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Home My WebLink AboutPermit Electrical 2007-12-19 ,~ -, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPliCATION (' AJrv1 2.lm1-ag'l ( ,J!5~g~wii~SPlJ;Vfft~ CIty Job Number LEGtUYZ~~O() () l?JiJ J~ DESCRIPTION .) 1 rv,'('1 !2-fOOi;r . Permits are non-transferable and expire If work IS not started wlthm 180 days of Issuance or lfwork IS Suspended for 180 days ~-1~~;;@;i"'*!W'74mlv'\ffT~!!!j~~-m 2 ~9JY1]lM-!2!J,f2JJ/'lliflil-~~:erql!fj,l!lN. ~ Electrical Conlractor B V r y Y / I 72) V 0 S Address Po hOy (PC) 7 CIty ~ flJt1 (V;j )jphone fl7 - X1)'-/- 47;))S Supenllsor License Number ExpiratIon Date / () ) J () Constr Contr Number /3 & Y 4 ~ ExpIratIon Date I () / / 0 ~O~I;:""'P;'~L Owners Nam" Po J / tV d Address ()l[)t; c;, ~~[d2~ CIty - ~ hone .Vl/-:Zl- O,~5 7 ulres-li ~ . ATTENT! N Oreg ~it1e Oregon Utility f '!l<nll! is-'tl'rules are set forth N~~Cl\'\2Ua~~efJ;~~1!Jgtoo<l\ljhCjj~e~gQk whIch mQ.\\fi\, ?,!fid(, 'cMti\'ilIll"JI'lIG6reMlle ru es oy 0090 au m (Note the telephone ~l!tllS~\\~W~:~gon Utility NotificatIOn number€S~1.?' ,~ 1-800-332-2344), , Date 3 fl(f@MFDJJ'11ifEEE"W(}Ir'"-l'i'z'mlFEi1@rn":,;\\'1llm;M&,'Ilrib1il!'! ~j~11AM~_0.~~"",w",,,~,.E!>~~..lo..lS1;'iY'&)':~-~~~ ./ rl(F~"~U4Pit'1k~"'''~'~ti~WllWk~l<'''f4:'~,*:~~~r'i-~{ff~-' A ~ti,~l,Vll1!'~I~,e~:.'.!&,*$.'!1g!'-'!0,~0M\1J\!';.~:;f!'lilY~IlW.i!~~I,!!!!g~i;~l Service Included 1000 sq ft or less Each addll10naI 500 sq ft or porlion thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder 1$11700 $ 2100 $55 00 ~~JIlI!I:~i:lfiIi.\llVlR',""A'~"'VI'NlI"p."a"'_'<f1!I'~YY-.~i!l B ~~~~~.9~~JJ;~JtE~i&lf~~1~~;~~I'~rL~~ / $70 00 7 0 $ 83 00 $13800 $180 00 $413 00 $ 55 00 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/VoIts Reconnel-t Only c m~p~lliY~$~~!~mf~~;'~~i!i!tVl!,~ InstallatIOn, Alteration or RelocatIOn 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "8" above D $ 55 00 $ 76 00 $110 00 New AlteratIOn or ExtensIOn Per Panel One CIrCUit Each Addll10nal CirCUit or wIth Service or Feeder Permit $ 48 00 $ 400 ~;ev~~kJTJ~I&~::'L~~~ t101\W' ~"'i::'~~~:9F""'l!l1 i''ZP4~A*t!'''~'':,]IT~ E ~\1~~~!~~:~J~!m"~e/fee(fe Ii - lln~!!!..~l'l!IEJ!Sl1.!!il~~~':i:l Pump or Irrigation $ 55 00 SIgn/Outline Llghtmg $ 55 00 Limited Ep'e~Edenl1al $ 28 00 Limited ErerlB'/~oIf1j1)n'f'~H . _ $ 50 00 Mmlmum Elec~r,7c',.1I;~~$SO:O\f+T$.lJtc'tllGge/( 4 '~l[ilg;Q~~~' -. . '_~!:Stlj?lY) 8% Statei~t\-'6hl!/~ DAY PERIOD ~. "0 10% AdmmlStrahve Fee l' OD 5% Technology Fee . t:;'f) g(.../V TOTAL Shared DrlVe{T )/Bulldmg Forms/Electrical Penmt Appl1catlon 7 07 doc . --~_.~ ilatl:- : CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED APPLIED' EXPIRES VALUE: COM2007-01891 12/20/2007 12/20/2007 06/20/2008 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspecllOn Lme SITE ADDRESS 205 S 54TH ST SPACE 62 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK E'ectrlcdl Work Only TYPE OF USE Repair Resldenltal PROJECT DESCRIPTION ServIce Repair Owner POLLARD Address 205 S 54TH ST SPACE 062 SPRINGFIELD OR 97478 Phone Number 541-988-0357 , CONTRACTOR INFORMATION I Contractor Type Eleclrlcal Contractor BURRELL BROS ENTERPRISES INC License 136446 ExpiratIOn Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # of Umts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stories Helghl of Structure Type 01 Heat Wdtel Type Range Type Energy Path Sprinkled