HomeMy WebLinkAboutPermit Electrical 2007-12-19
ll5 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH (S41)726 3753 0 FAX (541)7263689
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.A!. DATE ~o~.] 'U.'-
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Date I). - / q -07
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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