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HomeMy WebLinkAboutPermit Electrical 2007-12-19 . ~ v' . ."~CiJ!~"~E S:QRJIN~JiiEJ~D7iQRE.Q~~~:~~~::: ..J -!reli%ti ~<t lw" .. H_ 'M .1". "~"i..$iX,,;ir""'; "';l~!-~ :....;>;..~ ): i.~ 1.'1; . ,t~~N SPRINo,PlllLD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726 3753 . FAX (541)7263689 ELECTRICAL PERMIT APPLICATION CIty Job Number (' j)m 2.D07 - 0 1 qo I ,J O~SQ~JtffliJJ1'1:I1ftN:" ( ()\1.fi) LEGAL DESCRIPTION \l[)L..~Y) J~ DESCRIPTION 01rVI'r'f 12--f{)O\;r , Permits are non-transferable and expire rfwork IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 ~~~~~~mJiJ!<ir~~ ElectrIcal Contractor h V r r Y J J h V 0 S Address Po ho)l. (p q 7 City vJ ~Jt1YV;/ )-(Phone 7LJ 7 - J7')tj 47;)} s Supervisor License Number ExplTatlon Date /0 J J 0 Constr Contr Number /3 U Lj 4 ~ ExplTatlon Date / (j / / 0 6n~"m~~, Owners Name (1 Oi rn [) by J In \ Addres~L~0A;,: \9\.~ CIty I !t ~h:tJgJi~l{)i?- ~ se ~~-:.JG{f{1{ 0090 '\1, 52-00 - 010 throuru es are settor~ OWN1j:R/INSP'..ffiIDAimWlh CO gh OAR 952-001 '" ng the cc~ Pies of th r ,I - The Iflttal@\J\llJ'6J ~~r \if.d~ontRrojJ\'ettJJ@Wh wRleI)' IS not mtended eWtsal%, ase(jnr~Jli'Ity N ephone ~ " er IS 1-800-332' otlflcatJon -2344) Owners Signature 1I"";';.cr;;-:1.'Yi'E~~"7';;;S'r,.'H.'E--D"~'E,~--,,,,,,,,'.Itlt4ljll!!1!!;!!1ll!K~,'1I w 3 ~~~,l;-'2__,;!.w:IJ.-!';__'i:__ ____<', ;all!'Rl~ .7 1l~-!!ii0IIi~--~'i'!1il~"-ll<m.._~l'lI1-,,'.""""~""'_ A ~~F-j~ij!'.l!~S.!l1.g}Ja:l!t-lM\!!Jg,Fn.!!IJIl\lP-tl;:l!~':!!!!lgJ.l!!.\!;~ ServIce Included 1000 sq ft or less Each add1l10nal 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwellmg ServICe or Feeder I $11700 $ 2100 $55 00 ~~~i'!t:r'o/Si'\f~~iiij1iii*WfW:!Si1W;Z~~'~'lW'''N';:k,j~~~,:q~,"1\tii)W'~:~ B ~J1~!~~fu9~~~~~~d1&~!l~~~e~iQ,~*ll.~,tg(~F It ~ / $ 70 00 7 0 $ 83 00 $13800 $180 00 $41300 $ 55 00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only c ITrnlf~!HWl%Raif~'lRnC:JiI)if~~~:wcrt14t_k~~~~~~ ~!~qtRq<t~J8~*~"~a~~~e.~~P1i.,.tkltfrs I ~~'%~'B.~{;ili:Ji.1iifi:~.ED 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 $ 55 00 $ 76 00 $110 00 New Alteration or ExtenSIOn Per Panel One ClfCUlt Each AdditiOnal CITCUlt or with Service or Feeder Permit $ 48 00 $ 400 ~ '~'""^'", ~~~?pq~dfl*h~'<t;TF1{li$;.'fh,2!~1'""jfi:j~;~@;;Yiif.~~ ,lScell nco,us'(Serv'ce;t=~.U~'!e~!l~~l!it@iliE}j:!!SltJ!!I,;~~ Pump or Irrigation $ 55 00 Slgn/Outhne LIghtmg $ 55 00 Limited Energy/Resldentlal $ 28 00 Limited Energylt!o';\,1ife'?cfal $ 50 00 Mlmmum ElectrIC plM/ff mE;~Ctl~n F: ee IS $50 00 + Surcharges 'j}:" 4 S&B!l:(;rr'r.ml i ~~' "i@l ~"--:Il ' --.' '!7t1J. ti>{j), K ~ 8% State Surch'iirge VI CED OR IS ABA en nil/ T , 10% Admmlst~L1e FglJ DAY PERIOD NDO,vt ,lOO 726-37R~~ t\~'JfA ::::c~nOIOgYFee :z:~T6 ~ ~r(\U'- \ Shared Dnve(T )/Bulldlng FormslEleotncal Pe",,1l AppllCalloo 7 07 doc lbiP Inspection Request Sta tus Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-01901 ISSUED 12/20/2007 APPLIED: 12/20/2007 EXPIRES' 06/20/2008 VALUE 225 FIfth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 205 S 54TH ST SPACE 114 ASSESSOR'S PARCEL NO 1702330001200 Sprmgfield TYPE OF WORK Eleclrlcal Work Only TYPE OF USE Rep31r Resldenllal PROJECT DESCRIPTION ServIce Repair Owner CAMPBELL FRANCE M Address 573 S 67TH PL SPRINGFIELD OR 97478 Phone Number 541-736-3028 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' # of UOltS