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Home My WebLink AboutPermit Electrical 2007-12-19 , s___~'" rM~. ~ [NITIA~l1 . ~ DATE ~~I..tL-l- ~ SOURCE~p Date /;) -; q -07 - \ } - /cI<EM'tdfi::SRRlNc] FIELIJQREt;6N~::'::~~~" .' t: _~~ ~, . ,,~,,' _ , ~, ~. ".:;" #; . ,.J." ~. ,;, T" _ 'f .,~~_ ~ ,_, "'-="~. 225 FIITH srREET . SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION r J)VI!1U)07-0/<iQS ClIy Job Number ,J !f5f;~~if~BfflW/fg.l!(ij_~ LE~tto~ O\Q..CO J~ DESCRl;TlON CY1YVI{Y 12--fDOI;f Permits are non-transferable and expire Ifwork IS not started wlthm 180 days of ISsuance or If work IS Suspended for 180 days ~-'~);r"'';II't':..~..;a,;;:l('~''i7M<'';~' :1:",~<<l"'."''''-~~ G@NTRA€T@R'INS 'AlnIJ'AJJJIc,,",01,flfYJ :'ect:,:~:::;'::::.'p)E;;";.;iT~A1L~ 0 S Address Po bo:J. G/17 ClIy vJ fi Nt (V; I }1 Phone 7 Lf 7 - J 7 ')Lj. 47::J,}S , Supervisor License Number ExpiratIOn Date / D)} 0 Constr Contr Number /3 U Y 4 ~ Expiration Date / () / / D ak)G;:;"'"j'~L Owners Narp.,e ~ n () J J J ~~n-J AddressdO~~--\~ . Cll): ,-- ,- I Uf:fe'ii'r):];gJJlPJS -, , u, & (0 e 0 the Notlfl Jatlon roT regon Utility OWNER'INST,AL'tA TIoQJose rules are set forth . -'" ~~"'-uu I-UUl U lhrough OAR The' ih'Sfallal1on liS ib91~g)'1!.~f!"C(Jj.-J?e'Sl'8fl'hleg~y,-,Q~h IS nO(Ii\tenc!edlfor.;sgle:J~asfl~bren'rhe teleph:;e y number_for the Oregon Utility Notlflca Owners SIgnature 3r IS 1-800-332-2344). lion InspectIOn Request 726-3769 ~ ~ 9Jr:p& bleeilfFiJ1"i'E'i,"ftESC'UEV- 'm:E!lftr:,,~~,~.~1il'!Y'~~ 3 ni'~h>k'l'" t"j,,~.^ ". .,._~f~...__ .0.1.."....."'.. 'u.,,~~.~_~~~~ 11.;.',.1'''4 'f~~~> y A ~~~~I!~;diq:t!~J~s~~ii~9EiM]1t.i~~ly~~1iagIuH.~iJi~. ServIce Included 1000 sq ft orless Each addlllonal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder I $11700 $ 2100 $55 00 B ~r!F,'li1-~J~imtUiirb~~1tl!~lt~~t~tn~~~R~Th~itl~~1ld "".... "*""';\:;'\>1iofMrlP r,t1""""""""'''''~'''''''''''-'''' "l~".<~t.'l"'" ",".~~,tl "'h'q- .{~&1~''''' - J 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps 10 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 70 c ~P:~:~fYiS~:r.{i~emm~~41[S~__ InstallatIOn, AlteratIOn or RelocatIon 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 55 00 $ 76 00 $110 00 Over 600 Amps or 1000 Volts see "B" above D IfBl'Kn~i\':~~':"trc1'J~1i.~~~" New Alteration or ExtenSIOn Per Panel One Circuit Each AdditIOnal CirCUit or With Service or Feeder Penmt $ 48 00 $ 400 ~:::&~st~'-~." ~\\i'l'i.'"\ -;1t'N""il1!~4-'i{';~'~":P,iM$l) ~J.:rJF~\"'11' '""li'1(.d},hh~i"'~$l';'~ E IVlJ~,~1In.nS-~!!l,,(~9~c1:a~JJ.~&tm\"~,~~~)~Jf!s"~J!~~J.!!U.~~ $ 55 00 $ 55 00 $ 28 00 Pump or Irrigation Slgn/Outhne LIghtlOg Llmlled Energy/ReSJdenual M!lT''''~_ Limited Energy/uommer~lal $ 50 00 MIOIm. urn Electnc Ii\,1!.IHtltnw~c!l'i,!) !i)_'~ $f~ BY.1~Sqrcharges D' W"~--"'"rWE:Mf'''mmlil\\11il.. ~'r 1~:.wOOK 4 ,,~.lt.lrm.:{t!D"'66~-r'~~t'1J~~ _' ltJl.RMI(~"W 8% State Surckar4~1 VI q 1: UR IS ABANDO~f1t> 10% Admm1St'i-'a~ve 1>~Q DAY PERIOD --i. QO 5% Technology Fee '2... crJ $5(p.(D TOTAL Shared Dnve(T )/BUlldmg Forms/Electrical Permit Application 7 07 doc . -ri:~ Status Issued CITY OF SPRlr~t.d'H,LD' Building/Combination Permit PERMIT NO: COM2007-01895 ISSUED' 12/20/2007 APPLIED. 