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Home My WebLink AboutPermit Electrical 2007-12-19 Date ZON \ ~tL INITIALS '[~ . Al>!.. DATE U.;..lI.0J- ~ SOURCE ~^<\sr / ;) -I q -07 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726 37S3 . FAX (541)7263689 ELECTRICAL PERMIT APPLICATION r1JmU>Oi- DI~RS ,)J~~!}Ii!jq~~~~~~~ LE\1D?~ O\u::D J~ DCSCRI;TION :) -( y V , ( '1 12 -f D Oi )' ( Supervisor License Numbel EXplrallOn Date /0 J J 0 Constr Contr Number /3 (; Y 4 ~ Expiration Date I () 1/ 0 3~GA:"'3';~ml) ~;:r::ss NQ'O /;;;J -{ ~ ~ ~() E k\1t:O!fi'~7;~i(s~~m~~ n~~~d~)~;I!!ti!~i CIty il~J\e;. _ Phone 1#10 -5 q7 } t SIgn/Outllne LIghting $ 55 00 Ii, l'l110.ti. Qregon law requires you 0 OWNERf6jibw'hJlG'~ ~<d'opted by the Oregon Utility LImIted Eni.l~y,fe~~~ntJaI $ 28 00 The Install/!ltmaatbs\~iOlJn;dgIQnTpIQr;ertyJI(ownrwhlchforth LIIllIted Cn~1g~tl~ommercJaI . . . . $ 50 00 . IS not IIlttnd:9',b.fqI9@l!',()~lrsntlrough OAR 952-001Mlmmum ElectrTn~r~~PrjW1c~~nA~~e r/fsolfo Ifsh~fhmJlil\ 0090 You may obtam copies of the rules by 4 lIJSlYBT01:~~' , \\AlliS NOT Owners SI~a1'1li1g the center (Note the telephone Ila"'''-'~''<~~' _ ~ '" _ JD--.Ef1~ .OD number for the Oreaon Utllitv NotJIlcatlon 8% State S'!-\ffrrg'(JO DAY PERIOD c:: . &",0 Center IS 1-800-332-23~4) 10% AdnlIOIstrahve Fee ~. 00 5% Technology Fee .!:!!;~ CIty Job Number , Permits .Ire non-transferable .Iud expire .fwork IS not started withIn 180 days of Issuance or If work IS Suspended for 180 days 2 ~7fk~&0R"NSFA11mm-0.Mt')~. Elec::::~:::::::~h~'~#';~J7~~-; 0 3 Address Po 00)1. (p q 7 City vJ fI )}uv; J)1 Phone 7 Lj 7 - J T)' t.j 47;)J S 3 ~MJ{l;,~~~'fEg:t?~mil~~}~i2ttl"~~ ./ ~~,j"L~7"rfllji~"lli_""-.:ff+'"~"'ri:!'il,_"~.dw,"~' A ~e,),t~~J!i\l~IU.t!Mii,-S2!lg!~~~l\j~'!.!,F-!!,!!!JlY.I1!'r,@~~llipgj~~~ Service Included 1000 sq ft or less Eaeh addItIonal 500 sq ft or portIon thereof " $11700 $ 2100 Each Manufact'd Home or Modular Dwelling ServIce or Feeder $55 00 ~.;m:;m;r'Jl;;il2'W~:U:Wf~*ik:W)J~~~~?iWACAd;~k{i"'~1",~\j~ B 1t~~,~S~~~=~!~~~[~~~,~~JtI~~~~~~~'lS!!!A911~~ / 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 , $ 70 00 $ 83 00 $13800 $18000 $413 00 $ 55 00 70 !!"""""''''''!'!'i\'-'''~:lf'-:':'r.~JiI!!J!fih\MlIll!'l!!I-;)l1IItiJlV~~1l!.~. C ~f.1Ltlin"p~qr1!!Yib!eU~~Q~t~fj1Rfeders @_ Installation, AlteratIon or RelocatIon 200 Alnps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D ~~~F~r!!j~t &^"~ ~ ~5 New AlteratIOn or ExtenSIOn Per Panel One CIrcuit Each AddItIonal CirCUIt or WIth Service or Feeder PermIt $ 55 00 $ 76 00 $110 00 $ 48 00 Pump or IrrigatIOn $ 55 00 TOTAL Shart..d Dnve(T )/BUlldmg Forms/Electrical Permit Application 7-07 doc -iiii:~ "" Status Issued CITY OF ~rt(ll'l/GFIELD I Building/Combination Permit PERMIT NO. COM2007-01885 ISSUED. 12/2012007 APPLIED. 12/19/2007 EXPIRES: 06/2012008 VALUE 225 F,fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe SITE ADDRESS 205 S 54TH ST SPACE 35 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK Electmal Work Only TYPE OF USE Repair ReSldenllal PROJECT DESCRIPTION Service Repair Owner BYERS BETTY LOU Address PO BOX 7754 EUGENE OR 97401 Phone Number 541746-5971 I CONTRACTOR INFORMATION I Contractor Type Electncal Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # of Umls Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stories