HomeMy WebLinkAboutPermit Electrical 2007-12-19
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. .A.!. DATE \U...~. 01
I!iD' SOURCE ~~
Date I;) - / q -07 .
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726 3753 . FAX (541)7263689
Supervisor License Number
Expiration Date / () ) J 0
Constr Contr Number /3 & Lj 4 ~
ExpiratIOn Date I () ) / D
Over 600 Amps or 1000 Volts see "8" above
a,gnantU,re Of\JJ.A;supervlsmg Ep;ctn\fV\jIA.clan D
New AlteratIOn or ExtensIOn Per Panel
One ClfCUlt
U ~ Each Additional ClfCUlt or with
O n,n (' \ r" rD . Service or Feeder Penmt
OwnersN~e TU I, \., ~
~:~~~~oJ::7ci7~~~l '":=:~~~
"---,1rTENT"7&~ Slgn/Outhne LIghtmg $ 55 00
ow~/oom~~~;fl,~fe~n law requires y Limited Energy/ReSldentlal $ 28 00
The m/?.tI~a'9f1l{..mgtl1lIJ"'O~~/h!i,rtfIJ(jwn ~~iJW Limited Energy/Commerclal $ 50 00
1Tr~, &;;9 I nU&e~~/e "'" , liLY
IS nO/)/,uJt1'a 0 'todl()o,-~~~'tfl'"lffcl'G h s are Set forth Mmlmum Electric /;l~~1VII[!\!speclton Fee IS $50 00 + Surcharges
CAlI U may obtam C 9 OAR 952-001 1Pc:~_'_M'_'lT'''''''''''iIA'' "'t$~_~i!l:.Alil
own'ifbNi!?-.'i1clRil center (Nooi'es of the rules b - 4 ~W..:f~'9~~F rFU>P.'O~
er.for the Ort"['~.h ,~. .the tefeoh"'le y 8% State Surch~rgeJOR'ZED UNDER THIS PERMIf2!Sb.OT
"''''''Ier IS 1-800:332~13~Votlflcatlon 10% Adml",sE~wlWimCED OR IS ABANDOhlml'~
4) 5% Technolo~Nf"180 DAY PERIOD .
InspectIOn Request 726-3769 TOTAL <6ftJ.{O
ELECTRICAL PERMIT APPLICATION
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LEG\~~lmor9{'()
J~ DESCRIPTfON
:jirv,'r'f f2-fDOil'(
City Job Number
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 rm~~;irIt~;:F9~1I
Electncal Contractor fly V r r Y / / h V 0 S
Address Po 00'1 (p q 7
City vJ f!}fr 'V; J}1 Phone ]:J 7 - J 7 ') t.j
47}'} s
llf,o':'AQ'Jt;f ~ 'j> rl"""'E"""i'D'v"S'~E'D--T",j'E"'~VE"E"f;,iV.ril:l>'i1jli!.l~J.IIil;J.'l_11~1" '~~
3 ~I"""-\;L\~~-'-'R-".€..El""l{"t,,,;-1;!""I~
1 000 sq ft or less
Each addlliOnal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I $1]700
$ 2100
$55 00
B s2l!v.~~~~~~~i~!llJ~I;rn"rl/tt1!~r.~rr.6i:l11Ii
' -to 'w"Ht&_iH~~ 1> ~~ 'rJ4fhi'M:iM
/ $ 70 00 7 0
$ 83 00
$13800
$18000
$41300
$ 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 AmpsNolts
Reconnect Only
id~fU;~W~tw&'5?:lf.ri'''llY0~
C 1llr~1l!P'Q.ra_l,y,~~.m;!~~~Q.~~!l"~e9_e[~_'
Installation, AlteratIOn or RelocatIOn
200 Amps or less
20 I Amps to 400 Amps
40] Amps to 600 Amps
$ 55 00
$ 76 00
$110 00
$ 48 00
$ 400
Ul Y OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED'
APPLIED.
