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Home My WebLink AboutPermit Electrical 2007-12-19 .. .--- ~ w, lX)lJ - ~. ~1~~AL~S)~\. - J , ~ SOURCE - - Date /;) - / q -0 7 . . . . ~ _ 0 . F~ ~ ,..~~" I!i_ ,~~ ~_ ,,' : '-(9I~r~~J~~~~~Sl,;~1~!?J/;~:2,!{,~(iJ~<i1~>.',;\,,:~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number r.om~ol,.....()lqOD ,J!5~5q~~~~~Wfj~ 3 L\~ ()~Jf.ro 0 ~Q.C:O - J~ DESCRIPTION :)'1 rv,'{y !2---fOOi;f , Permits are non-transferable and expire lfwork IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 ri~mM$~AlIfi~~ Electrical Contractor h V r r Y J I p) V 0 .s Address Po 00'). & q 7 CIty ~ fI Jf -( (V; J )1 Phone 7 Y 7 - ') 7 ') t.j 47 J/ S Supervisor License Number EXpiratIOn Date j () ) J () Constr Contr Number / 3 {; tj 4 ~ ExpiratIOn Date / (j / / D InspectIOn Request 726-376~ 0 CO 0v\) rI!f111f-i'EE!jiB:Fjj;E7SCH;viff}E/t}iEE-W,.';~~t.'jf;,\!'I; ..~".. . ~ ~,~.;&,""'~ ,~:!J';"~~!7",,~~g~Vfr:;n;&tA1f4~ ;/ ~~"",~"",:~_~,,,,,~,,,,"!:,,,,,.e"!Iii~--I;'ll!I'>C'I\ID!.> A ~~~~~!iI_~lJJI~!h;A..~.mg'~!illiu!a;il!!!!!'!!YIPiftl!lJ:iill!)i~~!lE ServIce Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof I $11700 $ 2100 Each Manufact'd Home or Modular Dwellmg Service or Feeder $5500 li~~'wrW:";If~fl1.w'7i*PXRii#~~ I it 4';" ~l'N~~;~~Cr~$i1~~ B Scr:~~19m\;iW~ifu~~,~!itl!!Mu~~~9Il~&~~~~~lwn' ~1 / $ 70 00 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/Volts Reconnect Only C Installation, Alteration or Relocation $ 55 00 $ 76 00 $11000 $ 48 00 $ 400 $ 55 00 Pump or IrngatIOn rr. ,\"11 e" Slgn/OutlmelAgHtmg . $ 55 00 IH1e: PF.onl/:rS . Limited EnergYiceSlaenllal, HAll I='XD'n~ 28 00 'E . Au n 110'1 ',l:lr IN 'v Limited Energy CbJPm6rClal UNDER nile: r$c50 OOr /_ VUKK l,l.!.!VIM/:~'('j:n n , r LnlVlI ;) IIII! j MIOImum ElectnSy'~ijiln'~f~spec{,'on Ree'I~$~Qi9P ;\lSurcharges 4 m?il1<':tIf0'''~lJ,'-' "U ~~O.CO 8% State Surcharge 5. ~ 10% Admmlstrallve Fee {. nD 5% Technology Fee~_ Q) TOTAL AID Shared Dnve(T }/BUlldlng FonnslElectTlcdJ Penmt Application 7 07 doc -r'...'n~ ~d\I 1 IIIII1Ii: Status Issued 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe SITE ADDRESS 205 S 54TH ST SPACE III ASSESSOR'S PARCEL NO 1702330001200 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01900 ISSUED, 12/20/2007 APPLIED. 12120/2007 EXPIRES. 06120/2008 VALUE. SprlOgfield TYPE OF WORK Electrical Work Only PROJECT DESCRIPTION ServIce Repair Owner Address PROCIW ELIZABETH MYRTLE 205 S 54TH ST SPACE 111 SPRINGFIELD OR 97478 TYPE OF USE Repair ReSldenlldl Phone Number 541-744-3335 I CONTRACTOR INFORMA TlON I Contractor Type Electrical 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 Construcllon Type # of Bedrooms # of Stones Helghl of Struclure Type of Heat Water Type Range Type Energy Path Spnnkled BmldlOg nla Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Cdrport Sq Ft Other Occnpant Load I DEVELOPMENT INFORMATION I Frontyard Selback SIde I Setback SIde 2 Setback Rearyard Setback Soldr Setbacks . Overlay Dlst # Streel Trees Rqd Pdved Drive Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvements