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Home My WebLink AboutPermit Electrical 2007-12-19 22S FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number ({'\'Yn 2-0cr7 -0 lcgqff 1 r~@CATibN76E;i~~%~!e~ 3 ~e@MJ>)jE111"1' ij;-"ElS(:JHEDirr~EtREili5w,,*,llllll~llllllll<Lvmllllf,,,tll .J f/S" -::/~!rq"'fn--n--vr7 fk"'_,~ ~,-,~-" " .., -,"~-~ , Lft1n~ CJfJ.{X) J~ DESCRlPTlON :y.{Yy ,'( y 12 'f DO\1'( , Permits are non-transferable and expire rfwork IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days ~j~i",;~~WllWkllnilXdiVVo#*~4\bI"'~~~~lir~ 2 ,.c;.~!f:!!J.j;!J;r~411J!f41!lJf!J'!If1~ Electrical Contractor ,,) V r r Y / / ( ) V 0 S Address Po b 0 ';! & q 7 City vJ ~ N -( r V; J )1 Phone fl7 -D') '-J Y-77-}S SupervIsor License Number ExpiratIOn Date / D //0 Constr Contr Number /3 & Y If ~ EXpiration Date / (j / / D 3Yjr;:"'P;~~L, , Owners Name DOL) -t ( . i'\~1l ~ ') Addres O'?J C;; , C?1~ ~ CI'- one ~9 f; - q 7 ~ ) A TENTI ~ Oreoon la OWNER'INSTALLAJdf?!l!d by ~re6wres you to Not1ff('gt,C',' ronto. T, e reg on W""V The IOstallalion IS 'be 109 made 011' ProR>i':!l! I,o~n W Iclih /I' u/",\';1 '-1~,.J~nr.11 ()rH.....~' - "':) !;II..... se[ ort IS not,lOtended for sale;lease 0" ren! gh OAR 952 00 ",,"u you may obt - 1- collin" lho am Copies of the rule b Owners Signature center (Note the te/eph s y nUll'iJes,tor the Oregon Utility N()tlfl~one -~"'~, I~ l-tlUU-332-2344) 1tlon Inspecllon Request 726-3769 Date ;/ m!J:::#,_",-mJ!!.4, ,~~- "li'i uP"".-'F'-~"4liD~,,,,,,-"~y.,,l\1lI!i''''\l.m' A New;~~il!rii7,~'IlJ:!!yjfr~M!llt\7!l!i.!,!!lY.Hsrl.l!'!.!ill!ng:~!iI.!l~ Service Included 1000 sq ft orless Each additIOnal 500 sq portion thereof I $11700 ft or $ 2100 Each Manufact'd Home or Modular Dwelhng Service or Feeder ~1l!-~~~~MI!l!!-~lii""~'/j;'!:Ill\'''''~''~;m'! B ~~:~;/~~&~1~~fi.~lJ~~'~~~~~\i~~!2~!'J1Jl",~,~ / $ 70 00 7 0 $ 83 00 $13800 $18000 $413 00 $ 55 00 $55 00 200 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 r:r~;;jJHt)(t~s~,;J),,:rr~\l~'~:t0.~" C iIJ mp'!J,m'J\.,~ljY,\~!iS,1QJ;t~etS, Installation, AlteratIOn or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 D $ 55 00 $ 76 00 $110 00 New Alteration or ExtenSIOn Per Panel One CirCUit Each Additional CirCUit or with ServIce or Feeder PermIt $ 48 00 $ 400 ~~'0I"''''',",,''''-"Y''''l!!''!-IIlilijli!W''''''';W''"ilR''~''~'.~~~.~ E ~~i5~'l9c~9}1~(~~m=,~JiI!}.!'t!.!J1e!\l..~~~,fli:!l'~J/!"~m Pump or Irngatlon $ 55 00 Slgn/Outhne LIghtmg $ 55 00 Limited Energy/ReSldentlal $ 28 00 LlmltedNEnergy/CQmmerctal $ 50 00 U I,,,t. Mml;~:.E~lefj-:e e~ml~ Ins,pec.lt~ t~7~~fO~1t-Uf~t~W,eS 4 ~ft.li~W'" '/ AjiWj~~"ri19ill!1i'fl!ltIS~.OO 8% Stat.s@urphl(fg!{;ED OR IS ABANDONED FOR 5. '-'0 10% AcjWJnlsn~vtJ~.e PERIOD 7. DO 5% Technology Fee 3 AS'V g&.ID TOTAL Shared Onve(T }/BUlldmg Fonns/Electncal Permlt ApplicatIOn 7 07 doc Status Iss u ed 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 97 ASSESSOR'S PARCEL NO 1702330001200 U 1 Y OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2007-01898 ISSUED: 12/20/2007 APPLIED 12/20/2007 EXPIRES. 