EXPIRES'
VALUE
COM2007-01903
12/20/2007
12/20/2007
06/20/2008
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlOe
SITE ADDRESS 205 S 54TH ST SPACE 121
ASSESSOR'S PARCEL NO 1702330001200
Springfield TYPE OF WORK Electrical WOI k Only
TYPE OF USE
RepaIr
Resldentl3l
PROJECT DESCRIPTION Service Repdlr
Owner
Address
JONES THEODORE L & MARY BETH
114 ATHENA LN
ROSEBURG OR 97470
Phone Number 541-747-8224
I CONTRACTuKmrORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
ExpiratIOn Date
08/20/2009
Phone
541-747-2724
BUILDING INFORMATION I
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Primary Construclton Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stories
Height of Structure
Type of Heat
Water Type
Range Type
Enel gy Path
SprlOkled BUlldlOg
Lot Size
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft GardgelCarporl
Sq Ft Othel
OCCupdnt LOdd
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Selback
SIde I Setback
Side 2 Setback
Rearyard Setbdck
Solar Setbacks
Overlay Dlst
# Streel Trees Rqd
Pdved Drive Rqd
% of Lot Coverage
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
ANY IOU U~l n:nluu
SIdewalk Type
ATTEIil.TION Oreaon law requires you to
follow Y8J'egsgaB~.9a'l.lY"ne Oregon Utility
Notification Center Those rules are set forth
In OAR 952-001-001 0 through OAR 952-001-
0090 You may obtain caples of the rules by
MII,nn thp rf'ntA' INote Ihe leleohone
I I number for the Oregon Utility Notlllcatlon
Valuation Descnohon Center IS 1-800-332-2344)
St'l'l9'1~€~r Available
S~e~w] ~nEIfI~R'~HALL EXPIRE IF THE WORK
N~~JIHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
DeSCrIptIon
Tvpe of ConstructIOn
$ Per Sq Ft
or mulltpher
Square Footage
or Bid Amount
Value
Date Calculated
Page I on
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2007-01903
ISSUED 12/20/2007
APPLIED- 12/20/2007
EXPIRES. 06/20/2008
VALUE:
225 Fifth Streel, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspecllOn Lme
Total V dlue of ProJect
Fees Paid I
Fee DeSCription
+ 10% AdmmlStratlve Fee
+ 5% Technology Fee
+ 8% Slate Surcharge
Perm ServlFdr 200 amps or less
Amount PaId
Date PaId
Receipt Number
$700
$350
$560
$70 00
12120/07
12120107
12/20/07
12/20107
2200700000000001890
2200700000000001890
2200700000000001890
2200700000000001890
Total Amount PaId
$8610
I Plan ReViews I
To Request an IDspectlOn call the 24 hour recording at 726-3769 All mspechons 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, Reolllred Insnecltons I
ElectriC ServIce Approval reqUIred prior to utlhty company energIZIng service
By signature, I slate and agree, thaI I have carefully exammed the completed apphcallOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed Shdll be done m accordance with
the Ordmances 01 the CIty 01 Springfield and tbe Laws of tbe State of Oregon pertdmmg to Ihe work deSCribed herem, and
Ihal NO OCCUPANCY Will be made 01 any structure wllhout permISsIOn of tbe Commumty Services DIVISIOn, BUlldmg Safely
I further certify that only contractors and employees who are m comphance wIth ORS 701 005 will be used on thIS proJect
I further agree to ensure that dll reqUIred mspectlOns are requested at the propcr time, that each address IS readdble from the
street, that the permit cdrd IS located at the fronl of the property, dnd the dpproved set 01 plans Will remam on the SIte at all
times durmg construction
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Spnngfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1903
COM2007-01903
COM2007-0 1903
COM2007-0 1903
Payments
Type of Payment
CredltCard
cReLelOll
RECEIPT #
2200700000000001890
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 AuthOrizatIOn
Received By Batch Number Number How Received
ddk
o 1570B In Person
Payment Total
Page 1 of 1
103836AM
Amount Due
7000
350
560
700
$8610
Amount Paid
$8610
$8610
12/20/2007