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Home My WebLink AboutPermit Electrical 2007-12-10 (2) ZON L~r.o INITIALS f.-.JiV' DATE \;l-)u-Cl'l SOURCE\Y'_~#' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (541)726-3689 ELECTRIC')+ PERMIT APPliCATION CityJobNumbe~ Lem4 ;' 01><:,0( h"'~"/:': "',,,,!,;,:"""",,,;.:;' ,'-.5',:,:: ',.",,:,' ',';""'''f.,'::'.''', '," ,_':,:'~'.:<"':.i\c:: ""'.^"'f'.<,'.:.'.;.i',\''/''':'~~ 1_;L()cA1'I()1'!()EINS;tALLATr()N1.')"J~~iii .~0+~""'-'"""!'-"'~"h.!,,,,,,,;;;;,,,,,<:$t41;',;}\1''''t.0,,,,:..<,,,:.~~>;'~;'''W~\~"~,,......:,..:;~i'::-", (e::;~3S rY)ili1V\ ~ q-r /45 LEGAL DESCRIPTION: \In) 2.,'2, C\"C'\!::.6D ~ ~;t;~t~O~~" ~ y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Date 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq, ft, or portion thereof $117,00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder' $55,00 :~""<"7f~''''''~::'>,.. ..;, ," .. _ ,0'.'::.. "_':: .. .,'F"'; .:_yc>_::'~':.': ?:/:i<:,~ 2. ~r(;6NrR(t.C:J:O:R;INST.t1LLA.TKg1'!01'!Lf' B. Elec:~i::I~~n:acto:-~nv';;;TTB;o <) . Address P 0 b~ 'I 007 City 'W (.dfr'.< J)'f Phone ]:L7-17 J. Y 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only \ to . ere $ 70,00 $ 83.00 $138,00 $180,00 $413,00 $ 55,00 Supervisor License Number y. 7),)5 Expiration Date 10 - I 0 Installation, Alteration or Relocation / '2 / I J I ) / 200 Amps or less ConslT, ConlT, Number CJ 1fJ 1'7 lfJ 201 Amps to 400 Amps / 6- 0 q 40 I Amps to 600 Amps Expiration Date, Over 600 s/n,at7~" Of~U:~~:sing r~ric\Mian A,! D'one Circuit V, ) ~, - -) J\J.l New Alteration or Extension Per Panel -- -~' Each Additional Circuit or with rs Nam~(I(~~ ~~o*'Jd- serviceorFee:er:e:lt............$ 4.00 Address \ \ d I \ C-uld (!J6, J n11? j ~ ~,t~i~;Il~~;~~~~S.;~i~~/!e~de~~9i~ri,~R?~d)~~~J~Ih~t;lla}ion Ci~ k\ lA.UJ('Phone Pump or irrigation $ 55,00 c..A-- -~'-'I 0 Sign/Outline Lighting $ 55,00 OWNER INSTALLATi~ Limited Energy/Residential $ 28,00 The installation is being made on property I own which Limited EnergylCommercial $ 50,00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges Owners Signature 4.8Ul!.I9t:Ai OFAB.9.vE,>" ,-10 _ ov 8% State Surcharge -'3 .F)(j 10% Administrative Fee -5. (/10 5% Teclmology Fee '"1 ' rfLJ $ <'(;(0 . I 0 Shared Drive(T)/Building Forms/Electrical Permit Application 7.07.doc c. $ 55,00 $ 76,00 $110,00 $ 48,00 Inspection Request: 726-3769 TOTAL Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01808 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 MAIN ST 145 ASSESSOR'S PARCEL NO.: 1702330001300 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE:, New Residential PROJECT DESCRIPTION: Pedastal repair Owner: SANTIAGO ESTATES ASSOCIATES LLC Address: 11211 GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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: nla Frontyard Setback: Side I Sethack: Side 2 Setback: Rearyard Sethack: Solar Setbacks: I DEVELOPMENT ]NFORMATlON I ATl CI\J I lVI\!, VIC:JV11 nAn ......"1....... ~- J - -., follow rules adop.ted ~y the Oregon Utility Notification (,<;\r,~[I~Y[9.~!8 rules are set forth in OAR 952_db~t1j~e,to1jr~t:i'~qd;JAR 952-001- 0090. You m!l9vS!!tV,ri-ceJ!Jqd: of the rules by calling the '()'JP'(tll9t\~<t"enige: tele~hone number for the Oregon Utility Notification 5....... .'w. :: .. ,.,/"\" 'Jf)1") 1)')"11\ I PUBLIC IMPROVEMENTS' REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: Description 'nnIW=i,J ).Im nQ:_ A~liI HO:l 03NOaN\l8\1I~H U-jJN il/lV IUlJ. I ION SIIIl^JH3d SIHIl:)! _a. ua!~o.Jt l)esctml1on T\I, HO^^ =lH I :II 3.HldX3 l$l'l'Mfs~IFIH3d SIHSquare Footage Voe OfCOnSlructlon I' I' ''"InIIO'' B'd A or mu tip ler:J"" ~Qr I mount Value Date Calculated Pa2e] of2 ~r.',;"'~, ~I?,',","., "'..,.. . . . - , ,-"., ,... ... .."... - '.~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01808 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 ]nspection Line Total Value of Project Fees Pairl . Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date Paid $7.00 $3.50 $5.60 $70.00 1211 0/07 12/10/07 12/10/07 12110/07 Receipt Numher 2200700000000001809 2200700000000001809 2200700000000001809 2200700000000001809 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 R,eollirerl Insnections I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that] 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 he 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 readahle 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 Pa2e 2 of2 225 Fiftli Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01808 COM2007-01808 COM2007 -01808 COM2007-0 1808 Payments: Type of Payment CreditCard cReceiotl RECEIPT,#: 2200700000000001809 Date: 12/10/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee , Paid By JOSHUA BURRELL Item Total: <":heck Number Authorization Received By Batch Number Number How Received njm 015558 In Person Payment Total: Page I of I 2:]5:55PM Amount Due 70,00 3,50 5,60 7,00 $86.10 Amount Paid $86,10 $86.10 12/10/2007