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Home My WebLink AboutPermit Electrical 2007-12-12 " SPRINGPIELD ~ ZON LJ\) '2.... ~ INITIALS IN'yv-...- A!.. DATE\L"-'-\5" WJ' SOURCE\-^...~rJ /;)-/;)-07 ,- , .'~' . -;.~. ' . t~. <! v~,. -", ~~ <.'. 'U-t~I" .. , CITY OF'.sPRINGRlEbG;~OREGON:;'"" .~. ~ ~ ." ~ . . - . '" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726.3753 . FAX, (541)726-3689 Supervisor License Number 4 7 J) 5 Expiration Date / 0 / / 0 Constr. Contr. Number / 3 (p L) '-/ Lr Expiration Date / 0 / J D , Agnn~~sinp)c;MJ ) U A I 0 Y/ (l,AA~ Owners Name IV 0 l(u!,fft/-: I, Addr~05 5. S~ .Yi1-1-'L, City ~'~~fCr-;d'f,,'lr8r. ~,.1,~,ip,Hf)IJc, low rules ~dopted by the Oregon Utility Sign/Outline Lighting $ 55~00 OWNER l~u1i(Mtlt~i'iroolter. Those rules are set forth Limited Energy/Residential $ 28~00 The installaiiofilisfilelliirfl:llik8Rp~0\Jt\1)lJP6Wq~~i~1?21-00b1- Limited Energy/Commercial $ 50~00 ~ ~ ...or<> ""'II"'.)" .~h'ol~n caples 01 me ru es v IS not mten","",ur sa", oasQ or.ren . h t I h ~inimum Electric Permit Inspection Fee is $50 00 + Surcha!ljes Ow"~ ';'".::':;'~:1~~~:~;t~ii;i:~:,~t;oo ~~~~:~ 5oM-~hMFJgY'Ea OR IS ABANDONED FOR~ _ <;"'0 ANY 180 DAY PERIOD. Q/ 7'\ TOTAL CAo./L/ Shared Drive(T)lBuilding FonnslElectrical Permit Application 7~07.doc ELECTRICAL PERMIT APPLICATION CitY Job Number r DVlA2ODl- 0/20 1 ;Jo~~~~~~~11~~ ~ I ;.fOAL DES(:RlPTION: , ,'j-{(v'/(Y rfDo,Jf . JOB DESCRIPTION: \1 (') "), ~ 3 CJ~::::iO Y2..('\c::, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 l~~~O.RUNST,M;r:l;1m-@N~1I . m..""""~'~-,""",~r;lti'i~I~n~...=-- -'" Electrical Contractor BUflAEll BAOS. ELECTRIC Address P.O. Box 697 WQlterVIII8, Ut1 Y/lHJ'I City 54~h~1l-2724 Inspection Request: 726-3769 Date 3. "e0M'iiiJil(jiEfifEEJSGiiifi5uiJEli1Ei2e.ili;W'JJ/Jij:t.;~t.~~..';Tf.';' ~]IQ~Al~?A."'''''fliulii.,llIdUJUWi.:a''''!Il'''-","'-''''''1W,.";,-",....""",,""ho." .'t!flftl~~1t10~..,ffrl.:i .7 .....'1m~4~'<t'\ll:lA'...M:':'~~""-:ifll":F:'~.....:W~'...~"""'~~!;'f...,'tI"4""~M,tP*:-::.~:w:~ A. NewlResi,dentia"~$ingleor..Multi=a",ily per..a",elling'urii.l1 ..j Service Included 1000 sq~ ft~ or less Each additional 500 sq. portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder /. $117~00 ft. or $ 21.00 $55~00 B. r~l~l\~tio~,lI'~tffi'nslor. ~~,~~~~\!I'f I 70-- $ 70.00 $ 83~00 $138~00 $180~00 $413 ~OO $ 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 AmpsNolts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above~ D.I~ji~hfG~r~l[_~K'~W~~&~~~J New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 55~00 $ 76.00 $11O~00 $ 48~00 $ 4.00 'i"&;.'OO1t~~mi::Y;.?.~~~tfj~tt!~\~;4;lh'~i1!~~~:re;ta~~.~-!J~ E."1isccUaneous (SewJf.~.t'1"?erJnotji~!!!'!!~);'T&~_C.'llil'l.t!'.!~$.FwA Pump or irrigation $ 55.00 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01831 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 24 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service Repair Owner: NOOR JAMES DUW A YNE Address: 205 S 54TH ST SPRINGFIELD OR 97478 Phone Number: 541-995-6492 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 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 Fllst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: ! PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer mi!N'froN: Oregon law requires you to Speciallnstrll5llilW:rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK nnq!'] Vnu mav obtain copies of the rules by ^IITunom:n IIMm:o TI-lIC: PI=RMIT IS NOT calling the center. (Note:ln"I~:'~i'~;~~ .. COrMENCED OR IS ABANDONED FOR number for the~ Oregon Utility, iII\I'aflil'lltilfu DescnotI?n.. 180 DAv PERIOD Centerls 1-800~332-2"""J' ,I...J. $ Per Sq Ft Square Footage or multiplier or Bid Amonnt Downspouts/Drains: Notes: Description Type of Construction Value Date Calculated Paee I of 2 Status Issued CITY VI< ;o,rKINGFIELD ' Building/Combination Permit PERMIT NO: COM2007-01831 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 541-726-37691nspection Line Total Value of Project Fees Paid I Fee Description + ] 0% Administrative Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amouut Paid Date Paid Receipt Number $7.00 $3.50 $5.60 $70.00 12/12107 12/12/07 12/12/07 12/] 2/07 2200700000000001829 220070000000000]829 2200700000000001829 2200700000000001829 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. Rellllired lnsnections I Electric Service: Approval required prior to utility company energizing service. By signature, ] state and agree, that] have carefully examined tbe completed application and do hereby certify that all information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb 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 G~.:~.. Wi:. 225 Fifth Street Spribgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 183] COM2007-01831 COM2007-01831 COM2007-0 1831 Payments: Type of Payment CreditCard cReceinll City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001829 Date: 12/12/2007 3:37:16PM Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 70~00 3~50 5.60 7.00 $86.10 Paid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid DDK 03572B In Person Payment Total: $86.10 $86.10 Page] of] 12/12/2007