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Home My WebLink AboutPermit Electrical 2005-6-28 . ./ approval. IDl2-. ~r; A9. / f)7 ~'~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City lob Number ('f'M2CCI5-a:JM4 Date lP/2.1/as 1. IB(!)@Aml';lld~i~.Lt'~~'.I~:PI@~___ 3Z ~ 'Z- C::5lqm6 f1::t0Y1 LEGt~f'-~1~ 1 Q.1J1t) JOB DESCRIPTION lem..p 1b(A.)~ Permits are non-transferable and expire If work Is not started within 180 days ofissuance or jfwork Is Suspended for 180 days. I I II I 2 1~~l~'.I.'RA.@1l@RWsq"'~'.j.'j'~j 'J.@N~~' . . I II I Electrical Contr~(ff!;REL'_ oroOS. CLCCTnI';: P.O. Box 697 Address Illnl~p."fiflp' nl3.S214Ao 541-747-2724 City Phone Supervisor License Number Uil. i S Expiration Date 10 -07 Constr. Contr. Number ZO-lj q7 jl Expiration Date I (} - Ck ,\~;~'~=ll. tJwners Name ~ -k/ 1;tu,t\ Address 3~2- r d.t.fYU..,~ J'YI City ~Ylfetd Phone 72.(PAq~i OWNER INST ALLA nON The installation is being made on property I own which is not intended{or sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~\~~ ~~ro 3. 1€@.I.th.-~".l'EIFE~l,a~j~~~~~~U1EE@,m Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $19.00 $50.00 ,. 200 Amps or less' -. . u _..,_ $.63.00 ,,~.... " I S'l " r .' ..' ,. l t'. ~ . n, 201 Ampstb'400 Amps' ,,- ~ ." L $ 75.00 po " .. 401 Amps1lill600lKnipS:U UI\Utr\ I_ "LJ rr$~2~'.b( ,~_,.", I 601 Ampsli6;f066tx\l\P~O U~ fS 1\tJt\I~UO~\~~).& In Over IooOi;.;'DiPiNt,'ltkl"Y t'tRIGu. $375.00 Reconnect Only $ 50.00 c. ~~ciI?~ , Installation, Alteration or Relocation 200 Amps or less ' / 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. BrancH CBircuits New Alteration or Extension Per Panel One Circuit $ 43tOfl, _...^ Each Additio~~i&;lre~ull icl" ,eqUle 'j- '. ' ' Service or Fe~l\mIWrroI)es adoptp.d bv the$.)3((l()Jn Utility . tp rules are selTonn $ 50.00 $ 69.00 $100.00 t:;o, a:J "" !lin ' eill -Eacli Instillation T i'illl III"'., _ .,,, I . ,0090. You may obtain caples .."" .e"L., -, Pump ortmgationl1'n the centE" INn!,: $'50,00' : S'gnI0 I' L.CB ,\ 9 I ut me 1f3R~er for the n,pnrm "$ 50,00 Limited Energy/ResidClLli8hter is 1,fW'~ ." ,,$ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~@Y~ . 5[).00 ~. t:;{) ... "'- ()O 5}1.5D 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:YBuilding FormslElectrical Permit Application l-Q3,.doc . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3282 GAME F~RM RD ASSESSOR'S PARCEL NO.: 1703221319200 . CITY OF SPRINGFIELD r':iJ~b zO'~.lA-~Combination Permit , ddn., clai_ PERMIT NO; r~6.lJ5.o,g~~2 ISSUED: 06/28/2665 ",~~I~"'i"g APPLIED: 06/27/2005 . EXPIRES: 12/28/2005 VALUE: Springfield TYPE OF Electrical Work Only TYPE OF USE: Repair PROJECT DESCRIPTION: Temporary power for fire/water damage.. ,_ l\\,; t ...':: Owner: SUTER DOUGLAS B & JODI L :. Address: 1'0 BOX 71815 EUGENE OR 97401 Residential 1111.,,) I L..III."I UllnLI... 1.../\11111... II 111L.. W'Vlll\ AU I 1, "ll"I:' iJ UiIIiJErPhone Number: 1<726-9089 t"Vll n Illh.J rLnlVlI1 v I'lVI CU,viiViENCED OR IS ABAI~DONED FOR ".