Storm Sewer A vadable Spec,"1 Inslr;u,tlOn c:, PERMIT SHALL EXPIRE IF THE WORK Noles, rl-:ORIZED UNDER THIS PERMIT IS NOT n 1 ~ '':'cr ~r. I: A::X\FCEXlE: :-X nl~Y 180 DAY PERIOD I Valuation DescrtotlOn Descnptlon $ Per Sq FI or multiplIer Square Foolage or BId Amount Dale Calculated Tvpe of ConstructIOn Pa2e I of 2 REQUIRED PARKING Total HandIcapped Compact SIdewalk Type ATTEm\,lQl)loQSffiP.nJ~ requires you to follow rules adopted by the Oregon Utility NotificatIOn Center Those rules are set forlh In OAR 952-001-001 0 Ihrough OAR 952001- 0090 You may obtain copies of Ihe rules by H.' '('-'_-'-~ .L'__ J.~'__L..___ VU""'lj ,,'... ........f...., .'\_-_. - --- -, - - I number for the Oregon Utility Nollflcatlon Center IS 1-800-332-2344) Value Status Iss u ed CITY OF SPRINGJ:<lJ:<;LD I Building/Combination Permit PERMIT NO' COM2007-01900 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 InspectIOn Lme Total Value of Project Fees Paul I Fee DescrlpllOn + 10% AdmlOlStl atIve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Paid Date PaId ReceIpt Numbel $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20107 220070000000000]887 2200700000000001887 2200700000000001887 2200700000000001887 Total Amount Paid $8610 I Plan Reviews I To Request an mspection call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00 a m will be made the same workmg day, mspectlOns requested after 7 00 a m. will be made the followmg work day. I Re'1111red Insnecttons I FlOal Electric When all electrical work IS complete By signature, I state and agree, Ihal I have carefully examlOed the completed apphcatlOn and do hereby certify Ihal all IOformatlOn hereon IS true and correct, and Ilurther certIfy that any and all work performed shall be done m accordance With the OrdlOances ollhe City of SprlOgfield and Ihe Laws of the State of Oregon pertdmlOg to the work described herelO, dnd that NO OCCUPANCY will be made of any slruclure WIthout permissIOn of the Commumly ServIces DIvIsIOn, BUlldlOg Safety I further cerllly that only contractors and employees who are 10 comphance With ORS 701 005 WIll be used on thiS ploJect I further agree to ensure that dll reqUIred IOspectIons are requested at the proper tIme, that eacb address IS readable from the streel, that the permIt cdrd IS located at Ihe front of the properly, and the approved sel of plans wIll remdlO on the SIte at all times dunng constructIOn Owner or Contraclors Signature Dale Pa2e 2 of 2 225 Fifth-Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~ City of Sprmgficld OffiCial Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1900 COM2007-0 1900 COM2007-0 1900 COM2007-0 1900 Payments Type of Payment CredltCard cRecemtl RECEIPT #- 2200700000000001887 Date. 12/20/2007 Description Perm ServlFdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdmlOlstratlve Fee PaId By JOSHUA BURRELL Item Total t:heck Number AuthOrization Received By Batch Number Number How Received ddk 01570B In Person Payment Total Page I of I 103731AM Amount Due 7000 350 560 700 $861U Amount Paid $86 10 $861U 12/20/2007