIT IS NOr t t)O
5% Tec~olo~Iile~D Od IS ABANDONED FO" 7S. ~
AI~Y 180 DAY PERIOD II
TOTAL . ~". rO
Shared Drive(T:)/Building Fonns/Electrical Pennit Application 7-07.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01706
COM2007-01706
COM2007-01706
COM2007-01706
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
2200700000000001725
Date: 11/20/2007
Description
Perm Serv/Fdr 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
+ 5% Technology Fee
Paid By
JOSHUA BURRELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 05533B In Person
Payment Total:
o
Page I of 1
12:54:16PM
Amount Due
70.00
5.60
7.00
3.50
$86.10
Amount Paid
$86.10
$86.10
11/20/2007