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Home My WebLink AboutPermit Electrical 2007-12-19 225 FIFTH STREET" SPRINGFIeLD, OR 97477 " PH (541)726-3753 "FAX ('41)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number (lJ)MZDD7 -OlgQ7 Date 3 ilJ(;}OMRi!E1jiJjfi?Ei1fSeHEDi!fi:iflJJffif@'W:i1f:t}rfJJ!IJtF!liA~~'rl.ljJ~i' ~~_",~~"1:,, .~, ~~',:;J-<_, ''Mf>!t:l~ ~,~,~",,,.._,,,,,,~~i1}~:f~,*,;wh1J~.:;.u.t2 Supervlsor Llcense Number Expiration Date / () ) J 0 Constr Contr Number /3 11 LJ 4- ~ Expiration Date / () / / D S(datlUnreOf~supefV1smg Elhl_rtc~an / New Alteration or ExtensIOn Per Panel One Circuit rEach AdditIonal Clrcutt or WIth :;d::::Jbfo!.~~~ E S&~;;;~~1!=~w~~T~;(h1!!a!b!t CIty "1 "M.a."Ortb7gne ~7 - {; yl ~ Pump orIrngatIon $ 55 00 lolle r~I~Pt~dl b W s you to Slgn/Outlllle LIghtmg $ 55 00 ~In"fr^^' _~ n Y the Oregon Utility OWNER INS'I'f\L1Cl\trIONhose rules are s t f h LimIted Energy/ReSldenhal $ 28 00 /fI UAH 952-00'-0Q,1 n Ihr,," e art Jim"" ,,~ The)D~~lIalI8G \11~~ln61it:\1{le'~ro~eI'ljIH~ Limited Energyi.cp!-4:lll!'rcIaI $ 50 00 IS not,mtended for sal\',tle5JI1'orgerl?S 01 the rules by Mmlmum EleClrH;rp~fm<tnil,p.ert.IS-$ 0 + SurMa roes ............"'l~ lilt: ce,l er (N t h 1'lc)'""!''i..:L, '( Ilr~.l-l . .: ~b number lor th 0 e t e telephone ~:~:'--"!111:.F'Y)!,::In"'"," , . E WORK Owners Signature e Oregon Utility Notllleatlon 4 ScjB1:!2Z~.v,r;:qiXJ'0" ..~" T. ~ ~l;Jl) '-'''filer IS 1-800-332-2344) 8% State surc~~r do OR /S ABANDONJ:n r!S;A&,~ , 10% AdmlOl\I~a\I~<yIa,lJAY PER/OD 1.00 5% Technology Fee:2::...9Z> InspectIOn Request 726-3769 TOT AL ~G,. 10 .)OrJJ;~tJ&gfj1r;~~Ifl~~- L'Gftm!~") O\0d) J~ DESCRI;TION :)-i (V! ('f 12 -f DOI)'( , Permits are non-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 ~g~t'~~~~'"@im'~ Electncal Contractor P) V r ( Y J J i!) V 0 S Address Po 00)l. & q 7 City vJ fJ}fr {V;j)1 Phone fl7 - XJ')tJ- Lf7:)}S ~~~~~"-"':l'61~'-~f,;itf"".%;"l,J/ A ~~~!I{t~g!!,~JS~lIlgl~!I!IM!!I!~iE.a!llJ!Y4p.5Iilt,il!mg~y!!.i~ Service Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder " $11700 $ 2100 $55 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83 00 $13800 $180 00 $413 00 $ 55 00 '..l1!i~ -<;-&~ InstallatIOn, AlteratIOn or RelocatIOn 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55 00 $ 76 00 $110 00 Over 600 Amps or 1000 Volts see "B" above D ~1ir~'[~~t€!f~M~lD~ ~lj ~ rt', :- ~ ~ $ 48 00 -~~ ~,. , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01897 ISSUED 12/20/2007 APPLIED. 12/20/2007 EXPIRES: 06/20/2008 VALUE' Status Issued 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 205 S 54TH ST SPACE 95 ASSESSOR'S PARCEL NO 1702330001200 Sprmgfield TYPE OF WORK Electrical Work Only TYPE OF USE RepaIr ReSlden"al PROJECT DESCRIPTION ServIce RepdIr Owner COFFIN WILLIAM R & JEAN M Addres> 205 S 54TH #95 SPRINGFIELD OR 97477 Phone Number 5~1-747-6416 , CONTRACTOR INFORMATION I Contractor Type Eleclrlcal Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION. # of UOIts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones Helghl of Slruclure Type of Heat W dter Type Range Type Energy Path Sprinkled BUlldmg Lol Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft G"rdge/C.lrporl Sq Ft Other Occupdnt