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Home My WebLink AboutPermit Electrical 2007-12-19 Date ZON~ INITIALS _ .4M.. DA n, . ""_\ on! ~ SOURCE !J,,<;'""O(\- /:) - / q -07 - \' 22S FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726 3753 . FAX ('41)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number r- AJYYl~tr1- 01 ~ -rl I ~~JQFliN,~t.ALaitION.-;,-;c,~-:-;l 3 ,) 6~5--ctblr; rfJ ,- ;1f-'[ I 1 . , LEno~~n O\?Lf) J~ DESCRIPTION ::yi rv,ltY !2..--fDOI;r , Permits are non-transferable and expire If work IS not started within 180 days of Issuance or If work IS Suspended for 180 days ~oWA"~w6l?~~TMfreNhNLY' 2 '*"""~~&~lVl""~'~ -. - -- . flJ' , l """~~..;'.".b .W;!.,.. "'........... ~~~ ~~ ~ Electrical Conlractor V r y Y / I V 0 3 Address Po 00)1. (p q 7 C1ty~flJt-((v;IJtphone lLJ7 -1.]74 47:J}S SupervIsor License Number Expiration Dale /0 I J 0 Constr Contr Number /3 & if If ~ Explrallon Dale /0 / / 0 ~r;"mj~~ Owners Name n -< 13; ) 1/0 \ ;-: Address~\S S. ~-\n.j;3..\-' . eED-S/?Jft \," '\ +~~ f -~~ -~-;;~~:;:- ~ -~ ~ '.G.fi)~i.E,,'TI!NfEE SClIf;DlJLE BEJ;OW A - , - lYeJ':~j~l~entJ,~r - SIngle or Multl,~-"!";ly.per;d,,:,elliil(unn Service Included 1000 sq ft orless Each addItIOnal 500 sq ft or portion thereof $1]700 $ 2100 Each Manufact'd Home or Modular Dwellmg Service or Feeder $55 00 B 1 Services or ~Feedersi_~lristaUat'l()n"Alteratlons~~r~Rcl~~ti~n 200~~;:~:~;S" , / $~OOO '70 20 I Amps 10 400 Amps $ 83 00 401 Amps 10 600 Amps $13800 601 Amps to JOOOAmps $18000 Over 1000 AmpsNolts $413 00 Reconnect Only $ 55 00 "-~_~L'l..-^1Y"i::~~M"__~ <:~~x~ rJ;'=X"llO: i C :~T!~p~r~~yiSe~~~\'~~~?!f~~_!~tt:_~ ** InstallatIOn, AlteratIOn or RelocatIOn 200 Amps or less 20] Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above -*--0_*I'%*~ - " ,,.. D \"Bian~h'~lttultS*~ ' ,,~"'-'~_~~ *;t.-;;:- ,,~* $ 55 00 $ 76 00 $1 JO 00 New AlteratIOn or ExtensIOn Per Panel One CircUit _ ~ _~ach AddItIOnal ClrcUlt or wIth q ~ervlce or Feeder Permit **"'~ ~,""'" ;~-I--~- h E M'sca]an~ous (Setvlce/feeder;~ot mciuiled) -Each I'!.st~llatlon l Pump or Irrlgalion $ 55 00 Slgn/Outlme Llghlmg $ 55 00 OWNER [N~~Oregon law requires you to Limited Energy/ReSldenliaI $ 28 00 The mstalla~~~~'e ~~~ M>l#sb~~Il,Q.r\lQl~ Utility Llmlled EnerHll:l'6GiCcml $ 50 00 IS not mtencrr;d'&,t~~ ~~~31~ i51&~~r~~~~e~:~e9~ei_6~~~~~~ .~le~~n~~~~~filM!"',~~,~<1!s~P~,~~'WaRK Owners Slg~.Il~,Q., You may obtaIn caples of the rules ~y E~,~~'!;g;r~,~Jmp,~~:Titll~.PJ~~.~ caTitng the center. (Note the telephone 8% State SurQ;lMMENCED OR IS ABANDOI~tU<tPif:,D :1;;...:;8r for II,,, ~'''~v" Ui,illy1.otlflcatlon 10% Adm,mANiv-'UlQ,DAY PERIOD 7:00 Center IS 1-800-332-2344). 5% Technology Fee .:::: ~ f'Io.lO Cay Inspeclton Request 726-3769 ~~ $ 48 00 $ 400 TOTAL Shared Dnve(1 )/BUlldmg Forms/Electrtcal Permlt ApplicatIOn 7-07 doc CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED" APPLIED. EXPIRES VALUE: COM2007-01879 12/20/2007 12/19/2007 06/20/2008 225 Fifth Slreet, SprlOgfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 InspectIOn LlOe SITE ADDRESS 205 S 54TH ST SPACE 17 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK Electrical Work Only TYPE OF USE AlteratIOn ReSIdentIal PROJECT DESCRIPTION ServIce Repair Owner Address DEBELLIS SAMUEL G & JOYCE K 205 S 54TH ST #17 SPRINGFIELD OR 97478 Phone Number 541-747-8196 I, CONTRACTOR INFORMATION I Contractor Type Eleclrlcal Contractor BURRELL BROS ENTERPRISES INC License 136446 ExpiratIOn Date 08/2012009 