\lV 1 Qf1 f1IIY p~Qlnf1 ICONTRACTOR INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/2012005 Phone 541-747.2724 , BUlLD\ING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy Primary Coosl ruction Type Secondary Construction # ofBcctrnnOls: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: nla Occupant Load: A"FTI::MTlfU..I. n,..o.n^n I""'AI rcnllirpc:: "nil tn I DEVELOPMENT INFaRMNfIl!JN ,dopted by the Oregon Utility NotlTlcauoNl.enter. Those rUREQl'JIRED:P\\1RKING O I D. t In OAR 952-001-0010 throughTOAIR 952-001- veray IS: , ,ota: I ' # Street Trees 0090. You may obtain cop'e~lli~di1:~u ee~"'! II' the cen'er (~IO'n"'" ,.,e"P.B ,,' Paved Drive Rqd: ca Ing , . ,,' Compaci: " % of Lot Coverage:lmber for the Ow,.'" ,I 'J '," ,_..,;Ii Center is 1 ~:L;,.. J .,~ ~. '.' Fronlyarrl S,'lhack: Side 1 Sl'lhack: Side 2 Sethad" Rearyanl Sl'tl;ack: Solar SCHI:lcks: Street IPUBLIC IMPROVEMENTS I Storm Sewer Available: Special InSlrnction: Noles: Sidewalk Type: Downspouts/Drains I V ~Iuation Descriotion I Description $ Per Sq Ft or multiplier Tvpe of Construction Square Footage or Bid Amount Value Date Calculated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00802 ISSUED: 06/28/2005 APPLIED: 06/27/2005 EXPIRES: 12/28/2005 VALUE: Status: Issued 225 Fifth SI rrrt, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 11Ispection Line Total Value of Project Fees Paid I Fee D('striplinn + to'}';. Administrative Fee + 7% Slalr SlIrrharge Temp Puwer lOO amps or less Amount Paid Date Paid $5.00 $3.50 $50.00 6/28/05 6/28/05 6/28/05 Receipt Number 1200500000000000909 1200500000000000909 1200500000000000909 Tofal Amount $58.50 I Plan Reviews I To 1{C'!~'~sl :lil inspection caD the 24 hour recording at 726-3769. AIl inspection requested before 7:00 a.m, \', . . be made the same working day, inspections requested after 7:00 a,m, wiD be made the following work (,":i. Trmporary Electric: Approval required prior to Utility Company energizing pole. By ,;".,"'llIrr, I ,tate and agree, that I have carefully examined the completed application and do herehy certify that all in""....' . '"n hrrrnn i, I rne and correct, and I further certify thil! any and all work performed shall be done in accordance wilh 11'" ::rdillances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, an" tha' : : ~) OCCUPANCY wiD be made of any structure without permission of the Community Services Division, Building SlIl<:I)'. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on tllis :-..ojl'l't. . I furt he;' agree to ensure that all required inspections are requested at the proper time, that each address is readable from . the slrel'l. Ihat the permit card is located at the front oCthe property, and the approved set of plans wiD remain on the site at all :in' ~'S till ring construction. OWl" , 'Ollt,. Ictllrs Signature Date 2 of 2 225 Fittk Street Springfield, Oregon 97477 54i-726-3759 Phone Job/Journal Number COM2005-00802 COM2005-00802 COM2005-00802 Payments: T)1le of Payment CreditCard :1 . '. ~f " 6/28/2005 . RECEIPT #: iit~ ..JIlty of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000000909 Date: 06/28/2005 Description Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By BURRELL BROS. ELECTRIC Item Totai: LbeckNumber Authorization Received By BatcbNumber Number How Received ddk 006832 In Person Payment Total: I of 1 9:41:04AM Amou nt Due 50.00 3.50 5.00 $58.50 Amount Paid $58.50 $58.50