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Home My WebLink AboutPermit Electrical 2007-12-19 . _rli'~ ~l;t~ Date ~dJ1P l-l _ DATE E.~al .DI /:; _I C/:U~C~ 225 Fin I [STREET. ,PRINGFIELD OR 97477 . PH (541)726-37S3 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number [A)Mt.rol-O\<b~1 1 FtI(lc.-ii/'loN,ol;lN;\)i'A'P~l~ 3 lmr~"' ~.~.. ~." ..."""'..'" .'. ',- ....111111;tilltIll1l~~!tlI ,) o~ 5 ''0 ~?;"'~~1t)-.:fl-"*76 !eqMl1!Jb:Z:.f;f!i~~~s;,1!j:~!!!it!jl,W~Jll!;m..ij,~ ;/ . L~ION \,",N1 /1:2 "'" 01'7 r\~\r~~~~1i~~ti1l1[f!}IBH~~rwB' ,. Il )~l J) \L.l....Uervllc Included . '- JS D':SCIlIPTION 1000 sq ft or less I $11700 -{ (, / 'r J 12 JJ () Il )' ( Each add,tlOnal 500 sq ft or V) f 'VI portIOn thereof $ 21 00 Supef\ I~or Llcense Number Expll ""'" D,te J D / } {) Constl ( Olltl Number /3 {; Lj 4 ~ Explrali'I" Dele /0 /1 0 fPl;~""D~~ Owne,. "'me (; V L. -fMk rc... t:>\A, ~~J""'!I''t''''':'!ij!111'.Il1!!l!ltl'fiW/1.;;4u''''",p;~~';P.~:p':~ Add" V c.J S. :.. ~ . E !I!\:!J~I;l~1(~.R!;t!.f.'ik~cJ,g!!~.\!2,.!k~Iff.!!!~!!!J!j.i!!~ CIty - ~~f;J87-3LD - ,~() ~D ~~;;O~:t;:I~~g~t,I:~tmg ~ ~~ ~~ OW" I ~ I It'\M Ilc=on law reqUires you to " follow ru ~ Il?o~l'ed by the Oregon Utility Llmlted..i;2.e;1~~e.Sldentlal $ 28 00 The "NOtlfWlltl\5~~"1'l1\j!f!!lItIIa's S1~bkhth LlmltedIlLUl:t~,..<lOOmmercJaI $ 50 00 IS not ih'Of\ff9~rt-de.1IJOO'1ertllt1!ugh OAR 952-001- MlOlmum Efif<hldfa P'Ji.RMhh.)W.~~ Wl!I$50\bo~WMw)'s 0090 You may obtain copies of the rules by 4 ~,I,Jil!mw~tinl!llil.~tli lS,liOT Owner; catW/l\'f111e center (Note the telephone "'':'J;;..R.~t~~'!:i'~~R!:t~w&~~Qfl~. DD nUrT'ho, In' tholll,pC'nn Utllitv Notification 8% Stat, ~,cjil\~&enJ\V PERIOD 5.~ Center IS 1-800-332-2344) 10%AdiI nllst~~\Ve1'-ee ~ . 5% Technology Fee D Permlls Ill. lIon-transfernble and expire If work IS not st II ted wlthm 180 days of Issuance or If work IS Suspended fOf 180 days 2 [it(l~~~g;Ql~~~~~~~~ll ElectllcJ! Contractor h V r y 1// 71) V 0 S Addres> Po bo'l (p q 7 CIty \V fI) )-( >' VI J)1 Phone 1!J7 - XJ}., tj 4 7.~ I S Each Manufact'd Home or Modular Dwelhng Service or Feeder $55 00 1~~tJW1~"~"1~&1~~}I$.~~~"r~~I~~~Ir?:1l"f1$.'fff1~~1J B ~~~5JiriJl~tl~r~ -tlns~ lIatIJm;y~ltert1tlOn~o~J~,~~n.:~ / $ 70 00 7 0 $ 83 00 $13800 $18000 $413 00 $ 55 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/VoIts Reconnect Only C ~~f'j"i.t:S'~~j"f2rr~'17i{~:;'1~]>f41~$1~~W'.~~~M~iili&'1f ~~til!)'c.Hl;":~C~S4Q~~~~~~~ InstallatIOn, AlteratIOn or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 $ 55 00 $ 76 00 $110 00 D New Altcl atlOn Or ExtenSIOn Per Panel One CircuIt Each AdditIonal Circuit or with rvl or Feeder Permit $ 48 00 $ 400 TOTAL Shared Dnve(T )/BUlldmg Forms/Electrical Pennlt ApplicatIOn 7 07 doc -_.,-~ .fill ~.. Status Issued CITY OF ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2007-01881 ISSUED' 12/20/2007 APPLIED. 12/19/2007 EXPIRES: 06120/2008 VALUE' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspecllon Lme SITE ADDRESS 205 S 54TH ST SPACE 25 ASSESSOR'S PARCEL NO 1702330001200 Springfield TYPE OF WORK Eleclncal WOI k Only TYPE OF USE AlteratIOn ReSIdentIal PROJECT DESCRIPTION ServIce Repair Owner GUZEK JACQUELINE MARIE Address 205 S 54TH ST SPACE 025 SPRINGFIELD OR 97478 Phone Number 541-736-3040 , CONTRACTOR INFORMATION. Contractor Type Eleclrlcal Contractor BURRELL BROS ENTERPRISES INC License 136446 ExpiratIOn Date 08/20/2009 Phone 541-747-2724 l BUILDING INFORMATION I # ofUmts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary ConslructlOn Type # of Bedrooms # of Stories Height of Structure Type of Heat Water Type Range Type Energy Path Sprmkled Bmldmg Lot SIZe Sq Ft Isl Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GdragelCarport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMATION I Frontyard Setback Side I Selback Side 2 Setback Rearyard Setback Solar Setbacks Overlay DISI # Slreet Trees Rqd Paved Drive Rqd % of Lot Coverage REQUIRED PARKING Total Hdndlcapped Compact DescrIptton Type of Construction I PUBLIC IMPROVEMENTS I Arrr~lOa~~ ~r:~.on , fOIlOY.L\tute~tlfa\9~W reqUIres you to Noliflcatlon Center ThoY the Oregon Utlilty In OAR 952-001-0010 th Se rules are set forth 0090. You ma ob rough OAR 952-001_ calling the c~nte~al~J~!:Je.:~f.t_~e rules by UUllluer lor tne Oregon Ut I ----,.."u"" I ValuatIon DescrlOtlOn I Center IS 1'BOO_33~~~3~~tlflcatJon $ Per Sq Ft Square Foolage or multlpher 01 Bid Amounl Value Ddte Cdlculdted Street Improvements Storom~E(\vatlable SpefA\~n~l\mffSHALL EXPIRE IF THE WORK N AUTHORIZED UNDER THIS PERMIT IS NOT olcOMMENcED OR IS ABANDONED FOR AIH IOU U!-\l r!;nluu. Pa2e I of 2 -ii:~ _. CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED. EXPIRES VALUE. COM2007-01881 12/20/2007 12/19/2007 06/20/2008 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon Lme Total Value of Project Fees PaId' Fee DeSCriptIOn + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcharge Perm Serv/Fdr 200 amps or less Amount PaId Date PaId ReceIpt Numher $700 $350 $560 $70 00 12/20/07 12/20/07 12/20/07 12/20/07 2200700000000001872 2200700000000001872 2200700000000001872 2200700000000001872 Total Amount PaId $8610 I Plan ReVIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspections 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 T nsnechons I Electnc ServIce Approval reqUIred pnor to uhhty company energIZIng servIce By sIgnature, T state and agree, that I have carefully exammed the completed apphcatlOn and do herehy cerhfy that all mformatlOn hereon IS true and con ect, and Ilurther cerhly that any and all work performed shall he done m accordance WIth the Ordmances of the CIty ot Spnngfield and the Laws 01 the State of Oregon pertammg to the work descnhed hel em, dnd that NO OCCUPANCY Will be made of any structure WIthout permISSIOn 01 the Commumty ServIces DIVISIOn, Buddmg Salety I further cerhfy that only contrdctors and employees who are m comphance WIth ORS 701005 WIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns are requested at the proper hme, that each address IS readable from the street, that the permIt card IS located at the Iront of the property, and the approved set of plans WIll remdm on the sIte dt all times durmg construction Owner or Contractors SIgnature Date Page 2 of2 225 Flfth.Street Sprmgfield, Oregon 97477 541:726-3759 Phone 8~, ~. City of Spnngfield Official ReceIpt Development Servlles Department PublIc Works Department Job/Journal Number COM2007-0l881 COM2007.0 1881 COM2007.01881 COM2007-01881 Payments 1 ype of Payment CredltCard cRecemtl RECEIPT #. 2200700000000001872 Date. 12/20/2007 DescriptIOn Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Admllllslratlve Fee Paid By JOSHUA BURRELL Item Total Check Number AuthorIzatIOn Received By Batch Number Number How Received ddk 01570B In Person Payment Total Page I of 1 10 28 54AM Amount Due 7000 3 50 560 700 $8610 Amount Paid $86 10 $8610 12/20/2007