The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2007-12-12 ~ . CITY, QF[,S~~'!'fwF;IE1r;;,~~pRp:G.bJ:ll.:;~~:~~" ZON 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH,(541)726~3753 . FAX, (541)726-3689 ELECTRICAL PERMIT APPLICATION CO W1 :t-ot>7 - 0 I <6;;2. Cf I. ~,ffi!JHli!J~Y~r~7nf(,j'i\T]ft~~ .~ ~" '" 11-) .. ~ J, 0 :; . Sq J,O ~GAL DES~RlPTION: \ ::J-{(v'/C'f rf{)O!J( CitY Job Number JOB DESCRIPTION: \ -7n'~ 3? OCY"I \ -"2-<\0 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. Eleclrical Contractor BURREll BAOS; ELECTRIC Address P.O. Box 697 ~itervllle. Vt1 Y/4Q'I 541oh747-2724 City Pone Supervisor License Number 4 7 ,~ ) :5 Expiration Dale / 0 /1 0 Constr~ Conlr. Number / 3 & L} 1./ Lt Expiration Date / D J I D igiO'~ing j;/Wl wnersName Oo/o,n / G~o/-> AddresdOS 5'. S~ s;( -:I:t u) City~\~/L M....Phone qcg~-q77<l __ _ ,_ N' 'Anon law requires you to OWNER II Tl}2t;i\ 9ION d by the Oregon Utility follDW rules adopl8 '0 OA' 'r.rth The installatlOnf.~ iSrbeinglmadeT6n:prop.~~r.lq;wn'whicn 1 ~~Ollll'.d\ U. v~ ._.~ OHY'"AR952 uu - is not lDtendea93'<.~~I~'1Ie~ grirentugh 0 - b In ~AhyoU may cbtain copies of the rules y owneACSigpatureile center. (Note: the telephone ~C"~I~~.I'M .hA Oreoon Utility NotificatIOn ..~.-.~._,. ~ ~ 1 800-332-2;;44). Center IS - Inspection Request: 726-3769 Date 3. I1i(c~Df11"'TJ!:fEBEIS(;JHfEJJif!fjJii'iillJJ!('iri1?ll!~1>>=li$JI#iliJiJiJf%;i(5PiFlA: ~~ii~~~j'~'""--f1'fill~'~.-F{iI'~~f.l=!}fIYi{'>> ;/ R' '~4l"GI"1h~_'!!1!!""'~'#Jr~i19:'~T0Wf>"~"1nw'.""~!<!""''',"'(~'''~""",Jf!~', ,,'" A 'M. H "'.. '.~~.'~-"t'~""I'S' .1 .' '.It'E ...I'....'~r.,.~ll'.~""~'\l! lCi . ,1,~e ffieSJu~~l I' i__i ,mg e" IV ,"'u " l;:'~m11i~,~~~,~'1gl~!!1 ,0.'1'" Service Included rooo 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 40 I Amps to 600 Amps 60 I Amps to rooo Amps Over rooo AmpslVolts 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 Over 600 or rooo VOIIS see "B" D. $ 55.00 $ 76.00 $1 ro~oo New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 48.00 $ 4~00 ~VJl)~"')'1i'jl~m$irL",,_" '''''!%;~@:F;m1G,p.'C;t1k1031~:tr;AitSi~"W'1t}1'M~ E. i\,.~!~(:clIah"eiJus (~e1\Yicef;feeaen Ot" ~!!!1L~)~'iI!'!S!ii!~~,l~~~ Pump or icrigation $ 55~00 Sign/Outline Lighting $ 55~00 Limited EnergyIResidential $ 28~00 Limited Energy/Commercial $ 50~00 ~i.nrilrliij~iiiII~d;~;Jeo.- 8% Sl!ieSUi'C>>&i'W UNDER THIS PERMIT 1<; ~lnll':.c.D 10%(l\3ImilJj~r~!iIDtl'R IS ABANDONED FOR loo 5%J',9~~n918~D~ PERIOD. ~ .!;?) 60./0 TOTAL Shared Drive(T:)IBuilding FonnsfEle'ctrical Permit Application 7-07.doc -ii:.~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01829 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 20 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service Repair Owner: DOLAN HARVEY LEROY & SHARON GRACE Address: 205 S 54TH ST SPACE 020 SPRINGFIELD OR 97478 Phone Number: 541-988~9778 , CONTRACTOR INFORMATION 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 Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Impl)llfl't:.wt\'tlJN: Oregon law requires you to Storm Se,Jtl!Il\'V'am'6I~.adopted by the Oregon Utility . ~Hjjr~liDnCenter. Those rules are set forth Spec"lln'n OA~ 952~OOl-001 0 through OAR 952~001- 0090 You may obtain copies of the rules by Notes: caliing the center. (Note: the telephone THIS PERMIT SHALL EXPIRE IF THE WORK ~~llffi88r fM .h~ ('I'O"An Iltili!)" ,,!n!ificatlon AIITHnRI7i=n llW1CO TU': ~H:'.i:--:- I3-f\iCf Center is 1-800-332~234t/' . . I".UIVII.ENCED OR IS ABANDONED FOR . ValuatIOn Descrmttoo 130 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Sidewalk Type: Downspouts/Drains: NOTICE: Description Type of Construction Value Date Calculated Paee I of2 Status Issued CITY OF SPRINGFIELD ~ Building/Combination Permit PERMIT NO: COM2007-01829 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 $7.00 $3.50 $5.60 $70.00 12/12/07 12/12/07 12/12/07 12/12/07 Receipt Number 2200700000000001827 2200700000000001827 2200700000000001827 2200700000000001827 Total Amount Paid $86.10 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reonired Tnsneetions I Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 ofl . 225 Fifth'Street ~pt'ingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1829 COM2007-01829 COM2007-0 1829 COM2007~0 1829 ~ Payments: Type of Payment Cred itCard \ cReceintl ,,!,.)~Q".....~."""..._........... "1{ '. ',,-, '$/,- ~ ,'" ~~ ~ ~_~f'->..,~ City of Springfield Official Receipt Development Services Department .Public Works Department RECEIPT #: 2200700000000001827' 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 02554B In Person Payment Total: Page I of I 3:29:32PM Amount Due 70~00 3.50 5.60 7~00 $86.10 Amount Paid $86.10 $86.10- 12/12/2007