HomeMy WebLinkAboutPermit Electrical 2007-12-12
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.~ .~ .CITY dF:SPRI1~GFIEt6 ':ORE@ON'~ '~:'.~'
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CitY Job Number C1Jmwo7 - tJlc.l32-
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;.FOAL DES~RIPTION: \
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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
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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