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Home My WebLink AboutPermit Electrical 2007-12-19 S.PRI~ ZON ~ INITIALS' . AM. DATE' I'JiV' SOURCE 'I 22S FIFTH STREET. SPRINGFIELD, OR 97477 . PH (;41)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION (omUJrJ1.-0 1 qO J.-- ,Jg~~~{65ff~~~Tt'f. LliYP?f:m 0 l ?IfJ J~ DESCRI:TlON ::Y1 rv, (y 1< --f DOl If CIIy Job Number Permits are non-transferable and expire If work IS not started wlthm 180 d.ays of Issuance or rfwork IS Suspended for 180 days 2 leONiWfeTORL~slAPiMPi0N7@il'~J EleCIr:;~:~:c~~~'~P;; ~=;'~~Tlf) ~O S Address Po h 0 )!. (p q 7 ClIy ~ fI Jf1 (V; J }-r Phone 7 Lf 7 -J 7 J,rj 477/ s Supervisor License Number Expiration Date /0 J J () Constr Contr Number /3 & Y 4 ~ ExpIraliOn Date / () J / D GV1GL""'~~l I owners~me cJ.o hI],. S_ 6 YJp ~() r-h Addr~TT J v J ~Q~~~ ,- lm ...- ~ .,.He - me ~q9~!.i1llAA J J CI "'0, l;' ,t I 1 Q~~'~n'.J~"",-t.,1I In v!- b .::-0 0 t rough OAR 952-0'6i. ooqn f"" ma" f) ru~ f h OWNER IlI/STACLAltJ oples 0 t e rules by '-'''''''l) IIle center' ( ote Ihe telAphon The 'IOstallatlOn)IS lQelng}f\l;~SI9'lJP.FI?Wl'%G~'6'~tn;~ch IS not IOtendeMoreal" 1~'\'l\-'J9r S5'J:-2344) Owners Signature InspectIon Request 726-3769 ~ ~\9 Date /;) - / Cj -0 7 3 ~e.'. oiliR'iJi<;iJ'E;'it ;'.E'SeHEjjffiJ;;;jjEi!.6wJfil;';!tI'J!iiiE~t'1>ll~lr j~ .0< ,- ..,.~~~~~~ ~:;';:I~.,~=..~~, U~ "-.._.,...._-_.....,~~,, --~_-__';(rfii~';'t'Wmmtl,o.l: f:wJ~ttia -" A ~ff~:;~S;li~~~qg~~afu~!11I~~;:~I~~pt~~~~.lfgw1i~1~; ServIce Included 1000 sq ft or less Each addItIOnal 500 sq portion thereof I $11700 ft or $ 21 00 Each Manufacl'd Home or Modular Dwelling Service or Feeder $55 00 ~~~~\&r"::~,l."'H)~i'>'7~""':~AI\!1f~~~~-"f{n-..;'i~t'~ B y.;;~cl.>~~~C~;,?~,~~~.!!~~~~Il1l~taJ!a=~~!..v~~~~~~~~~~~o-'n_~~$~ / 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 70 I~"""U'V "''''-.'-. -.- '-"l".-"w"V'~f.I'J'Il'M. "'.'"fi.'1J1Ei!~!i!"'''-'''<I,.w!.'ili\r,''J C l~~JLm {!ol'J1I Yl.SCt:YI~cstQr~ F;ee.<t~s~Z!Af,~~ kttr,jfJiit~~M"mi~~ Installation, AlteratIOn or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55 00 $ 76 00 $11000 Over 600 Amps or 1000 Volts see "B" above D ~!~~~~!~~~"I_~~~~~,~{~~~~ New AlteratIOn or ExtenSIOn Per Panel One Circuit Each AdditIOnal CircUit or with Service or Feeder Permit $ 48 00 $ 400 E ~~~~lrt!~J~(~'~1I~~1~~@!~1!~~e!!j;f.~~~~vtlJ~I~ Pump or Irrigation $ 55 00 Slgn/OutllOe LlghtlOg $ 55 00 Limited Ener~IRIl,&'e'iitlal $ 28 00 Limited EnerHI~rli'rnrrC!41T SI-iJl.L' t:I(DI~~-50 00 [,. _ _ AJ.ITI ''-'iit!~~ . -, ,he I~ I H: VVlltH\ MinImum ElectnC'f'ermll"fi.l1.i@t19"J?~~.~'OO + urctiarges 4 ~i{B:Z:QTA!i\WE!ffi&;wl~ ,~11. ~i'r IVlf1~\ N(3b 8% State Surcharge R/DD .<':t?~ 10% AdmlOlstrahve Fee 7. ()C) 5% 1 echnology Fee :2. . c;t) <3t,./O 10 rAL ShJred Drlvl..(T )/Buddmg Forms/Electrll"al PermIt ApplicatIon 7 07 doc Status Issued CITY OF SPRlNGJ'IJ!.LD. Building/Combination Permit PERMIT NO: COM2007-01902 ISSUED 12/20/2007 APPLIED' 12/20/2007 EXPIRES 06/20/2008 VALUE: 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon Lme SITE ADDRESS 205 S 54TH ST SPACE 117 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK Electrical Work Onlv TYPE OF USE Repdlr ReSldentldl PROJECT DESCRIPTION Service Repair Owner JOHNSON ROBERT T & MURIEL Address 205 S 54TH ST #117 SPRINGFIELD OR 97478 Phone Number 541-746-5966 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 Umts 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 Palh Sprinkled BUlldmg Lot SIze Sq