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Home My WebLink AboutPermit Electrical 2007-12-19 ZON lnu.-... INITIALS ~ . -&!.. DATE \H-.;L\. cy r IalI' SOURCE +/\ <t:Rfl--/ / J - / q -07 I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726.3753 . FAX (541)726.3689 ELECTRICAL PERMIT APPLICATION Cltv Job Number rhWl1.o07 -0 l~ ,J!!~3~~lfq~8f;~IW:3Er-- LE\1r1t~n i)~1 cD J~ DESCRI;TION 01 (V, {'f !2--f{)Oi;f Date 3 "tiQ~~Vif~~.g-ft~i;fL];;J1BP~ Permits arc non-transferable and expire If work IS not started wlthlO 180 days of Issuance or rfwork IS Suspended for 180 days ~F~P~'10',;'iBi'LifC'~$W$<1K~~M,-:tHt0;;=~ 2 (L!iP~]:',~f!11l.~I~L~P!!jtffl~NIJM" Electncal Contractor 7!) V r r '( / / (l) V 0 S Address Po hD)Z & q 7 CIty ~U f/J}1 (V;j)1 Phone lLJ 7 - JTJ,tj 47:J}S Supervisor License Number Explm'Jon Date /0) /0 Constr Contr Number /3 & Y 4 ~ Expiration Date / () / / 0 SI~t~T;llOgFI~M<' I U < ~ Owners Name =HoY-kn~ ~ QJJ.)'l)D Address AO~'5. ~~B\ CIty - hone ] ') & - CJLC/-; AT NTIO regon law requires you to OWi';I0JtICfIWsfA!Lli,\\<Rl'JNd by the Oregon Utility !follllcatlon Center Those r\!J~ oU""h The Ulb\:!I}\'H'WJ~ JmlwC11.M5 B?r8ro~fi OA~lW~"'nlCn IS n09mY\J1d-O.fo'rs,'Ir:" lease Rr renPY f 952-001- "~ o'J1] n'ily OUldl caples 0 the rules by O cal/ln(1 the center (Note the telephone wnerr ~",,"alufe , U '''-'''I ur the Oregon Ufll/ty Notlflcallon rontar ~:' ~ gOO 30: '2e.f~). , y lff.-f'0Ii<i!*rl0%*1f1F;v~'f4iB14f:'fi;';100z1W""'$*w'BM"~~~'f;!fTA~'jltfM't--~~~ A ,New,lteSldentldl''''Sm !g;ond\:luJII- a'PJIy,ll!~l,~~'1!gtul!lt~ Service Included 1000 sq ft or less Each additional 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder I $11700 $ 2\ 00 $55 00 , "iJi1!$l~~~3~'lfi~j\&1"!1kP'.lttPj1%i~;JJ.j~'~4~iMi:'ii'q~i~q!.r~M\1t*JWf~4t'i~f<"'! B iSchvlceslor Ii:ccUcr~'~llistallittljjli;;~tteratlons~o!l'Relocalton", '''#J.i'il,#m'"""u.~, "iilik4N~~l:r"%t1eJjf1. ;.h~1&t)i:ill'" / 200 Amps or Jess 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only fiR l'Sl]t"ffi~~'W!$j_""{r;;m1ttli%&'=1tiil;V'p\f11Itm Nit C ~:;r,~mPQlalyt$~ttXtC~~,tQt;JEeeaersjll1 ~" .,"" Installation, AlteratIOn or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D 70 $ 70 00 $ 83 00 $13800 $180 00 $413 00 $ 55 00 $ 55 00 $ 76 00 $110 00 New AlteratIOn or ExtenSion Per Panel One Circuit Ea(,h AddItIOnal CirCUit or With ServIce or Feeder Permit $ 48 00 $ 400 ~t:~~-~~~\'",~)eiltYw:".$l;e'P)P"If!E':rti" E J\'II~l!~.~S~'WJ~~~c,'liL~J~<if~Jj,\~~~!!W~~~,,2~tallatio'1 Pump or Irrigation $ 55 00 Slgn/OutllOe Llghtmg $ 55 00 Limited Ene';!ll;!Resldenlial $ 28 00 Limited ENIi~/K;!;;"erclal $ 50 00 Mmlmum ElectTfi!I/i\,P.6fllM1J;~/M.lJI".E~J$!lOlOd"- sh'&Mligf1;K 4 I1!S.'..UBT@:f)J,m~JIE'4f!i'~m~' IT (1L 11',\""",,,,_, ~t'P\Ie~~1V ".'C.V 8% State 'ii1\f'OilflMh I. ~(J 10% Admf11IMraYNe'pQ€\Y PERIOD 1.00 5% Technology Fee .7,. c:; t') <(,(P. lO TOTAL Shared DflVe(T )/Bulldmg Foons/Electrlcal PermIt Application 7 07 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01883 ISSUED 12/20/2007 APPLIED' 12/19/2007 EXPIRES: 06/20/2008 VALUE: 225 Fifth Street, SprmgfieJd, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 InspectIOn LlOe SITE ADDRESS 205 S 54TH ST SPACE 31 ASSESSOR'S PARCEL NO 1702330001200 SprlOglield TYPE OF WORK ElectrICdl Work Only TYPE OF USE Repair Residential PROJECT DESCRIPTION Service Repair Owner LEWIS HORTENSE M Address 205 S 54TH ST #31 SPRINGFIELD OR 97478 Phone Number 541-726-9182 I CONTRACTOR INFORMATION I Contractor Type