Load nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Selback S,de I Selback Side 2 Setback Rearyard Setback Solar Selbacks' Overlay DlSt # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Total Handlcdpped Compact I PUBLIC IMPROVEMENTS' Street Improvements Stor"1~Ssn~t",:dllable SpecIal. Instm~tiol\ I HIt> t-'tKIVlIT SHALL EXPIRE IF THE WORK Notes/-\UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 SU [JAY PERIOD I ValuatIOn Descrlotlon I SldeWdlk Type A~tj,hLQ1:L .Qw,gon law requires you to follow rures a~Op'te\j'by the Oregon Ulility Notification Center Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090 You may obtam copies of the rules by __ll._~ U.._ ................. 1"I"to thA frlpnhllnp nu'mber for the Oregon Utility Noliflcatlon Center IS 1-800-332-2344) DeSCription Type of Construction $ Per Sq Ft or multlpher Squdre Footage or B,d Amounl Value Date Calculated Pa2e I 01 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01897 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 Inspeclton Lme Total V dlue of Project Fees Paul I Fee DescriptIOn + 10% AdnuOlstratlve Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amounl PaId Date Paid ReceIpt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20/07 2200700000000001884 2200700000000001884 2200700000000001884 2200700000000001884 Total Amount Paid $8610 I Plan Reviews I To Request an mspectlOn call the 24 hour recording at 726-3769 All mspectlOns requested before 7:00 a m will be made the same workmg day, mspections requested after 7:00 a.m. Will be made the followmg work day I ReollirerllnsnectlOns I Eleclrlc ServIce Approval reqUIred prior to utility company energIZIng service By signature, I state and agree, Ihal I have carefully exammed Ihe completed apphcalton and do hereby cerl,fy that all mformallOn hereon IS true and correct, and I lurther cerltfy that dny and all work performed shall be done 10 accordance with the Ordmances of the CIty of Springfield and Ihe Laws of the State of Oregon perlammg 10 the work deSCribed herem, and that NO OCCUPANCY WIll be made of any structure wIthout permISsIOn of the CommuOlty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors dnd employees who ale 10 comphance wIth ORS 701005 will be used on thIS proJect I further agree to ensure thdt all reqUIred mspecltons are requested at the proper lime, that each add I ess IS readable from the street, that the permIt card IS located at Ihe front of the property, and the approved set of plans Will remam on the SIte at all times dunng construction Owner or Contractors Signature Date Pa2e 2 01 2 225 Fifth Street Spnngfield, Oregon 97477 541-726-3759 Phone ~ii City of Sprmgficld Official Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2007-0 J 897 COM2007-0 1897 COM2007-0 J 897 COM2007-01897 Paymenls Type of Payment CredltCard cRu..emtl RECEIPT #. 2200700000000001884 Date' 12/20/2007 DescnptlOn Perm Serv/F dr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Admmlstratlve Fee PaId By JOSHUA BURRELL Item Totdl Check Number Authon.latlOn Received By Batch Number Number How Received ddk 01570B In Person Payment Tolal Page I of I 10 36 25AM Amount Due 7000 350 560 700 $8610 Amount Paid $8610 $86 10 12/20/2007