BUlldmg Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarporl Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I Front yard Setback SIde I Setback Side 2 Setback Rearyard Selback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Drive Rqd % of Lot Coverage REQUIRED PARKING TOtdl HandIcapped Compacl I PUBLIC IMPROVEMENTS I StreetNI'Wlo.x~. ents . AT1$b~"tQ\llfIon law requires you to .U 111;1:: foil rules adopted by the Oregon Utility Storm~tt;ep~rJftf~ A L Notlm'!l.U'IlM!!!Jffl!Mra:ttluse rules are set forth Specta ~~tr.I"!JIlI H L EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001- U'Yliu ILtD UNDER THIS PERMIT IS NOT 0090 You may obtam copies of the rules by Notes.cOMMENcED OR IS ABANDONED FOR calling the center (Note Ihe telephone ANY 180 DAY PERIOD. ""mhpr for the Oregon Utility Notllicatlon Center IS l-tlUU-~~" -""~~) I ValuatIOn DescrmtlOn I Descnptlon Type of Construclton $ Per Sq Ft or multlpher Squdre Foolage or Bid Amount Value Ddte Calculdted Pa2e I of 2 li.~ Status Issued CITY OF ~rKmGFIELD Building/Combination Permit PERMIT NO' COM2007-01891 ISSUED. 12/20/2007 APPLIED. 12/2012007 EXPIRES: 06/2012008 VALUE 225 F,fth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Totdl V dlue 01 ProJect Fees Paul' Fee DescrlpllOn + 10% AdmmlStrdlIve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount Pdld Date Paid Receipt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20/07 2200700000000001878 2200700000000001878 2200700000000001878 2200700000000001878 Tolal Amount Paid $8610 I Plan ReViews I To Request an IIIspectlOn call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7:00 a.m Will be made the same working day, mspectlOns requested after 7:00 a m will be made the followmg work day. I R~ouired Insnechons I Eleclrlc Service Approval reqUIred prior 10 ulIhty company energIZIng service By signature, I slate and agree, Ihall have carefully exammed the completed apphcallOn and do hereby cerllly that all mformalIon hereon IS true and correct, and I further cerllfy that any dnd all work performed Shdll be done 10 accordance wIth the Ordmances of the City of Sprmglield and the Laws of the State 01 Oregon pertammg to the work deSCrIbed herem, and that NO OCCUPANCY Will be made of any structure ,,,thout permISSIon of the CommuOlty ServIces DIVISIOn, Butldmg Salety I further certify thdl only contractors and employees who are 10 comphance wllh ORS 701 005 Will be used on thIS pI oJect I further agree to ensUI e Ihat all reqUIred mspectlOns are requested at Ihe proper lIme, thaI each address IS readable from the street, that the permIt card IS located at the front of the property, and the approved set of plans Will remam on the slle at all times dunng constructIOn Owner or Contractors Signature Ddte Pa2e 2 01 2 .t"'RI~a~"EI:D 225 Fifth Street Sjlnngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0189l COM2007-0 1891 COM2007-0 1891 COM2007-01891 Payments Type of Payment CredltCard cRecemtl City of Sprmgfield Official Receipt Development ServIces Department Pubhc Works Department RECEIPT #. 2200700000000001878 Date' 12/20/2007 DeSCriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee PaId By JOSHUA BURRELL Item Total Chelk Number AuthOrizatIOn Received By Batch Number Number How Received ddk 01570B In Person Paymenl Tolal Page 1 of 1 1033 16AM Amount Due 7000 3 50 560 700 $8610 Amount Paid $86 10 $8610 12/20/2007