06/2012008 VALUE Sprmgfield TYPE OF WORK Electrical Work Only PROJECT DESCRIPTION Service Repair Owner Address DOZIER JAMES D 205 S 54TH ST SPACE 097 SPRINGFIELD OR 97478 TYPE OF USE Repair ReSldenltal Phone Number 541-746-9761 I CONTRACTOR INFORMATION I Contractor Type Eleclrlcal 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 Struclure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldmg nla Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarpOl t Sq Ft Other Occupant Load I DEVELOPMENT INFORMATION I Frontyard Selback S,de I Setback S,de 2 Setback Rearyard Setback Solar Setbacks Overlay DISI # Slreel Trees Rqd Paved Dnve Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer AvaIlable SpeclaM{;'sTJf..~~n THIS PERMIT SHALL EXPIRE IF THE WORK Notes AUTHORIZED UNDER THIS PERMIT IS NOT ""C'n.I1~"~~::=: XI I~ f1DfHVUUJ\ltU : JI l ANY 180 DAY PERIOD I Valuation DescrwtlOn Description $ Per Sq Ft or mulltpher Square Footage or BId Amount Ddte Calculdted Tvpe 01 Conslruclton Page I 01 2 REQUIRED PARKING Total HandIcapped Compact S,dewalk Type ATT~TION O~%l9!: law reqUires you to follovf'mrggl!l'd'61-ilW~ the Oregon Utility Notification Center Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090 You may obtain copies of the rules by "ollonn It'" r.pnl"r INole Ihe teleohone I number for the Oregon Ut""y Notification Cenler IS 1-800-332-2344) Value Status Issued CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2007-01898 ISSUED: 12/20/2007 APPLIED. 12/20/2007 EXPIRES: 06/20/2008 VALUE: 225 F,ftb Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value 01 ProJect Fees Paid I Fee DeSCriptIOn + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Ddte Paid Recmpt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20/07 2200700000000001885 2200700000000001885 2200700000000001885 2200700000000001885 Tolal Amount PaId $8610 I Plan ReViews I To Request an mspectlOn call the 24 hour recordmg at 726-3769_ All mspectlOns requested before 7.00 a m. will be made the same workmg day, mspectJons requested after 7.00 a m will be made the followmg work day I Reoll1red Insnechons I ElectriC Service Approvdl reqUired prior to ulfhty company energlzmg servIce By SIgnature, I slate and agree, Ihal I have carefully exammed the compleled apphcallon and do hereby cerllfy that all mformallon hereon IS true and correct, and I lurlher cerllfy that any and all work performed shall be done m accorddnce wltb the Ordmances of the City of Springfield and the Laws of the Slale of Oregon pertammg to the work described hel em, aud thdt NO OCCUPANCY WIll be made of any structure without permISsIOn of the CommuOlty Services DIVISIOn, BUlldmg Safety I further certIfy Ihat only conlractors and employees who are m comphance with ORS 701 005 WIll be used on thiS proJect I furtber agree to ensure that all reqUIred mspectlOn' are requested at the proper lfme, thdt each address IS readable from the street, that the permIt card IS located at the front of the property, and the approved set 01 pldns will remam on the SIte dt all times dunng construction Owner or Contractors Slgnalure Date Pa2e 2 of 2 8J!RI,.._OJ!..IEn.D " 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of SprlOgfield OffiCial Receipt Development Services Department PublIc Works Department Job/Journal Number COM2007-0 I 898 COM2007-01898 COM2007-0 1898 COM2007-0 1898 Paymenls Type of Payment CredttCard cRecelOtl RECEIPT #. 2200700000000001885 Date. 12/20/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdmmlStratlve Fee PaId By JOSHUA BURRELL Item Total l.:heck Number AuthorizatIOn Received By Batch Number Number How Received ddk o 1570B In Person Payment Total Page I of I 103648AM Amount Due 7000 350 560 700 $8610 Amount Paid $8610 $8610 12/20/2007