HomeMy WebLinkAboutPermit Electrical 2007-12-19
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Date I;} -I q -07 l
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICAI1QN
CIty Job Number COm WOe - 0 I ~ '1 '1
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L\710-L~~ O\?W
J~ DESCRI:TION
:Y-(YV, {'f 12 --f DOI;(
O,gn\()at,ure~ofsupervISmghE. lec~tnclan j
New AlteratIOn or ExtensIOn Per Panel
One Circuit
h AdditIOnal Circuit or with
rj ServIce or Feeder Penmt $ 4 00
~;:r:ssA~S :~ E ~~itr~m:C~~mti1rg~.~i!~
CIty ~rn.Jnn ~J - 0 q 19 Pump or Irrigation
, 'l},'r r -~ ,--\ \ : Slgn/Outhne Llghtmg
.: y nON ()'A~
OWNER,INST ALLA TIONJn law reqUires yoU to LimIted Energy/ReSldentlal
f' ,,' "'C~ duoptec1 by the Or- A MnT'''l:.
The mstallailon'lSlbemgl!l\ade,on,J1ropeitV 'r'Own Wh,,"l' Limited Eiiergy/Gommerclal $ 50 00
1 1/,-".... ~'IU......t::luleSares tf h M EI TrJi'"'p "r~r~r"r,.,' ~I r- ~ - - - -
IS nOIr'?~end~d'for sale, Lei"!'1,Qwmlgh OAR 9Se art Immum eclrJc ermlt InspectIon F~ IS ~50_00 +lSl\!:chJlD:~~:
ownerso;'gfi~~U~em~~~t~~al(~~feleShof the ru~~~~ 4 ~~~:g;i~c:fi.~l~*!lT 1e-r~loo
r,umo(;( lor the Orp"" '" j e telephone 8% State Sur~~:i'ig'e'~ C Ii I;;' f\tlA'~'1J rU~ (;;0
n '"'' t . !-'I"Y r /I D~Y PERIOD -'
l,€rl'er IS 1-800 332_i34w""~a IO~ ('\ n 10% AdmmlStrabh Fee (- no
4) ~U~ 5% Technology Fee ~ ...;t'J
InspectIOn Request 726-376~ fl91 ~ ,--0 TOTAL t:z&. 10
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,
Permits are non-transferable and expIre If work IS
not started WlthlO 180 days of Issuance or rfwork IS
Suspended for 180 days
~~OR7~PA1IlT'''W0M(j)N-n~
:lectncal C:;:~~;~:- A7/~;;;)~''*'hN104Ds
Address Po 00)1, (p q 7
City ~ ~J}1YV;J )tPhone n7 - 2Jl-,tj
Lf 7 J) S
SupervIsor LIcense Number
ExpIration Date /0 J J 0
Constr Contr Number /3 & Y I.J- ~
ExpIratIOn Date I (j / / D
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Ne ':Resl<-!~nrlafl-'Sm le'oJ'd.l\:!\\ltl,-!l!lJ1I!Ykll~r>:!!ll;liI.IAn' UOl!J!' "
Service Included
1000 sq ft or less
Each additIOnal 500 sq
portion thereof
I $11700
ft or
$ 2100
Each Manufact'd Home or
Modular Dwelhng ServICe or
Feeder
$55 00
~11f_~~~ A ' 'W#CifW{$&~"'H#j"'%%f~'t~!~!1tWit:;.jW(lY~\f, ""
B ~~f{J~JJ~~f~~~~ - _ns!allaho~~Jira,tJons~ or;Relo atton\ w ~
/ $7000 7 0
$ 83 00
$13800
$180 00
$413 00
$ 55 00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/VoIts
Reconnect Only
1i~_.'W;;t!~"""~I'IiI'~Jio'l:hl,'\\I!1"'ll'lI1lB.Z<<~
C i r.Il~Inm2tP~H'l~rt~L~~9>t~!i~1J,~r~,W~J)'~f~~~~fHm:bll~
Installation, Alteration or RelocatIOn
$ 55 00
$ 76 00
$11000
$ 48 00
$ 55 00
$ 55 00
$ 28 00
Status
Issued
225 Ftlth Sh eet, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 205 S 54TH ST SPACE 99
ASSESSOR'S PARCEL NO 1702330001200
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01899
ISSUED' 12/20/2007
APPLIED. 12/20/2007
EXPIRES: 06/20/2008
VALUE
Springfield TYPE OF WORK Electrical Work Only
PROJECT DESCRIPTION ServIce Repair
Owner FLANAGAN MARGARET L
Addl ess 205 S 54TH ST SPACE 099
SPRINGFIELD OR 97478
TYPE OF USE
Repair
Resldenhdl
Phone Numbel 541-741-0988
I CONTRACTOR INFORMATlON-'
Contractor Type
Electrical
Contractor LIcense
BURRELL BROS ENTERPRISES INC 136446
r BUILDING INFORMATION I
# ofUmts
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stories
Height of Structure
Type of Heat
Waler Type
Range Type
Energy Path
Sprinkled Butldmg
ExpiratIOn Date
08120/2009
Phone
541-747-2724
nla
Lol Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Gdrdge/Carporl
Sq Ft Other
Occupant Load
I DEVELOPMENT INFORMATION .
