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HomeMy WebLinkAboutPermit Electrical 2007-12-19 ll5 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH (S41)726 3753 0 FAX (541)7263689 ZON \ IJll?~ ~ INITIALS W .A!. DATE ~o~.] 'U.'- I;!lIlI' SOURCE ~ Date I). - / q -07 3 iJM€@M:P.tE:1:E!J<WSeHEitwrEWEmffi~T.dlIll!l!!il~Jil!!i-~ ~,_."""_"_",,,,,,~~~fi',%t:.,~l~ SPRINOPIIlLO ELECTRICAL PERMIT APPLICATION City Job Number CO h'1 2.00,-0 1~93 ,JO~~g~iffJfIj~~ , LEGALRn9i!.!~TlON 10"1 -..---" \"1lJ J..~"1tJ CO 0 \l..L.-L/ J~ DESCRI;TlON ::y-(yv,r'( ;/ A 1~$~l[~~~iUi~j~~$~~jJ!I!~1t~~!!~:'4i~T!ii!1~Ai' Service Included f!.--f{)Oi;f 1000 sq ft or less Each additIOnal 500 sq ft or porl1on thereof Each Manufact'd Home or Modular Dwelling Service or Feeder " $11700 $ 2100 Pemllts are non-transferable and expIre If work IS not started WlthlO 180 days of Issuance or rfwork IS Suspended for 180 days :le!~:~~r;:;1f~!v~ Address Po OO'J-- (p q 7 City vJ flJtr {V,})1 Phone 7Y 7 -,J,7),Y- $55 00 ~'~j~~TIL*:~'fW4tIJn.Jl~~~~rXV!,pj4iiP~~f,*~?4"i%\"1,."*,'~~~ B ~S~~~tS~!.~l~f~l]:;~fl~~~~~t~~~~~~J~~ / $ 70 00 7 0 $ 83 00 $13800 $18000 $413 00 $ 55 00 200 Amps or less 201 Amps to 400 Amps 40 I Amps 10 600 Amps 601 Amps 10 1000 Amps Over 1000 Amps/VolIs Reconnect Only Supemsor License Number Lf 7 }.. J S ExpIrallon Date / D JJ () Constr Conlr Number J 3 & Y 4 ~ ExpIral10n Date 10 1/ 0 Over 600 Amps or 1000 Volts see "B" above dg1f)n.a,ture~OfsupervlSIl~lectnClan , O. ~ii€irtu~ts ~! J~ ("F New Alter.ltlOn or ExtenSion Per Panel One CircUit Each Addll10nal CirCUit or with C + y' n ~ 'rf~l Service or Feeder Permit $ 400 ::d::: Nafu~ ~,. ~~ ~ E JrJ~1Jl~~~~~1l~~~~!i1lE!)~~~~1l~~ C,ty , " ~,A,11f' ne "7 LJ 7 - 9; I / d Pump or IrngatlOn $ 55 00 . ~l J~t..julles YOU1J foi, 'w rules _ Jopied by the 0 U I Slgn/Outlme LIghtlOg $ 55 00 .. " I egon tllty .nn...' OWNER'INSF)\'DDA TlON' Those rules are set forth Limited EnergYlr,,<IIPmi')l1 $ 28 00 The IOs!f~~f~~b6~IRR.h-Qf~10'1tp'roP'e09QMii Ilffiili1il0l- Limited Energyl,(j;lSnm~RII';lIT SHAll ~YDI~~OlflOTf'c w.nl)V IS not IOtenaed for~a'i\!~I'f.@~t:?rlrent:JPleS of the rules byMlmmum Electnc l\eri1iltuiiSl1e::cJ!j<<9IIDf~$5~OJl Jl'Su~lf/1;;'ge;NVO"T" Gdlllng tlie center (Note the telephone ," ~"."",_, ~ ~-- . .~';'~' ,",,,', " ,,~, , to Owners sl~mR.'r~ for the Oregon Utility NotlflGatlon 4 "S&"BT0:f~~~~~. ,. . EB1ifflOO Genter IS 1.800.332.2344). 8% State Surc ge LJ~ 5 oW ~ 10% Ad11l1OlStrahve Fee ..,.~ f.\ 5% Technology Fee 2> .Son Inspecl10n Request 726.3769 t-J~ \~ TOTAL <6".10 \.; W f(; ~ - Shared D",,(T )/Buddmg Fo'mslEl,""cal P,n",' Appl,cat>on 7 07 doc c il1~;P6trn.~gt~!~I~!ll~\i~tiI Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 55 00 $ 76 00 $110 00 $ 48 00 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED EXPIRES VALUE COM2007-01893 12/20/2007 12/20/2007 06/20/2008 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 205 S 54TH ST SPACE 75 ASSESSOR'S PARCEL NO 1702330001200 Sprmgfield TYPE OF WORK Electncal Work Only TYPE OF USE Rep31r Resldenllal PROJECT DESCRIPTION Service Repair Owner STEVENS CLIFFORD H & LINDA R Address 205 S 54TH ST #75 SPRINGFIELD OR 97478 Phone Number 541-747-8114 I 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 UOlls Primary Occupancy Group Seconddry Occupancy Group Primary ConstructIOn Type Secondary ConslructlOn Type # of Bedrooms # of Stories HeIght of Structure Type of Heat Water Type Range Type Energy Path Sprinkled Bmldmg Lot SIze Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq FI Gal agelCarport Sq FI Other Occupant Load nla I DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks' Overlay DlSt # Street Trees Rqd Paved Drive Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS I I)!OTlCE: . ATTENTION Oregon law requires you to Slreett~I?J'!J~IWI1? SHALL EXPIRE IF THE WORK follo'.liI!lll1'@.l!a(fIllf!!