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Home My WebLink AboutPermit Electrical 2007-12-19 ll5 FIFTH STREET. SPRINGFIJ:LD, OR 97477 . PH (541)726-3753 . FAX (541)7263689 ELECTRICAL PERMIT APPLICATION City Job Number (1Jrvl215bf -()/ger '2- Date ,Jf!5~~q~~~ L~~l ()(lrr) J~ DESCRJPTION ::y-( rv,'{'( !2-f{)Oi;f , Permits are non-transferable dud expIre If work IS not started WlthlO 180 da}s of ISsuance or If work IS Suspended for 180 days 2 ~~~:S;:~~~f!~l?_ ElectrIcal Contractor h V r y Y II h V 0 S Address Po ho'/ (p q 7 City KJ fI J)-( yv; j )1 Phone 7 L) 7 -),7 7-tf Lf7::A}S Supervisor License Number ExpIratIon Date / D / / i) Constr Contr Number /3 & Y 4 ~ ExpIratIon Date / () / / D ~G~~'''"~~~) Owners Na~e ~ (A ;fry ~ t._ ~ Address OlD~ CS . '0.L\~:lllO City ~ ho e ]}D - {/:; J / f~;;;;-~/fS.A,'.1<1 on law requires ~OU to OW/)l:E/'HI'I~IJ~~~~ ~Nby th~ Oregon UtIIltv T~!? QAfiHiijjj).WjJpo~ jlli'~.?811 {j\-iJpertY ~ o;wo j't'hlch ISQ,Q~R.tej{dePrfo,lji't\DfaFne~6Pfe'ill1 OAR 952'00;': callmg the Center (N Oples of the rulii3 by oWl!effiI~-"ur" ate the teJeph ~~'\"', "Ie Oregon Ut J t one Center 1.< Lo,",,", M: I y Notlti{)alJoll "'.'''.' ',.,", ,,.,:.~;~ CO.p 3 ~ibl:EJjJEiJf!seiiElirijLE1jJEi!aW.i!fi;Ji'~---'!W.~~ ~""""'~Y>h~A:::""'.!",,,~,">-~<b:<~4'lUl11).li>~ """'~, ~_ _" ~7 Mf":ff~' ""'M~'''tJ@;-IIt! ~;*r'J$N" f~:IL1J17!%Uk"""'~fMlfm:Qy;.""~ "::'~;';ftl~~,.J A i~~~~~J.g\!"Jr~!J1gt<;(?~!!!I\!,.\l1'l"'!JIYlll!fBll.n!!l!!\\lf!ll~~ Service Included 1000 sq ft orless Each additional 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder I $11700 $ 2100 $55 00 B ~~~r;~~~~te!rrr~~t1ii:r~bBJnifX{ti;fTt~o7.~~~I~Witi~?~~ itT:iik.~ '~fu;~M~%t",*,M~~~."'.1""''''''dli.m;l~ / $ 70 00 7 0 $ 83 00 $13800 $18000 $41300 $ 55 00 200 Amps or less 201 Amps 10 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only c 'f(T&t~J*8'M~-'r~r~~mlEle(j.'f41;rrl~~~"11Ulj.ii~~ !i'^~.R .,.s.~."'~~.... ~IT,jl~_~ InstallatIOn, AlteratIon or RelocatIon 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D imr:~f~JH@W:i~Ti11s ~-~ New Alteration or ExtenSIOn Per Panel One Circuit Ea~h AddItIOnal Circuit or with Service or Feeder Permit $ 55 00 $ 76 00 $110 00 $ 48 00 $ 400 ~1r~8li@7:l\t1~j~fi~'1!Y';rl'MiT :p;.;1$r"il:vj~1t!l~B!>u'1.1oh~~'1fL~{1f\~]ti!~ E 1V!lScell'lq.~~'!~'<li.!j.~~S!~:d$l!)$J?J!f.~JL"lJ1!I!~~ Pump or Irrigation $ 55 00 Slgn/Outhne Llghtmg $ 55 00 Limited EnergylReSldentIal $ 28 00 Limited Energy/CommercIaI $ 50 00 Mmlmum Electr~spectlOn FeelS $50 00 + Surcharges 4 ~~-'!:r~!~J:~~_THfiI~~D 8% State su!ldHII\tDRIZED UNDER THIS PERMIT [G\!r6.ID 10% AdmlnfStrah~,el!:'*CED OR IS ABANDONi=n [:('i7. DP 5%Techno\!1.@'lF,'110 DAY PERIOD ~_c:n_ TOTAL ~fo.ID Shared Dflve(T )/Buildmg FonnsJElectncal Pennlt ApplicatIOn 7 07 doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2007-01892 ISSUED. 12/20/2007 APPLIED. 12/2012007 EXPIRES: 06/20/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlIle SITE ADDRESS 205 S 54TH ST SPACE 70 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK Electrical Work Only TYPE OF USE Repair ReSIdential PROJECT DESCRIPTION Service RepaIr Owner BAILEY ESTHER I Address 205 S 54TH ST #70 SPRINGFIELD OR 97478 Phone Number 541-747-6511 I CONTRACTOR INFORMATION I Contractor Type Eleclrlcal Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/2012009 Phone 54] -747-2724 nUILUlNG INFORMATION I # of Umts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones Helghl of Structure Type of Heat Water Type