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Home My WebLink AboutPermit Electrical 2007-12-12 , :~CITY'~OF';SRRiINGFIEI:;Dr,OREd0NI ':';,~:': . " ~ -, . "'~ ~ ~ L 'V ~, or:: ~'''''''", -: ,4, .1',.>> ~" ..." _ ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION CitY Job Number Com 2L5t>7 - D~$1 1. ~Wi(jNr@~"f.iN~rf)Jif"i,1~r7"~!:~~ 3. f~ "1X4"~-~1-f)" '~~~ j,o 5 5. Sq 3 ~GAL DES9RlPTION: \ ,'j-{(v')l'f rf{)O!I( JOB DESCRlPTION: \'1 Od:l,~ ~\&.. (j0 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for] 80 days. ti~~. .:rP.!$-1ffl'I%m"~~'aW>."~.'~#EI&fj~~.""."';:;'iW;Wj.i.iiA.'j - ' 2 ' '~~(?Ki1lN.qm~'M~l'l;T(!). '.N ~n . 0: "-~i'i4li;!i",~i:"H"'.4"~ .,,',~h Electrical Contractor BUAAEll8AOS. ELECTRIC Address ~ P.O. Sox 697 WQIl:erv1ll0, UN V/<HJY S41"h747-2724 City Pone Supervisor License Number 4 7 ,~ J -5 Expiration Date ~ / 0 / I 0 Constr~ Contr~ Number / 3 {p LJ Lj It Expiration Date / D J J D , oi0:M:~ jWJ Owners Name G OJ Sf '-L( C~ AddressdDS "5, S~ ~L 315 City O\JtQ ~1 ~ {"fL-phone ~ - ~ 3 :i-7 OWll';JH~MT~W'W requires youto .ATIfoiD.S\'ll!ll!\9~ij(beingJdHllitPo'n ~/oe~fill.lUJ~~iYlhiCh 't\:fl 'VI( ...... " ;'1 ....o"fl ll'~~ arePSBllUI N'b~~fdm\\9~,<{l;~rtsale,dease'O renOAR 952.001- , OAR 952-001-001 0 through les by '5=ers SJe~a!\l.'f:Ubtain copies of the ru OO\:!u., lu" (Note: the telephone ,...",lhnn thA center. .... "'-,I _.1-:";""'+11"'1") - ~ - h oregon u""'y ,--"..- ~ number for t e 1 800~332~2344). Center IS ~ Inspection Requesl: 726-3769 Date 1I16i(fjihR. -"';bHb"~:mR'm'if.j,5Kse1iETl1JiJE1ifili!!@w<1iI;1lcll!EiiI1~\~~""~ ~~~~1(f,,"d""'''''''"'''''~~~1tkiflWJci~~_~;:;w y A.NeW'-11rlli'e"li'ti1'jl!!lsl'?!t1T~!'~:M'lriti~"llrll!t~'~fi~\f1ii1~ ~, , .~"!\g.~",,,,ll,",.,. ,~.l'.lJl",~",1l:I~~I:M'\l!::!!I&\l! 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 /. $1 J 7~00 $ 21.00 $55~00 200 Amps or less 201 Amps 10 400 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 c. 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 Vo'ls see "B" above~ t,j j' ,,,,1Sib,1C D. 4~l'an~I!!:lii .cuits ' 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 $ 4,00 111 _'!fi1~~ ~ ' ",), *,""ith "'W;,,' ilWW'0i {!,,"I' " j ,,'-W'"\V ' ,.", +.!:1\'ii..""~ E. ~.!Y'isc~&.~i,!ll;w,~lI)'&!IDil!~Il1!!~~ Pump 0' ;,dgation $ 55~00 Sign'Outline Lighting $ 55~00 Limited EnergylResidenlial $ 28,00 Limited Energy/Commercial $ 50,00 Minimum E. lec.tric.. p..ermit In. s.p.ect..i.o.n. Fee.'.'s $50..0.0 +. surcha/es 4. I!fS'@fT(fjPM!'/@W~mE~~~ 0 - ~~~:;~~:'Nmrr;g<i'" "';'~*M,i!I!if~ !;.60 10% Ad1ilill6tIaIiRM~~ SHALL EXPIRE IF THE...WQnJ(t:)l) 5% Tec~~1,'qgtJl'fl'i:ED UNDER THIS PERMIT IS t~:;;Sl> TOTA COMMENCED OR IS ABANDONED FofBb.1 D 'rvlIXed1&QeRifr)j.Ji'~lQQ,6/Electrical Pennit Appli"tion 7~07.doc _SP.llrNGF.Im,Q.. ~.. ~.".:fI.. I . ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01838 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 SITE ADDRESS: 205 S 54TH ST SPACE 38 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service repair Owner: GODSEY LINDA K Address: 205 S 54TH ST SPACE 038 SPRINGFIELD OR 97478 Phone Number: 541-747-8327 I CONTRACTOR INFORMA TION 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 Grnup: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bedrooms: # of Stories: Height of Strncture 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 GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' Frontyard 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: Storm Sewer A~1iI5h';rION: Oregon law requires you to Special Instru PoAlW rules adopted by the Oregon Utility OllllcatlOn Center. Those rules are set forth Nt. In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHAll EXPIRE o es. OO:3,;:n~~h~~~~,~~air,?~~ie~:~f~~~~:'~~~~"bY ~~[I~~~~~~ED UND~R THIS p~/;n:~E,~3~: number for the Oregon UtililyJ\'9.\ificaiiorl.- . lIMV liBO DAtyUpUK IS ABANDONED FOR Center is 1-800-332 e;r,aluatIijn~uescrlD on I ER/OD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Sidewalk Type: NOTICE: Downspouts/Drains: Description Type of Construction Value Date Calculated Pa2e 1 of 2 GI!!R.I.N..GI1..I.lIl..~...... ~-. ........... . .... I Wir... f CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-01838 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 12/12107 12112107 12/12/07 12112107 2200700000000001831 2200700000000001831 2200700000000001831 2200700000000001831 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 Insnections, 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 fnrther 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 Se.'Vices 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 Page 2 of 2 225 Fifth Street Spriitgfield, Oregon 97477 541-726-3759 Phone !O~''!l.~.'''', 1&- ~.' ......,...... " .-,..............,'........",.--~..,' City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01838 COM2007~01838 COM2007-01838 COM2007-01838 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001831 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: <":heck Number Authorization Received By Batch Number Number How Received DDK 04528B In Person Payment Total: Page 1 of 1 3:42:23PM Amount Due 70~00 3.50 5.60 7~00 $86.10 Amount Paid $86.10 $86.10 12112/2007