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HomeMy WebLinkAboutPermit Electrical 2007-12-19 " 225 FIFTH STREET . SPRI~GFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTmCAL PERMIT APPLICATION COWl2.Do-r- OI't:$2- I fLO,CAli'oMOJ;"d-~~ALF:a;rlbN~'-~ :Jrf5....3~!rln~':J'~ LE~~ ()~ !2-f{)Oi;f CIty Job Number J~ DCSCRI;TION .)-(i"Y,('( , Permits '1 rl non-transferable and expire If work IS not st'1rtcd wlthm 180 days of Issuance or rfwork IS Suspended for 180 days :lec::~~:::~;;~Tf[1;;~Js Address Po 00)1. G q 7 CIty \t) flJ )-( Iv;})1 Phone 7 Y 7 -:;7 'J,c.j 47 J,J S Super. Isor LIcense Number Explf1110n Ddte / () ) J {) Constr Contr Number / 3lt Y 4 ~ Explf1110n Date / () / / D 'OVl"i~":'"'P;WWl~ Ownm N1\c Y f 0\ ( t0t~S Addro" N\b _5. ~=*'- 'Z.to CIty · ne /11-c,(p 7 ~ fall I g Jaw ~'I~es you to OWlNOfrt"'[U as ~d by the Oregon Utility I Cat ''Those rules are set forth The 'Tot OAlilc95i:il-1OO1g~ tI1rlll1WfirtllAR'1'I!;~-I(j@i_ IS no009J},dMJwmlliy,~WcfSj!J,es of the rules by calling the center (Note the telephone OwneftUlllblllUfGr the Oregon Utility Notification Center IS 1-800-33?-?~dd\ ..,~ .",,,,'",, ",.,,' "..,,,, ~ ~ Date ZON , INITIALS DATE J.n \ /) _lqS~~C7 ~~~ JjfG@l1ijU:bi1j,Jt.~E'SC!';H-'EDfJjjE:.tiEE(;)WJl!lJ!lti\,'!'~:lliltli1k,,'g;i. 3 ~~t;a.- &"~_I.l~$Ih"'h"""'W ",14 -~~L'~~ ,/ ~1t'Jt~i-.<<'';t1iWj",yo,10''*;(I^'"''-';l'ifj'MltR~~~~~4;:~~if.~''' A ~eslllerl~laJ;;r1~Hlg!~:~Jlll~!!!!!Y'P~!~!!lY~2W~.l>~~ Service Included 1000 sq ft orless Each addlllOnal 500 sq portion thereof I $11700 ft or $ 2100 Each Manufact'd Home or Modular Dwellmg Service or Feeder $5500 \ I rf:it;~f.igJ'h'l~<;F1lh<~1\#~-~!"'1.(t'-<4l"'~\~V~"1fli1f;':+Y~llIS B S.c?vlc"e'io"r~Feetlers,:-;!',lnslall.llon;\'8'ller~!Lw),qi'~sJ~aI10n: - 1t^_"<;..;Jlk><'k."=t1&sW:~\%"",,,u,t;'_ ,tj';lW\W_~%.1iIiI ~~ Klf"'h{;. / 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70 00 $ 83 00 $13800 $ I 80 00 $413 00 $ 55 00 70 c Ifrrt{If~~~4~lf~~itrmr~~d~l~s~ InstallatIOn, AlteratIOn or RelocatIOn 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D it!BfJ11{cW;CI'~its, 4$ rJ ~~~ $ 55 00 $ 76 00 $110 00 New Alter.ltIon or ExtensIOn Per Panel One ClrcUlt Each AddItIonal ClfCUlt or with ServIce or Feeder Permit $ 48 00 $ 400 ~~'Vtifi1~~if~\}:'jt&"%i:.rr.;:4~\iiiL;4t-~~~t~ E ,ll;lYIlscdlllneous (Serylce'/feeden,not",ncluileil)'dEacfi InsliiIlallOnl1i ~~\~"=''''''''_ti''''''''rtl!M<~~ilil>LUr'*^:>''~.1W~~~ Pump or Irrigation $ 55 00 Slgn/OutiIne Llghtmg $ 55 00 Llmltc~M1lfrct~eSldentIal $ 28 00 Llmlle~~~'JJE~;mmerclal $ 50 00 Mmlm,::~,~~T~f~ ~~Tn CI1~~5~~1I0~d~~I~les 4 ISr1B' ~. , , 'Iil!@ ,,' "..".... h ", ' ' R ..'-""l.....,.. 8% St'\\mrf\lmr{)AY PERIOD. ~.6 0 10% AdmllllstraYlve'f'ee "7.. t')D 5% Technology Fee -.; ._c; 1"\ ~c,. [0 TOTAL Shlued Drlve(T )/Bulldlng Forms/Electrical Permit ApplIcatIOn 7.07 doc CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED EXPIRES' VALUE: COM2007-01882 12/20/2007 12/19/2007 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 26 ASSESSOR'S PARCEL NO 1702330001200 SprlOglield TYPE OF WORK Electncal Work Only TYPE OF USE AlteratIOn ReSIdentIal PROJECT DESCRIPTION Service RepaIr Owner YEACK THOMAS J Address 205 S 54TH ST SPACE 026 SPRINGFIELD OR 97478 Phone Number 541-729-6676 I CONTRACTOR INFORMATION I Contractor Type Eleclrlcal Contractor BURRELL BROS ENTERPRISES INC License 136446 ExpiratIOn Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMA :nON, # ofUmts