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Home My WebLink AboutPermit Electrical 2007-12-19 ZON (Dr!' ~ INITIALS:J ~ DATE B--eu -U I . SOURCE }A ~n-- Date /;) - / q -07 SPRINOPII!LD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726 3753 . FAX (541)7263689 ELECTRICAL PERMIT APPLICATIO!fx; CIty Job Number r;Om2L)()7- D/ b7 t; ,JrS~~~Q3~fi/fjN;J'~i!f'W Supervisor License Number ExpITatlon Date / D //0 Constr Contr Number /3 (; Lj Cf ~ Expiration Date / () / / 0 cF;;;"'"~~ Owners Name Ernhr'i/ ~51 J ,V AddressA[)~~ s.~c ~-U~ City ~,lM _ e q 7<6 -0 l/ YS Pump OTlrngatlOn $ 55 00 ~I' r~~;J \,' eqon law req Slgn/Outlme LIghtmg $ 55 00 OWNER INSTAbLAlflONU b U1res you to Limited Energy/ReSldenttal $ 28 00 '; - o~,.. ~ y the Oregon Utlllt,! The m~ilili'\ti1i![,~ ~,hg iliadetoj)~ope[ty .!Jm'ffi'Y'h\l'lh Limited En1r.!QYHfi'j!1~rctal $ 50 00 IS ndt l~t~~&ea'f6f~:\'te; llfalOldflrell1C)h OAR 952-001 Mmlmum EleCIr1~Perll11t fnsnect'''"^''''''.s'$50;oO tfs(jr<,lia~LGJiK Ut... jJ You mal( bt .. I Tl:.t vn, lWn'"tL'"l:: -, f "" rge; , ,0 aID caples of the rules by .-- ,,~-, , ' , 'gR' Ill'1..NOI.- ownefs~I'ilnatJPe~ center (Note the telephone 4 iSlYBTOTAW' l'!l.B' ,t%._, -dJ...? .DO n_moe':Jor the Oregon Utility NotlflGPtlon 8% State sJr'c'Il~tle~EN I~ tilll I u I 'S.~ vC"I~1 I' 1-(lUU-;J32-2344j, , 0% Admmlstiilhve'Eee'JAY PERIOD 7. OD % Technology Fee b.so TOTAL ?Jb.ID LE\hlJmn Ol1I:D J~ DESCRI;TION :) ; Yy I {'f R --(' 0 Oil' ( . Permits are non-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days :lec~:~::~~~~r~~: S Address Po hO:l (p q 7 CIty vJ fi}f-f YV;j}t Phone B 7 -,J,7}''f 47J.}S Inspechon Request 726-3769 1Ep.'Ml"" >'r.!m"'E~,FT;"'7s"~c','r'TE"D'"'T;M':;'D,':':'):!:"'::"'~J\I!f!!!l:iJ,~,,'r"'jlF~" 3 "'''''"..L''?ti:f" bf;,'!J!:i',;.. "-!Ji,,,,".ciIi-',,~~~~!!'_~l~::/ ;/ "ff4R~'tr~'k":'t;V"lMi~i?9f'*:M,~'r""'i~'J::#iit"~'\:1Qt:11"r~~~E~ u' A .New Resld.~!1tl~J!@~.'9gL~,!!rtll1i!Jti;;.1jll!!11!YiP'!!,1l~Ji!!g!lf.R,J!,~ Service Included 1000 sq ft or less Each additIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular DweIImg Service or Feeder I $11700 $ 2100 $55 00 B 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $70 00 $ 83 00 $13800 $180 00 $413 00 $ 55 00 If+""~-," Wj)l-':'i'l;"F''''_1y;,_",,__~_~,.;;ll C li'~mp.9.ta,!Y~!;);JEjj-lqrI!E~,\t(l.l'r~', ' " \ll::--~ 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 $ 55 00 $ 76 00 $110 00 New Alteration or ExtenSIOn Per Panel One Circuit Each AdditIOnal ClTCUlt or With Service or Feeder Penmt $ 48 00 $ 400 E Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO. COM2007-01896 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 541-726-3769Inspechon Lme SITE ADDRESS 205 S 54TH ST SPACE 89 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK Electrical Work Only TYPE OF USE Repair ReSldenll31 PROJECT DESCRIPTION Service Repair Owner EMBRY BERYL Address 205 S 54TH ST #89 SPRINGFIELD OR 97478 Phone Number 541-988-0445 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 #OfUOlts Primary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones Helghl of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BUlldmg Lot SIze Sq Ft ] st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GardgelCarport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback SIde I Setback SIde 2 Setback Redryard Setback Solar Selbacks Overlay Dlst # Streel Trees Rqd Paved Drive Rqd % of Lot Cover dge Total Handicapped Compact I PUBLIC IMPROVEMENTS I Street Improvements ATTE~'A'b~"bT~~6n law requires you to Storm Sewer AvaIlable follow \la~lY'RdQ\!I'BHi!lsihe Oregon Utility Specl~i i111fuEtlon Nollllcatlon Center Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001- Notes AUTHORIZED UNDER THIS PERMIT IS NOT 0090 You may obtain copies of the rules by """"nlrm nQ 1<: 6R6~lnmlFn FOR callma the center (Note ~he ::I~~~~t~:- number Tor HIl::: Ulc8uIl .....,,,., .~- . I ValuatIon Descriolion I Center IS 1-800-332-2344). ANY 180 DAY PERIOD DescnptlOn Tvpe of ConstructIon $ Per Sq Ft or multIplier Square Footage or B,d Amount Value Date Calculated Pa2e] of2 ~iii:~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01896 ISSUED 12/2012007 APPLIED 12/2012007 EXPIRES 06/2012008 VALUE' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe Total Value of ProJecl Fees Paid I Fee DescriptIOn + 10% AdmlOlstraltve Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amounl PaId Dale P did $700 $350 $560 $70 00 12120/07 12/20107 12120/07 12120/07 Recelpl Number 2200700000000001883 2200700000000001883 2200700000000001883 2200700000000001883 Total Amount Pdld $8610 I Plan RevIews I To Request an mspectlOn cali the 24 hour recordmg at 726-3769. All mspectlOns requested before 7'00 a m wIll be made the same working day, mspectlOns requested after 7 00 a m will be made the followmg work day, I Reomred Insnechons I Eleclrlc ServIce Approval reqUired prior 10 ullhty compdny energIZIng service By signature, I state and agree, that I have carefully examlOed Ihe compleled apphcallOn and do hereby cerltfy thdt all IOformatlOn hereon IS lrue and correct, and I further cerllfy that any and all work performed shall be done 111 accordance WIth the OrdlOances of Ihe CIty of SprlOgfield and the Laws of the Slate of Oregon pertalOlOg to the work deSCribed herem, and that NO OCCUPANCY wIll be made of any st. ucture wlthoul permISsIOn of the CommuOlty Services DIVI'lOn, BUlldlOg Safety I further cerltfy tbat only contractors and employees who are 10 comphance With ORS 701 005 wIll be used on thIS project I further agree to ensure that all reqUired inspectIOns drc requested at the proper hme, that each address IS readable from the street, that the permit card IS located at tbe front of the property, and the approved set of plans will remalO on the SIte at all hOles dunng constructIOn Owner or Contractors Signature Date Pa2e 2 of2 225 Flft4 Street Spnngfield, Oregon 97477 541-726-3759 Phone ~, City of Spnngfield Official Receipt Development Servlcc~ Department Pubhc Works Department Job/Journal Number COM2007 -01896 COM2007-0l896 COM2007-0 1896 COM2007-0 1896 Paymenls Type of Payment CredltCard cRecemtl RECEIPT #. 2200700000000001883 Date' 12/20/2007 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdmlOlStratlve Fee Paid By JOSHUA BURRELL Item Total Check Number AuthonzatlOn Received By Batch Number Number How Received ddk 01570B In Person Pdyment Total Page I of I 1036 02AM Amount Due 7000 350 560 700 $8610 Amount Paid $8610 $8610 . 12/20/2007