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Home My WebLink AboutPermit Electrical 2005-9-12 ..\06 "~~~,c;'~ :({\,\ 0v , <;,,>'0, 0 <;,~ '" o..\)'~ ~0 " ",.._;',..,:'.:.'.,I(-':\;~;,z;;!.It;":ii~.~::'Q~~_'" '~ J, : LO.CA nO,lV;,bJf,\,WiP,'!.':t!~ ? va, ';lXi" ',' , " ..' ~. ...... '., ..~...;t.hl:'JVtli:,."-L'..,h ' ' ~. ~ 33 S- 'Df\\ S~I SP l{O ], ~EC.:.,L DESCRIPTION 17D253DO A. CISOO Service Included 1000 sq, ft. or less Each additional 500 sq. ft, or portion thereof .~0E3 DESCRIPTION ~E.pLlsu.r 7,^r^~ PcdcrsM ( PamilS are non.transferable and expire if work is Each Manufact'd Home or nOt Sl3md within 180 days of Issuance or if work is ATTE~fb\f. ~'feM~ fuw~ires you to / Suspended for 180 days. follovlrot~tg adopted by the 'Orego!) UL~;ly :.',,""'v"..'::";nJ".~.c';t\ .'.. Wi~' ~llf.Cl~1\lI1..' Notifi"ai ::CONTD;d't;'~I"""'" ',; t, .'fTI,' .~,,'i ,.' ," " ") . " .. ~~ht:.~i \ '., , ,~, . ., ..' ;"..' ''''-'J'''"'' ~L,~, "V [~L In OAB~, , .. .. ..'. ...~.,.""" .,."",:,~~ il ~R ' , " 0090. VOl. may ob,ain copies of the rules by ~ iwrlC'" Contractor calli~gl ~Efc~r~fep'ss(Note: the tele~hnnQ numt5g~ (c)VWM'dWfgt>WlUtility Notifir.::ltinn 40 ~ffi~t'~ ~Q%OOOB32-2344). 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $106,00 $ 1900 $50.00 S-D ,:.,60rt;; Surrell Bros. Electric 401'59 Booth Kelly Road Springfield, Oregon 97478 C!f\' ~'-\,~ -~~""L~ $ 63.00 $ 75,00 $125,00 $163,00 $375,00 S 50,00 SU?t!'"or License Number \_~""::>.,~-~" ~ Pump or irrigation $ 50,00 ;, Sign/Outline Lighting $ 50,00 U\\\ER INSTALLATION U~(}'L'tG~: Limited Energy/Residehtial $ 25,00 ")'r,c Inmllation is being made on property I ol'-Y~l~lfi~hifv1IT SHAtn~i@}:tIB,Q~lgY.lCp:rtCmWc}alK $ 45,00 " no' nlell0'ed ror 'ale lease or rent i HOR ZE'i\Ki:!!.,r--,rn E~' "I"' ~nr:t)Rnl:r 'S I\JnI ' ,'" ,I , > 'AU I [J}uJllml:lm l'ectnclP,ermlt InspectIOn Fee Is $45.00 + Surcharges CONtIV\EI~CED 0'- ",~ ~,f ,,' ,n'"',",rn r ANY 18tJ OAy4p, ", ',..1 ::.\;:'lr;;llon Dale \\:::::) \~:'\ ,'.'" 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 "S" above, D. ," C);:;{f COil If Number '\?::J~\.\"-.o f:,\;:,i!"HIIOI1 Date \~'-' ","\O'.~m',~~i~l~ .J New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ~ I~,. 0 &r -'..4-.di::-~ '\)Al~ sf) 40 O\\'!1;:'!"S ,~2me ,:.,dcrt;; ~3 s..r- ell" ~pF^ Phone $ 50,00 $ 69,00 '$100,00 $ '13.00 $ 3,00 0-'\'11;:'[5 Signarure: 7% State Surcharge 10% Administrative Fee II1SPC'Cliol1 Request: 726-3769 TOTAL so S~C> S-OD S-B'~ Shared Drive(T:yJ3uilding FormslElectrical Permit Applicatioo I.()),doc ., . " CITY OF SP~G}11~LD ' Building/Combination Permit PERMIT NO: COM2005-01242 ISSUED: 09/13/2005 APPLIED: 09/12/2005 EXPIRES: 03/13/2006 VALUE: _~~~~~.~@;~,f ' ~ , Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , SITE ADDRESS: 5335 Daisy St 40 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF Electrical Work Only TYPE OF USE: Repair Residential , PROJECT DESCRIPTION: Replace burnt pedestal Owner: Address: I ' '1-~ - ''f'"'' tn __A.UEN I I UN: VltlYUl1 avv 'V'1~ I. - . . ALFONSO HERNANU~~W rules adopted by the Oregon UtIlity 5335 DAISY ST SP Ad94~ C t Those rules are set forth ~w-~b--ation en er. SPRINGFIELD OR J;}114'flJJ 1 0010 through OAR 952-001- :~ '"'^ 0 QC\?-nn - . '()090 You ma I phtqin cOQles OT Ult:: I Ult;;~ u, '. 'Il'N1EO~"eN calling ~ " ' umber for the Oregon Utility 011 II I,;.d l Contracto~ Center is 1_800-332-234~),.Llcense BURRELL BROS ENTERPRISES INC 136446 Phone Number: 541- Contractor Type Electrical Expiration Date 08/20/2009 Phone 541-747-2724 I BUILDING INFORMAIIUNI # of Units: , Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type , Secondary Construction # of Bedrooms: VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: IPUBLIC IMPROVEMENTS. ~(CYH~E: Sidewalk Type: THIS PERMIT SHALL EXPIRE IF Ti>'o.w~pRl{ts/Drains AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . Notes: Description Type of Construction I Valuation Description I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated 1 of 2 . , I 1 ; l . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01242 ISSUED: 09/13/2005 APPLIED: 09/12/2005 EXPIRES: 03/13/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I , Fee Description + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service Amount Paid Date Paid $5.00 $3.50 $50.00 9/13/05 9/13/05 9/13/05 Receipt Number 1200500000000001343 1200500000000001343 1200500000000001343 Total Amount $58.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. MH Pedestal: Approval required prior to utility company energizing service. . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO .OCCUP ANCY wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wiD remain on the site at all times during construction. Owner or Contractors Signature Date . 2 of 2 225 Fifth Street Springfield, Oregon 97477 54'1~726::'3759 Phone . ~ty of Springfield Official Receipt wvelopment Services Department Public Works Department RECEIPT #: 1200500000000001343 Date: 09/13/2005 2:50:06PM Job/Journal Number COM2005-01242 COM2005-01242 COM2005-0 1242 Description + 7% State Surcharge + 10% Administrative Fee Manufactured Home Service Payments: Type of Payment CreditCard Paid By JASON BURRELL Received By djb Item Total: Lbeck Number AuthorIzation Batch Number Number How Received 061678 In Person Payment Total: Amount Due 3.50 5.00 50.00 $58.50 Amount Paid , $58.50 $58.50 ~~ ,I " .. , " .:', " . . , . ., 9/1 3/2005 1 of I