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Home My WebLink AboutPermit Electrical 2007-12-19 B PR'NOP'....O ~ ZON ~ ~ rNITIAL. DATE \ .rTl . .. ~ SOURCE'1J\'("~"';- Date I;) -I C) -07 ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (S41)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ('f)fV12.DDi- 0 r'f!,q 0 I WiJ'.(jeA'i;ii5Nli5f;IN~rjftre-;iiJ(ij'N!' ) O~S-::t~5"qtf}~ " . . n~11f) LE~ttm~~) J~ DESCRI;T10N .) 1 rv, ('f 12 -f DrA;f Permits are non-transferable nnd expire If work IS not started wlthm 180 days of Issuance or Rfwork IS Suspended for 180 days ~m~cIT'@R~s:fnm'~.OM@lJ1 :lec::~~c:::~~::.h~ ;'~'~";)~?) V OE 5 Address Po b 0 )Z & q 7 CIty tV f1}f1 yv;} J-r Phone 7 t.f 7 - J 7)'-J- Lf7J}S Supervisor LIcense Number Expiration Date / D / J 0 Constr Contr Number /3 & lj 4 ~ ExpIration Date I (j / / D ''"n~;~'''"F)~, ~j nersName S m J'1h ISlQ.nio-' Ad9ress~OS . ~~~\ " -,,'v", "r<,onl" <r~. 7 fnll "e City' l" j,.) IJ _ l\hJtll rl..-c.' , n t...ent~ f - In OAR 9 ?-n 1 .0 e rules are set forth QWNER I ST~d~1 0INough OAR 952-001 vV IUuITJay obtaln.C;QRles tth - The' I1istaUatiop !fu9!l\!)~ mlWtgn lJ{~petty f\!Wfi l1I\1ich ISIOOtlln4;ndffi f9f(f't!Ji,JrMft '('jM,f~ ~e'ephone Center IS 1-800_332_134~)tlf'catlon Owners Signature . ,..,~.. ,~"." """, ~ ~ CO'IP 3 ~6-~~)]J)tEIJiEE'SGI1EbUDE4IEir@i1rl"'''''."':li'Il;l,,~~ ~^,,~ ,""~,","~"<~,~"r,-,,,;J"d:ll%""""~(~' "''''~"'',"~:J''~'~~Zi-~~~ y 1l:i'1'''"''''4''."....u~-~''''"'"'''''~'''''~~-._-B' A m~~-'5-~1!.l!,eJ\~-;_f;t\9g!~~Qr,M!lI!~.d},1niJ peiJt!l.!te1!!,l!g!!ID1~" , 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 $55 00 B ~tl!~~~1~rF~~d~~~fI~ti~h~~~1tmi~~~!RMg~hC~~ ~ ~i-! :N~~iIM~€n" A<<fW'~Jtffi\'-iJl~M".M"ilii~~1l.,re41r~"",1;.;"'hy4_l+"wa / $ 70 00 7 0 $ 83 00 $13800 $18000 $413 00 $ 55 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only c ltiE$mIf~m~~;~'elll~_~;~l8l Installation, Alteration or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55 00 $ 76 00 $110 00 Over 600 Amps or 1000 Volts see "B" above D i!r[l,!t.cll~..i New AlterJtlOn or ExtenSIOn Per Panel One ClfcUlt Each AdditIOnal ClfCUlt or with Service or Feeder Permit $ 48 00 $ 400 t:~~Y'2"'1~~qfk~,Al:;':1&Jt;c1tlft,*~~k(hf:;,~~tw4J)I:'?'ITif..%'f*",,-rf1tf. * 1., E '~~~~11a~~~~?~h(~~l5~(~~C!~~1l~l?J~ll!1!ejl)~~~~tid:l1~4!fJ.ton~ Pump or IrrIgatIOn $ 55 00 Slgn/Outhne LIghtIng $ 55 00 Limited EnMam~li!enttal $ 28 00 LImited EniiEhl~qef!i.\t('itrj'aSHALL ::;(:'H}~~FO ~r: \'\I~I-IK Mmlmum Elect ~cJl?H!l\IlILlIlillec 0 11 e 0 urchIn' es 4 ~~rq:f;J2!Ir1~, ~ '. ,: ,IT IS .2b 8% State %r ha Y PERIOD '. b 0 10% AdmInlStrahve Pee -'{.1'fJ 5% Technology Fee ~. ~ ~.ID TOTAL Shared Dnve(T )IBUlldmg FormslElectncal Penmt ApplicatIon 7 07 doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2007-01890 ISSUED. 12/20/2007 APPLIED. 12/20/2007 EXPIRES. 06/20/2008 VALUE 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe SITE ADDRESS 205 S 54TH ST SPACE 51 ASSESSOR'S PARCEL NO 1702330001200 Sprmgfield TYPE OF WORK Electrical Work Only TYPE OF USE Repair ReSIdentIal PROJECT DESCRIPTION Service RepaIr Owner Address SMITH SYLVIA 205 S 54TH ST SPACE 051 SPRINGFIELD OR 97478 Phone Number 541-914-4457 I CONTRACTOR INFORMATION I Contractor Type Electrlcdl Contractor BURRELL BROS ENTERPRISES INC License 136446 ExpIratIOn Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION' # of UOlls Pnmary Occupancy Group Secondary Occupdncy Group Pnmary Construclton Type Secondary ConslrucllOn Type # of Bedrooms # of Stories HeIght of Structure Type 01 Heat Water Type Range Type Energy Path Sprmkled BUIld 109 Lot Size Sq Ft I sl Floor Sq Ft 2nd Floor Sq FI Basement Sq Ft GaragelCarporl Sq Ft Other Occupant Load nld I DEVELOPMENT INFORMATION I Frontyard Setback Side I Setback SIde 2 Setback Redrydrd Setback Solar Selbacks Overlay Dlst # Streel Trees Rqd Paved Drive Rqd % 01 Lot Coverage REQUIRED PARKING Total Handicapped Compact I PUBLIC IMPROVEMENT~FENTION Oregon law requlI es you to S TOIIOW pLIes a~d by the Oregon Utility tree fo. ments 'SHn a f-toT.u'f. RE IF THE WORK Notification ~n YfWbse rules are set forth Stor"T~'!l'<!tEW\lnitH.HALL EXPI T In OAR 9!i1"Milaspe\lWJ)/jlffi\l~h OAR 952-001- Specl'l-l'~mrn'il~ UNDER THIS PERMIT IS NO 0090 You may obtain caples of the rules by MENCED OR IS ABANDONED FOR calling the center. (Note the telephone Notes.cOM \l PERIOD number for the Oregon Ulillty Notification ANY 180 DJl;, . Center 1& HI00-332-2S44). ~-.~,x-'TFt'- I Valuation DescrlOtlOn I ... - ,I........ ~ , t < ..J-..~, oJ '.. n;. "lt1<,I(",.. ~ DescriptIOn Tvpe 01 Construclton $ Per Sq Ft or mulllpher Squal e Footage or Bid Amounl Value Date Calculated Pa2e I of 2 __.O"~ ~.I CITY VI' I'lt'KINGFIELD. Building/Combination Permit Status Iss u ed PERMIT NO' COM2007-01890 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 541-726-3769InspecllOn Lme Total V dlue of ProJect Fees Paid I Fee DeSCriptIOn + 10% AdmmlStrallve Fee + 5% Technology Fee + 8% State Surcharge Perm ServlFdr 200 amps or less Amounl PaId Date Paid ReceIpt Number $700 $350 $560 $70 00 ] 2/20/07 12/20107 12/20/07 12/20/07 220070000000000]877 2200700000000001877 220070000000000]877 2200700000000001877 Tolal Amount Paid $8610 I Plan ReViews I To Request an mspectlOn call the 24 hour recordlOg at 726-3769. All mspectlOns requested before 7'00 a.m. will be made the same worklOg day, mspectlOns requested after 7 00 a m Will be made the lollowlOg work day. I ReQUIred I nsneettons I Eleclnc ServIce Approval reqUIred prior to utlhty company energIZIng servIce By signature, I state and agree, that I have carefully exammed the compleled apphcatlOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance With the Ordmances of the CIty of Sprmgfield and the LdWS 01 the Stale of Oregon pertammg to the work deSCribed herem, and that NO OCCUPANCY wIll be made of any struclure WlIhoul permissIOn of the Commumty ServIces DIVISIOn, BUIld 109 Safety I lurther certify thdt only contractors and employees who are 10 comphance With ORS 701 005 WIll be used on thIS proJect I further agree to ensure Ihat all reqUIred mspectlOns are requested dt the proper time, that each address IS readable from the street, tbat the permIt card IS located at the fronl of the property, and the approved set of plans WIllI emam on the SIte at all times dUring constructIOn Owner or Contractors Signature Date Pa2e 2 of 2 . 225 Fifth Street Spr(ngfield, Oregon 97477 541-726-3759 Phone City of Sprmgficld OffiCial Receipt Development ServIces Department Pubhc Work, Department RECEIPT # 2200700000000001877 Date 12/20/2007 10 32 56AM Job/Journal Number COM2007 -01890 COM2007-01890 COM2007-0 J 890 COM2007 -01890 Description Perm ServlFdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments Type of Payment Cred ItCard PaId By JOSHUA BURRELL Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received Amount Due 7000 350 560 700 $8610 Amount Paid ddk OJ 570B In Person Payment Total $86 10 $8610 cRecelOtl Page 1 of I 12/20/2007