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HomeMy WebLinkAboutPermit Electrical 2007-12-12 ~ ~ ZON 01)-1_ , INITIALS ~ ~ A!. DATEQ\n\Cy, WJ' SOUR~) /')-j ;)-07 . .~ .~ .CITY dF:SPRI1~GFIEt6 ':ORE@ON'~ '~:'.~' , . ::- :- '''.' ~ l'" , I"""" ~"'.,. , .;- ",- " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CitY Job Number C1Jmwo7 - tJlc.l32- ~'O~~~Cf+lf.~rJr3q~ ;.FOAL DES~RIPTION: \ ,'j-((V}('f rf{)OJJf JOB DESCRIPTION: \,0 J. '63:, t:oD l~ at) Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. N!j:"~~%.~~'&hl<~~'CJ"'_UIlE.' ~l""U;~~. .'""'.;,n'(,~~~ 2. t~~~PJ!ll~~~~~..Q~~1Y!fM Electrical Contractor BUAAEll BAOS. ElEaAlC Address P.O. Box 697 WoIt:ervIll0. UI1 Y /1Kj'l City 54lh~~1~724 Supervisor License Number 4 7 ~ ) .:s Expiration Date . / 0 J I 0 Constr~ Contr~ Number / 3 (p L) '-J It Expiration Date / D / I D , 6~O~'''76Vvw!_) Owners Name H 11).)'(( J C~r~ r-,.J~' ---?J\ Addre;,;={ 05 :5. ~V, 51 City <)0\ Q IV. ./ Phone ATT\~\ION: Oregon law requires youto OWml&J~~J<l\5r.ION by the Oregon Utility . ~ " no "0' T.w.~e rules are set forth Th<Nll5t!lllftiliilflS'belng'matl oh prop.erty"l1q,wn,2Whiqh is nil1liltb'llQjjrof)Sl.le~~W: rrR;'riP" Uithe :ule~vbY 0090. You may u!:Jtaln copies 0 Owoe <!Ii' tli1I2 center. (Note: the telephone ~ ~llD!!b v for the Oregon Utility Notlf1calion num er . -n' "SO MAA) lienIer I~ l-VVV-~r - ~ . . - Inspection Request: 726-3769 Date 3. i!'e@MHiJE1!Ep.EEISG1iEDVEEmEE@m'li!\'J!~1;,~".I&~:j[;l1j ~~.....e"".,~"",",,,..,.,-=~:t:l_~...1:_,,--_,...~~,~.-.<..,,,..,...,..._,~....;t~'IJ,"~fZ?'m,, .~ ;/ 'f~-,;~:~~-~~'t~;';:':\t:1"~""'~'il~'~*i:',,,;.i&'''';'''+tjrtij(<l'''''';1imr;'''''t~~iii<~:"'~~~'''';1!!i.~\i::':h~W:,~ A. New'~1E!tI1l!.1~~J}lg!~;,9.~i~.\IUhRn.m!ly,pe.r,i1.l!:elllll.glU!}\l!il'ilri Service Included 1000 sq. ft. or less Each additional 500 sq~ ft. or portion thereof /. $1J7~00 $ 21.00 Each Manuf.ct'd Home or Modular Dwelling Service or Feeder $55~00 B. ~~~+('ffflieeilet;S~ ,'nstal1'l1f-:.:~ma"tilffi~;rR~lt~~c 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only 10 .- $ 70~00 $ 83~00 $138.00 $180.00 $413~00 $ 55~00 c. r;'fPe~nb~iftws'~rvi~~~'~~lEk~:f!!~~~~i~;i{!t1f;~ 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. l\iBi~1iciriSfFC~\\~IlE1!1t~~~~U~l~~ mli.lolU.;v-,-,.J!t~,.,- 'f~T0Jf?~f~'l!\i,.' ~'" 1 :;I New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 55.00 $ 76~00 $IIO~OO $ 48~00 $ 4~00 E.j\1~I1=~(S-~fc~f€:a:~~tf{:f~i~~l~E:l,h ~m~! Pump or irrigation $ 55~OO Sign/Outline Lighting $ 55~00 Limited EnergylResidentiaI $ 28~00 Limited Energy/Ccimme,cial $ 50~00 ~i.n~;~t~~~i;~;;~;~.f;~urchieb _ 8% State s~!th~i SHALL EXPIRE IF T' /_ '".~. h'O 10% AdrilMilIFaII!leJ@ UNDER T '~L. v"V1~o 5% TecHn@o!Wlf<igCED OR IS AB~/S PERMI ~ 1~1lOtt;-o ANY 180 DAY PERIOD NDONED FO~ /_ /7\ TOTAL . l/~.(V Shared Drive(T:)/Building Fonns/Ele'ctrical Permit Application 7-07.doc -~~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01832 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 F.x 541-726-3769 Inspection Line SITE ADDRESS: 205 S 54TH ST SPACE 34 ASSESSOR'S PARCEL NO.: 1702330001200 Springlield TYPE OF WORK: Restaurant TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service Repair Owner: HEWER WANDA LYNN Address: 205 S 54 ST SPACE 034 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electric.1 Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # of Units: Primary Occup.ncy Group: Second.ry Occup.ncy Group: Prim.ry Construction Type Second.ry Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft B.sement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I 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' Street Improvement~: . to SIdewalk Type ATTENTluN: Olegon law reqwres you ~ ~ . : Storm Se'fSllG\n\Jillllfadopted by the Oregon utility NOTICE DownspoutslDrains: Special I'M!:Jt~\1!i!liUn Center. Those rules are set lor1h : In OAR 952-001-0010 through OAR 852-001- THIS PERMIT SHALL EXPIRE IF THE WORK Notes: 0090. You may obtain copies of the rules oy AUTHORIZED UNDER THIS PERMIT IS NOT callinq the center~ {Note: the .t~ler)I~::~a_ COMMENGm nR IS ARAMnmn::n mo numberTor U1"U'~\JU" u"''''. ..-....--..- ';fJY lilO DAY PE Center IS 1-800-332~234'PValuation DescriDtion I RIOD. Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 -~ Status Iss u ed CITY VJ:< ~rR1J~uJ:<IELD Building/Combination Permit PERMIT NO: COM2007-01832 ISSUED: 12/12/2007 APPLIED: 12/1212007 EXPIRES: 06/]212008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~~es 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 12112/07 12/12/07 12/12/07 12112/07 2200700000000001830 2200700000000001830 2200700000000001830 2200700000000001830 Total Amount Paid $86.10 I Plan Reviews , 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 Reouired J "s"ectio"s I 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 herehy certify that all information hereon is trne 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 of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strncture 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 frnnt 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 225 Fiftli' Street Spvingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1832 COM2007-0 1832 COM2007-0l832 COM2007-01832 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001830 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 Received By DDK Page I of I Item Total; <":heck I'!umber Authorization Batch Number Number How Received 03591B In Person Payment Total: 3:40:06PM Amount Due 70.00 3.50 5.60 7.00 $86.IU Amount Paid $86.10 $86.IU 12112/2007