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
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;/
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