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Home My WebLink AboutPermit Electrical 2007-12-12 Date t.;OC INITIALS N fv>,. DATE \-;;)1\ ~ IOf SOURCE ~-(>-"ro?~ 1')-/ ;)-07 . f'-,' '.C>CIl'YGB'SPRIN6FIEt;Q' .~lRE@0N~~;;~~ , .,; - -'L""'''~''f@'''1'1",f':- ~"'~j%.~,% '~~ "l)l~ "~.~'1/""'~'1~ .:t:~ h,;. ZON 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION Cil}-JobNumber ~2.D0'7-0J&4fJ j:O~9~M-r~~~~ 3. ).fGAL DES~RlPTION: , ,';--((1/1('1 rf{)O!J( 6\():;:;~b~~ Owners Name C ~ V)},-/ V / ~~a(\f, Address '\ ,...- . S _ c- / . u-l I ~ J E. 1,~1'll~I11'iW6t"M!ts1ll-e'~f~' rl.~<Thiil!lL,"E'II)!il'm'f~.llliT~iJ~ CYlJC) ~J" --'I ~~~~J<' . .., . . ~AN.hMj...."",,,,.,*1~~ City ~\Q!iG Phone 74 7-5'1 ~ Y Pump or irrigation $ 55.00 U Sign/Outline Lighting $ 55.00 OWNER INAffMl'f'R'lf:l!'Oregon law requires you '.0 Limited Energy/Residential $ 28.00 The installatfQ(jmrb<linlfotilaiili'3llfp-Wpel1Y~Ib'w~'(B. U~litYh Limited Energy/Commercial $ 50.00 is not intentNdtf:lfilcsiife)ll'ellsllrolUenlhose rules are se~_g~i-"i.mum E. le..ctr. iC. p. e.rm. it Insp.ecti.o n..F..ee..i..s $50...00.+. SUrChajeS in OAR 952-001-0010 through OAR 95 ~;,,',,:;e<~~lil\!'J;l;,~:"*"'1"~iil~lI!itlii!liili~,.3:l0 0 _ Owners Sig~~i:i:~~h~~~~~t:,i(~~;~;h~f.t~I~~~~~er.t/I!~m~l~m~H~n~~bD number tor me uregLII r ",,,"y ,~oliflcalion lO'Jo.Wd'MIri&ttaH{1, SeWER THIS PERMIT IS ~'l'1ft.n D Center IS 1-800-332-2344). 5o/000cl!MI9I!i'[;!te:g OR IS ABANDONED FOR .~ :~.C:-Z> ANY 180 DAY PERIOD (!;)..,- '(0 TOTAL - U<e. Shared Drive(T:)/Building FonnslE\ectrical Pennit Application 7-07.doc JOB DESCRIPTION: \-U OJ. 33 OGo \~ '()\) Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 ~~rm~ST~"'Tmim~~Nl~'!il . ~iI<F~*,~W~~~1W;j!~ Electrical Contractor BUAflEllBAOS. EleaAlC Address P.O. Box 697 WO/l:ervl/le, OM Y74lJ'I City 54~h~~1-2724 Supervisor License Number 4 7 J } 5 Expiration Date / 0 / / 0 Constr. ContI'. Number J 3 (p ~ '-I Lr Expiration Date / D J / D Inspection Request: 726-3769 ~"'n'="'(f""'"i''!j-'~'''~~;M~'"'~'''''''''-'';'.'"'V''';'f'";'''T'''''''''''''''~"''~<iiiI~=j~:'''- .T:Q1.'"ilif}(('''''''''''1t:>'.''' i ,e(i)M./JT4bTJt#1!'EEISeHEDf:lIiEfBEEO,Wt ". ~ ,'l11',rifr.i?f!',!:,,,,,") "til:f~m:.'tfP;'~"""'; "'^"""""'''+'''kl;ni,'dOkAiitt4'''UilW.i~f'_ ' ,., """"u2!,H!~~~ /' A. ~~~!Rlfid~r:i'i:i1!Si'~~vr~v."~M1ITt1;~if~fi'?1j1ti~Id~~firi~ffJrr~~ ",. -;;""""'i'maW~1!cl;;;;~",.g'_~~~H\"<ff;;;U,;-~qP'~'b",,~~.......!k~~ Service Included ] 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I' $117.00 $ 21.00 $55.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I 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 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 or 1000 Volts see "B" above. $ 55.00 $ 76.00 $110.00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Penn it $ 48.00 $ 4.00 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-0]840 ISSUED: ]2/12/2007 APPLIED: 12/12/2007 EXPIRES: 06/12/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectinn Line SITE ADDRESS: 205 S 54TH ST SPACE 63 ASSESSOR'S PARCEL NO.: 1702330001200 Springfield TYPE OF WORK: TYPE OF USE: PROJECT DESCRIPTION: Owner: Address: CAULLEY ZENA F 205 S 54TH ST SPACE 063 SPRINGFIELD OR 97478 Phone Numher: 541-747-5984 I CONTRACTOR INFORMA TION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORM A TION 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 Flonr: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTINFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improve'}\WeNTION: Oregon law requires Y?'J '? ules adopted by the Orego,' ,....y Storm Sewer AfciIV!il'f>'ll, t Those rules alG :". " S . II dllll~flcatlOn Cen er. - .- pecIa nstru in OAR 952-001-001 0 through O~,.-_g '. "c , 0090 You may obtain caples of lIlo r, , - Notes: Ii' the center. (Note: t\13 telc " .l ca tlng_ ,__ 'h~ ('\,pnnn Utilitv I~C",,"~.'"'' ~. . ..~... -'Center is 1-800.33~ 2~.'; I Valuation Descriotion I Sidewalk Type: NOTICE:outslDrains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS i~OT """"e,,"cn no Ie: ~RMlnnl\l~n FnR to ~ ......_. -- ANY 180 DAY PERIOD. Description Type of Construction $ Per Sq Ft 01' multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 _"_OA~ Wi=: Status Iss u ed CITY OF ~rJ:(l1~GFIELD Building/Combination Permit PERMIT NO: cOM2007-01840 ISSUED: ]2/12/2007 APPLIED: 12/]212007 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 Fees 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 12112/07 12112/07 12112/07 2200700000000001833 2200700000000001833 2200700000000001833 2200700000000001833 Total Amount Paid $86.10 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 Reouil'(,d hlsoections I II IT 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 pertainiug to the work descrihed herein, and that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety. f further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 of 2 225 Fifth "Street Springfield, Oregon 97477 541-726-3759 Phone ~Lj:O~;M ....-". . .' . ~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001833 Date: 12/12/2007 3:48:3IPM Job/Journal Number. COM2007-0 1840 COM2007-0 1840 COM2007-01840 COM2007-01840 Paid By JOSHUA BURRELL Item Total: {;heck Number Authorization Received By Batch Number Number How Received DDK 04587B In Person Payment Total: Amount Due 70.00 3.50 5.60 7.00 $86.IU Description Perm Serv/Fdr 200 amps or less + 5% Technology F,ee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Amount Paid $86.10 $86.IU cReceintl Page I of I 1211212007