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Home My WebLink AboutPermit Electrical 2007-12-12 .. , ~ - ,,- '" - '-.., '# ^ '< - " CITY~0F'SPW1N@FmL.J)'~ORE60NJ"'4~~c..:'. .>,. ' ~"_':'~'l"",~,,,",,,,,".""?"_~~~i'~"~~r'fl" "0' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726.3753 . FAX, (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (J)fYI :2-00, -(') Ig~ Supervisor License Number L.J 7 ~ ) 5 Expiration Date / 0 /10' Constr. Contr. Number / 3 {p LJ Lj Lt Expiration Date / D } J D , ig\()r;~;ing p;r~.\. _ 'd' C~_ nersName 110 q IYJ / VUJCiOf 201 = ~ -----:--1 E ~~~lful.~~.';~S'~".~I)!!'l~~~"tll>1iITi?lt!:h0g.!!I!l\.w2'llfE."'~'I'~II't"~~I Address J = I . .1 ce ane@sll~.l'.mtJ~1it!e""er no .mc U eu",aCDlInsw a IOD&~ -. 'h' J' "'" ''tL''"AoiL'J'JM&itW1V'''_iil''''''TI'''''1W ,"'00rl~fG,,,~,,",, l"""'~~f2f,'..~~;~ ~ ~TtENT~9l11: Pregon7g~L1r/qllirb:1{IJlllti City _1~tlli.iJM..r:JB~\l!}5 t4 t~/c.tJlro:~., ~irly Pump or irrigation $ 55.00 . O~ifi~i~l S?:J~~ Those rules are set forth SignfOutline Lighting $ 55~00 OWNER I SVlf'Li);i\'iffON.b"010 through OAR 952-001- Limited EnergylResidential $ 28~00 ~ 0090~. You mav. obtain conics of tho~r'lles by . ~ d IC . ~h~o~ni~:~~~~%o/l~~;~d~i~Jg{fl~~~;:~~:~~~~~~t~;~ini~~;t;~,~~.~~~~.g.,..~~r~W;;.J'a~~~~~~1:F,;~~;~~$~~j;!~~~~Ch~es _ Owners Signature: Center IS 1 800 332 2344). 4. m~i5!1~~f~~..,[),: II R,: l^'0RK 80/; State Surcharge AUTHORIZED UNDER TH!1: !"'Em.~p.@ rIOT 10Y, AdmmlStrahve C'0MMENCED OR IS ABA"M'~u~ 5% Technology Fee IWU~ . ANY 180 DAY PERIOD. ~ TOTAL e~. (O Shared Drive(T:)/Building FonnslElectrical Pennit Application 7-07.doc L ~@Gir.mi@Nl(!iEjIN~iifta'ill;~~Kl 5-'"~'~~-~ff). 5 IIlIIIlIllII ~o S. Sq J.fOAL DES~RfPTION: \ ,~)"-( (\I , cf r f () OJ )I' JOB DESCRIPTION: nn-rl.~3[)Da ILc5D Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor SURRell BAOS. ElECTRIC: Address P.O. Box 697 iJ1oiteIVllle. VH Y I'HJ'I City 54~h~~l.2724 Inspection Request: 726-3769 Date 3. /' A. rN~~IRirili~~!fmtr~y~t~1l!~fll!mi.$~~' 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.llllfl!h1g'~4~tt}~~l.~~_ I 70-- $ 70.00 $ 83~OO $I38~00 $180~00 $413~00 $ 55.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Ove, 1000 Amps/Volts Reconnect Only c. $ 55~00 $ 76~OO $110.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48~00 $ 4~00 Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01826 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 SITE ADDRESS: 205 S 54TH ST SPACE 5 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service Repair Owner: Address: HODGIN JOHN 205 S 54TH ST SPACE 005 SPRINGFIELD OR 97478 Phone Number: 541-746-0864 I CONTRACTOR INFORMATION I 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 Fll st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupanl Load: nla I DEVELOPMENT INFORMATION I Front yard 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 I Street Improvements: law requires you to Sidewalk Type: . . '11r]N~ uregon Utility Storm Sewer A vailableied by the Oregon If rth >>~wnspouts!Drains: Special Instru~;i'oJi:~;er. Those rules a~ ~:2-g01. NOTlll : LL EXPIRE IF THE WORK Not~I~:t~6J;~~~-~~t~~~~~~i~~h~\~I:~~~~:Y ~~H~~~6 ~~~ER THIS PER~riTF~RNOT ",,:iino the center. (Not~:.".~; ,,~.m~QHn" ,,"~nMnlr.ED OR IS ABANDON number TOf m". vI10ii..s32~2344). I IANY 180 DAY PERIUU. Center IS 1 Valuation Descrintion Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01826 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 or less Amount Paid. Date Paid Receipt Number $7.00 $3.50 $5.60 $70.00 12/12/07 12/12/07 12/12/07 12112/07 2200700000000001824 2200700000000001824 2200700000000001824 2200700000000001824 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 T~~I.'ections I Electric Service: Approval required prior to utility company energizing service. By signature, 1 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 Paee 2 of2 225 Fifth"Street Springfield, Oregon 97477 541-726-3759 Phone ~ji City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1826 COM2007-01826 COM2007~0 1826 COM2007-01826 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001824 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 01566B Phone Payment Total: ~ [ Page I of I 3:17:0IPM Amount Due 70.00 3~50 5~60 7.00 $86.10 Amount Paid $86.10 $86.10 12/12/2007