ElectrIcal Contractor BURRELL BROS ENTERPRISES INC LIcense 136446 ExpiratIOn Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # of Umts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Slorles HeIght of Structure Type of Heal Water Type Range Type Energy Path SprlOkled BUlldmg Lol SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback SIde 1 Setback Side 2 Setback: Rearyard Setback Solar Setbacks Overlay DISI # Streel Trees Rqd Paved Drive Rqd % of Lot Coverage Total HandIcapped Compdct I PUBLIC IMPROVEMENTS I Slreel Improvements SIdewalk Type Storm Sewer AvaIlable ATTEt'fTAQfl!,J;lm~dllW reqUIres you to Spe '(!f'116~tlOn follow rules adopted by the Oregon Utility N I . IT SHALL EXPIRE IF THE WORK Notlflcallon Center, Those rules are set forth NOIJsHIS PERM MIT IS NOT In OAR 952-001-0010 through OAR 952-001- AUTHORIZ_E.D UNDER ^TH}~;;~m mR 0090 You ~~~~.~~al~ c~f.le~L ~f.t~erules by \JUIVIIVIC"v..[ 3R It; . ,ii., i!l.lhR!j tR~ ________ ,:W_n .__. ._._~I.-.._ ANY 180 DAY PERIOD I V I tOt rumber for the Oregon Utility Nollflcatlon a ua IOn escno IOn Center IS 1-800-332-2344). $ Per Sq Ft Square Foolage or mulllpher or Bid Amounl DeSCriptIOn Tvpe 01 Construclton Value Date Calculated Pa2e I of 2 CITY OF SPRINGl1ll'.,LD Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED. EXPIRES: VALUE. COM2007-01883 12120/2007 12/19/2007 06120/2008 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclton Lme Total Value of Project Fl'"'' Paul I II I'_ Fee DescriptIOn + 10% Admmlstratlve Fee + 5% Technology Fee + 8% Slate Surcharge Perm ServlFdr 200 amps or less Amount PaId Dale PaId $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20/07 Receipt Number 2200700000000001874 2200700000000001874 2200700000000001874 2200700000000001874 Total Amount PaId $86 10 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, mspections requested after 7:00 a m. will be made the followmg work day. I. ReOUlred In.nechons I Electric Service Approval reqUIred prior to utlhty company energIZIng servIce By SIgnature, I state and agl ee, that I have carefully exammed Ihe compleled apphcatlOn and do hereby cerllfy that all mformatlOn hereon IS true and correct, and I further cerltfy that any and all work performed shall be done 10 accordance WIth the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and that NO OCCUPANCY Will be made 01 any structure wlthoul permISsIOn of the CommuOlty Services DIVISIOn, Butldmg Sdfety I further certIfy Ihat only contractors and employees who are In comphance wllh ORS 701 005 WIll be used on thiS proJect [ further agree to ensure that all required IDspectlOns are requested lit the proper tIme, that each address IS readable from the street, that Ihe permit card IS localed at Ihe fronl of the property, and the approved set of pldns WIll remam on the SIte at dll times durmg construction Owner or Contractors Signature Date Pa2e 2 of 2 225 Fifth Street sprlOgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0l883 COM2007 -01883 COM2007-01883 COM2007-01883 Payments Type of Payment CredltCard cRecelnt] ~~ City of SprlOgficld Official Receipt Development Services Department Public Works Department RECEIPT #. 2200700000000001874 Date. 12/20/2007 DescnptlOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdminIstrative Fee PaId By JOSHUA BURRELL Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received ddk o l570B In Person Paymenl Total Page 1 of 1 1030 18AM Amount Due 7000 350 560 700 $8610 Amount Paid $86 10 $861U 12/20/2007