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HomeMy WebLinkAboutPermit Electrical 2007-12-19 Date ZON~ INITIALS 6!.. DATE J' .~\ 1') 1_ ..,. SOURCE ~ I;) -I q -07 . ll5 FIfTH STREET. SPRINGFIELD, OR 97477 . PH (S41)726-3753 . FAX (54t)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number Wn2-lX>7- ,,'m Supervisor License Number Expiration Date / D ) J 0 Constr Contr Number /3 & ~ 4 ~ Expiration Date / () / / 0 ;\OG;;L"~~'~,,,-- '6-wners NNJe 0 (II V,' -5.l.mD Addre tJ.OS . 5Lt-\t^-~R) - b3~ IJq-Z,re~!J,?J)' ow ru e aopt a y the Oregon Ullllty Slgn/Outlme Llghtmg $ 55 00 OWN.No ttlE~ "pt,1Kf Those rules are set forth Limited Energy/Resldenlial $ 28 00 "J1l- tb:r- t~010through OAR 952-001- ~lrlT'I'i:. The mS~09n~/l'l\ff~r1!!~Mm Rf/JDe[\l' T own. which b LImited Cnergy/Oommerclal $ 50 00 IJtv Olure JUJt:~ y TLII(' n"'filll1IT ('b' I - - IS not II1teO!lmrf9r~\\!.e S1\'!~pr \~le the telephone M,OImum ElectriC PermIt Inspeen n'IEee lS)sslf(jj) If'Silr.<!Jlil~RK number for the Oregon Utility Notification 4 I/SUBTo':Ery~~E~~;":Im "I ..., I f'JOO Owners Slgnatur'Center IS 1-800-332-2344) " ~ - ~"""';'"'M"" ' ' ~ VI..' lVlIVl L11JlJ1: t ~ - 8% State SurchargR n 10% Admll\;l't;(,\'veq,eeAY PERIOD 7, 5% Technology Fee "7.,C;-V I Kfi;OCATli5N:bif:rN~rr4LJ;ii[{~""""T. .J (/5-::t?5'-?J'-/ft~-1f!)'U ., ~ L\?)til~~ro J~ DESCRl;TlON .:) "< tV, (y (A?D) !2--fDOI;r Permits are non-transferable and expire If work IS not started wlthm 180 days of ISsuance or If work IS Suspended for 180 days Fc6~1U3roRmvs'~m~ifieM1l>!m1 :Ie:~::l::::;::t:~'~fya :; 'y'~'/rWMf)> 0 S Address Po hl);!. & q 7 City ~ fiJf1 (V;j )YPhone fl7 - 2J},tj Lf77-}S CIty 3 IwC{)M.PU11?~DU:l5'Eiiir'offi'kl'4~ji~~'1Il'f:~<r7fl ~t+~k"'^"' """"",",' ",_",.,~,_,,",",,_",:;JlJ!:~'~"_U'~rl4~~~~,11 ~J'~0 I ;/ A ~'~;lltI{~I;e~:~J;t!~~M~1:t-I~xlPmjtiJ!ilfg'~~' Service Included 1000 sq ft or less Each additIOnal 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwelhng Service or Feeder I $11700 $ 2100 $SS 00 ~'~)F1iUt'j!1r;;~~'t"'~'iih~fj;'fi:~f{%1",1;'V"?:l1~l'I~^'fK-P~I4fl17l!i)i,l B Scivlccs ~~~ceacI1t~lns'titnation~l~lterations o~Reloca'tJ6n ~;€3 ~('"' ~"" if0li;~"'~"'ir,1a:~,~*ll.b\>&tli"'Z,f>Jh%~.;talltt;1t0.r.~"~1&.l.?:H<~-JiJ=" a,.4 I 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 $ 5S 00 70 EK::' 11?'f-Ni?!:"'M?>)~i'!,{,,"%lm:!K~'''1f1'1''\tr . C 'l'em]l<t~!!.J.lYli?~"v~~~~!j&!i;der Installation, AlteratIOn or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 55 00 $ 76 00 $11000 New Alteration or ExtenSion Per Panel One CIrCUIt Each Additional CircUit or with ServIce or Feeder Permit $ 48 00 $ 400 ~ ""';7M~r<':1jJi;':\o A"'1~r ':i~?CLSff4W~~S\f>f\:*T3f"""'~~ 4:Killiiif ''l!,-'4 -"f13";, ~ E r' M~'ccllllneous,{Servlcp/feedec,not:mclu'ded), TElICh' I nsflillation" ilu~~Jillit~~+~~,,+,-~( -'0J.i,QLati~$JlH~".emU,,:.r~~"~ 'w~~~<<.) Pump or Irrigation $ S5 00 TOTAL Shared Dnve(T )/Bul1dlng Forms/Electrical PermIt ApplicatIon 7-07 doc -~~ Status Issued 225 Fifth Streel, Sprmglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 205 S 54TH ST SPACE 50 ASSESSOR'S PARCEL NO 1702330001200 PROJECT DESCRIPTION ServIce Repdlr Owner DA VIS JOAN J Address 205 S 54TH ST SPACE 050 SPRINGFIELD OR 97478 Contractor Type Electrical CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2007-01889 ISSUED' 12/20/2007 APPLIED. 