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HomeMy WebLinkAboutPermit Electrical 2007-12-12 .' ~ ..' 'eIT;y.:0IT,'SPR1INGElElrO "QREGi0&~~':fI{)';\ ~ . '" .,'. '~,~ ~\~?, "% - "JiI ~""~c;,.>,.i}",,< "" /fri_.~"''''1fi: .J.,~:' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726~3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CitY Job Number ClJm ~7- OIS3q I. WjJ;{:fiiAJJlfffl{f.JO:N.$It~~;'.~;!l .' r~ '~'t~4fh ' ;),0 S., q 5 ;..fOAL DES\=RlPTION: \ ,'j-{ I'll ) ('f r f ()Oi " , JOB DESCRlPTION: i'1 0'). ~ s ObO \:).. (Jl.J Permits are non-transferable and expire jf work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor BURREll BAOS. ElECTRIC Address P.O. Box 697 WQltervlll0, UH Y/4lJ9 S41oh747-2724 City I' one Supervisor License Number 4 7 ~ ) 5 Expiration Date / 0 / / 0 Constr. Contr~ Number ! 3 {p L} L} Lr Expiration Date ! D J J D , aVJ~;"'P;~.~ Owners Name F J '1 Ie h Y I' / ~at{b Address;)(\"') S . s'Lf\'l 51 dtS'5 Ci:l'~ Phone 1:!-f,,-&Q4!t TION' Oregon law requires youto OWNiJ?E;~Ui\~~.fWtld by the Oregon Utility Toir IN , Th OA rulp.s.are settorth The iN!l1ltworidsifeiiigtmade oli'proll.ettYOhown;which1_ ~ ~".. """1 M"1tb'''''!Jn "n"~~~VV IS notitl'@I1\\e.<tfD~""I" lease'OrI-enr.~ I the rules by 0090 You may obtain COpieS 0 I h . (N t . the te ep one Owners ~ign~~W~:le center. 0 e ~ ~ ~ N n cation number lor the Orego.n ~;~llJnA ~ II Center IS I-OUU-VV~ -- ~ l Inspection Request: 726-3769 Date 3. 16@~.!'JErrE:WEE)S(Jlfi.N:l)~1f~mRE@WfllB.ii~JllIi!fJjl\~ ~l&W.~~.1iti:'i;';fuili"'~~~1';Q~~JW~~l{J ;/ .fi,e~r"!4!~j~T~~itiJJf"f'4%iU~~li~~I$.;""\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