12/20/2007 EXPIRES: 06/20/2008 VALUE: 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 205 S 54TH ST SPACE 88 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK Electncdl Work Only TYPE OF USE Repair ReSIdentIal PROJECT DESCRIPTION ServIce Repair Owner Address KNOLL V ADA B 205 S 54TH ST SPACE 088 SPRINGFIELD OR 97478 Phone Number 541-747-2095 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # of UOlls Primary Occupancy Group Secondary Occupancy Group Prlmdry ConstructIOn Type Secondary Construcllon Type # of Bedrooms # of Stories Helghl of Structure Type of Heat Wdter Type Range Type Energy Path Sprinkled BUlldmg Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft GardgelCarport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I Frontyard Setback Side I Setback. SIde 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd Pdved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total Handicapped Compact I PUBLIC IMPROVEMENTS I Street Improvements Sidewalk Type Storm Sewer AvaIlable ATTErJf!BtlfP~V~~g~~\pw reqUires you to SpeCIaN[sTtl~EQn E IF THE WORK follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIR Noliflcatlon Center Those rules are set forth Notes AUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- ~ ~ ~ ; 1....\"~_.c...n_-'''\n Ie" -\B.^Mnnf\u:n I=nR noqn Vnll m~\I nhh::lIn "',-mlOC' .....fJb..... .."I,...... k'j \.1\.11....11.... I...n,j"'[:"C"'""e,. - ANY 180 DAY PERIOD' Icalllng the center (Note the telephone , Valuation DescriDtion (lumber for the Oregon Utility Notlflcalion Center IS 1-800-332-2344) Square Footage B d A t Value Date Calculdted or I moun Tvpe of ConstructIOn $ Per Sq Ft or mulllpher DeSCriptIOn Pa2e I of 2 CITY OF ;"lrKIJ~GFIELD Status Issued Building/Combination Permit PERMIT NO' COM2007-01895 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 [nspectlOn LlOe Total V dlue of ProJect Fees P3\lLJ Fee DescriptIOn + 10% AdmlOlstrdllve Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amount Paid Date PaId Receipt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20/07 2200700000000001882 2200700000000001882 220070000000000[882 2200700000000001882 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, mspectlOns requested after 7'00 a m will be made the followmg work day. ReoUlred Insnecltons I ElectriC ServIce Approval reqUIred pnor 10 utlhty company energlZlng servIce By SIgnature, I state and agree, that I have carefully exammed the completed apphcallon and do hereby certify that all IOformatlOn hereon IS true and correct, and [ furlher certlly thaI any and all work performed shall be done 10 accordance wIth the OrdlOances of the CIty of Springfield and the Laws of the Slate of Oregon pertalOlOg to the work described herem, and that NO OCCUPANCY will be made of any structure without permISSIon of the Commumty Services DIVISIOn, BUlldlOg Safety I further certify that only contractors and employees who are m comphance wIth ORS 701 005 WIll be used on thIS proJect [ further dgree to ensure thaI all reqUIred IOspectlons are requesled at the proper time, that edch address IS readable flom the street, that the permll card IS located at the front of the property, and the approved set of plans WIll remalO on the SIte at all times durmg constructIOn Owner or Contractors SIgnature Date P d2e 2 of 2 225 Flfth'Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~~ WiL. - City of Sprmgfield Official Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2007-0 1895 COM2007-0 1895 COM2007-0 1895 COM2007 -01895 Payments 1 ype of Payment CredttCard cRecuntl RECEIPT #: 2200700000000001882 Date" 12/20/2007 Descnptlon Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdminIstrative Fee Paid By JOSHUA BURRELL Item Total Check Number AuthOrizatIOn Received By Batch Number Number Uow Received ddk 015708 In Person Payment Total Page I of] 1035 16AM Amount Due 7000 350 560 700 $M6 ]U Amount Paid $8610 $M6 ]0 12/20/2007