Range Type Energy P dth Sprinkled BuIldlOg Lol Size Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GardgelCdrport Sq Ft Other Occupant Load nla i DEVELOPMENT INFORMATION I REQUIRED PARKING Fronlyard Selback SIde I Setback Side 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd P~ved Dnve Rqd % of Lot Coverage Total Handlcdpped Compact I PUBLIC ]MPROVEMENTS I Street Improvements Sidewalk Type ATTENl;I,g~,QHmOOHlil\ieqUlres you to follow ruYes aCfopted by Ihe Oregon Utliity Noliflcatlon Center Those rules are set forth NotAsUTHORIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010 through OAR 952-001- EOMMENcED OR IS ABANDONED FOR 0090 You may obtain copies of the rules by _ "",~II,...", "1-._ _,..._~_... !"I_.._. H_ !' t11'41 IOU UMf rcnluu ... i..--- .\...... ...."'/"",'V"I,;. I nrmber for the Oregon Utility Notification ,y aluatlOn DescrlDtlOn Center IS 1-800-332-2344) $ Per Sq Ft Square Footage or mulllpher or BId Amounl Sto~KeE/l-vaIlable SP""I~'~'t'l\!RWf~SHALL EXPIRE IF THE WORK DescnptlOn Tvpe of Construction Vdlue Date Calculated Pa2e I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-01892 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 FdX 541-726-3769 InspectlOn Lme Total Value of ProJecl F ees Pa,~rl I Fee DescnptIon + 10% Admmlstl atlve Fee + 5% Technology Fee + 8% Slale Surcharge Perm ServlFdr 200 amps 01 less Amount Paid Date PaId ReceIpt Number $7.00 $3,50 $560 $70.00 12/20/07 12/20/07 12/20/07 12/20/07 2200700000000001879 2200700000000001879 2200700000000001879 2200700000000001879 Total Amounl PaId $8610 I Plan Reviews , To Request an mspectJon call the 24 hour recordmg at 726-3769 All inspections requested before 7:00 a.m. will be made the same workmg day, inspectIOns requested after 7 00 a m will be made the followmg work day I ReOUlred I nspeetJo~~ I ElectriC Service Approval required prIor to ullhty company energIZIng servIce By SIgnature, I state and agree, that I have carefully exammed the compJeled apphcallon and do hereby cerllly that all mformallon hereon IS true and correct, and I further cerllfy that any and all work performed shall be done m accordance with the Ordmances of the CIty of Springfield and the Laws of tbe State of Oregon pertammg to the work deSCribed berem, and Ihat NO OCCUPANCY will be made of any slructure without permISsIOn of the Commumty Services DIVISIOn, BulldlOg Safety I further cerllfy that only contractors and employees who dre 10 comphance With ORS 701 005 WIll be used on thIS proJect I further dgree to ensure that all requIred IOspectlOns are requested at the proper lime, Ihat each address IS I eadable from the street, that the permIt card IS located at the fronl of the property, and the approved set of plans will remalO on tbe slle at all tImes durmg constructIOn. Owner or Contractors Signature Dale Pa2e 2 of2 225 Flft.h Street Sprmgficld, Oregon 97477 54'1-726-3759 Phone City of Sprmgfield Official Recelpl Development Services Department PublIc Works Department Job/Journal Number COM2007-0 1892 COM2007-0 1892 COM2007 -01892 COM2007-0 1892 Paymenls Type of Payment CredltCard ~ cRecemll RECEIPT #. 2200700000000001879 Date 12/20/2007 Descnptlon Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% AdministratIve Fee Paid By JOSHUA BURRELL Item Total <':heck Number AuthOrizatIOn Received By Batch Number Number How Received ddk 01570B In Person Payment Total " Page 1 of 1 1033 40AM Amount Due 7000 350 560 700 $861U Amount Paid $86 10 $861U 12/20/2007