\;>d by the Oregon Utility I Notlfl~!;:,\mtw. Those rules are sel forth Sstorm~'rFlotm!~&"NDER THIS PERMIT IS NOT In OAR952~M'F(jo'f(J\Yisrough OAR 952-001- pecl3llnstnw/wn. GUiVllVlt ~vtD OR IS ABANDONED FOR 0090 You may obtain copies of the rules by N ANY 180 DAY PERIOD calling the center (Note the telephone oles number for the Oregon Utility Notification ,.._......~>' .co 1_Qt\(\_~~I)_I)~.1Ll.\ I ValuatIOn DescrmtlOn I Descnptlon T,vpe of Conslruchon $ Per Sq Ft or mulllpher Square Footage or Bid Amount Value Date Calculdted Pa2e I of 2 -~4iJ Status Issued CITY OF SPRINtJl'u,LD Building/Combination Permit PERMIT NO. COM2007-01893 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 InspectIOn Lme Total Value of ProJect Fees Paid I Fee DeSCriptIOn + 10% AdmmlSlralIve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amounl PaId Date Paid ReceIpt Number $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20/07 2200700000000001880 2200700000000001880 2200700000000001880 2200700000000001880 Tolal Amount Paid $8610 I Plan ReViews I To Request an inspection call the 24 hour recordmg at 726-3769. Allmspections requested before 7'00 a.m wIll be made the same workmg day, mspectlOns requested after 7:00 a.m. Will be made the followmg work day. I Reolllred Insnechon.sJ ElectrIC ServIce Approval reqUIred prior to uldlty company energIZIng servIce By SIgnature, I state and agree, Ihall have carefully exammed the completed apphcalIon and do hereby cerllfy that all mformatlOn hereon IS true and correct, and I further certIfy tbal any and all work perlormed shall be done m accordance WIth the Ordmances 01 the CIty 01 Springfield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and Ihal NO OCCUPANCY WIll be made of any struclure WIthout permISsIOn 01 the CommuOlty ServIces DIVISIOn, BUlldmg Safety Ilurlher cerlIfy Ihal only conlrdclors and employees who are m comphance WIth ORS 701 005 Will be used on thIS proJecl I further agree to ensure Ihat aliI equlrcd mspectlOlIs are requested at Ihe proper lIme, Ihal each address IS readable from the street, that Ihe permIt card IS located at the front 01 the property, and the approved set of plans WillI emam on the SIte dt all times dUring construction Owner or Contractors Slgnalure Dale Pa2e 2 of2 225 Flftb Street Sprmgfield, Oregon 97477 541-726-3759 Phone City of Sprmgfield Officl3l Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2007-0 I 893 COM2007-0 I 893 COM2007-01893 COM2007-0 1893 Payments Type of Payment CredltCard cRecemtl RECEIPT #. 2200700000000001880 Date. 12/20/2007 Descnptlon Perm Serv/Fdr 200 amps or Jess + 5% Technology Fee + 8% State Surcharge + 10% AdmlOlstratlve Fee Pa,d By JOSHUA BURRELL Item Total <":heck Number Authonz.-ltlOn Received By Bdtch Number Number How Received ddk o 1570B In Person Paymenl Tolal Page I of I 103431AM Amount Due 7000 350 560 700 $8610 Amount Paid $8610 $86 ]0 12/20/2007