Phone 541-747-2724 BUILDING INFORMATION' # ofUmts PrImary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stories Height of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BuIld 109 Lot Size Sq Ft 1st Floor Sq FI 2nd Floor Sq FI Basement Sq FI GaragelCarport Sq FI Olher Occupant Load nla I DEVELOPME1'H m.ORMATlON I Frontyard Setback Side I Setback SIde 2 Setback Rearyard Setback Solar Selbacks Overlay DlSt # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMP "-v V ICLYIENTS I Street Improvements Sidewalk Type ATTENID~s~Illi,QJ\ lam requires you to follow rules adopted by the Oregon UtIlity Notification Center Those rules are set forth Notes THIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090 You may obtain caples of the rules by L,UIVIIVII:NGI:D UR I~ ABANDUNED run wwll",,, ~;,w ww,,~w, ;i\w~w ;;,~ ;W;~"';M'W ANY 180 DAY PERIOD ValuatIOn DescrmtlOn lumber for the Oregon Utility Notlftcatlon . Center IS 1-800-332-2344). $ Per Sq Ft Square Fooldge or multlpher or Bid Amount Storm Sewer AvaIlable Speclal\fl1Fl'C~?n DeSCriptIOn Type of Construction Value Date Calculated Paee I 01 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-01879 ISSUED. 12/20/2007 APPLIED. 12/19/2007 EXPIRES: 06/20/2008 VALUE: 225 FIfth Street, Sprmgfield, 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% Slate Surcharge Perm Serv/Fdr 200 dmps or less Amounl PaId Date Paid Receipt Number $700 $350 $560 $70 00 12120/07 12120/07 12120107 12/20/07 2200700000000001871 2200700000000001871 2200700000000001871 2200700000000001871 Total Amounl Paid $8610 I Plan RevIews , To Request an IDspectlOn call the 24 hour recordmg at 726-3769 All inspectIons requested before 7:00 a.m. will be made the same working day, JDspections requested after 7:00 a.m. Will be made the followmg work day I Rell1J1rerl Insnecttons I ElectriC ServIce Approval reqUIred prior to ulthly company energIZIng service By SIgnature, I state and agree, Ihal I have carefully exammed the completed apphcatlOn and do herehy cerltfy that all mformatlOn hereon IS true and correct, and I lurlher certify Ihat any and all work performed shall be done m accordance with the Ordmances of the City of Springfield and the Laws of the Slate of Oregon pertallllng to the work described herem, and that NO OCCUPANCY WIll be made of any struclure wIthout permISSIon of the CommuOlly Services DIVISIOn, BUlldmg Safety I further certlly that only conlractors and employees who are m comphance wIth ORS 701005 WIll be used on thIS pi oJect I further agree to ensure that all reqUIred mspecllOns are requested al the proper time, Ihat each address IS redddble from the street, Ihat the permit card IS locdted at the fronl of Ihe property, and the approved set of plans Will remam on the SIte at all times durmg construction Owner or Contraclors Slgnalure Date Pa2e 2 of 2 225 Filth Street Spnngfield, Oregon 97477 541-726-3759 Phone ~.P~NOnao ~ c_A. ~ JIi:. : City of Spnngfield Offic131 Receipt Development Services Department Public Works Department RECEIPT # 2200700000000001871 Date, 12/20/2007 102827AM Payments Type of Payment 'PaId By Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received Amount Due 7000 350 560 700 $8610 Job/Journal Number COM2007-01879 COM2007-01879 COM2007-01879 COM2007-0 1879 DeSCriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Admmlstratlve Fee Amount Paid CredltCard JOSHUA BURRELL ddk o 1570B In Person Payment Total $8610 $8610 "Recemtl Page I of I 12/20/2007