Ftlst Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Otber Occupdnt Lo,ld nla I DEVELOPMENT INFORMATION I Frontyard Selback Side 1 Setback, Side 2 Setback Rearyard Setback , Solar Setbacks OverldY DlSt # Slreet Trees Rqd Paved Drive Rqd % of Lot Covel age REQUIRED PARKING Total HandIcapped Compdct I PUBLIC IMPROVEMENTS I Street Improvements SIdewalk Type Storm Sewer AvaIlable DownspoutslOrams speclaNI Ion~tlr)/Gt!.on ATTENTION Oregon law requires you to I lit follow rules adopted by the Oregon Utility NolesTHIS PERMIT SHALL EXPIRE IF THE WORK NotificatIOn Center Those rules are set forth AIlTHnRI7ED UNDER THIS PERMIT IS NOT InOAR 952-001-0010 through OAR 952-0~1- COMMENCED OR IS ABANDONED fiCF. v,90 You may UUlo,1I c,uf"~~ UI'''v ,vl"_~, ANY 180 DAY PERIOD I ValuatIon DescnntlOn :alling the center (Notue ItheNteltefPhOte lumber for the Oregon tllty 0 Ilca Ion Square FootageCeJ.11er IS- 1,-800-332-2344} B d A tv dlue Ddte Calculated or I moun Tvpe of Construchon $ Per Sq Ft or multlpher DescnptlOn Page I of 2 . _&I;!RI_NOF;I~_ L . Status Issued CITY OF SPRIN\..l'lJ<.LD . Building/Combination Permit PERMIT NO: COM2007-01902 ISSUED' 12/20/2007 APPLIED. 12/20/2007 EXPIRES 06/20/2008 VALUE: 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme TOtdl V dlue of ProJect Fees Pal/I I Fee DeSCriptIOn + 10% AdnllOlslrallve Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amp, or less Amount PaId Ddte PaId ReceIpt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12120107 12/20/07 2200700000000001889 2200700000000001889 2200700000000001889 2200700000000001889 Total Amount PaId $8610 I Plan ReViews I To Request an inspectIOn call the 24 hour recording at 726-3769 All mspections requested before 7:00 a m will be made the same workmg day, inspections requested after 7:00 a m Will be made the followmg work day. I Reolllrerl Insnecltons I ElectrIC Service Approval required prIor to utIlIty company energIZIng servIce By Slgnalure, I slate and agree, Ihal I have carefully examined the completed applIcatIOn and do hereby certIfy that all informatIon hereon IS true and correct, and I furlher certlly thdt any and all "ork performed shall be done m accorddnce With the Ordlllances of the City of Springfield and the Laws 01 the State 01 Oregon pertamlng to the work deSCrIbed herein, and that NO OCCUPANCY Will be made of any structure WIthout permiSSIOn ollhe Commumty ServIces DIVISIOn, BUlldmg Safety I further certIfy tbat only contractors and employees who are In comphance WIth ORS 701 005 WIll be used on thIS proJect 1 furtber agree to ensure that all requIred inspectIOns are requested dt the proper tIme, that each address IS redddble from the street, that the permIt card IS located at the front of the properly, and the dpproved set of pldns Will remain on tbe SIte at all times dUring construction Owner or Conlractors Slgnalure Date Pa2e 2 of 2 225 Fifth Street Sprmgficld, Oregon 97477 541-7Z6-3759 Phone ~~ City of Springfield Official Receipt Development ServIces Department Pubhc Works Department Job/Journal Number COM2007 -01902 COM2007-0l902 COM2007-0 1902 COM2007-01902 Payments Type of Payment CredltCard cRcccmtl RECEIPT #. 2200700000000001889 Date. 12/20/2007 Descnptlon Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdmlOlstratlve Fee PaId By JOSHUA BURRELL Item Total Check Number AuthorlLatlOn Received By Batch Number Number How Received ddk 01570B In Person Payment Total Page I of I 1038 13AM Amount Due 7000 3 50 560 700 $86 ]0 Amount Paid $8610 $8610 12/20/2007