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 ClJm ~7- OIS3q
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;..fOAL DES\=RlPTION: \
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JOB DESCRlPTION:
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Permits are non-transferable and expire jf work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
BURREll BAOS. ElECTRIC
Address P.O. Box 697
WQltervlll0, UH Y/4lJ9
S41oh747-2724
City I' one
Supervisor License Number 4 7 ~ ) 5
Expiration Date / 0 / / 0
Constr. Contr~ Number ! 3 {p L} L} Lr
Expiration Date ! D J J D
,
aVJ~;"'P;~.~
Owners Name F J '1 Ie h Y I' / ~at{b
Address;)(\"') S . s'Lf\'l 51 dtS'5
Ci:l'~ Phone 1:!-f,,-&Q4!t
TION' Oregon law requires youto
OWNiJ?E;~Ui\~~.fWtld by the Oregon Utility
Toir IN , Th OA rulp.s.are settorth
The iN!l1ltworidsifeiiigtmade oli'proll.ettYOhown;which1_
~ ~".. """1 M"1tb'''''!Jn "n"~~~VV
IS notitl'@I1\\e.<tfD~""I" lease'OrI-enr.~ I the rules by
0090 You may obtain COpieS 0 I h
. (N t . the te ep one
Owners ~ign~~W~:le center. 0 e ~ ~ ~ N n cation
number lor the Orego.n ~;~llJnA ~ II
Center IS I-OUU-VV~ -- ~ l
Inspection Request: 726-3769
Date
3. 16@~.!'JErrE:WEE)S(Jlfi.N:l)~1f~mRE@WfllB.ii~JllIi!fJjl\~
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;/
.fi,e~r"!4!~j~T~~itiJJf"f'4%iU~~li~~I$.;""\l&4'iii~~!S\f~S~,,~;
A. 'N!!W<R~l(leiili~lri::rSi_,ql.'~!!!1i;i!l'Pi1jJ);IP~,ttllj~e.!li,~g!~~~
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
~11!f_W~i!!!!li1M'~ll.'fi~~""m_R'Jl!l>J>'!lil."t1!ilZ!l
B. _,Mj~~Ii~Ill!~~~Il~4k~d!
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.
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 or 1000 Volts see "B" above.
D.
$ 55~00
$ 76~00
$110.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48~00
$ 4~00
E. 'MiseJII ~6f!~t~,!\fr~m'llfl!!l\fl~"Ml8111~~~ilfst\lllif~.n.
, 'I, !!'~i'lli"~'.i~"1V~?I4Ut;ri;;t,R,"""i0,,~,lt*"''''''~~~~~
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55~00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surch~es
~ /0-
8% StarH18,~rg'V1g. ~~ . 5. t,f)
10% 1ffi'~' iBtr~i~e_ ee'HALL EXPIRE IF THE~';'Da
5% TechM ~~xHfe~ UNDER THIS PE"RMIT ,~.- 's()
l"UIV/VltNCED OR IS ,,,;,, I
TOT~f\lY 180 DAY PERIO ABANDONED FO~". 10
Shared Dnve(T:)/Building RimslEJectrical Permit Application 7-07.doc
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01839
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 55
ASSESSOR'S PARCEL NO.: 1702330001200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Service Repair
Owner: FLETCHER IDA E
Address: 205 S 54TH ST #55
SPRINGFIELD OR 97478
Phone Nnmber: 541-746-6946
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:
Primaf)' Occnpancy 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 Ftlst 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 1 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.
Street Improvements:
^TTli"'T10N' Oregon law requires you to
Storm Sewenwa Jame:' d b th Oregon Utility
. 'r:t".,,~~ rules adopte y e
Spec..1 Instru<tI~u: ~ Th rules are set forth
NotificatIOn Center. ose
in OAR 952-001~0010through OAR 952-001-
0090. You may obtain copies of the rules by THIS PERMIT SHAll EXPIRE IF THE WORK
,,~ ~,,~ - ---.-. '.ll!l:'to' thp \AIRPhone AI ITUnnl"7[n U'j"'E" TI'~- --~
nVuV~t;;r I~~ the Oregon Utility ;~J~;I;~~l;.:.~, C ~ ~ ~~-.. r.; " T "" r ~nlVIII I" IVU I
Center is 1-800-332-2$<Mllluation DescriDtior,CilliMENCED OR IS ABANDONED FOR
. r:"'180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Sidewalk Type:
Downspouts/Drains:
NOTICE:
Notes:
Description
Type of Construction
Value
Date Calculated
Paee 1 of2
~";;":4'i
WtL
Status
Issued
CITY OF ~rKINlJl'lELD '
Building/Combination Permit
PERMIT NO: COM2007-0]839
ISSUED: ]2/12/2007
APPLIED: 12/]2/2007
EXPIRES: 06/]2/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee1 Paid I
Fee Desaiption
+ 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
2200700000000001832
2200700000000001832
2200700000000001832
2200700000000001832
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 Re/ll,~ired Insnee,tions ,
Electric Service: Approval required prior to utility company energizing service.
By signatnre, 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 ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont permission of the Community Services Division, Bnilding Safety.
I fnrther certi(y that only contractors and employees who are in compliance with ORS 701.005 will be nsed on tbis project.
I fnrther agree to ensnre that all reqnired inspections are reqnested 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 tbe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signatnre
Date
Page 2 of2
225 Fifth Street
SpJ1iIigfield, Oregon 97477
, .
541-726-3759 Phone
8.P~._s:aLNQ.,~~", I" ...~..
I. . ~ '
~ .
~ Ia:-)!
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1 839
COM2007-0 I 839
COM2007-0 I 839
COM2007-0 1839
Payments:
Type of Payment
CreditCard
cRcccintl
RECEIPT #:
2200700000000001832
Date: 12/12/2007
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Paid By
JOSHUA BURRELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DDK 04548B In Person
Payment Total:
Page 1 of 1
3:44:49PM
Amount Due
70~00
3~50
5.60
7~00
$86.10
Amount Paid
$86~10
586.10
12/12/2007