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HomeMy WebLinkAboutPermit Electrical 2007-12-12 < ." '.' _ . ~ "" ,_ ~'Th _,.., t. J[ , ': :: .~~CITY-OFSRR1 , . I 'rJD',@RE~ONf:"t~1""" . . . .J'uA '" :". ~,., ~ ~~'.t:tc:, _ ~;:,." h' ".'!-%'!;l:"~: I.! ,15 -c. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION CitY Job Number ~ ~ -O/'ilZ5 Date Supervisor License Number 4 7 ,~ ) .:5 Expiration Date / 0 / I 0 Conslr~ Contr~ Number J 3 & tjLJ Lr Expiration Date / D J J D , 6~ gn~atureUtLof Supervising ~ctri'IJ\JI.}J.cian , New Alteration or Extension Per Panel ~ "'''Ad One Circuit fI r I ~ Each Additional Circuit or with ownersN~mOec ' ~~,2 ';:!:J ~ ufE S;;~~'lrF:~se.r.:.. ::~.~~~.'.'~~tl,,",I'lli\i;;E::~h. :r.''!'Fllq..~.t'~. .'1.. Address--V '-> .5. .:..:>'Y'''....>I .,-- ~ 'l!li~~:~~~~~~~JJ!W~ili~=~~.!i City ~d~ Phone J-,:j) - 3 ~;;'1 Pump or irrigation $ 55,00 , tJ J/ Sign/Outline Lighting $ 55,00 OWNER INST ALLA nON Limited Energy/Residential $ 28~00 The ins~Nl_'<mlHl\lIlO~,lj; 'Yltial1o Limited Energy/Commercial $ 50~00 is not int81fl5<<,IffiM~'aem~R!"C!<jIjy the Oregon Utility Mini.m. urn Elec.tric Permit Ins.pe ctio.n....Fe .e.. i.S $.50 .O.O+.S urchaies ~'Ifi at' Ion Center Those rules are set forth r's."'Jii'.".~:r:.-'''''-..'Y''~-'.'._~~!!i1!'}''illl!l~.~3'sl!'11ll; ~!V!W.' 0 - O . 1 4" c/BT<!/'E.... ~n'~@~N:~:'" "~I" ~illt,..., wne n \l52-001-001 0 through OAR 952~OO. . !Ji.iWJj*",..i"..,.,. 1It:'F:~ .,~ .~;/ ,;", \,0", '''111 gggn V~" ",o~!-.toin "Doles of I;le rules by 8% State Sur jl'e . _, -lS:;k12........ calling the center. (Note: the telepllolle 10% Adminis IfV~~MIT SHALL EXPIRE IF ,r1.: 7JBo number for the Oregon Utility NotliiCalion 5% Technol~lJifUORIZED UNDER THIS PEKIVIII$}.!#t) Center is 1-800-332~2344). COMMENCED OR IS ABANDONE[J.I;OR !D Inspection Request: 726.3769 TOTAL ANY 1 Rn DAY PERlnD _ ~0. Shared Dilve(T)713UJJdmg FonnsJEfectrical Permit Application 7.07.doc ~..-~~~"~"-~..'.'- -..~~-'.Y ,,-~," "-.--'._"~--"'J!--_._~...'-~.--" =.21....~. I :~,Fl"'.mm.'Fl'tE{~S",,~.T"" ". , io ~.zSU.~ "qfhu,', 3' .: .~ ~... )..fOAL DES~RlPTION: I :J-((v/l'f rf{)Oi)f , JOB DESCRIPTION: 110).:53 (JoO Id (JlJ Permits are non-transferable and expire if work is not starlet! within 180 t!ays of issuance or if work is Suspended for 180 t!ays. ael'kU~il'rt-j~0;,,,,~,1101~."'::lI1ji;r;ur0:;;U~Jlj{m;,,l1;; '(ZJ:iNJlm'Jt(JH:(;):B.;lTNSfRi\'T~m. - l1.l i@ .. ~ 2. , " M.!t:M,~4t$tV"i;t~;G:ki11'iM1AJ10;'j#;W4'lG'" w , ' "" Electrical Contractor BUAAEllBAOS. ELECTRIC: Address P.O. Box 697 WQlt8rvllle, UH Y74fW City 54Jh~11-2724 3. mfe;7MiiiJiIiP"iikTir........GlifJJD'iJiBjiJlBEil@JV:,illll'Jlil!!ii\l!,lm. .'1I!i_'\;.~~5 i!1!1Ji0!~~1j! V1k~fJjj_-.,,"'.'""",._""'~~$P'l~i'il$.~~J ;/ A ~~R~'Mtl"'i!'jt'I"'::.lt1!!1f<3~-S.r.,,*~\ffi'iI~W11!'!!1 .", ""j~[ITt.'~"jmt""'I'..j-!tl"if"'I.'I"""'~:~. . ~'Y.*;,;5t~!~"'~~~tl1~;y1'P~~~i,}}:.t}r~g~l!m,:' ',: Service Includet! 1 000 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 AmpsIVolts Reconnect Only $ 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 40 I Amps to 600 Amps $ 55.00 $ 76,00 $IIO~OO $ 48~00 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01825 ISSUED: 12/1212007 APPLIED: 12/12/2007 EXPIRES: 06/12/2008 VALUE: 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 3 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE Of WORK: Electrical Work Only TYPE OF USE: Alteralion Residential PROJECT DESCRIPTION: Service Repair Owner: Address: HUEBNER JOHN D & JOAN C 205 S 54TH ST #3 SPRINGflELD OR 97478 Phone Number: 541-741-3824 I CONTRACTOR INFORMA nON I 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: # 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INfORMATION I frontyard Setback: Side I 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: Stonll~I'fnCl\......ffilb~:m law requires you,to Downspouts/Drains: Speelith.f),s]iolltilJj\~pted by the Oregon Utility NOTICE: N~iification Center, Those rules are set forth N<lffSJAR 952-001-0010 through OAR 952-001-- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may Dbtain.~opiesc ~f.t~~~~~:..bY AUTHORIZED UNDER THIS PERMIT IS NOT calling U1t:lI"'"\"" \..'t,'~',t:, - N' ~ 'I" t'M vUIVIIVltl~vtu U~ '" fo\tlfo\NUUI~tU rUH b lor the Oregon Utility Otl lca I . .. I ANY 1 num e~enter is 1-800-332-2344). ValuatIOn DescrmtlOn 80 DAY PERIOD. $ Per Sq ft Square Footage 0" multiplier or Bid Amount Description Type of Construction Value Date Calculated Pa2e I on _6il'!'R'....-iiiii.'.. .~~....... .'--,..' " -- ~...-- '''''''"'" ", ,," Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01825 ISSUED: 12/12/2007 APPLIED: 12/12/2007 EXPIRES: 06/12/2008 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 nr less Amount Paid Date Paid Receipt Number $7.00 $3.50 $5.60 $70.00 12/12/07 12/12107 12/12/07 12/12/07 2200700000000001823 2200700000000001823 2200700000000001823 2200700000000001823 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 Rellllired lnsnections I Electric Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that J have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and] 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, aud that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. J further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. J 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 Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/JournaJ Number COM2007-01825 COM2007-01825 COM2007~01825 COM2007-0 1825 Payments: Type of Payment CreditCard cRcceintl 'l'i City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001823 Date: 12/12/2007 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 00570B Phone Payment Total: Page 1 of 1 3:13:53PM Amount Due 70.00 3~50 5~60 7~00 $86.10 Amount Paid $86~10 $86.10 12/12/2007