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Home My WebLink AboutPermit Electrical 2007-12-12 , .~ Date ZON L 1YZ-- INITIALS N yv--.. DATE),::) Ii '7 '-' I'll SOURCE ~5f2-' 1')-/ )-07 -."_ d. '~CI;r-Y.- GfF,;S~RJ~GF;Ilffi~D;I()RE@0m~ ,:;:./X '. ~. '7'1'1'i "'ll>",.,,,- j'M''',<\ :i"'':''_~.i>'!;.;.6'..''};.c ~.;" .,.~son.:hX1J'~~*,l}.F~"-t: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~3689 ELECTRICAL PERMIT APPLICATION City Job Number Com ~ 2tJD7 - {) /!{Lfl j'l5~1~~i!~~~~7t.. .J..fOAL DES\=RlPTION: \ ::;-((II,('f rf[)o,)f JOB DESCRlPTION: I/o). 33 OGO \1..<:s0 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. e1.>"'~'f.'i\%(~WQ11ri1~.,"ttTM."l'it1.!9E#;0'1fN~1A~"M~~yn-0"it'81"i1!I"'- '.~ i€C1.1\lm11""(jJI1X!XRIINSrp}l!l'Tif4i~M 2. ,,','M.i~"''1',;:~'llfif001it'''';Nli.\I:!4'''''"''''1'"','~ .- '.-'- Electrical Contractor SURRell BAOS. ELEaAlC Address ~ ~ P.O. Box 697 WQltervlll0, UH Y/40'I City 54~h~~1-2724 Supervisor License Number 4 7 ~ J .:5 Expiration Date / 0 / I 0 Constr~ Contr~ Number / 3 (p t.J Lj Lr Expiration Date / D I / D , aVJOW~'b~L Owne" Name_ ,Pi J)'-( I)' -( y J ~:~ Addr~GS S. 5~ ~L_ Ci~~(J- (\12-- Phone 7 4L/ -/4-Y7 I!e:WiiJ?i?I1,,'TEmj;jR~'(;jH}\'Dl!JijJEfffB'E@WjWfll5!il!libjjll'l~11fj\j.li!Flf"" 3. ~~~~"f'jIV4~~~ ;/ ll!li01~~!BH'ft~li?'1t11&j\"'V;r;M"'~~"!'!1"~~f'\mt~r";t"PGh'1tP\>fWit!~""ffit:~' A. ~j.R~)~,~C"~iJ~~ll):gl.~[!!t.,~!.!!tii.ll~.mj}:\:jp~rilt!~.~,~~~ Service Included 1000 sq~ ft~ or less Each additional 500 sq~ ft. or portion the,eof Each Manufact'd Home or Modular Dwelling Service or Feeder /. $117.00 $ 21.00 $55~00 200 Amps or Jess 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpslVolts Reconnect Only $ 70~00 $ 83.00 $138.00 $180.00 $413.00 $ 55~00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps ave, 600 $ 55~00 $ 76~00 $1 IO~OO D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48~00 $ 4~00 E. rl\1:f!&lu~.l1):r~>>del1_ll1l!lw)'!!~~fllIWD Ili&~~~l~~~.i!i"w. ~ . h!!!_.,.""'''''a"",J_lll Pump or irrigation $ 55~00 Sign/Outline Lighting $ 55.00 OWNER INSTALLATION Limited Energy/Residential $ 28~00 The in.stall~j1j~ffig.~teW:I!I,,-C1llit>llil~e\,to Limited Energy/Commercial $ 50~00 IS not mtf~J~~~\Wn"d6'PYIiIl'l!ty the Oregon UtfllitYthMinim u m.. Electric P e.rm..it Inspe.c.tion F.ee '.'s $5.0.0.0.+S. UrChajeS o O~ . C ter Those rules are set or i!l!~",,-",jl.!!lllil'~~rJlW]l!j~j"'.~~ 0 _ owners~~i~~_~~~~~~~~~~~~~i~~ ~ft~e9;u~~~O~~ 4. ~!~~ll~~'~_ii~1lRc vy~~o {,~';~he center. (Note: the telephone 10% Ad;.r;\nlstr&liv~?F;re UNDER THIS PERMII I~TJbo ca I~~r for the Oregon Utility Notllicatlon 5% TecJfn6'I&'gy1Ee'\!CED OR IS ABANDONED Fn~ ..50 nurn Center is 1_800-332~2344). ANY 180 DAY PERIOD. (';;;),_ ID' Inspection Request: 726-3769 TOTAL D~. Shared Drive(T:)lBuilding FormslElectrical Permit Application 7.07.doc CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01841 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 76 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service Repair. Owner: PELLETIER NANCY DENEESE Address: 205 S 54TH ST SPACE 076 SPRINGFIELD OR 97478 Phone Number: 541-744-1447 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: Primary Occupancy 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 Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTINFORMATION I REQUIRED PARKING Front yard 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 I Street Impr(jJl~h119N: Oregon law requires yuu, ',u Sidewalk Type: follow rules adopted by the Oregon Utility Storm Se'N!iM\~j!~Jl\tr;;enter. Those rules are set forth Downspouts/Draius: Special In~frl!)/\IIlI!:j~~001~0010 through OAR 952-001- NOTICE: 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK Notes: calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number fOI the Oregon Utiiity Notification r..oMMFMr..ELl.JlR I!'; ARAMnnNFO FnR vemer IS I-OUU-"""-"""-: 80 DAY PERIOD, Iv I . D . I;\IHI a uatlOn escnDtlOn Description Type of Construction $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Paee I of 2 -~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01841 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 Fee. 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 12/12/07 12/12/07 12/12/07 12/12/07 2200700000000001834 2200700000000001834 2200700000000001834 2200700000000001834 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 Reouired TnSJectiOrlS. , ,,,' II 111111 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 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 structure 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 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 Paee 2 01'2 .~ 22~Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007~01841 COM2007-01841 COM2007-01841 COM2007-0 1841 Payments: Type of Payment C,ed itCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 12/12/2007 3:5] :25PM 2200700000000001834 Description Pe<m Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 70~00 3~50 5~60 7.00 $86.]0 Paid By JOSHUA BURRELL Item Total: t:heck Number Authorization Received-By Batch Number Number How Received Amount Paid DDK 05519B In Person Payment Total: $86~10 $86.]0 Page 1 of I 12112/2007