Frontyard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
I PUBLIC IMPROVEMENTS I
Slreel Improvements
Storm Sewe, A vatlable
SpeCIal Instr9t~CE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
- -." .---=.0....-". '{' 'B'PIQ""[" eM'
\.JVI.....lllIILI'lV""C'lT"vTl ,\,.0 . ~ " ~.. - . --
ANY 180 DAY PERIOD I ValuatIOn DescnntlOn I
Notes
DescnptlOn
$ Per Sq FI
or multlpher
Squal e Footage
or BId Amount
Tvpe of ConstructIOn
Pa2e I of 2
REQUIRED PARKING
Total
Handicapped
Compact
Sidewalk Type
A'i'f~fffi~l8mll'ilh law reqUires you to
follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
~"nr'\ V"UI lTl~nht!:l.1n f'nnl~c::. nf tiV:lI n l!pc::. h~
calling the center (Note the lelephone
number for the Oregon Utility Notlftcatlon
Center IS 1-800-332-2344)
Value
Date Calculated
S ta tus Iss u ed
225 FIfth Street, SprmgfieJd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2007-01899
ISSUED' 12/20/2007
APPLIED' 12/20/2007
EXPIRES: 06/20/2008
VALUE:
TOtdl Value of ProJect
Fees Paid I
Fee DeSCriptIOn
+ 10% Admmlstr dllve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amounl Paid
Date PaId
Receipt Number
$700
$350
$560
$70 00
12/20/07
12/20/07
12120107
12/20/07
2200700000000001886
2200700000000001886
2200700000000001886
2200700000000001886
Tolal Amount Paid
$8610
I Plan ReViews I
To Request an mspection call the 24 hour recording at 726-3769 All mspections 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 Re~lIIred Insnechons I
EleclrIc ServIce Approval reqUIred prior 10 UlIhty company energ1Z1ng servIce
By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cel tlfy that all
mformatlOn hereon IS true and correct, alld I further cerllfy that any dnd all work performed shall be done m accordance WIth
the Ordmances of the CIty of Sprmgfield and the Laws of Ihe State of Oregon pertdmmg to the "ork deSCrIbed herem, and
thdt NO OCCUPANCY WIll be made of any structure WIthout permissIOn of the Commumty ServIces DlVlslOn, BUlldmg Safety
I further cerllfy Ihal only conlractors and employees who are m comphance With ORS 701005 WIll be used 011 thIS proJect
I further agree to ensure that all reqUIred mspectlOlls are requested althe proper lIme, thdt each dddre>s " reddable from tbe
street, Ihal the permIt card IS localed at the front 01 the property, and the approved set of plans WIll remam 011 Ihe SIte at aU
hmes dUflOg constructIOn
Owner or Contractors Signature
Date
Pa2e 2 of 2
225 Fifth. Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official ReceIpt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2007-01899
COM2007-0 1899
COM2007 -01899
COM2007 -01899
Paymenls
Type of Payment
CredltCard
cReLelOtl
RECEIPT #
2200700000000001886
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
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
ddk
o l570B In Person
Paymenl Tolal
Page 1 of I
1037 lOAM
Amount Due
7000
3 50
560
700
$8610
Amount Paid
$86 10
$8610
12/20/2007