Primary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConslrucllOn Type # of Bedrooms # of Slorles HeIght of Structure Type 01 Heat Water Type Range Type Energy Path Sprinkled BUlldmg Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla , DEVELOPMENT INFORMATION' REQUIRED PARKING Front yard Setback Side I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Slreel Trees Rqd Paved Drive Rqd % 01 Lot Coverage Total Hdndlcapped Compact I PUBLIC IMPROVEMENTS,,' Sidewalk Type ATTENTION Orll.9.on law requires you to follovP~~Il!lijP'l'eaIBY Ihe Oregon Utility Notification Center Those rules are set forth In OAR 952-001-0010 through OAR 952-001- N'M)lICE: 'THE WORK 0090. You may obtatn copies of the rules by ." 1- f1,c(i1~"T c:u~,P1RE IF , df.lT calltnQ the center. INotf! thQ lolo,nk_n_ II Iou - ZED UNDER THI~ PI:t'lIVIII I~ number for the Oregon Utility NoliflCallon AUTHORI CEO OR IS ABANDONED FO~ ValuatIOn Descnohon I Center IS 1-800-332-2344) COMMEN D MIV 1 RO DAYTPERIOfDc $ Per Sq Ft Square Footage eSl'tlptlb"ll vpe 0 onstruclton It 1 B d A t or rou Ip ler or I moun Street Improvements Storm Sewer A vatlable Special InstructIOn Vdlue Date Calculated Pa2e I of2 Status Issued CITY OF SPRINLi1<U.LD I Building/Combination Permit PERMIT NO. COM2007-01882 ISSUED 12/20/2007 APPLIED. 12/19/2007 EXPIRES' 06/2012008 VALUE 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeclIon Lme Total Value of ProJecl Fees Paid I Fee DeSCriptIOn + 10% AdmmlSlralIve Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amount PaId Date PaId ReceIpt Number $700 $350 $560 $70 00 12/20107 12/20/07 12120107 12/20/07 2200700000000001873 2200700000000001873 2200700000000001873 2200700000000001873 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, inspections requested after 7:00 a.m. will be made the followmg work day. I Reomred I nsnectJons I Electric Service Approval reqUIred pnor to utIhty company energIZIng service By Slgnalure, I state and agree, that I have carefully exammed the completed apphcallOn and do hereby celtIfy Ihat all mformatlOll hereon IS true and correct, and I further certify that any and all work performed shall be done ID accorddnce With the Ordmances ofthe CIty of Sprmgfield and the Laws of the Statc of OJ egon pertaullng to the work deSCribed herem, and that NO OCCUPANCY Will be made of any structure WIthout permISsIOn of the Commumty Services DIVISIOn, BUlldmg Safety 1 further certlfy thaI only contractors and emplovees who dre 10 comphance wllh ORS 701 005 will be used on thIS proJect I further agree to ensure that all reqUIred mspectlOns are requested at the proper lIme, Ihat each address IS readable from the street, that the permIt card IS located at the front of the property, and tbe approved set of plans WIll remam on the site at all times durmg constructIOn Owner or Conlraclors SIgnature Dale Pa2e 2 of2 225 FIfth Street SprlOgfield, Oregon 97477 541-726-3759 Phone CIty of SprlOgfield OffiCIal Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2007-01882 COM2007-0 1882 COM2007-01882 COM2007-0 1882 Payments Type of Payment CredltCard cRecemtl RECEIPT #. 2200700000000001873 Date: 12/20/2007 DeSCriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdmlOlstralive Fee Paid By JOSHUA BURRELL Item Total Check Number AuthOrizatIOn Received By B.dch Number Number How Received ddk o 1570B In Person Payment Total Page I of 1 102920AM Amount Due 7000 350 560 700 $8610 Amount Paid $86 10 $8610 17/20/2007