HomeMy WebLinkAboutPermit Electrical 2007-12-19
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225 FIFTH STREET . SPRI~GFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTmCAL PERMIT APPLICATION
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CIty Job Number
J~ DCSCRI;TION
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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
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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\
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.",,,,'",, ",.,,' "..,,,, ~ ~
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'~~
,/
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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