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Home My WebLink AboutPermit Electrical 2007-12-7 ZON (~ fNITIALS N r'-\. DATE I;). - \0 -C\', SOURCE ,,^-oSr 7) 22S FIFI1l STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number c..o~ ?pC> 7 - 0 I 7 9 ~ Date ;'~'~'.'. ',< ::""i"'''0'~h..''.:' ',',', :'::i\- .. ',:"'" ... :,,"," <__','_":: ':.>,;?" ..;..:~':"<t. 'zy:c:.",':... ~ -.. ',:;iff'h I. ~LOCATjbNoFrNSTALLATION:' ',~$,$ 3. ",,'c'"',,~H,,''' ,', ,~.:,p".."", '-' '~J":::' 3z?.-1 V\AAIN s T ..+r ~ LEGAL DESCRIPTION: 1707..313\ JOB DESCRIPTION: 0550C St:i2..l/lc..e CffA-NG-E" 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 nip?!VI'&1.C1'?J1.JN~Ti!fLAT'{gt;fOlil/,;Y"' B. ~Iec~i:al con:actor ,py U' V r y II' B; 0<) . Address P () b; y {oq 7 City'IJ (1/1 frlt<})f Phone 13-7- 17 ').,y y. 72) S Expiration Date /0 - I 0 / 3 ~ LJLj ~ 16 'oq , ~aVJ~;;:' '~;';~~" Owners Name ]7....-.. ~ftsl~,^W, Address PO [?tJ~ -:I/O City ~~ON: OrellllllnlJlw @ii?~~~ N " ,'.~ "Ju,.,ted by the Oregon Utiiity otlflcatlon Center Those I < OWNER1Nil.sIl1~/i.~ln'''''''' , ru 8, a:eset forth Q . "V\J1?!hro~lgh O;\H :-62-001- The inst~9atfuP. YS'~e'mg, \~al,."6'h properly r (1wn:l'!hj~h ,y IS not mtemr~~~~?~!ei~7"'s~lor'rent '~, r: "- I Owners Signatur~ei iL. 1.. I ;-~ J' Supervisor License Number Constr, Contr, Number Expiration Date 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 $55,00 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over ]000 AmpsNolts Reconnect Only ( 70 $ 70,00 $ 83,00 $138,00 $180,00 $413,00 $ 55,00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above, D. Branch $ 55,00 $ 76,00 $] 10,00 ---- New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 48,00 $ 4.00 'C.:_......,..'.:. ....,.....'.::....:'..'...._.._.:_.._,..>: ....:.,'..:'.',:......<........;...:.>, "":.."',::':___:.':'" :.,-:,".." , E. Miscella~~~u~ (Service/feeder not i~c1uded) -Each Installation Pump or irrigation $ 55,00 Sign/Outline Lighting $ 55,00 Limited Energy/Residential $ 28,00 Limited Energy/Commercial $ 50,00 Mini~.u~ Ele~U~fftt:t Inspe~tion Fee is $50.00 + Surcharges 4. SUB,TOfMl ~~~ALHXPIREIF THE-WGR? 0 8% State.$W:j;M@RIZED UNDER THIS PERIVllT~9T 5' &0 10% Ad~l!ip.ml~trn OR IS ABANDON~D COil 7 5% Techj.w~~g~ Bt'fDAY PERIOD. t, "3 fo gf,~ TOTAL Shared Drive(T:)/Building Forms/Electrical Pemit Application 7-Q7.doc -~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01795 ISSUED: 12/0712007 APPLIED: 12/07/2007 EXPIRES: 06/0712008 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3221 MAIN ST 5 ASSESSOR'S PARCEL NO.: 1702313105500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Service change Owner: Address: EASTBURN JAMES L & CLAUDIA J PO BOX 310 SPRINGFIELD OR 97477 Phone Number: 541-870-5200 I CONTRACTOR INFORMA TION , Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R2 # 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: VB n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: S S ATTEN.TI2~: Oregon law requires you to NOTI"..!':' tor~ e'fllfi~'ffi'Ies-adopted by the Oregon Utility "IJ()wnspouts/Drains: SpecJaII'n&iIlIiJMll'Jn Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT Notes: 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR r.Flllinn fpp r',fntAr (NntA"J.hp fp.l~nhrmo l\~!\.1 1 ~~ ~.I\.\.' ~~~~':~. number for the Oregon Utility NCI";;"""uiI I Center is 1-800-332-23441 Valuation Descriotion Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 -iii...~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01795 ISSUED: 12107/2007 APPLIED: 12/07/2007 EXPIRES: 06/07/2008 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' 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 12/7/07 12/7/07 12/7/07 12/7/07 2200700000000001802 2200700000000001802 2200700000000001802 2200700000000001802 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. Relluired lnsnections , Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined tbe completed application and do bereby 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 ofthe 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 tbe permit card is located at tbe front of the property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfielll, Oregon 97477 541~726-3759 Phone ~~ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0] 795 COM2007-0] 795 COM2007 -01795 COM2007-01795 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: 2200700000000001802 Date: 12/07/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 03531B Phone Payment Total: Page 1 of 1 3:33:37PM Amount Due 70,00 3,50 5,60 7,00 $86.10 Amount Paid $86,10 $86.10 12/7/2007