HomeMy WebLinkAboutPermit Electrical 2007-12-12
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CitY Job Number rnm '2-OtJ7 _(){<{OO
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J..!'GAL DES9R1PTION: ,
,)-((V}(''f ff{)o,J(
I
JOB DESCRIPTION:
\ICl"A.. ~3 OOO\2-0C)
Permits are non.transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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eONFRltGTeRlliVS11 ,. ~ n@N;@NEli
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Electrical Contractor
BUAflEll BAOS. ELECTRIC
Address P.O. Box 697
...ran:ervllle. VI1 Y 140'1
City 54Jh~~1-2724
Supervisor License Number 4 7 ~ } ;)
Expiration Date / 0 / I 0
Constr~ Contr. Number J 3 {p L} '-I ~
Expiration Date / D J) D
OVJt;'~"~~AAw~,
Owners Name S m / I h I (tJf~:1 a Of--
AddrreYCkC;- S. S~ s::I.Jft.--3
CityS f '(9-.-- Phone f) (A D - 7 q ~ 3
TTC: n~I' rpnon law requires you to
oW1jjg~\ esi\~~~1~gi'i>y the Oregon Utility
~~'I;1lti!i!\i91! 0~il]g.mactebi1 pio'jlerfY1i 8wbf((,'~fth
is flf'b\!1mJ~fe':.)S1ll~Cl~(jse"OT:reg/) OAR 952-001-
090 You may Gbtain copies of the rules by
o,\ln~~lml\j~W&ecenter. (Note: the telephone
n. .~hor Inr Ihe OreQon Utility Notification
Center is 1-800-332~,,;j44).
Inspection Request: 726-3769
Date
/')-/;)-07
3. R:€~iBJli,vrEliiiill;SGHEDUi!E;BEEOlli:';lftrJ'~~~""t:''''
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y
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A. New;ResiUentiali"'Sihgle,of Multi'Family per.!(Jwelling;ul!iJ!,ji;,,,j
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
I' $117~00
$ 21.00
$55.00
B. FSgr~~~a~~~'i~Jpict1i~'~'
I 70--
$ 70~00
$ 83 ~OO
$138~00
$180~00
$413~00
$ 55.00
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpslYolts
Reconnect Only
c. fFte~p~;"s~~iq~m~a1~s~1IB%~~
'm." ~41J1lil'~ ..'~~, "....:- ,-.." ~'" . " . ".
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Ove, 600 Amps or 1000 Volts see "B" above~
D. Bra'iicW~fr"Cqfts'" .... . . }' -'~K~~;~~
$ 55~00
$ 76~00
$\10.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48~00
$ 4~OO
mFJ7~H~J::>>"'~lW7.~'"'~.'i!t'~t'Fa.t~~o/.':~'''~~:W::~Jjff\fu-::'-1:.;"",~'F--lJ~
E. if;,~~~,wJi~JW~!!~~J~~~~?!~i~,~ID!i.lll'!S!~,"(;I)A~~!Stii!gttJH~!~.~,:~
Pump or ircigation $ 55~OO
Sign/Outline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Commercial $ 50.00
Mini.mutdli.\'O. ~rr~.:perm...it.lnspe.cti...on...F. .e.e. i.S. $.50..,0. O. +..surchaies
4.~_~,~~~"~.~;
loW.-MMifiNral!ielF&:IS ABANDONED FOR 7.{)()'
5~!J1e,cIi/-S(MYA'f<PERIOD, ~ .!;7)
B~.ID
TOTAL
Shared Drive(T:}fBuilding FormslElectrical Permit Application 7.07.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01830
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 06/12/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone ~
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 205 S 54TH ST SPACE 23
ASSESSOR'S PARCEL NO.: 1702330001200
Springfield. TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service Repair
Owner: SMITH MARK A
Address: 205 S 54TH ST SPACE 023
SPRINGFIELD OR 97478
Phone Nnmber: 54]-520-7963
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 I
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Hellt:
WlIter Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rellryard Setback:
Solar Setbllcks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Totlll:
HlIndicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: 0 I w requires you to Downspouts/Drains:
Specillllnstruction(>.TTENTION: d retgodnbya the Oregon Utility NOTICE:
follow rules a op e
. Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
Not!s. in OAR 952~001-0010through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
-Yf y~ ~__.~_h+o;nn"n;A.oftherulesby --~----"~n:' -r '....'-..1'''3..''";3 ~"-..,
v :;,iingthe center. (Notp ~;,,:;;,,:....:,,,.:-:-::,,,,,= IUIYIIVjL......JL.U VI' vri..rn iU In.. I.....)t
number for the Oregon lJtYialoiltlilill3-J)tjScriDtion rNY 180 DAY PERIOD.
Center is 1-BOO-3;J"-<::'>'1'1/'
. $ Per Sq Ft Square Footage
Description Type of ConstructIOn I' I' B~d A VlIlne Date ClIlculated
or rou tip ler or I mount
Paee ] of 2
~
~_s,:;a;Lq.~,..:
W1c.~. .'
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..""..><>~..---- ,-' ,'...." <
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01830
ISSUED: 12/12/2007
APPLIED: 12/12/2007
EXPIRES: 06/1212008
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 ServlFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$3.50
$5.60
$70.00
12/12107
12/12/07
12/12/07
12/12107
2200700000000001828
2200700000000001828
2200700000000001828
2200700000000001828
Total Amount Paid
$86.]0
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 ReouiJ'ed Insnections I
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 OCCUP ANCY 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.
] 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 Signatnre
Date
Paee 2 01'2
225 Fifth Sheet
Springfield, Oregon 97477
541-726-3759 Phone
~'
~,..__r .:
City of Springficld Official Receipt
Development Services Departmcnt
Public Works Department
Job/Journal Number
COM2007-0 1830
COM2007-0 1830
COM2007-0 1830
COM2007-0 1830
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
2200700000000001828
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 02583B In Person
Payment Total:
Page I of 1
3:34:12PM
Amount Due
70~00
3.50
5~60
7.00
$86.10
Amount Paid
$86~10
$86.10
12/12/2007