PrImary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stories HeIght of Structure Type of Heat Water Type Range Type Energy Palh Sprmkled BuJldmg Lot Slle Sq Ft 1st Flool Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Olher Occupant Load nla I DEVELOPMENT INFORMATION I Front yard Setback S,de I Selback S,de 2 Setback. Rearyard Setback Solar Setbacks Overlay DISI # Street Trees Rqd Paved Drive Rqd % of Lol Coverage REQUIRED PARKING Total Handicapped Compact, I PUBLIC IMPROVEMENTS I Street Improvemenls Sidewalk Type Stor"l\,Se'rec~vallable AnEH'lmI\P~f~~lfll1flt\v reqUires you to Specl~J 'r'nsl.cucfion I HI;' t-'I:RMlt SHALL EXPIRE IF T follow rules adopted by the Oregon Ullllty HE WORK Notification Center Those rules are set forth Notes!\UTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ARAMnmlm mD 0090 You m8\1 ohtAI~ r"'1'9f. nf the ""po '"I\, ANY 180 DAY PERIOD I I calling the center (Note the telephone V aluation Descn~tlOn number for the Oregon Utility Notification Center IS 1-800-332-2344) $ Per Sq Ft Square Footage or multlpher or BId Amount V dlue Ddte Calculated DeSCriptIOn Tvpe of ConstructIOn Pa2e I of 2 _._....~. ~ .~.. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01901 ISSUED: 12/20/2007 APPLIED, 12120/2007 EXPIRES: 06/20/2008 VALUE: 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspecllOn Lme Total Value of ProJect Fees Paul I Fee DescnptlOn + 10% AdmlOlstrallve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount PaId Date PaId $700 $350 $560 $70 00 12/20/07 12120/07 12120107 12/20/07 Recelpl Number 2200700000000001888 2200700000000001888 2200700000000001888 2200700000000001888 Total Amounl PaId $86 10 I Plan ReViews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00 a m. will be made the same working day, IDspectlOns requested after 7:00 a,m. will be made the following work day. I Reolllred I nsnecltons I ElectriC Service Approval reqUIred prIor to ullhty company energIZIng service By Slgnalure, I slate and agree, that I have carefully exammed Ihe completed apphcatlOn and do hereby cer"fy thaI all mformatJOn hereon IS true and correct, and I further cer"fy that any and all WOI k performed shall be done 10 accordance WIth Ihe Ordmances of the City of Sprmglield and the Laws 01 the State of Oregon pertdmmg to the work deSCribed herem, and that NO OCCUPANCY WIll be made of any slruclure WIthout permIssIOn 01 the CommuOlty Services DIVISIOn, BUlldmg Salety I further cer"fy thdt only contrdctors and employees who are 10 comphdllce WIth ORS 701 005 WIll be used on thIS proJect I further agree to ensure that all reqUIred mspectlOlls are requested at the proper lime, thdt each address IS redddble Irom the street, that tbe permIt card IS located at the front of the property, and the approved set of plans will remam on the SIte at dll times dunng constructIOn Ownel or Contrdctor> Slgndture Date Page 2 of2 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OffiC131 Receipt Development ServIces Department Pubhc Works Department Job/Journal Number COM2007-01901 COM2007-0 190 I COM2007-0l90l COM2007-01901 Paymenls Type of Payment CredltCard cRecemtl RECEIPT #. 2200700000000001888 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 Check Number AuthOrizatIOn Received By Batch Number Number How Received ddk 01570B In Person Payment Total Page 1 of 1 1037 54AM Amount Due 7000 350 560 700 $8610 Amount Paid $8610 $8610 12/20/2007