12/20/2007 EXPIRES: 06/20/2008 VALUE: Sprmgfield TYPE OF WORK Electrlcdl Work Only TYPE OF USE RepdIr Residential Phone Number 541-747-8432 I CONTRACTOR INFORMA TION , Contractor BURRELL BROS ENTERPRISES INC # of UOlts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIon Type # of Bedrooms Frontyard Selback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Street Improvements License 136446 ExpiratIOn Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION' # of Stories HeIght of Struclure Type of Heal Water Type Range Type Energy Path Sprinkled Butldmg nla Lot Size Sq Fllst Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq FI Other Occupant Load I DEVELOPMENT INFORMATION I Overlay DlSt # Slreet Trees Rqd Paved Drive Rqd % of Lot Coverage I PUBLIC IMPROVEMENTS I Stor"1.~.I\'T~~~atlable Specnl\lihsMtMlOn K THIS PERMIT SHALL EXPIRE IF THE WOR NolesAUTHORIZED UNDER THIS PERMIT IS NOT rnMM~Mr.m OR IS ABANDONED FOR ANY 180 DAY PERIOD DescnptlOn Tvpe 01 Construction ATTED!Q<<ilijl<@t"~j\lA'tm< requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090 You may obtam copies of the rules bv '''''''II~ 1I1~ cemer \1~OIe me telephone Inumber for the Oregon Utility Notification Center IS 1-800-332-2344) Square Footage or Bid Amount , yaluation DescrmtlOn $ Per Sq Ft or multIpher Pa2e I of 2 REQUIRED PARKING Total HandIcapped Compact SIdewalk Type Vdlue Date Cdlculaled Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2007-01889 ISSUED' 12/20/2007 APPLIED- 12/20/2007 EXPIRES. 06/20/2008 VALUE' 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of ProJect Fees Paid I Fee DeSCription + 10% Admmlstraltve Fee + 5% Technology Fee + 8% Stdte Surcharge Perm ServlFdr 200 amps or less Amount P dId Date PaId ReceIpt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12120/07 2200700000000001876 2200700000000001876 2200700000000001876 2200700000000001876 Tolal Amount PaId $8610 I Plan ReViews I To Request an inspectIOn call the 24 hour recording at 726-3769 All mspectJons 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 Reolllred rnsnectJons I ElectriC ServIce Approval reqUIred prior to ulthly company energlZlng servIce By signature, I slale and agree, Ihal I have carelully exammed Ihe compleled apphcatlOn and do hereby cerl,fy that all mformatlOn hereon IS true and correct, and I furlher cerltfy that any and all work performed shall be done 10 dccordance WIth the Ordmances of tbe CIty 01 Springfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be made of any structUl e WIthout permissIOn of the Commumty ServIces DlVlslOn, BUlldmg Safety I further cerltfy that only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS proJect I furlher agree to ensure thdt dll reqUIred mspectlOns are requesled at the proper time, that each address IS readable from the street, Ihat the 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 Owner or Conlractors Signature Date Pa2e 2 01 2 225 Flfttr Street Sphngfield, Oregon 97477 541-726-3759 Phone ir~' City of Sprmgficld Official Receipt Dcvelopmcnt Services Department Pubhc Works Department Job/Journal Number COM2007-0 1889 COM2007-0 1889 COM2007-0 1889 COM2007-0 1889 Paymenls Type of Payment CredltCard cRecelOt] RECEIPT #: 2200700000000001876 Datc 12/20/2007 Description Perm Serv/Fdr 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 o l570B In Person Paymenl Total Page 1 of 1 10 32 OIAM Amount Due 7000 350 560 700 $8610 Amount Paid $8610 $8610 12/20/2007