Height of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldmg Lot S,ze Sq Ft 1st Floor Sq FI 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I FlOntyard Selback Side I Setback Side 2 Setback Rearyard Setback Solar Setbacks Overlay Dlsl # Streel Trees Rqd Paved Drive Rqd % of Lot Coverage REQUIRED PARKING Total Handicapped Compact I PUBLIC IMPROVEMENTS I Street Improvements SIdewalk Type Storm Sewer AvaIlable A~tYlIl\l~ralOs SpCClalInstructwn gon raW requires you to NOTlet;. follow rules adopted by the Oregon Utility N THIS PERMIT SHALL EXPIRE IF THE WORK Noliflcatlon Center Those rules are set forth oles S PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- ~IITl--lnRI7m UNDER THI OO!lO Ynll m~l' nhto,n ~no n"~_ ...,__~__ GOMMENcED OR IS ABANUUNt~ ~'-'- I calling the center (Note the telephone" -\NY 180 DAY PERIOD I ValuatIOn DescrmtlOn number for the Oregon Utility Notification Center IS 1-800-332-2344) $ Per Sq FI Square Footage DescriptIOn Type of ConstructIOn It I B d A t Value Date Calculated or mn lp Jer or I moun Pa2e I of2 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED EXPIRES VALUE COM2007-01885 12/20/2007 12/19/2007 06/20/2008 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect Fees Paul I Fee DescnptIon + 10% AdmmlStrattve Fee + 5% Technology Fee + 8% State Surchdrge Perm ServlFdr 200 amps or less Amount PaId Date PaId ReceIpt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12/20107 12/20/07 2200700000000001875 2200700000000001875 2200700000000001875 2200700000000001875 Total Amount PaId $8610 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 workmg day, mspectlOns requested after 7.00 a.m. Will be made the followmg work day. I Rem I -ed Tn snectio' <, I 11.' hllll 1111111 fl Ini Electric Service Approval reqUIred prior to utthty company energIZIng servIce By signature, I stdle and agree, that I have carefully exammed the completed apphcatIOn and do hereby cerllfy that all mformatlOn hereon IS true and correct, and I furtber cel tlfy tbat any and all work performed Shdll be done 10 accordance wltb the Ordmdnces 01 the CIty 01 Sprmglield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and that NO OCCUPANCY wIll be made of any structure WIthout pel miSSIOn of Ihe CommuOlty ServIces DIVISIOn, BUlldmg Safety Ilurther certify that only contractors and employees who al em comphance Wllh ORS 701 005 Will be used on thIS proJect I further agree to ensure that all required mspectIOns are requested at Ihe proper tIme, that each addre>s IS readable Irom 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 Conlractors SIgnature Date Pa2e 2 of 2 225 FIfth Street Sp'rIngfield, Oregon 97477 541-726-3759 Phone City of SprIngfield OfficIal Receipt Development Service, Department Pubhc Works Department Job/Journal Number COM2007-01885 COM2007-0 1885 COM2007-01885 COM2007-0 1885 Payments Type of Payment CredltCard cRecelOtl RECEIPT #. 2200700000000001875 Date. 12/20/2007 DescnptlOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Admmlstratlve Fee Paid By JOSHUA BURRELL Item Total ChClk Numbcl AuthOrizatIOn Received By Batch Number Number How Received ddk o 1570B In Person Paymenl Total '" Page 1 of I 1030 57AM Amount Due 7000 3 50 560 700 $8610 Amount Paid $8610 $8610 ( 12/20/2007