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Home My WebLink AboutPermit Electrical 2007-12-12 ~~o ,"CITY OE'SRR'INGFIEItD(~O'RE'e;t>N ,.:"~;',,~' . ,.. .,..,....-. '~r.-""g."."',,";J> <t-\, ""'~,~"tI!i _,""'..:J.=" ''''1 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX, (541)726,3689 ELECTRICAL PERMIT APPLICATION CDm:z.ocn - 0/9,2-7 j'l!!r~,~Cf1Wlf!r~ 3. City Job Number ,~~~ ~~~(?ON r f () OJ /r JOB DESCRIPTION: \, 0::> ~ ~ tlDO \ '2--('r-U Permits are non-transferable and expire if work is not started wilhin 180 days of issuance or if work is Suspended for 180 days. .~'n~"'."~~~ .",,,.~,,,,*,,.. 2 G.,,? 'lSflidl&,!! ,'\h ~~Iit.'(!1M 'l1j. .-'i/:rJ:;_m:,'+" t Wf$.\k~"~,~ ,,-gf~iikAk Electrical Contractor SURREll BROS. ElECTRIC Address ~ P.O. Box 697 WQlrervlll0, UH Y/4IJ'I City 54~h~~l-i724 Supervisor License Number 4 7 J ) .5 Expiration Date / 0 1/ 0 Constr, Contr~ Number J 3 {; LJ Lj Lt Expiration Date / D / } D , 6\O~""i)'~, Owners Name fly /1')-1 ( I Ch~':m! ~ Addr~ ~ ~ SU-fl-, ;;~ City A.nl e4 / f\~P\hone 1J.J(P,:;jtJ~ 7 ~-itENlTION' I)Jregun aw rc,,-. -~ . AT:-:Q . t d by tl,e Oregon Utility oWNij{\iNS<fAtc~16I)ihose rules are set forth Notification l"en 1;1., h (lL\.q Q'i2~001- The.instalJ~ion.is;being)lIl.- li6 eoi\cp'iopel'tY r bWn wI fiichy l!IUt""\ "'..J1-"~" 'tleruesu is not inten ~~fOrTS!!I..-Iease!OICTefit~S or , uO"u. u., ~t'. (Note' the telephone c~llina the cen er. . N tlcation Owne~uSrWBt\"\Dr the Oregon Utility 0 I I r.pnter is i .800-332~2344). Inspection Request: 726-3769 Date ~~I1fffi;)I'ii"jjJEi~@'ifjf~iililEIIJjJIl@.w.iJiff,!fJ.il'I'IINji'Ii!i1t~j ~'^"""~^""''''''''''~'~~{j;u~~l.i~~~ ~. ;/ !~'r'_?m.w.~"t~..+."P...~.",,,,_._.~,",""''''''_''~~ A. ~~~~l,tj::qjlll1JJ~~g'$Jl!iM!t!lii!!~,\iI.Y,lp~e;rl'<!llr~!!g1~t)~iil:!l!l! Service Included 1000 sq. ft. or 'ess Each additional 500 sq~ ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ;I' $117.00 $ 21.00 $55~00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70.00 $ 83 ~OO $138.00 $180~00 $413.00 $ 55~00 ~fm:l.'~tm*,f.I'1ii~'""}\iI\!j#':i:;;'._'~~'!rE(l"j~f8;l1*a~~~_Df~~ C. 11~$,\1l&g!l.~i;y,(S!"r~I~!,sJ<1!",j'!l~~(j~!l.~"lW~ilsil~liillijIi!Jili1~ Installation, Alteration or Relocation 200 Amps or. less 201 Amps to 400 Amps 401 Amps to 600 Amps ave, 600 D. $ 55~00 $ 76~00 $11O~00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48~00 $ 4.00 E ''';'~.' ~ 'l'I~~~"iiffib'W""~Iil"di!l!I'!ilIt>l'Jgl-.'6'.~~.' ~jji;;I'olfill>i"'?~ dill .'II.t..I'.I..I.I1!lr~i . TfJlsce anco:usH~rn-:lcCllce 'eti!SOiJUc U l;;U ,.;.,.;acnnDsUJlhi'fioiiJrJ ; , 1d" ' ~illiSiJ}jiiji!jtii'lMiI:J~;;x, iifj..1:lO.!f'~=~ ~'W~~~'],l! Pump or irrigation $ 55~00 Sign/Outline Lighting $ 55~00 Limited Energy/Residential $ 28~00 Limited Energy/Commercial $ 50~00 M:.n~.~...~~jii~tiwl~;;~"T. urcha.!lj.r eb _ ~iti~..ijm~li~l1$'-:rH~'~~r~X~~~I~ -;-; ,/ \',.'C-~_'{ 8% State Surchf(r~?f.lnRIZED UNDER THIS PC'"" ooS:t;;'lt IO%Admmlst~~ve'Fee' nlVl....,.~ 5% TechnologypJe1MENCED OR IS ABANDUNtLi'3Jti';O ANY 180 DAY PERIOD. - 6b.( 0 TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application 7-07,doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01827 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 II ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service repair Owner: Address: HYMER DAN 205 S 54TH ST SPACE 011 SPRINGFIELD OR 97478 Phone Number: 541-746-9767 ,I CONTRACTOR INFORM A nON I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMA n,or.:, # 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: n/a 1 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: re uires you~8UBLlC IMPROVEMENTS I , ~. '_1/"'" r\'llgon laW q on Ut,lll! Stre'lW,'w~ov"meIlts. t d by the Oreg f th , I W rules adop e ules are set or Stor~\~~lrrn&-,'I!!il~bJe: Those r hOAR 952-001- Spe~i~1 \ln~~~'2.l.i9!!i -001 ~ throui~S oHhe rules by In~; You may obtain ~~fe' the telephone Not~9 caliin9 the center'e (on Utility Notification _.._k'" lor the Or ~^^ ",,?_?344). I. Center ", . -- ~ Sidewalk Type: DownspoutslDrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ~IITlJnD17en liMneD TIJIC: DI'RMIT IS ~IOT I . . . 10MMENCED OR IS ABANDONED FOR ValuatIOn DescrmtlOn. NY 180 DAY PERIOD. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-0l827 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 12'12/07 2200700000000001825 2200700000000001825 2200700000000001825 2200700000000001825 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 Renll~red Insnectinns 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 trne 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 Paee 2 of2 ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007~0 1827 COM2007-0 1827 COM2007-0 1827 COM2007~01827 Payments: Type of Payment CreditCard cRcceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001825 Date: 12/12/2007 3:20:06PM Description Perm ServIFdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 70~00 3~50 5.60 7.00 586.10 raid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid DDK o 1597B In Peeson Payment Total: $86~10 586.10- Page I of I 12/12/2007